Bipolar Disorder

16 Questions | By Caitlinb | Updated: Jan 21, 2013 | Attempts: 141

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Questions and Answers

1.

Which drug is not used to treat mania?
- A.
  
  Lithium
- B.
  
  Valproic Acid
- C.
  
  Carbamazepine
- D.
  
  Lamotrigine
Correct Answer
D. Lamotrigine
2.

Never use anticonvulsants as monotherapy in bipolar patients.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
NEVER USE ANTIDEPRESSANTS

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3.

Which pain medications are a safer alternative for patients on Lithium? Select all that apply.
- A.
  
  Diclofenac
- B.
  
  Sulindac
- C.
  
  Acetaminophen
- D.
  
  Ibuprofen
- E.
  
  Celecoxib
- F.
  
  Aspirin
Correct Answer(s)
B. Sulindac
C. Acetaminophen
F. Aspirin
4.

It is important to tell a patient that is on Lithium to follow a low sodium diet.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
No! If a patient followed a low sodium diet, lithium levels could increase.

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5.

What should the serum drug concentration for lithium during an acute mania?
- A.
  
  0.6-0.8
- B.
  
  0.6-1.2
- C.
  
  0.8-1.2
Correct Answer
C. 0.8-1.2
6.

Which of the following drugs can decrease lithium levels? Select all that apply.
- A.
  
  Caffeine
- B.
  
  Verapamil
- C.
  
  ACE Inhibitors
- D.
  
  Osmotic Diuretics
- E.
  
  Diuretics
- F.
  
  Alcohol
- G.
  
  NSAIDS
Correct Answer(s)
A. Caffeine
B. Verapamil
D. Osmotic Diuretics

Explanation
ACE Inhibitors, Diuretics, and NSAIDs can increase Lithium levels. Alcohol increases confusion and sedation.

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7.

Which drug is the least effective treatment for acute depression?
- A.
  
  Lithium
- B.
  
  LML
- C.
  
  CBZ
- D.
  
  VPA
Correct Answer
D. VPA
8.

This drug can cause leukopenia/agranulocytosis, SIADH, and SJS.
- A.
  
  Lithium
- B.
  
  VPA
- C.
  
  CBZ
- D.
  
  LML
Correct Answer
C. CBZ
9.

This drug can cause thrombocytopenia, hepatic dysfunction, and alopecia.
- A.
  
  Lithium
- B.
  
  VPA
- C.
  
  CBZ
- D.
  
  LML
Correct Answer
B. VPA
10.

This drug is an enzyme inducer and is effective for rapid cyclers and mixed episodes.
- A.
  
  Lithium
- B.
  
  VPA
- C.
  
  CBZ
- D.
  
  LML
Correct Answer
C. CBZ
11.

If a patient is on VPA and we want to add LML to her regimen, at what dose should we initate the LML?
- A.
  
  Very low
- B.
  
  Double
Correct Answer
A. Very low
12.

VPA and CBZ are generally considered safe during breast feeding.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
lithium is NOT

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13.

Which drug is preferred during pregnancy?
- A.
  
  Low potency typical
- B.
  
  High potency typical
- C.
  
  Atypical
- D.
  
  Benzo
Correct Answer
B. High potency typical
14.

Which of the following drugs can cause mania or hypomania? Select all that apply.
- A.
  
  Antidepressants
- B.
  
  Corticosteroids
- C.
  
  Stimulants
Correct Answer(s)
A. Antidepressants
B. Corticosteroids
C. Stimulants
15.

Hypomanic symptoms interfere with daily functioning, while manic symptoms do not.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
other way around

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16.

Distractability, insomnia, grandiosity, fast thoughts, and thoughtlessness are signs of mania.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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Current Version
Jan 21, 2013

Quiz Edited by
ProProfs Editorial Team
Dec 10, 2010

Quiz Created by
Caitlinb

Bipolar Disorder

Which drug is not used to treat mania?

Never use anticonvulsants as monotherapy in bipolar patients.

Which pain medications are a safer alternative for patients on Lithium? Select all that apply.

It is important to tell a patient that is on Lithium to follow a low sodium diet.

What should the serum drug concentration for lithium during an acute mania?

Which of the following drugs can decrease lithium levels? Select all that apply.

Which drug is the least effective treatment for acute depression?

This drug can cause leukopenia/agranulocytosis, SIADH, and SJS.

This drug can cause thrombocytopenia, hepatic dysfunction, and alopecia.

This drug is an enzyme inducer and is effective for rapid cyclers and mixed episodes.

If a patient is on VPA and we want to add LML to her regimen, at what dose should we initate the LML?

VPA and CBZ are generally considered safe during breast feeding.

Which drug is preferred during pregnancy?

Which of the following drugs can cause mania or hypomania? Select all that apply.

Hypomanic symptoms interfere with daily functioning, while manic symptoms do not.

Distractability, insomnia, grandiosity, fast thoughts, and thoughtlessness are signs of mania.