Management of Mood Disorders

Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson almost 3 years ago
14
1

Description

Management of Mood Disorders given on 04/10/2018

Resource summary

Question 1

Question
In the treatment of depression, which type of antidepressants are typically first line?
Answer
  • Selective Serotonin Reuptake Inhibitors
  • Selective Noradrenaline Reuptake Inhibitors
  • Tricyclic Antidepressants

Question 2

Question
Antidepressants are known to typically take full effect after the first dose is taken
Answer
  • True
  • False

Question 3

Question
The main treatment for bipolar disorder is a drug called [blank_start]lithium carbonate[blank_end]
Answer
  • lithium carbonate

Question 4

Question
Which of the following anticonvulsants (usually used to prevent seizures in epilepsy) has use as a mood stabiliser for bipolar depression?
Answer
  • Sodium Valproate
  • Lamotrigine
  • Phenytoin
  • Carbamazepine
  • Acetazolamide

Question 5

Question
Which of the following anticonvulsants (usually used to prevent seizures in epilepsy) has use as a mood stabiliser for manic episodes in bipolar disorder?
Answer
  • Sodium Valproate
  • Lamotrigine
  • Carbemazepine
  • Phenytoin

Question 6

Question
In cases of bipolar disorder, an antidepressant should generally not be given without also prescribing a mood stabiliser.
Answer
  • True
  • False

Question 7

Question
Which 3 of the following medications are examples of selective serotonin uptake inhibitors?
Answer
  • Fluoxetine
  • Sertraline
  • Citalopram
  • Amitriptyline
  • Imipramine
  • Duloxetine
  • Venlafaxine

Question 8

Question
When in the day should selective serotonin reuptake inhibitors be taken?
Answer
  • In the morning
  • In the evening

Question 9

Question
In a depressed patient with cardiac problems, which antidepressant would be safest for them to take?
Answer
  • Citalopram
  • Sertraline
  • Fluoxetine

Question 10

Question
Of the Selective Serotonin Reuptake Inhibitors, Fluoxetine is the safest in epileptic patients.
Answer
  • True
  • False

Question 11

Question
Citalopram is generally unsafe in patients with cardiac problems, as it predisposes to [blank_start]Long QT Syndrome[blank_end]
Answer
  • Long QT Syndrome
  • First Degree Heart-block
  • Second Degree Heart-block (Mobitz I)

Question 12

Question
Generally, when in the day should Tricyclic Antidepressants be taken?
Answer
  • In the morning
  • In the evening

Question 13

Question
When SSRIs fail, typically the next drug type to be given is a Noradrenergic and Specific Serotonergic Antidepressant (NaSSA). What is the most common example of this drug type?
Answer
  • Mirtazapine
  • Mesalazine
  • Amoxapine
  • Nortriptyline
  • Desipramine

Question 14

Question
One of the main side effects or Mirtazapine is ...
Answer
  • Hunger & weight gain
  • Paraesthesia of the distal limbs
  • Recurrent headaches
  • Sexual dysfunction

Question 15

Question
Like tricyclic antidepressants, Mirtazapine should be taken in the [blank_start]evening[blank_end].
Answer
  • evening
  • morning

Question 16

Question
When both SSRIs and Mirtazapine have failed, the next class of antidepressants that are generally given are called Serotonin and Noradrenaline Reuptake Inhibitors (SNRIs). Which of the following drugs is an example of a SNRI?
Answer
  • Duloxetine
  • Aptazapine
  • Bupropion
  • Nefazodone
  • Dutoxipine

Question 17

Question
Like SSRIs, SNRIs should be taken in the [blank_start]morning[blank_end]
Answer
  • morning
  • evening

Question 18

Question
Which of the following drug types should not be taken whilst a patient is on Lithium?
Answer
  • NSAIDs
  • Steroids
  • Anti-emetics
  • Beta Blockers
  • Anticonvulsants

Question 19

Question
Monitoring for a patient on Lithium Carbonate: [blank_start]During initiation of treatment[blank_end] - Lithium level 12 hours after last dose and U&Es every 5 days until lithium within therapeutic range [blank_start]Every 3 months[blank_end] - Lithium level and U&Es [blank_start]Every 6 months[blank_end] - Thyroid Function Tests
Answer
  • Every 6 months
  • Every 3 months
  • During initiation of treatment

Question 20

Question
A patient taking a common medication for bipolar disorder presents to the out of hours GP complaining of blurred vision and a coarse tremor. It is likely that they are suffering from [blank_start]Lithium[blank_end] toxicity
Answer
  • Lithium

Question 21

Question
Patients on which of the following drugs should be advised to stop taking the drug if they develop a rash, due to the risk of developing Stevens-Johnson syndrome?
Answer
  • Carbamazepine
  • Lamotrigine
  • Sodium Valproate
  • Phenytoin

Question 22

Question
Although SSRIs are typically not considered to be teratogenic, the SSRI [blank_start]Paroxetine[blank_end] should not be given during pregnancy as it is known to cause foetal heart defects.
Answer
  • Paroxetine
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