What does presynaptic beta 2 receptor activation result in?

What does presynaptic beta 2 receptor activation result in? a) Increase in the amount of NE released b) Decrease in the amount of NE released c) No...

Which biogenic amines are most implicated in the pathophysiology of mood disorders?

Which biogenic amines are most implicated in the pathophysiology of mood disorders? a) NE b) Dopamine c) Serotonin d) a and b e) a and c Answer:...

18 year old patient presents with complaints of bouts of a hyperactive state in which she feels like she has a grandiose sense of self and is better than others and doesn't sleep because she's either too busy cooking recipes she found on pinterest or has racing thoughts pertaining to what her next project will be that cycles with mild depressive symptoms. When these bouts occur they typically last about 4 days. She states that she has been experiencing these symptoms since she was 15 and that she's never been symptom free for greater than 2 months. What's your DDx?

18 year old patient presents with complaints of bouts of a hyperactive state in which she feels like she has a grandiose sense of self and is better...

What is the average age of onset of Cyclothymia disorder?

What is the average age of onset of Cyclothymia disorder? a) 10-15 b) 15-25 c) 25-35 Answer: ...

Who is cyclothymia disorder more common in?

Who is cyclothymia disorder more common in? a) Women b) Men c) Women and men are affected equally Answer: ...

In order to fulfill the diagnostic criteria of dysthymia disorder, patients must have at least 2 of the below symptoms for the majority of the time for the last 2 years without a symptom-free period lasting longer than two months. Which of these symptoms is NOT part of the dysthymia diagnostic criteria?

In order to fulfill the diagnostic criteria of dysthymia disorder, patients must have at least 2 of the below symptoms for the majority of the time...

20 year old patient presents with complaints of her grades dropping in school, which she attributes to her inability to concentrate in class and at study sessions. Patient admits to feelings of hopelessness and decreased self esteem. PE reveals a weight reduction. When you ask the patient about it, she states that she doesn't have much of an appetite. These symptoms have persisted for the majority of the past three years and she's never gone more than 2 months without experiencing them. What's your DDx?

20 year old patient presents with complaints of her grades dropping in school, which she attributes to her inability to concentrate in class and at...

What is the typical age of onset of Dysthymia disorder?

What is the typical age of onset of Dysthymia disorder? a) Before 25 b) Before 35 c) Before 45 d) Before 15 Answer: ...

Which of the following is FALSE regarding Dysthymia disorder?

Which of the following is FALSE regarding Dysthymia disorder? a) Lifetime prevalence is 6% b) 20% of these patients will develop MDD and 15% will...

Who is Dysthymia disorder more common in?

Who is Dysthymia disorder more common in?  a) Women b) Men c) Women and men are equally affected Answer: ...

Which of the following is NOT true of Bipolar II disorder?

Which of the following is NOT true of Bipolar II disorder? a) Onset before age 30 b) Lifetime prevalence is 0.5% c) Firm evidence suggests the progression...

Who is Bipolar II disorder more common in?

Who is Bipolar II disorder more common in? a) Women b) Men c) Women and men are equally affected Answer: ...

Which of the following is a drug used for maintenance therapy of Bipolar I that has prophylactic anti-depressant and potential mood stabilizing properties?

Which of the following is a drug used for maintenance therapy of Bipolar I that has prophylactic anti-depressant and potential mood stabilizing properties? a)...

28 year old female presents with long-standing bouts of increased productivity, decreased sleep, excessive chattiness and distractibility. These bouts are typically one week in duration. Which of the following would NOT be an appropriate maintenance treatment for this patient?

28 year old female presents with long-standing bouts of increased productivity, decreased sleep, excessive chattiness and distractibility. These bouts...

Which drug is ONLY indicated for acute mania and has a rapid onset?

Which drug is ONLY indicated for acute mania and has a rapid onset? a) Lithium b) Valproate/Depakote c) Carbamaepine/ Tegretol d) Oxycarbamzaepine/Trileptal e)...

The presence of which symptom negates the need for the symptoms to be present for at least 1 week to be characterized as mania?

The presence of which symptom negates the need for the symptoms to be present for at least 1 week to be characterized as mania? a) Goal-directed activity b)...

Which of the following is NOT one of the manic diagnostic criteria symptoms that a patient must have 3 or more of?

