Deck 8: Mood Disorders II: Bipolar Disorders

Question 1

Which of the following is true about the diagnostic criteria of a manic episode?

A) Sustained elevated, expansive, or irritable mood must last minimum of 2 weeks.
B) If mood is irritable, at least 4 additional symptoms are needed.
C) Severe impairment in functioning is not required to meet criteria.
D) If mood is elevated, at least 5 additional symptoms are needed.

Answer 1

B

Question 2

Which of the following is true about Bipolar I Disorder as defined in the DSM-5?

A) The diagnostic criteria for a Major Depressive Episode is the same as it is in Bipolar II Disorder.
B) Manic episodes are severe enough to cause impairment in social and occupational functioning.
C) A history of a Major Depressive Episode is required for diagnosis.
D) Both a. and b.
E) All of the above

Answer 2

D

Question 3

According to the DSM-5 at least one Hypomanic Episode and one Major Depressive Episode are required to diagnose:

A) Bipolar II Disorder
B) Cyclothymic Disorder
C) Bipolar I Disorder
D) Disruptive Mood Dysregulation Disorder

Answer 3

A

Question 4

Which of the following is true about rapid cycling?

A) It is defined in the DSM-5 as four or more discrete mood episodes occurring in a 12-month period.
B) It is more common in women and those with Bipolar II Disorder.
C) It is often associated with poorer course.
D) All of the above

Question 5

In Cyclothymic Disorder as defined in the DSM-5:

A) There have been numerous hypomanic periods that meet criteria for a Hypomanic Episode.
B) There have been numerous depressive periods that meet criteria for a Major Depressive Episode.
C) During a 2-year period, hypomanic and depressive periods must have been present at least half the time.
D) During a 2-year period when mood symptoms have been present, periods of symptom remission can last no more than 2 weeks at a time.

Question 6

Which of the following is false about pediatric bipolar disorder?

A) Outcome is usually better in childhood onset as compared to adult onset bipolar disorder.
B) Mood instability is likely to appear similar to rapid cycling or mixed states.
C) Switches from elevated mood to depression tend to occur over relatively short periods of time.
D) Marked irritability, aggression, and rage are common and more likely than euphoric states.

Question 7

A _________________ is a visual depiction of a client's mood episodes over time that allows both client and clinician to observe the pattern, severity, and timing of symptomatic periods.

A) Chronological follow-back
B) Visual narrative
C) Life chart
D) Syndrome calendar

Question 8

The first pharmacologic treatment for bipolar disorder was _________________ and appears effective in treating manic episodes, but less so for depressive episodes.

A) Valproate
B) Lithium
C) Risperidone
D) Fluoxetine

Question 9

Zeitgebers and zeitstörers are concepts which most closely relate to which of the following interventions for bipolar disorder?

A) Interpersonal Social Rhythm Therapy
B) Somatic Experiencing Therapy
C) Family Focused Therapy
D) Cognitive Behavioral Therapy

Question 10

A prodrome in bipolar disorder refers to:

A) The characteristic symptoms an individual experiences that herald the onset of a manic, hypomanic, or depressive episode
B) The environmental or behavioral risk factors (e.g., sleep deprivation, lack of regularity in one's daily schedule) that place an individual at risk for mania, hypomania, or depression
C) The symptoms of a mood episode that are the most persistent and the last to resolve
D) The constellation of factors (e.g., genetic, environmental, developmental) that place an individual at risk for the development of a bipolar disorder