Forwarded from Dr.Jayyan M.S
What would be the most appropriate diagnosis for a child who has frequent temper outbursts but no evidence of persistent mood disruption between outbursts?
Anonymous Quiz
4%
A. Dysthymia.
62%
B. Intermittent explosive disorder (IED).
9%
C. Attention-deficit/hyperactivity disorder (ADHD).
2%
D. Pediatric bipolar disorder.
23%
E. Disruptive mood dysregulation disorder (DMDD).
Forwarded from Dr.Jayyan M.S
According to DSM-5 criteria, which of the following may not be diagnosed in the presence of disruptive mood dysregulation disorder (DMDD)?
Anonymous Quiz
15%
A. Conduct disorder.
18%
B. Attention-deficit/hyperactivity disorder (ADHD).
39%
C. Intermittent explosive disorder (IED).
11%
D. Separation anxiety disorder.
17%
E. Substance use disorders.
Forwarded from Dr.Jayyan M.S
Which of the following is considered an atypical feature of depression?
Anonymous Quiz
2%
A. Depressed mood.
6%
B. Anhedonia.
88%
C. Hypersomnia.
1%
D. Low energy.
3%
E. Suicidal ideation.
Forwarded from Dr.Jayyan M.S
All of the following are features of endogenous depression, except:
Anonymous Quiz
4%
A. Lack of appetite.
61%
B. Irritability.
6%
C. Weight loss.
20%
D. Psychomotor retardation.
9%
E. Anhedonia
Forwarded from Dr.Jayyan M.S
Melancholia is also known as:
Anonymous Quiz
12%
A. Reactive depression.
6%
B. Exogenous depression.
60%
C. Endogenous depression.
10%
D. Psychotic depression.
11%
E. Masked depression.
Forwarded from Dr.Jayyan M.S
One-year prevalence of bipolar affective disorder is:
Anonymous Quiz
20%
A. 3%
16%
B. 2%
29%
C. 1%
24%
D. 5%
11%
E. 10%
Forwarded from Dr.Jayyan M.S
When compared to patients with unipolar disorder, patients with bipolar disorder have:
Anonymous Quiz
10%
A. Less genetic loading.
79%
B. Greater genetic loading.
8%
C. The same genetic loading.
4%
D. No genetic loading.
Forwarded from Dr.Jayyan M.S
All of the following are features of rapid-cycling bipolar disorder, except:
Anonymous Quiz
9%
A. Four or more mood episodes per year.
13%
B. More common in women.
34%
C. Occurs early in the course of illness.
21%
D. Usually resistant to treatment with lithium.
22%
E. Antidepressant-induced hypomania.
Forwarded from Dr.Jayyan M.S
The lifetime prevalence of depressive illness is:
Anonymous Quiz
40%
A. 13%
7%
B. 70%
31%
C. 40%
15%
D. 6%
7%
E. 3%
Forwarded from Dr.Jayyan M.S
All of the following are vulnerability factors for depression in women, except:
Anonymous Quiz
11%
A. Loss of mother before the age of 11.
23%
B. Three or more children under the age of 15.
37%
C. Lack of work outside the house.
12%
D. Lack of anyone in whom to confide.
17%
E. Living in a homeless shelter.
Forwarded from Dr.Jayyan M.S
The criterion for unintended weight loss used in diagnosis of depression is:
Anonymous Quiz
7%
A. Loss of any amount of weight.
47%
B. Loss of 5% or more of the body weight in the past month.
26%
C. Loss of 10% or more of body weight in the past month.
8%
D. Loss of 10% of body weight in the past 2 weeks.
12%
E. Loss of 5% of the body weight in the past 2 weeks.
Forwarded from Dr.Jayyan M.S
The rapid-cycling bipolar disorder is characterized by:
Anonymous Quiz
79%
A. Four or more mood episodes per year.
6%
B. Four or more mood episodes per month.
12%
C. Four or more episodes of mania or hypomania in a year.
2%
D. Four or more episodes of depression per year.
Forwarded from Dr.Jayyan M.S
A 28-year-old woman is being assessed for bipolar disorder. She complains of mood swings from time to time ranging from “tearfulness to feeling really good.” On further questioning, she reveals that she has not been able to maintain any relationships because of her mood swings and feels empty. She fears abandonment by her friends because of her mood swings but also blames everyone for her “current state.”
Forwarded from Dr.Jayyan M.S
The most important differential diagnosis in this patient is:
Anonymous Quiz
6%
A. Major depressive disorder.
86%
B. Borderline personality disorder.
5%
C. Histrionic personality.
3%
D. Depressive personality.
1%
E. Generalized anxiety disorder.
Forwarded from Dr.Jayyan M.S
A 32-year-old woman is admitted to an acute psychiatric inpatient unit for severe depression. The patient has been ruminating about suicide and guilt feelings. She believes that she has committed a sin and deserves to be punished. The resident physician thinks that the patient is obsessed with thoughts of guilt and suspects that patient has a primary obsessional disorder.
Forwarded from Dr.Jayyan M.S
The attending psychiatrist explains that patient is not obsessional but severely depressed because:
Anonymous Quiz
42%
A. The patient has suicidal ideation.
6%
B. The patient has indeed committed a sin.
48%
C. The patient is not distressed by the guilt feelings and is mood congruent.
2%
D. The psychiatrist thinks so.
2%
E. Antidepressants alone were not effective.
Forwarded from Dr.Jayyan M.S
All of the following are found in brain imaging studies of persons with depression, except:
Anonymous Quiz
20%
A. Decreased volume of the parietal lobes.
10%
B. Decreased volume of the frontotemporal lobes.
17%
C. Decreased caudate size.
36%
D. Increased ventricular size.
18%
E. Decreased blood flow in the dorsolateral prefrontal cortex.
Forwarded from Dr.Jayyan M.S
Which of the following has an equal prevalence in both sexes:
Anonymous Quiz
46%
A. Bipolar I disorder.
13%
B. Dysthymia.
8%
C. Major depressive disorder.
11%
D. All of the above.
21%
E. None of the above.
Forwarded from Dr.Jayyan M.S
The dose of lamotrigine should be lower than the usual dose, if lamotrigine is used in combination with:
Anonymous Quiz
63%
A. Valproic acid.
7%
B. Escitalopram.
7%
C. Olanzapine.
19%
D. Lithium.
4%
E. Sertraline.
Forwarded from Dr.Jayyan M.S
Evidence exists for the effectiveness of all of the following antiepileptics as mood stabilizers, except:
Anonymous Quiz
4%
A. Valproic acid.
73%
B. Gabapentin.
4%
C. Lamotrigine.
4%
D. Carbamazepine.
15%
E. Oxcarbamazepine.
Forwarded from Dr.Jayyan M.S
One of the primary reasons for slow titration of lamotrigine when it is used in treatment of bipolar disorder is:
Anonymous Quiz
7%
A. Hypotension.
76%
B. Rash leading to Stevens-Johnson syndrome.
6%
C. Extrapyramidal side effects.
3%
D. Sedation.
7%
E. Toxicity.