Bipolar disorder — Flashcards

Flashcard 1: _____ is an ion that is used as a mood stabilizer for bipolar disorder

Answer: Lithium

Extra:   Sketchy Pharmacology: Neuro/Psych Watch Lithium [https://dashboard.sketchy.com/study/medical/courses/medical-pharmacology/units/medical-pharmacology-neuro-psych/videos/medical-pharmacology-neuropsych-mood-stabilizers-and-antiepileptic-drugs-lithium?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/pharmacology?index=13] https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 2: What is the general treatment for manic episodes? _____

Answer: Atypical antipsychotics

Extra:  Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/psychotic-and-mood-disorders?index=8] https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 3: Patients with bipolar disorder have a high risk of _____

Answer: suicide

Extra:  Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/psychotic-and-mood-disorders?index=8] https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 4: In addition to mood stabilizers, bipolar disorder may also be treated with _____

Answer: antipsychotics

Extra:   Sketchy Pharmacology: Neuro/Psych Watch Lithium [https://dashboard.sketchy.com/study/medical/courses/medical-pharmacology/units/medical-pharmacology-neuro-psych/videos/medical-pharmacology-neuropsych-mood-stabilizers-and-antiepileptic-drugs-lithium?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/psychotic-and-mood-disorders?index=8] https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 5: Diagnosis of a(n) manic episode requires an elevated and/or irritable mood plus at least three "DIG FAST" criteria: D: _____ I: Irresponsibility (seeks pleasure without regard to consequences) G: Grandiosity (inflated self-esteem) F: Flight of ideas (racing thoughts) A: Agitation/increased Activity S: Sleeplessness T: Talkativeness or pressured speech

Answer: Distractibility

Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/psychotic-and-mood-disorders?index=8] https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki  

Flashcard 6: Does a hypomanic episode present with psychotic features? _____

Answer: No

Extra:  Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/psychotic-and-mood-disorders?index=8] https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 7: The mechanism of action of lithium may be related to inhibition of the _____ signaling pathway

Answer: IP3

Extra:   Sketchy Pharmacology: Neuro/Psych Watch Lithium [https://dashboard.sketchy.com/study/medical/courses/medical-pharmacology/units/medical-pharmacology-neuro-psych/videos/medical-pharmacology-neuropsych-mood-stabilizers-and-antiepileptic-drugs-lithium?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/pharmacology?index=13] https://onlinemeded.org/spa/psychiatry?ref=anki 

Flashcard 8: Are antipsychotics used to prevent relapse or treat acute mania in bipolar disorder? _____

Answer: Acute mania, only

Extra:   Sketchy Pharmacology: Neuro/Psych Watch Lithium [https://dashboard.sketchy.com/study/medical/courses/medical-pharmacology/units/medical-pharmacology-neuro-psych/videos/medical-pharmacology-neuropsych-mood-stabilizers-and-antiepileptic-drugs-lithium?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/psychotic-and-mood-disorders?index=8] https://onlinemeded.org/spa/psychiatry?ref=anki 

Flashcard 9: What anti-epileptics may be used in the treatment of bipolar disorder? _____, carbamazepine, and lamotrigine

Answer: Valproate

Extra:   Sketchy Pharmacology: Neuro/Psych Watch Lithium [https://dashboard.sketchy.com/study/medical/courses/medical-pharmacology/units/medical-pharmacology-neuro-psych/videos/medical-pharmacology-neuropsych-mood-stabilizers-and-antiepileptic-drugs-lithium?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/psychotic-and-mood-disorders?index=8] https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki  

Flashcard 10: What is the general treatment for bipolar disorder? _____

Answer: Mood stabilizers

Extra:   Sketchy Pharmacology: Neuro/Psych Watch Lithium [https://dashboard.sketchy.com/study/medical/courses/medical-pharmacology/units/medical-pharmacology-neuro-psych/videos/medical-pharmacology-neuropsych-mood-stabilizers-and-antiepileptic-drugs-lithium?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/psychiatry/videos/psychotic-and-mood-disorders?index=8] https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 11: Are valproate and carbamazepine used to prevent relapse or treat acute mania in bipolar disorder? _____

Answer: Both

Extra:  Sketchy Pharmacology: Neuro/Psych  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 12: Bipolar depression is managed with _____