Which of the following is NOT one of the manic diagnostic criteria symptoms that a patient must have 3 or more of? a) Poor self esteem b) Decreased...

In addition to the presence of a distinct period of abnormally and persistently elevated, expansive or irritable mood with abnormally and persistent increased goal-directed activity lasting at least one week and 3 or more of the diagnostic manic symptoms. A patient must also have all of the following EXCEPT what?

In addition to the presence of a distinct period of abnormally and persistently elevated, expansive or irritable mood with abnormally and persistent...

Patient reports that they were much more talkative last week and his friends complained that he wasn't giving them any time to answer his questions or participate in the conversation. During this consecutive five day period, patient also states that he went sky diving, which was odd for him because he's normally terrified of heights. He also stayed up all night working on miscellaneous projects, and was considerably more productive at work. Patient reports feeling overly confident during this period. How would you define this episode?

Patient reports that they were much more talkative last week and his friends complained that he wasn't giving them any time to answer his questions...

In order to meet the diagnostic criteria, how long should the abnormally and persistently elevated, expansive or irritable mood with abnormally and persistently increased goal-directed activity or energy last to be classified as mania?

In order to meet the diagnostic criteria, how long should the abnormally and persistently elevated, expansive or irritable mood with abnormally and...

In what percentage of Bipolar I disorder patients does Lithium prophylaxis improve prognosis?

In what percentage of Bipolar I disorder patients does Lithium prophylaxis improve prognosis? a) 80-90% b) 50-60% c) 30-40% Answer: ...

How would you define a Rapid Cycler in Bipolar I disorder?

How would you define a Rapid Cycler in Bipolar I disorder? a) >8 episodes/year b) >8 episodes/month c) >4 episodes/month d) >4 episodes/year Answer:...

Before what age does Bipolar I onset?

Before what age does Bipolar I onset? a) 30 b) 40 c) 50 Answer: ...

Who is Bipolar I more common in?

Who is Bipolar I more common in? a) Women b) Men c) Women and men are affected equally Answer: ...

Which of the following is NOT a goal of psychotherapy in an MDD patient?

Which of the following is NOT a goal of psychotherapy in an MDD patient? a) Ensuring patient's safety b) Partial diagnostic evaluation c) Treatment...

When would prophylaxis treatment be useful in a MDD patient?

When would prophylaxis treatment be useful in a MDD patient? a) If last episode was severe with suicidal ideations b) If last episode had psychosocial...

How long should a patient with MDD be on antidepressants?

How long should a patient with MDD be on antidepressants? a) At least 6 months b) As long as the duration of their most recent episode c) At least...

When treating MDD, the antidepressant dosage should be raised to a maximum and kept there for what period of time assuming the side effect profile is limited?

When treating MDD, the antidepressant dosage should be raised to a maximum and kept there for what period of time assuming the side effect profile is...

What is the most common clinical mistake leading to an unsuccessful trial of an antidepressant?

What is the most common clinical mistake leading to an unsuccessful trial of an antidepressant? a) Too low a dose for too short of time b) Too low...

Which MDD objective rating scale is widely used and contains up to 24 items. The clinician gives each item a weight of 0-2 or 0-4.

Which MDD objective rating scale is widely used and contains up to 24 items. The clinician gives each item a weight of 0-2 or 0-4.  a) Zung b)...

A patient has a Raskin score of 10. How would you interpret this?

A patient has a Raskin score of 10. How would you interpret this? a) The patient is depressed b) The patient is normal c) The patient has borderline...

Which MDD objective rating scale consists of a clinician rated scale that measures the severity of the patient's symptoms ?

Which MDD objective rating scale consists of a clinical rated scale that measures the severity of the patient's symptoms ? a) Zung b) Raskin c) Hamilton/Ham-D Answer:...

Which Zung score correlates with the the diagnosis of depression?

Which Zung score correlates with the the diagnosis of depression? a) <24 b) >50 c) 3 d) 7 Answer: ...

Which MDD objective rating scale consists of a 20 question exam that is filled out by the patient and provides a global index of the intensity of the patient's depressive symptoms?

Which MDD objective rating scale consists of a 20 question exam that is filled out by the patient and provides a global index of the intensity of the...

