Deck 8: Bipolar Disorders BD

Question 1

Hypomanic episodes differ from manic episodes in that ...

A) Fewer symptoms are required to diagnose a hypomanic episode.
B) Hypomanic episodes are perceived as enjoyable.
C) Hypomanic episodes have a shorter duration requirement for diagnosis.
D) Hypomanic episodes are always accompanied by symptoms of depression.

Answer 1

C

Question 2

Which of the following would rule out a diagnosis of BD-II

A) Comorbid ADHD symptoms.
B) Suicidal ideation.
C) Having been hospitalized for manic symptoms.
D) Substance use.

Answer 2

C

Question 3

Which of the following is the best description of the prognosis for individuals with BD-I?

A) Most people experience extreme dysfunction during manic episodes, but are highly productive and successful otherwise.
B) The majority of people experience significant impairment in work, social, and family functioning, however some of the individuals are able to function quite well
C) Manic episodes tend to be times of high productivity and achievement, but depressive episodes tend to negate those gains.
D) Most people have significant deficits in social and relationship functioning, but better than average work functioning and creativity.

Answer 3

B

Question 4

Which of the following is not a component of "expressed emotion"?

A) Affective flattening
B) Criticism
C) Hostility
D) Emotional overinvolvement

Question 5

BD is primarily caused by environmental factors, such as stressful family environments.

Question 6

Brain regions most closely associated with the experience of emotions are part of the ...

A) Prefrontal cortex
B) Limbic system
C) Basal Ganglia
D) Temporal lobe

Question 7

Which of the following is one the main negatives of divalproex sodium (Depakote) treatmemt as compared with lithium?

A) More significant side effects.
B) No efficacy in controlling manic symptoms.
C) Cannot be combined with other medication treatments.
D) Not as effective at preventing relapse.

Question 8

Which of the following was one of the conclusions of the STEP-BD study?

A) Only CBT proved successful for treating depressive symptoms associated with BD.
B) Psychotherapy cannot treat symptoms associated with BD.
C) With intensive psychotherapeutic treatment, most individuals do not require medication.
D) CBT, FFT, and IPSRT are relatively equivalent in their long term efficacy for the treatment of BD.

Question 9

Age of onset of mood disorders is getting younger in successive birth cohorts

Question 10

More than 95% of persons diagnosed with BD have a lifetime history of other psychiatric disorder