Elated mood

Question 1

hypomania

Answer 1

abnormal irritable/elevated mood persistent for at least 4 consecutive days plus >3

• increased activity
• increased talkativeness
• distractibility
• overfamiliarity
• decreased need for sleep
• increased sexual energy
• mild spending/recklessness

Question 2

mania

Answer 2

abnormal persistently elevated/irritable mood for at least 1 week plus >3

• increased activity
• increased talkativeness
• distractibility
• inappropriate behaviour
• decreased need for sleep
• marked sexual behaviour
• flight of ideas
• grandiosity
• reckless behaviour

Question 3

Bipolar I

Answer 3

mania + depression

Question 4

Bipolar II

Answer 4

hypomania + depression

Question 5

In Bipolar II, patient must have never/met criteria for mania

Answer 5

never met criteria for mania in bipolar II

Question 6

which is more common, bipolar I or II

Answer 6

bipolar II

Question 7

Bipolar III

Answer 7

bipolar hypomania after using antidepressants

Question 8

what is bipolar affective disorder

Answer 8

> =2 episodes in which the patients mood and activity levels are significantly disturbed consisting of hypo/mania and depression on different occasions

Question 9

1 episode of hypo/mania = bipolar, even if they havent been depressed yet, true or false

Answer 9

true

Question 10

1st episode of hypo/mania on background of recurrent depression is still depression, true or false

Answer 10

FALSE

now becomes bipolar and no longer depression

Question 11

onset of bipolar

Answer 11

late teens

Question 12

comorbidities associated with bipolar disease

Answer 12

Schizophrenia
anxiety disorders
personality disorders
eating disorders
alcohol and drug misuse