Which of the following is NOT an objective rating scale for MDD?

Which of the following is NOT an objective rating scale for MDD? a) Zung b) Raskin c) Hamilton/Ham-D d) Ranson Answer: ...

In addition to the presence of 5 or more symptoms, one of which being depressed mood or anhedonia, being present during the same two week period, all of the following are required to meet the diagnostic criteria of MDD except what?

In addition to the presence of 5 or more symptoms, one of which being depressed mood or anhedonia, being present during the same two week period, all...

Aside from anhedonia and depressed mood, a patient must possess at least 4 or more of these during the same two week period. Which of the following is NOT a symptom included in the diagnostic criteria of MDD?

Aside from anhedonia and depressed mood, a patient must possess at least 4 or more of these during the same two week period. Which of the following...

In the criteria for MDD, 5 or more symptoms are required to be present during the same 2 week period. One of these MUST be which of the following?

In the criteria for MDD, 5 or more symptoms are required to be present during the same 2 week period. One of these MUST be which of the following? a)...

What type of questions are important to utilize when interviewing MDD patients?

What type of questions are important to utilize when interviewing MDD patients? a) Closed ended questions b) Open ended questions c) Leading questions Answer:...

Although it may be denied by 50% of patients, what is the KEY symptom of MDD?

Although it may be denied by 50% of patients, what is the KEY symptom of MDD? a) Psychomotor retardation b) Non Delusional ruminations about loss,...

Which of the following is NOT part of the classic presentation of MDD?

Which of the following is NOT part of the classic presentation of MDD? a) Spontaneous movements and fidgeting b) Stooped posture c) Downcast and...

How can depression affect psychomotor capacity in the elderly?

How can depression affect psychomotor capacity in the elderly? a) Psychomotor retardation b) Psychomotor agitation c) Psychomotor loss Answer:...

What is the MOST COMMON symptom of depression?

What is the MOST COMMON symptom of depression? a) Suicidal ideations b) Negative views of the world and themselves c) Generalized psychomotor retardation d)...

40 year old female presents to your office with a stooped posture and a chief complaint of difficulty concentrating at work and states that they missed their previously scheduled appointment with you because they forgot they had scheduled it. During your interview, the patient rarely makes eye contact with you and patient reveals that they've contemplated suicide. What's your DDx?

40 year old female presents to your office with a stooped posture and a chief complaint of difficulty concentrating at work and states that they missed...

Which of the following would an MDD patient NOT be oriented to?

Which of the following would an MDD patient NOT be oriented to? a) Time b) Situation c) Place d) Person Answer: ...

Which of the following MDD types is a poor prognostic indicator?

Which of the following MDD types is a poor prognostic indicator? a) Melancholic b) Atypical c) Psychotic d) Catatonic Answer: ...

How would you classify an MDD patient that was diagnosed at age 25, has significant psychomotor slowing and has a severe cocaine addiction?

How would you classify an MDD patient that was diagnosed at age 25, has significant psychomotor slowing and has a severe cocaine addiction? a) Melancholic b)...

How would you classify an MDD patient with severe anhedonia and profound feelings of guilt?

How would you classify an MDD patient with severe anhedonia and profound feelings of guilt? a) Melancholic b) Atypical c) Psychotic d) Catatonic Answer:...

How would you classify an MDD patient that is unresponsive?

How would you classify an MDD patient that is unresponsive? a) Melancholic b) Atypical c) Psychotic d) Catatonic Answer: ...

Which of the following is NOT a type of MDD?

Which of the following is NOT a type of MDD? a) Melancholic b) Teenage c) Psychotic d) Catatonic Answer: ...

How many depressive episodes would you expect to occur before the onset of a manic episode in MDD patients?

How many depressive episodes would you expect to occur before the onset of a manic episode in MDD patients? a) 2-4 b) 5-6 c) 7-8 Answer:...

What is the average age of MDD onset?

What is the average age of MDD onset? a) 50 b) 30 c) 40 d) 20 Answer: ...

How long do treated episodes of MDD typically last?

How long do treated episodes of MDD typically last? a) 6-13 months b) 3 months c) 6-10 years Answer: ...

Who is MDD more common in?

Who is MDD more common in? a) Women b) Men c) Women and men are affected equally Answer: ...