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Maryville 663 exam 1 test question with correct answers
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Maryville 663 exam 1 test question with correct answers
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Maryville 663 exam 1 test question with correctanswers
substance-induced depressive disorder-causes Correct Answer-Example:
W/D from amphetamines such as dextroamphetamine can lead to
depression. With dextroamphetamine, there is a surge of dopamine in
the brain, overtime the brain stops making its own. When med stopped,
the brain is not making dopamine on its own, leading to a depletion,
ultimately resulting in depression.
substance-induced depressive disorder Criteria A Correct Answer-A
prominent and persistent disturbance in mood that dominates the clinical
picture and is characterized by depressed mood or markedly diminished
interest or pleasure in all or almost all activities
substance-induced depressive disorder Criteria B Correct Answer-
Evidence from the history, physical exam, lab finding of both 1 and 2
1. Criteria A sx developed during or soon after substance intox or
withdrawal or exposure to medication
2. Involved substance/med is capable of producing the sx in criteria A
substance-induced depressive disorder Criteria C Correct Answer-
Disturbance isn't better explained by depressive disorder that is not
sub/med induced. Evidence of pre-existing depression would include:
a. depressive sx preceded exposure to the substance;
b. sx persist for a substantial time like a month after acute w/d or severe
intoxication; or
c. there is evidence of hx of depressive disorder not related to sub use
,substance-induced depressive disorder Criteria D & E Correct Answer-
Disturbance doesn't occur substantially during course of delirium; &
disturbance causes clinically significant distress, impairment in social,
occupational, or other important areas of functioning
substance-induced depressive disorder substances Correct Answer-
alcohol, phencyclidine, other hallucinogen, inhalant, opioid, sedative,
hypnotic or anxiolytic amphetamine or other stimulant., cocaine, other
or unknown substance
substance-induced depressive disorder addit'l notes Correct Answer-
Suicide risk is high. marked change in thoughts from baseline; more
likely to repot worthlessness, insomnia/hypersomnia and thoughts of
death and suicide attempts. less likely to report depressed mood
Hypomania Correct Answer-lasts at least 4 days and is similar to a
manic episode except that it is not sufficiently severe to cause
impairment in social or occupational functioning, and no psychotic
features are present.
manic episode Correct Answer-distinct period of an abnormally and
persistently elevated, expansive, or irritable mood lasting for at least 1
week or less if a patient must be hospitalized
mania and hypomania Correct Answer-associated with inflated self-
esteem, a decreased need for sleep, distractibility, great physical and
mental activity, and over-involvement in pleasurable behavior.
, Bipolar I disorder Correct Answer-defined as having a clinical course of
one or more manic episodes; the manic episode may have been preceded
by or followed by hypomanic or major depressive episodes
bipolar mixed episode Correct Answer-period of at least 1 week in
which both a manic episode and a major depressive episode occur
almost daily
bipolar II disorder Correct Answer-A variant characterized by episodes
of major depression and hypomania rather than mania
Bipolar I d/o Criteria A OR Manic criteria Correct Answer-Distinct
period of abnormally and persistently elevated, expansive or irritable
mood and abnormally and persistently increased goal-directed activity or
energy last at least 1 week and present most of the day, nearly every day
or any duration if hospitalization is necessary
Bipolar I d/o Criteria B OR Manic criteria Correct Answer-During
period of mood disturbance and increased energy or activity, 3 or more
of the following, (4 if mood is only irritable) present to a significant
degree and represent noticeable change from usual behavior: (see criteria
B individual sx)
Bipolar I d/o Criteria B OR Manic criteria -individual sx Correct
Answer-a. inflated self esteem or grandiosity
b. decreased need for sleep: ie rested after 3 hrs of sleep
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