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1. Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, ________, activity levels, and the ability to carry out daily tasks.
A. Drive
B. Efficacy
C. Energy
D. Initiative
2. Which of the following is NOT one of the likely behavioral changes that occurs during mania or a manic episode?
A. Increasing activities, such as taking on multiple new projects
B. Having an unrealistic belief in your abilities
C. Behaving impulsively and engaging in pleasurable, high-risk behaviors
D. Having problems concentrating, remembering, and making decisions
3. Sometimes, a person with severe episodes of mania or depression has psychotic symptoms too, most commonly thought disorders and disorganized speech and behavior.
A. True
B. False
4. Which of the following accurately describes the types of bipolar disorder?
A. Bipolar I Disorder is defined by manic or mixed episodes that last at least five days, or by manic symptoms that are so severe that the person needs immediate hospital care, and are often accompanied by depressive episodes typically lasting at least a week
B. Bipolar II Disorder is defined by a pattern of depressive episodes and hypomanic episodes, and with full-blown manic or mixed episodes that last less time than required for Bipolar 1 diagnosis
C. Bipolar Disorder Not Otherwise Specified (BP-NOS) is diagnosed when symptoms of the illness exist and are are clearly out of the person's normal range of behavior, but do not meet diagnostic criteria for either bipolar I or II
D. Cyclothymic Disorder, or Cyclothymia is a mild form of bipolar disorder where people have episodes of hypomania as well as mild depression for at least 1 year
5. A severe form of the disorder is called Rapid-Cycling Bipolar Disorder which occurs when a person has three or more episodes of major depression, mania, hypomania, or mixed states, all within a two year period.
A. True
B. False
6. One MRI study found that the brain's prefrontal cortex in adults with bipolar disorder tends to be smaller and function less well compared to adults who don't have bipolar disorder.
A. True
B. False
7. Anticonvulsants used as mood stabilizers to treat bipolar disorder include each of the following EXCEPT:
A. Divalproex sodium (Depakote)
B. Aripiprazole (Abilify)
C. Gabapentin (Neurontin)
D. Lamotrigine (Lamictal)
8. Antidepressants are sometimes used to treat symptoms of depression in bipolar disorder, but taking only an antidepressant can increase your risk of switching to mania or hypomania, or of developing rapid-cycling symptoms
A. True
B. False
9. Although Lithium is generally the preferred mood-stabilizing medication for pregnant women with bipolar disorder, it can lead to:
A. Heart problems in the fetus
B. Premature birth
C. Low birth weight
D. Future developmental delays
10. Cognitive behavioral therapy (CBT) is the most common form of treatment used to help people with bipolar disorder improve their relationships with others and manage their daily routines.
A. True
B. False
11. Researchers found that a group of bipolar patients who were treated with medication and intensive psychotherapy (30 sessions over 9 months) had fewer relapses, lower hospitalization rates, and were better able to stick with their treatment plans than a group who had collaborative care (3 sessions of psychoeducation over 6 weeks).
A. True
B. False
12. Each of the following is a correct statement about using Electroconvulsive Therapy (ECT) to treat bipolar disorder EXCEPT:
A. Sometimes ECT is used for bipolar symptoms when other medical conditions, including pregnancy, make the use of medications too risky
B. ECT is a highly effective treatment for severely depressive, manic, or mixed episodes, but it is generally not used as a first-line treatment
C. ECT may cause some short-term side effects, including confusion, disorientation, and memory loss
D. On average, ECT treatments last from 2-3 minutes and people who have ECT usually recover after 20-30 minutes
13. In one small study of people with bipolar disorder who had not responded to prior treatments, they were given a single dose of ketamin, an anasthetic medication, which significantly reduced symptoms of depression, but is problematic because it can cause severe side effects in high doses.
A. True
B. False
14. The Research Domain Criteria (RDoC) Project is working to map current understanding of brain circuitry that is involved in behavioral and cognitive functioning by breaking down mental disorders into their __________________ in order add to the knowledge we have gained from studying mental disorders based on symptoms.
A. Specific elements
B. Component pieces
C. Neurological intricacies
D. Sensory functions
15. The first and most important thing a person can do to help someone with bipolar disorder is to offer emotional support, understanding, patience, and encouragement.
A. True
B. False
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