Bipolar Disorder and Mania

• Q1.Lady with history of depression came to the OPD and was prescribed on Imipramine One wk later bystanders complained that she is having hallucination and excessive talking what will you advice on follow up

  • Astop the current antidepressant
  • Bmood stabilizers
  • CAdd sodium valproate to antidepressants
  • Dadd Antipsychotics
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• Q2.Treatment of choice for bipolar disorder is

  • AFluoxetine
  • BImipramine
  • CLithium
  • DChlorpromazine
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• Q3.All of the following phrases concerning manic-depressive psychosis are true except

  • AYounger age of onset in women
  • BFemale: Male ratio of 2:1
  • CPredisposition of aggressive women with masculin
  • DDiagnosis reliable across geographic areas
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• Q4.The major risk factor for bipolar disorder is

  • APositive family history of bipolar
  • BHigh neuroticism in personality
  • CLow socioeconomic status
  • DStressful life events
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• Q5.In a 12 year old child suffering from depression, which is not suggestive of development of bipolar disorder, later in life?

  • ARapid onset of depression
  • BPresence of psychotic symptoms
  • CLabile mood
  • DPsychomotor agitation
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• Q6.Which of the following is/are included in bipolar disorders:

  • AHypomania
  • BCyclothymia
  • CParanoid disorder
  • DOption 1 and 2
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• Q7.All the following are used in the treatment of bipolar disorder except:

  • AGabapentin
  • BValproate
  • CLithium
  • DCarbamazepine
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• Q8.According to DSM IV, Mania of Bipolar Disorder will fulfil the diagnostic criteria if the symptoms persist for what period of time in a young lady who is not hospitalised?

  • A1 week
  • B2 week
  • C3 week
  • D4 week
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• Q9.A 20-year-old man was taking excess alcohol and indulged in illegal sexual activities with lack of sleep, irritability and isn't fatigued since 3 weeks, Diagnosis is

  • AOCD
  • BDepression
  • CMania
  • DImpulse
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• Q10.Neurotransmitter in mania -

  • AIncreased dopamine
  • BDecreased dopamine
  • CIncreased norepinephrine
  • DDecreased norepinephrine
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Answer key

Q1: A. stop the current antidepressant; Q2: C. Lithium; Q3: B. Female: Male ratio of 2:1; Q4: A. Positive family history of bipolar; Q5: D. Psychomotor agitation; Q6: D. Option 1 and 2; Q7: A. Gabapentin; Q8: A. 1 week; Q9: C. Mania; Q10: C. Increased norepinephrine.

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