Bipolar Disorder Assessment and Treatment
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Questions and Answers

What is a key factor to consider when selecting a medication for bipolar disorder?

  • Type of episode (I vs. II) (correct)
  • Dietary restrictions
  • Patient's age
  • Clothing preferences
  • Which of the following is NOT mentioned as a consideration when choosing a medication for bipolar disorder?

  • Adverse effects
  • Optimal medication administration
  • Previous or family history of response
  • Adherence rate to a particular brand (correct)
  • Approximately what percentage of bipolar disorder patients experience more than 4 episodes in their lifetime?

  • 80% (correct)
  • 60%
  • 70%
  • 90%
  • Which of the following is considered a mood stabilizer in the treatment of bipolar disorder?

    <p>Lithium</p> Signup and view all the answers

    What aspect is involved in the initial assessment for bipolar disorder treatment?

    <p>Completing family, social, and medical history</p> Signup and view all the answers

    In relation to bipolar disorder, what does a '7-fold risk' mean?

    <p>7 times higher risk than average</p> Signup and view all the answers

    What is a potential risk associated with the rapid discontinuation of lithium?

    <p>Early relapse of symptoms</p> Signup and view all the answers

    What is a known side effect related to lithium interaction?

    <p>Unmasking of Brugada syndrome</p> Signup and view all the answers

    In bipolar disorder, what is considered an early symptom that should be closely monitored?

    <p>Change of thinking</p> Signup and view all the answers

    Why should patients be counseled numerous times before making any changes in their lithium regimen?

    <p>To avoid destabilization and early relapse of symptoms</p> Signup and view all the answers

    What is a potential fetal risk associated with lithium use?

    <p>Development of Ebstein's anomaly in the fetus</p> Signup and view all the answers

    Which condition can be unmasked by the use of lithium as per the text?

    <p><strong>Brugada syndrome</strong></p> Signup and view all the answers

    What is the primary mechanism of action for carbamazepine that makes it an 'auto-inducer'?

    <p>Carbamazepine generates active metabolites that induce its own metabolism.</p> Signup and view all the answers

    What is the typical timeline for the auto-induction process of carbamazepine?

    <p>Auto-induction begins after 3-5 days of therapy and is complete in 3-5 weeks.</p> Signup and view all the answers

    Which of the following is a black box warning associated with carbamazepine?

    <p>Rash</p> Signup and view all the answers

    What is the primary FDA-approved use of carbamazepine?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a common adverse effect associated with carbamazepine therapy?

    <p>Hyponatremia</p> Signup and view all the answers

    What type of genetic marker is associated with the risk of Stevens-Johnson syndrome/Toxic Epidermal Necrolysis (SJS/TEN) with carbamazepine?

    <p>HLA-B*1502</p> Signup and view all the answers

    What is Valproic Acid (VPA) FDA approved for?

    <p>Acute mania</p> Signup and view all the answers

    Which condition is NOT listed as having evidence of effectiveness with Valproic Acid (VPA)?

    <p>Chronic insomnia</p> Signup and view all the answers

    What is a Black Box Warning associated with Valproic Acid (VPA)?

    <p>Teratogenicity</p> Signup and view all the answers

    Which form of Valproic Acid is available in enteric-coated tablets?

    <p>Divalproex Sodium (Depakote)</p> Signup and view all the answers

    What adverse effect is NOT associated with the use of Valproic Acid (VPA)?

    <p>Vision improvement</p> Signup and view all the answers

    What is the clinical concern regarding Valproic Acid (VPA) interaction during the first trimester of gestation?

    <p>Teratogenicity</p> Signup and view all the answers

    What is the purpose of the Young Mania Rating Scale (YMRS)?

    <p>Screening and assessing symptom severity of mania</p> Signup and view all the answers

    How long does it typically take to administer the Young Mania Rating Scale (YMRS)?

    <p>30 minutes</p> Signup and view all the answers

    What does a YMRS score of 19-24 indicate?

    <p>Moderate mania</p> Signup and view all the answers

    How many items are included in the Young Mania Rating Scale (YMRS)?

    <p>11 items</p> Signup and view all the answers

    What is the scoring range for the Young Mania Rating Scale (YMRS)?

    <p>0-25</p> Signup and view all the answers

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