Major depressive disorder is longer than __ year to be persistent or chronic.

A patient presents with delulu levels of guilt that results in thought disturbance. What kind of MDD do they have?

A patient presents with an episode that does not fully constitute a manic episode.  What kind of MDD do they have?

A patient presents with anxiety that significantly affects prognosis and choice of treatments. What kind of MDD do they have?

Sort the following.

In persistent depressive disorder adults  have >__ year history.

In persistent depressive disorder children have >__ year history.

In persistent depressive disorder, patients never function well for >__ months within a 2 year period.

Which of the following describes elevated, expansive or irritable mood that must last for at least one week and be present for most of the day, nearly every day.

Which of the following describes mood that must last at least 4 consecutive days and be present for most of the day, nearly every day.

Match the DIGFAST criteria

Sort the following.

Which of the following is characterized by >2 year history of minor depression and hypomania.

A seventeen-year-old girl, before her senior year of high school, has a period of euphoria lasting for several months where she stays awake reading and painting for days at a time and tells friends and family that she has discovered the meaning of life. This is followed by several months of low mood, energy, and no enjoyment of life. She has suicidal thoughts but does not act on them. The girl is from a strict, high-functioning military family where intellectual achievement is highly valued. Her family is aware of her period of euphoria and her subsequent crash of low mood but interpret it as normal teenage “angst”. They do not seek medical attention for their daughter but do provide support at home that helps her graduate high school and attend college and then grad school. She obtains her PhD and lands a tenure track job on the faculty of a top-tier university. She then becomes paranoid, delusional, and has auditory and visual hallucinations. Based on the description above, what is her most likely working diagnosis?

A boy is born into an aristocratic (but financially poor) English family and raised mainly by his nanny. His alcoholic parents behaved erratically. He was extremely bright and capable, but from an early age experienced episodes of sadness, low energy, inability to concentrate, disturbed sleep and some thoughts of suicide, which he described to others as “Visits from the Black Dog.” During these periods, there is little he enjoys in life, he has difficulty getting out of bed in the morning, and he drinks heavily to self-medicate. He is fortunate to have a wife and friends who support him through these periods, but even with this support in place, he struggles mightily until the end of his life.

Which of the following is the drug of choice for acute mania and bipolar maintenance/prophylaxis?

Lithium reduces the risk of

What should be avoided when taking lithium due to increased risk of toxicity?

A patient comes into the emergency room with polyuria and tremor. After 1 hour, patient develops confusion, vomiting, diarrhea and convulsions. What medicine toxicity do they most likely have?

Which of the following is indicated for mania and mixed episodes and has side effects of GI upset, weight gain, sedation, tremor, ataxia, and alopecia?

Which of the following is an inducer of CYP3A4 and reduces the level of many medications including OCPs?

Which of the following is indicated for bipolar maintenance and bipolar depression but has a high risk of SJS?

Which of the following is primarily used for prevention of recurrences and is ineffective for acute mania?

Which of the following is for rapid treatment of acute mania?

Which of the following is is used short term to reduce manic episode and long term to improve stability?

Match the stages of acute bipolar 1 depression.

Which of the following blocks dopamine production?

Which of the following blocks ACh, histamine, and alpha adrenergic receptors?