PMH C MEDICATIONS III PRACTICE TEST 2026
FULL SOLUTIONS REVIEW PACK
◉ Bipolar (Type I and II) (Manic/Depressive).
Answer: 60% of women with bipolar disorder present initially as
depressed
If prescribed antidepressant alone, might induce cycling into mania
50% of women with bipolar mood disorder are 1st diagnosed in the
postpartum period
Often misdiagnosed as unipolar depression
"PPD Imposter"
◉ WHIPLASHED.
Answer: Bipolar Depression
Wired or Worse on antidepressants
Hypomania or mood swings, may only last a day or two
Irritability, hostility, racing thoughts
Psychomotor retardation
,Loaded family history, mood swings, bipolar, mood disorder and
alcoholism
Abrupt onset or ending of depressive (less than 2-3 months) or
bursts of energy or mild hypomania before depression
Seasonal or postpartum, SAD or hypomanic in spring
Hypersomnia and overeating more common in BPD than unipolar
Delusions, hallucinations, and other psychotic features more
common than unipolar
◉ Psychosis Prevalence.
Answer: 1-2 in 1,000 postpartum women will develop psychosis
5% suicide
4.5% infanticide
50% of 1st time moms with psychosis had no previous psych
hospitalization
Onset usually within first 2 weeks after delivery
◉ Postpartum Psychosis Symptoms.
,Answer: Delusions
Hallucinations
Insomnia
Confusion/disorientation
Rapid mood swings
Waxing and waning (feeling normal for periods of time)
Ego Syntonic = wants to harm
◉ Psychosis Risk Factors.
Answer: History of Bipolar = HUGE risk for developing PPP
20-30% of bipolar women will get psychosis
45-52% of stable bipolar women experience relapse or exacerbated
symptoms during pregnancy
70% of women with bipolar will relapse within the first 6 months of
postpartum
First babies
Discontinuing mood stabilizers
, OB complications
Perinatal infant mortality
Previous bipolar episodes or psychosis
Family history of bipolar
Sleep deprivation
◉ Postpartum Psychosis Prevention.
Answer: Remain on medication
Immediate treatment postpartum
Good sleep
Symptoms wax and wane
◉ OCD vs Psychosis.
Answer: OCD =
- Recognizes thoughts are unhealthy
- Extreme anxiety related to thoughts
- Overly concerned about becoming "crazy"
- Ego-dystonic
- Does not want to hurt the baby (low risk)
Psychosis=
FULL SOLUTIONS REVIEW PACK
◉ Bipolar (Type I and II) (Manic/Depressive).
Answer: 60% of women with bipolar disorder present initially as
depressed
If prescribed antidepressant alone, might induce cycling into mania
50% of women with bipolar mood disorder are 1st diagnosed in the
postpartum period
Often misdiagnosed as unipolar depression
"PPD Imposter"
◉ WHIPLASHED.
Answer: Bipolar Depression
Wired or Worse on antidepressants
Hypomania or mood swings, may only last a day or two
Irritability, hostility, racing thoughts
Psychomotor retardation
,Loaded family history, mood swings, bipolar, mood disorder and
alcoholism
Abrupt onset or ending of depressive (less than 2-3 months) or
bursts of energy or mild hypomania before depression
Seasonal or postpartum, SAD or hypomanic in spring
Hypersomnia and overeating more common in BPD than unipolar
Delusions, hallucinations, and other psychotic features more
common than unipolar
◉ Psychosis Prevalence.
Answer: 1-2 in 1,000 postpartum women will develop psychosis
5% suicide
4.5% infanticide
50% of 1st time moms with psychosis had no previous psych
hospitalization
Onset usually within first 2 weeks after delivery
◉ Postpartum Psychosis Symptoms.
,Answer: Delusions
Hallucinations
Insomnia
Confusion/disorientation
Rapid mood swings
Waxing and waning (feeling normal for periods of time)
Ego Syntonic = wants to harm
◉ Psychosis Risk Factors.
Answer: History of Bipolar = HUGE risk for developing PPP
20-30% of bipolar women will get psychosis
45-52% of stable bipolar women experience relapse or exacerbated
symptoms during pregnancy
70% of women with bipolar will relapse within the first 6 months of
postpartum
First babies
Discontinuing mood stabilizers
, OB complications
Perinatal infant mortality
Previous bipolar episodes or psychosis
Family history of bipolar
Sleep deprivation
◉ Postpartum Psychosis Prevention.
Answer: Remain on medication
Immediate treatment postpartum
Good sleep
Symptoms wax and wane
◉ OCD vs Psychosis.
Answer: OCD =
- Recognizes thoughts are unhealthy
- Extreme anxiety related to thoughts
- Overly concerned about becoming "crazy"
- Ego-dystonic
- Does not want to hurt the baby (low risk)
Psychosis=
