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First Aid Psychiatry: Mood Disorders Flashcards

(60 cards)

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1
Q

Major depressive episode can be found in what disroder

A

MDD
dysthymic
bipolar I/II

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2
Q

What are the mood disorders

A
  1. MDD
  2. bipolar I/II
  3. dysthymic
  4. cyclothymic
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3
Q

what are the mood episodies

A
  1. depression
  2. mania
  3. hypomania
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4
Q

criteria for major depressive episode

A

5 for two weeks

SIGE CAPS

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5
Q

symptoms of maina

A

DIG FAST: must have at least 3

  • Distractibility
  • Insomnia
  • Grandiosity
  • Flight of ideas
  • Agitation
  • Speech (pressured)
  • Thoughtlessness
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6
Q

how is hypomania different from mania

A
  • 4 days
  • no hospitalization
  • no psychotic features
  • no social impairment
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7
Q

how is mania different from hypomania

A
  • least 7 days
  • social impairment
  • hospitalization
  • may have psychosis
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8
Q

Patients with mixed features of mood episodes should have what medicine

A

not lithium

- valproic acid

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9
Q

Medical causes of manic episode

A
  • hyperthyroid
  • temporal lobe seizure, MS
  • HIV
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10
Q

Medical causes of depressive episode

A
  • stroke, MI
  • Diabetes, cushing, addison
  • Parkinson
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11
Q

stroke patients usually develop what mood disorder

A
  • depression
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12
Q

Anhedonia

A

inability to experience pleasure

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13
Q

sleep problems associated MDD

A
  • initial and terminal insomnia
  • REM sleep shifted earlier in the night and for greater duration
  • with reduced stages 3 and 4 sleep
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14
Q

first line treatment in patients in MDD with psychotic features

A

atypical (second-generation) antipsychotics along with antidepressants

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15
Q

what has shown benefits when augmenting antidepressants in treatment of refractory MDD

A
  1. T3, T4

2. lithium

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16
Q

what therapy is good for MDD

A

CBT or interpersonal psychotherapy

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17
Q

when do you use ECT for MDD

A
  • patient is unresponsive to pharmacotherapy

- rapid reduction of symptoms desired ( immediate suicide risk)

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18
Q

Common side effect of ECT

A

retrograde and anterograde amnesia

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19
Q

Melancholic features of MDD

A
  • anhedonia
  • depression worse in the morning
  • early morning awakenings
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20
Q

atypical features of MDD

A

hypersomnia, hyperphagia , reactive mood, leaden paralysis, hypersensitivity to interpersonal rejection

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21
Q

catatonia for MDD

A

-catalepsy, purposeless moto, mutism, bizarre postures

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22
Q

triad of season affective disorder

A
  • irritability
  • carbohydrate craving
  • hypersomnia
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23
Q

Onset of MDD symptoms occurs during pregnancy or ?

A

4 weeks following delivery

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24
Q

Major depression with psychotic features is best treated with

A

combination antidepressants and antipsychotic

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25
Anxious distress
feeling keyed up/tense, restless, difficulty concentrating
26
what is required for diagnosis for bipolar I
manic episode
27
Best treatment for a pregnant women who is having a manic episode.
ECT
28
Lithium reduced the risk of what
suicide
29
pharmacotherapy treatments for bipolar I
Anticonvulsants and atypical antipsychotics
30
Diagnosis bipolar II
history of 1 or more major depressive episode and at least one hypomanic - if there has been manic episode, even in the past, then the diagnosis is bipolar I
31
symptoms of dysthymia
2 or more of CHASES - poor Concentration - feeling of Hopelessness - poor Appetite - inSomnia - low Energy - low Self-esteem
32
rapid cycling
at least 4 mood episodes within 12 months
33
diagnosis for dythymia
2 years of depression 2 criteria of SIGECAPS Never asymptomatic for 2 months or more
34
treatment for for dysthymia
combination of psychotherapy and pharmacotherapy
35
criteria for cyclothymic disorder
- hypomanic symptoms and depressive symptoms - do not meet criteria for either - no past MDD, hypmania or manic episode
36
firstline treatment for premenstural dysphoric disorder
SSRI
37
other treatment options for premenstrual dysphoric disorcer
oral contraceptives | GnRH agonists
38
which category of symptoms tends to respond well to antipsychotics in schizophrenia
positive
39
which category of symptoms tends to be resistant to antipsychotics in schizophrenia
negative
40
what are examples of catatonia seen in schizophrenia patients
- stereotyped movement - bizarre posturing - muscle rigidity
41
Echolalila
meaningless repetition of another person's spoken words
42
Echopraxia
mimiic behavior | -PRAxia: Practice behavior
43
what drugs can create schizophrenic like symptoms
cocaine and amphetamines | - both increase dopamine activity
44
how do you diagnose a patient with mixed features of mood episodes
criteria met for manic or hypomanic episode - 3 symptoms of major depressive episode - 1 week present
45
a patient with depression will cause psychotic themes of
paranoia and worthlessness
46
a patient with mania have psychotic themes of
grandiosity and invincibility
47
criteria for major depressive disorder
at one major depressive episode
48
Among those who complete suicide, what is the most common disorder
Major depressive disorder
49
what is 5-HIAA
metabolite of serotonin
50
patients with CSF fluid with decreased 5-HIAA indicates
depressed patients with impulsive and suicidal behavior
51
what are some hormones that can cause MDD
high cortisol and abnormal thyroid axis
52
MOA of bupropion
dopamine and NE reuptake inhibitor
53
MOA of SNRI
Serotonin-NE reuptake inhibitor
54
MOA of mirtazapine
alpha 2 antagonist
55
Loss of a parent before age 11 is associated with later development of
major depression
56
Leaden paralysis
heaving feeling in legs/arms
57
treatment for MDD with atypical features
First line: SSRI | MOAI
58
what can be prescribed to patients with resistant/refractory MDD with no psychotic features
second-generation antipsychotic along with antidepressant
59
Anticonvulstants are good to treat what
rapid cycling bipolar disorder | and mixed features
60
cyclothymic disorder can coexist with what other disorder
borderline

Psychology (21 decks)

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