Pathology 2

Question 1

Presence of at least 1 manic episode with or without a hypomanic or depressive episode

Answer 1

Bipolar Disorder I

Question 2

Presence of a hypomanic and depressive episode

Answer 2

Bipolar Disorder II

Question 3

Tx of Bipolar Disorder

Answer 3

Mood stabilizers, lithium, valproic acid, carbamazepine

Atypical antipsychotics

Question 4

Dysthymia and hypomania; milder form of bipolar disorder lasting at least 2 years

Answer 4

Cyclothymic Disorder

Question 5

Name 5 of 9 Major depressive disorder symptoms

Answer 5

SIG E CAPS
sleep disturbance, loss of interest, guilt/worthlessness, energy loss/fatigue, Concentration problems, appetite/wt changes, psychomotor retardation or agitation, suicidal ideation, depressed mood

Question 6

Time frame for Major depressive disorder

Answer 6

6-12 months, need 5/9 symptoms for 2+ weeks

Question 7

depression, often midler ,lasting at least 2 years

Answer 7

Persistent depressive disorder (dysthymia)

Question 8

Depressive symptoms that improves in response to full-spectrum bright-light exposure

Answer 8

Seasonal Affective Disorder

Question 9

Depression that is able to be improved in response to positive events, briefly

Answer 9

Atypical depression

Question 10

“reversed” vegetative state symptoms

Answer 10

hypersomnia and weight gain associated with atypical depression

Question 11

Leaden paralysis

Answer 11

heavy feeling in arms and legs, associates with atypical depression

Question 12

Long-standing interpersonal rejection sensitivity

Answer 12

Atypical depression

Question 13

Tx of Atypical depression

Answer 13

MAO-I, SSRIs

Question 14

Time frame of postpartume mood disturbances

Answer 14

within 4 weeks of delivery

Question 15

Depressed affect, tearfulness, and fatugue starting 2-3days after delivery, usually resolves in 10 days

Answer 15

Maternal postpartum blues

Question 16

Depressed affect, anxiety and poor concentration starting within 4 weeks after delivery lasting 2weeks to a year or more

Answer 16

Postpartum depression

Question 17

tx of Post-partum depression

Answer 17

Antidepressants and psychotherapy

Question 18

Delusions, hallucinations, confusion, unusual behavior, homicidal/suicidal ideations or attempts after birth.
Lasts 4-6weeks

Answer 18

Postpartum psychosis

Question 19

Tx of postpartum psychosis

Answer 19

antipsychotics, antidepressants, inpatient hospitalization, assessment of child safety

Question 20

Normal bereavement characterized by shock, denial, guilt, and somatic symptoms - 6 to 12 months

Answer 20

Pathologic grief

Question 21

Tx for Major depressive disorder refractory to other tx and pregnant women.

Answer 21

Electroconvulsive therapy

Question 22

A/E of electroconvulsive therapy

Answer 22

Disorientation, temporary HA, and partial anterograde/retrograde amnesia usually resolving in 6months

Question 23

Suicide risk factors

Answer 23

Male, Teens and elderly, depression, previous attempt, ethanol/drugs, loss of rational thinking, sickness, 3+ medications, organized plan, no spouse, lack social support

Question 24

Inappropriate experience of fear/worry and its physica; manifestations when the source of the fear/worry is either not real or insufficient to account for severity of symptoms

Answer 24

Anxiety Disorder

Question 25

Periods of intense fear and discomfort peaking in 10 minutes with at least 4 symptoms. Attack followed by 1 months+ of 1+ concern of additional attack or behavioral change relating to attack

Answer 25

Panic Attack

Question 26

At least 4 of Panic attack symptoms

Answer 26

PANICS - L paresthesia, palpitations, paresthesia, abdominal distress, nausea, intense fear of dying or losing control, Chest pain, chills, choking, disConnectedness, Sweating, shaking, SOB, Light headedness

Question 27

Tx of Panic Attacks

Answer 27

Cognitive behavior therapy, SSRIs, venlafaxine, benzodiazepines