NU664C FINAL REGIS COLLEGE
QUESTIONS AND CORRECT
ANSWERS
Cyclothymic Disorder (Cyclothymia) ANSW✅✅Milder, chronic form of bipolar disorder
Lasts at least 2 years in adults, 1 year in children/adolescents
Numerous periods with hypomanic and depressive symptoms
Does not meet criteria for mania or major depressive episode
Symptoms do not clear for more than 2 months at a time
Bipolar Treatment ANSW✅✅Full mania needs hospitalization
Tx for acute mania
First line: Lithium, depakote, olanzapine, risperidone, seroquel, abilify, ziprasidone, asenapine,
paliperidonem, cariprazine.
Second line: Carbamazepine, haldol monotherapy
Combined lithium and depakote
CBT/family therapy
Lamictal superior depressive tx
ECT, TMS, Magnetic SZ therapy
kindling hypothesis ANSW✅✅episode of depression/mania is neurotoxic; over time, episodes get
more severe, last longer, more easily triggered.
Initial episodes may be triggered by events "kindling" but subsequent episodes may not need them.
, Neurobiology of BD ANSW✅✅Variations in gray matter volume in striatum, thalamus amygdala,
hippocampus, and pituitary with functional defects.
Etiology of BD ANSW✅✅HPA (Hypothalamix-pituitary-adrenal) disruptions.
Calcium Channeling- Genetic abnormalities in voltage-gated calcium channels leading to increased
intracellular calcium signaling. (e.g. Ca channel affecting drugs like AED's help BD).
obsessive-compulsive disorder (OCD) ANSW✅✅a disorder in which repetitive, intrusive thoughts
(obsessions) and ritualistic behaviors (compulsions) designed to fend off those thoughts interfere
significantly with an individual's functioning
Onset 19 more in males
Contamination OCD ANSW✅✅Most common. cleaning or hand-washing compulsions. Fear of
germs
Pathologic Doubt/Checking OCD ANSW✅✅Second most common. Doubt that you have
completed a crucial task. (eg turn stove off, lock door)
Intrusive/forbidden thoughts OCD ANSW✅✅Third most common. Obsessive thoughts without
compulsions. Usually sexual or violent and morally reprehensible in some way.
Symmetry/Ordering OCD ANSW✅✅Obsession with symmetry or precision can lead to a
compulsion of slow behavior.
Body Dysmorphic Disorder (BDD) ANSW✅✅Somatoform disorder featuring a disruptive
preoccupation with some imagined defect in appearance ("imagined ugliness").
Typically facial issues, but can be identified in 5-7 different body regions.
More in females.
Hoarding Disorder OCD ANSW✅✅Persistent difficulty discarding or parting with possessions,
regardless of their actual value
Symptoms begin in childhood, but dcx isnt until 30's.
QUESTIONS AND CORRECT
ANSWERS
Cyclothymic Disorder (Cyclothymia) ANSW✅✅Milder, chronic form of bipolar disorder
Lasts at least 2 years in adults, 1 year in children/adolescents
Numerous periods with hypomanic and depressive symptoms
Does not meet criteria for mania or major depressive episode
Symptoms do not clear for more than 2 months at a time
Bipolar Treatment ANSW✅✅Full mania needs hospitalization
Tx for acute mania
First line: Lithium, depakote, olanzapine, risperidone, seroquel, abilify, ziprasidone, asenapine,
paliperidonem, cariprazine.
Second line: Carbamazepine, haldol monotherapy
Combined lithium and depakote
CBT/family therapy
Lamictal superior depressive tx
ECT, TMS, Magnetic SZ therapy
kindling hypothesis ANSW✅✅episode of depression/mania is neurotoxic; over time, episodes get
more severe, last longer, more easily triggered.
Initial episodes may be triggered by events "kindling" but subsequent episodes may not need them.
, Neurobiology of BD ANSW✅✅Variations in gray matter volume in striatum, thalamus amygdala,
hippocampus, and pituitary with functional defects.
Etiology of BD ANSW✅✅HPA (Hypothalamix-pituitary-adrenal) disruptions.
Calcium Channeling- Genetic abnormalities in voltage-gated calcium channels leading to increased
intracellular calcium signaling. (e.g. Ca channel affecting drugs like AED's help BD).
obsessive-compulsive disorder (OCD) ANSW✅✅a disorder in which repetitive, intrusive thoughts
(obsessions) and ritualistic behaviors (compulsions) designed to fend off those thoughts interfere
significantly with an individual's functioning
Onset 19 more in males
Contamination OCD ANSW✅✅Most common. cleaning or hand-washing compulsions. Fear of
germs
Pathologic Doubt/Checking OCD ANSW✅✅Second most common. Doubt that you have
completed a crucial task. (eg turn stove off, lock door)
Intrusive/forbidden thoughts OCD ANSW✅✅Third most common. Obsessive thoughts without
compulsions. Usually sexual or violent and morally reprehensible in some way.
Symmetry/Ordering OCD ANSW✅✅Obsession with symmetry or precision can lead to a
compulsion of slow behavior.
Body Dysmorphic Disorder (BDD) ANSW✅✅Somatoform disorder featuring a disruptive
preoccupation with some imagined defect in appearance ("imagined ugliness").
Typically facial issues, but can be identified in 5-7 different body regions.
More in females.
Hoarding Disorder OCD ANSW✅✅Persistent difficulty discarding or parting with possessions,
regardless of their actual value
Symptoms begin in childhood, but dcx isnt until 30's.
