NAPLEX Review Bipolar Disorder Exam Questions with Complete Solutions

Bipolar disorder - Answer-Fluctuations in mood from an extremely sad or hopeless state to an abnormally elevated, overexcited, or irritable mood (mania) Differentiate between bipolar I and bipolar II - Answer-Bipolar I: mania +/- depression; psychosis & hospitalization possible Bipolar II: depression +/- hypomania Mania symptoms - Answer-- Inflated self-esteem - Needs less sleep - More talkative than normal - Jumping from topic to topic - Easily distracted - Increase in goal-directed activity - High-risk, pleasurable activities (ex: buying sprees, sexual indiscretions, gambling) Mania diagnosis - Answer-Exhibits >/= 3 symptoms (if mood is only irritable, exhibits >/= 4 symptoms) Bipolar treatment principles - Answer-Goal: Stabilize the mood without inducing depressive/manic state *Must include MedGuides for all antidepressants (due to risk of suicide), and all antipsychotics (risk of death in elderly patients with dementia-related psychosis)* Mood stabilizers: - Lithium - Valproate - Lamotrigine - Carbamazepine Mania with psychosis (use SGAs) - Aripiprazole (Abilify) - Olanzapine (Zyprexa) - Quetiapine (Seroquel) - Risperidone (Risperdal) - Ziprasidone (Geodon) Antidepressants (only use in combination with a mood stabilizer)