Mood (Affective) Disorders


'Hover' in the centre of the end box and the answer will appear.
1. According to Leonhard:  
A. Bipolar includes only mania
F
B. Bipolar I is hypomanic episodes
F
C. Bipolar II is manic episodes
F
D. Bipolar III is unipolar illness with bipolar disorder in 1st degree relatives
T
E. Unipolar illness can include one episode of mania, but is predominantly depressive
F
     
2. In the discussion between endogenous vs. reactive depression:  
A. In psychotic depression, a continuum theory is most likely
T
B. Paykel (1971) found 6 groups of depressive patients
T
C. Cyclothymia never becomes major affective disorder
F
D. Dysthymia and major depressive episodes can occur and are called 'double depression'
T
E. Cyclothymia is common in relatives of patients with major depressive illness
T
   
3. The following are specific to a diagnosis of mania (not hypomania) in ICD-10:  
A. Flight of ideas
T
B. Increased sexual energy
F
C. Inflated self esteem or grandiosity
T
D. Overfamiliarity
F
E. Reckless or irresponsible behaviour
F
   
4. The following are true of Bipolar Affective disorder:  
A. One year prevalence of 1 %
T
B. Mean age of onset is 21 years
T
C. Rates are higher in rural areas
F
D. It is more common in females
F
E. Marriage has no association with BAD
F
   
5. Regarding the aetiology of Bipolar Affective disorder:  
A. The 'genetic loading' for mood disorder is greater in unipolar depressives than in manic depressives
F
B. The long arm of Chromosome 11 has been implicated
F
C. The gene for tyrosine hydroxylase is on chromosome 11
T
D. The long arm of the X chromosome has been implicated
T
E. There is an excess of life events preceding depression, but not mania
F
   
6. Regarding treatment of bipolar affective disorder:  
A. About 50 % of rapid-cycling patients are lithium resistant
F
B. About 75 % of bipolar affective patients (non-rapid-cycling) will respond to lithium
T
C. The response rate for carbamazepine is the same as that for lithium
F
D. Valproate may have a role in mixed affective disorder
T
E. Clozapine has no role in treatment of BAD
F
   
7. The following are true of depressive illness:  
A. Depression has a lifetime prevalence of about 6 %
T
B. 25 % of men and 35 % of women have experienced depressive symptoms by the age of 65
F
C. Depressive symptoms have a point prevalence of about 15 %
T
D. The one-month prevalence is about 2 %
T
E. Women suffer twice as commonly as men
T
   
8. Regarding the demographics of depression:  
A. The mean age of onset is 27 years
T
B. Women have the peak age of onset in their 40s, while men have the peak onset in their 30s
F
C. Lower social groups have a higher incidence of depression
T
D. There is clear ethnic variation in the UK
F
E. There is an association between smoking and depression
T
   
9. The following are recognized risk factors for depression:  
A. Divorce
T
B. Living in industrialized countries
T
C. Urban habitation
T
D. Obsessional personality traits
T
E. Neuroticism
T
   
10. Regarding the aetiology of depression:  
A. An autosomal dominant transmission is suggested by the uniform morbidity risk among parents, children, and siblings
T
B. There is no association with parental discord
F
C. Parental factors include lack of care and overprotection
T
D. 25 % of depressive episodes are precipitated by life events
F
E. The risk of depression is increased sixfold in the six months following threatening life events
T
   
11. Brown and Harris found the following to be vulnerability factors for depression:  
A. Three or more children under the age of 15 at home
T
B. Alcoholic husband
F
C. Loss of mother before the age of 11
T
D. Wide social support network
F
E. Neurotic personality traits
F
   
12. Regarding the psychological theories of depression:  
A. Freud said that depression was due to envy
F
B. Abraham proposed that failure to develop relationships other than the primary love object resulted in depression
F
C. The concept of 'learned helplessness' was proposed by Wolpe
F
D. Klein said that if the depressive position was not negotiated, then depression would be more likely in later life
T
E. 'Ambivalence' occurs when feelings of love and hostility are present at the same time
T
   
13. In Beck's cognitive theory:  
A. 'Arbitary inference' occurs when conclusions are based on only one incident
F
B. 'All-or-nothing' thinking is known as 'dichotomous reasoning'
T
C. 'Overgeneralization' are conclusions that are formed in the absence of evidence
F
D. A 'stress-diathesis' model is used
T
E. 'Selective abstraction' occurs when a person abstracts from the whole situation and focuses on a single incident
T
   
14. The following biochemical changes have been observed in depressed patients:  
A. Decreased platelet 5-HT uptake
T
B. Decreased 5-HT2 receptor binding in platelets
F
C. Increased prolactin response to clomipramine
F
D. Decreased growth hormone release in response to clonidine
T
E. Reduced beta-adrenergic receptors in suicide victims
F
   
   
15. The following statements are true:  
A. Bipolar I is characterized by hypomanic episodes only
F
B. Bipolar II is characterized by manic episodes and hypomanic episodes
F
C. The term 'melancholia' in DSM-IV is equivalent to somatic symptoms in ICD-10
T
D. 'Endogenous' depression is characterized by somatic symptoms
T
E. 'Reactive' depression is characterized by anxiety, irritability, and phobias
T
   
