Bipolar Disorder

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

True

False

other way around

Explanation

other way around

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

True

False

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

Very low

Double

4. Which drug is not used to treat mania?

Lithium

Valproic Acid

Carbamazepine

Lamotrigine

5. Never use anticonvulsants as monotherapy in bipolar patients.

True

False

NEVER USE ANTIDEPRESSANTS

Explanation

NEVER USE ANTIDEPRESSANTS

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

True

False

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

Explanation

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

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

Lithium

VPA

CBZ

LML

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

Lithium

VPA

CBZ

LML

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

0.6-0.8

0.6-1.2

0.8-1.2

10. Which drug is the least effective treatment for acute depression?

Lithium

LML

CBZ

VPA

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

Lithium

VPA

CBZ

LML

12. VPA and CBZ are generally considered safe during breast feeding.

True

False

lithium is NOT

Explanation

lithium is NOT

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

Antidepressants

Corticosteroids

Stimulants

Submit

14. Which drug is preferred during pregnancy?

Low potency typical

High potency typical

Atypical

Benzo

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

Diclofenac

Sulindac

Acetaminophen

Ibuprofen

Celecoxib

Aspirin

Submit

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

Caffeine

Verapamil

ACE Inhibitors

Osmotic Diuretics

Diuretics

Alcohol

NSAIDS

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

Explanation

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

Submit

Bipolar Disorder

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

2.

What first name or nickname would you like us to use?

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

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

4. Which drug is not used to treat mania?

5. Never use anticonvulsants as monotherapy in bipolar patients.

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

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

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

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

10. Which drug is the least effective treatment for acute depression?

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

12. VPA and CBZ are generally considered safe during breast feeding.

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

14. Which drug is preferred during pregnancy?

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

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