Matthew Coulson
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Management of Mood Disorders given on 04/10/2018

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Matthew Coulson
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Management of Mood Disorders

Question 1 of 22

1

In the treatment of depression, which type of antidepressants are typically first line?

Select one of the following:

  • Selective Serotonin Reuptake Inhibitors

  • Selective Noradrenaline Reuptake Inhibitors

  • Tricyclic Antidepressants

Explanation

Question 2 of 22

1

Antidepressants are known to typically take full effect after the first dose is taken

Select one of the following:

  • True
  • False

Explanation

Question 3 of 22

1

Fill the blank space to complete the text.

The main treatment for bipolar disorder is a drug called

Explanation

Question 4 of 22

1

Which of the following anticonvulsants (usually used to prevent seizures in epilepsy) has use as a mood stabiliser for bipolar depression?

Select one of the following:

  • Sodium Valproate

  • Lamotrigine

  • Phenytoin

  • Carbamazepine

  • Acetazolamide

Explanation

Question 5 of 22

1

Which of the following anticonvulsants (usually used to prevent seizures in epilepsy) has use as a mood stabiliser for manic episodes in bipolar disorder?

Select one of the following:

  • Sodium Valproate

  • Lamotrigine

  • Carbemazepine

  • Phenytoin

Explanation

Question 6 of 22

1

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

Select one of the following:

  • True
  • False

Explanation

Question 7 of 22

1

Which 3 of the following medications are examples of selective serotonin uptake inhibitors?

Select one or more of the following:

  • Fluoxetine

  • Sertraline

  • Citalopram

  • Amitriptyline

  • Imipramine

  • Duloxetine

  • Venlafaxine

Explanation

Question 8 of 22

1

When in the day should selective serotonin reuptake inhibitors be taken?

Select one of the following:

  • In the morning

  • In the evening

Explanation

Question 9 of 22

1

In a depressed patient with cardiac problems, which antidepressant would be safest for them to take?

Select one of the following:

  • Citalopram

  • Sertraline

  • Fluoxetine

Explanation

Question 10 of 22

1

Of the Selective Serotonin Reuptake Inhibitors, Fluoxetine is the safest in epileptic patients.

Select one of the following:

  • True
  • False

Explanation

Question 11 of 22

1

Select from the dropdown list to complete the text.

Citalopram is generally unsafe in patients with cardiac problems, as it predisposes to ( Long QT Syndrome, First Degree Heart-block, Second Degree Heart-block (Mobitz I) )

Explanation

Question 12 of 22

1

Generally, when in the day should Tricyclic Antidepressants be taken?

Select one of the following:

  • In the morning

  • In the evening

Explanation

Question 13 of 22

1

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?

Select one of the following:

  • Mirtazapine

  • Mesalazine

  • Amoxapine

  • Nortriptyline

  • Desipramine

Explanation

Question 14 of 22

1

One of the main side effects or Mirtazapine is ...

Select one of the following:

  • Hunger & weight gain

  • Paraesthesia of the distal limbs

  • Recurrent headaches

  • Sexual dysfunction

Explanation

Question 15 of 22

1

Select from the dropdown list to complete the text.

Like tricyclic antidepressants, Mirtazapine should be taken in the ( evening, morning ).

Explanation

Question 16 of 22

1

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?

Select one of the following:

  • Duloxetine

  • Aptazapine

  • Bupropion

  • Nefazodone

  • Dutoxipine

Explanation

Question 17 of 22

1

Select from the dropdown list to complete the text.

Like SSRIs, SNRIs should be taken in the ( morning, evening )

Explanation

Question 18 of 22

1

Which of the following drug types should not be taken whilst a patient is on Lithium?

Select one of the following:

  • NSAIDs

  • Steroids

  • Anti-emetics

  • Beta Blockers

  • Anticonvulsants

Explanation

Question 19 of 22

1

Monitoring for a patient on Lithium Carbonate:
- Lithium level 12 hours after last dose and U&Es every 5 days until lithium within therapeutic range
- Lithium level and U&Es
- Thyroid Function Tests

Drag and drop to complete the text.

    Every 6 months
    Every 3 months
    During initiation of treatment

Explanation

Question 20 of 22

1

Fill the blank space to complete the text.

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 toxicity

Explanation

Question 21 of 22

1

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?

Select one of the following:

  • Carbamazepine

  • Lamotrigine

  • Sodium Valproate

  • Phenytoin

Explanation

Question 22 of 22

1

Fill the blank space to complete the text.

Although SSRIs are typically not considered to be teratogenic, the SSRI should not be given during pregnancy as it is known to cause foetal heart defects.

Explanation

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