16. Cyclothymia:  
A. Is more common in males
F
B. Has a prevalence of around 5 %
F
C. Has its onset usually between the ages of 15 and 25
T
D. Results in a diagnosis of bipolar disorder in around a third of patients
T
E. Antimanic drugs are usually ineffective
F
   
17. Dysthymia:  
A. Usually presents after the age of 25
F
B. Is associated with chronic medical illness
T
C. Is more common in women, and the unemployed
T
D. 20 % of patients will develop bipolar disorder
T
E. Treatment does not involve antidepressant drugs
F
   
18. Bipolar affective disorder is associated with:  
A. Alcoholism
T
B. Schizoaffective disorder
T
C. Obsessive compulsive disorder
F
D. Anxiety states
T
E. Cyclothymic personality
T
   
19. Bipolar affective disorder:  
A. Is more common in males
F
B. Has a lifetime risk of about 1 %
T
C. Usually presents in the early 20s
T
D. Is more common in urban areas
T
E. Has been associated with higher rates in higher social classes
T
   
20. Regarding the aetiology of bipolar disorder:  
A. Monozygotic concordance is around 55 %
F
B. The risk in 1st degree relatives is about 25 %
T
C. Chromosome 11 has been implicated
T
D. Chromosome Y has been implicated
F
E. Excess life events can precipitate manic episodes
T
   
21. Rapid cycling mania:  
A. Was described by Kendler
F
B. Has equal incidence in males and females
F
C. Is associated with good response to lithium
F
D. Valproate can be effective
T
E. Is associated with a worse prognosis
T
   
22. Regarding other presentations of depressive illness:  
A. Agitated depression is more common in the elderly
T
B. Retardation predicts a poor response to ECT
F
C. Masked depression is more common with mild/ moderate illness
T
D. Brief recurrent depression has no link with the menstrual cycle
T
E. Atypical depression may be characterized by hypersomnia, and overeating
T
   
23. Regarding the demographics of depression:  
A. It has an equal sex ratio
F
B. Lifetime prevalence is about 6 %
T
C. One month prevalence is 2 % per 100 people
T
D. Highest 1 year prevalence is in the 45-65 age group
F
E. Lifetime prevalence increases with age
F
   
24. Depression is more common in:  
A. Lower social class
T
B. Urban areas
T
C. Industrialized countries
T
D. Those who are cohabiting
T
E. The unemployed
T
   
25. The following are reported risk factors for depressive illness:  
A. Neurotic personality
T
B. Childhood abuse
T
C. Loss of father before the age of 11
F
D. Three or more children at home above the age of 15
F
E. Low self esteem
T
   
26. The following are true of psychoanalytical theories of depression:  
A. Depression is a defence against mania
F
B. Depression occurs when love and hostility are present at the same time
T
C. Regression can occur
T
D. Failure to negotiate the 'depressive position' of childhood
T
E. Learned helplessness was described by Joseph Wolpe
F
   
27. The following drugs are associated with depression:  
A. Propanolol
T
B. Methyldopa
T
C. Reserpine
T
D. Steroids
T
E. Valproate
F
   
28. The following are true in depression:  
A. There is increased plasma tryptophan concentration
F
B. There is reduced levels of 5-HIAA in the CSF of suicide victims
T
C. The prolactin response to Clomipramine is reduced
T
D. The prolactin response to L-Tryptophan is mediated by 5-HT receptors
T
E. CSF HVA levels are reduced
T
   
29. The following are true in depression:  
A. There is a reduced response to CRH
T
B. There is reduced GH release in response to Clonidine
T
C. Somatostatin levels are raised
F
D. Cortisol levels are suppressed by Dexamethasone
F
E. There is a blunted TSH response to TRH
T
   
30. The following are true of sleep in depression:  
A. EEG shows increased stage 3 and 4 sleep
F
B. Increase in REM sleep towards the end of the night
F
C. Decreased latency to REM sleep
T
D. Antidepressant drugs decrease REM sleep time
T
E. EEG changes always resolve in depressed patients
F
   
31. The following have been observed in depression:  
A. Enlarged lateral ventricles
T
B. Loss of temporal lobe volume
T
C. Reduction in the size of the caudate nucleus
T
D. Increased blood flow in the basal ganglia
F
E. Decreased blood flow in the cingulate cortex
T
   
32. In bipolar disorder:  
A. Depression is the most common first presentation
T
B. The first manic episode is usually before the age of 30
F
C. Manic episodes last longer than depressive episodes
F
D. The median length of a manic phase is 3 months
T
E. The frequency of episodes increases in the first 10 years
T
   
33. In depression:  
A. 10 % will have chronic, unremitting course
T
B. 25 % have a recurrence within a year
T
C. 10 % will eventually have a manic episode
T
D. Mood incongruent delusions indicate a better prognosis
F
E. Recurrence is associated with late age of onset
F
   
34. The following are risk factors for bipolar disorder, after a depressive episode:  
A. Psychotic symptoms
T
B. Postpartum depression
T
C. Older age at onset
F
D. Psychomotor agitation and hyperactivity
F
E. Feelings of guilt
T


This page has been printed from www.trickcyclists.co.uk. Copyright © 2002-2012 David Christmas. All rights reserved.