Answer: lamotrigine

Extra:  Sketchy Pharmacology: Neuro/Psych  https://onlinemeded.org?ref=anki 

Flashcard 13: What does a diagnosis of bipolar I require? _____

Answer: Presence of at least 1 manic episode

Extra:  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 14: Mild depressive symptoms and hypomanic symptoms lasting ≥ 2 years is characteristic of _____

Answer: cyclothymic disorder

Extra:  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 15: Manic symptoms and THC in urine is suggestive of _____

Answer: bipolar 1

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 16: Bipolar II is defined by presence of _____

Answer: hypomanic AND depressive episode

Extra:  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 17: Which mood stabilizers are considered 1st line therapy for bipolar disorder? _____

Answer: Lithium Valproic Acid (Depakote)

Extra:  https://onlinemeded.org/spa/psychiatry?ref=anki 

Flashcard 18: _____ is the treatment for an agitated and combative patient with acute mania

Answer: Haloperidol

Extra:  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 19: What is the recommended maintenance treatment for a patient with a history of kidney disease that presents with bipolar I disorder? _____

Answer: Valproate

Extra:  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 20: What drugs are used for maintenance therapy in bipolar disorder? 1. _____ 2. _____ 3. _____ 4. _____

Answer: Lithium

Extra:  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 21: First line maintenance (bipolar) is _____

Answer: mood stabilizer (lithium or valproate) and 2nd-generation antipsychotic

Extra:  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 22: Is carbamazepine used to prevent manic relapse or treat acute mania in bipolar disorder? _____

Answer: Acute mania (third-line)

Extra:  Sketchy Pharmacology: Neuro/Psych  https://onlinemeded.org/spa/psychiatry/mood-disorders/acquire?ref=anki 

Flashcard 23: What anti-epileptics may be used in the treatment of bipolar disorder? _____, _____, and _____

Answer: Valproate

Extra:  Sketchy Pharmacology: Neuro/Psych  https://onlinemeded.org?ref=anki 

Flashcard 24: What anti-epileptics may be used in the treatment of bipolar disorder? _____

Answer: Valproate Carbamazepine Lamotrigine

Extra:  Sketchy Pharmacology: Neuro/Psych  https://onlinemeded.org?ref=anki 

Flashcard 25: Gifts given by mentally unstable patients _____ be accepted

Answer: should not

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Flashcard 26: Do patients with manic episodes need to be hospitalized?_____

Answer: Yes (psychiatric emergency)

Flashcard 27: Does a hypomanic episode present with psychotic features?_____

Answer: No

Flashcard 28: What is the general treatment for manic episodes?_____

Answer: Atypical antipsychotics

Flashcard 29: Does a patient with bipolar disorder typically return to normal mood and functioning between episodes? _____

Answer: Yes

Flashcard 30: Is lithium used to prevent relapse or treat acute mania in bipolar disorder? _____

Answer: Both

Flashcard 31: In addition to mood stabilizers, _____ may be used as an adjunctive therapy for bipolar disorder

Answer: antipsychotics

Flashcard 32: Are antipsychotics used to prevent relapse or treat acute mania in bipolar disorder? _____

Answer: Acute mania, only

Flashcard 33: What is the general treatment for bipolar disorder? _____

Answer: Mood stabilizers

Flashcard 34: What is the general treatment for bipolar disorder? _____

Answer: Mood stabilizers

Flashcard 35: Is lamotrigine used to prevent relapse or treat acute mania in bipolar disorder? _____

Answer: Prevent relapse (maintenance), only

Flashcard 36: Patients with bipolar disorder have a high risk of _____

Answer: suicide

Flashcard 37: A manic episode is a distinct period of abnormally and persistently elevated, expansive, or irritable mood with persistently increased activity or energy for at least _____ (duration)

Answer: 1 week

Flashcard 38: A hypomanic episode must last at least _____ consecutive days

Answer: 4

Flashcard 39: _____ disorder is defined by the presence of a hypomanic and a depressive episode

Answer: Bipolar II

Flashcard 40: A _____ episode is similar to a manic episode except mood disturbance doesn't cause marked impairment in social or occupational functioning

Answer: hypomanic

Flashcard 41: Is carbamazepine used to prevent relapse or treat acute mania in bipolar disorder? _____

Answer: Both

Flashcard 42: Is valproate used to prevent relapse or treat acute mania in bipolar disorder? _____

Answer: Both

Flashcard 43: Manic episodes may present similarly to _____ intoxication

Answer: stimulant

Flashcard 44: In addition to mood stabilizers, bipolar disorder may also be treated with _____

Answer: antipsychotics