
BPAD QUIZ- 19/6/25
Authored by NILEENA PSYCHIATRY
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University
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15 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
When should sample be collected to test for Serum Lithium if patient is on Extended release formulation
10-12 hours
12-16 hours
21-25 hours
any time after the morning dose
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which of the following is considered a first-line pharmacological treatment for acute mania according to IPS guidelines?
Selective Serotonin Reuptake Inhibitors (SSRIs)
Lithium
Benzodiazepines
Selective Serotonin Reuptake Inhibitors (SSRIs)
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What is the recommended approach for treating mild depressive episodes in BPAD as per IPS guidelines?
Initiate antidepressant monotherapy
Start mood stabilizer therapy
Employ psychological therapies without medication
Hospitalization with electroconvulsive therapy (ECT)
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which of the following is NOT a guiding principle in the pharmacological management of BPAD per IPS guidelines?
Start with the lowest effective dose
Prefer monotherapy when possible
Allow an adequate trial period before changing medications
Use multiple medications simultaneously from the outset
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What is the IPS guideline's stance on the use of antidepressants in BPAD?
They are first-line treatments for all depressive episodes
They should be used cautiously, preferably in combination with mood stabilizers
They are contraindicated in all cases
They can be used without any mood stabilizer
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Standard monitoring protocols for bipolar disorder, at which intervals should serum lithium levels and thyroid/kidney function be monitored once a patient is stable on maintenance therapy?
Serum lithium levels every 12 months, thyroid/kidney function every 24 months
Serum lithium levels every 3 months, thyroid function every 3–6 months, and renal function every 3–6 months
Serum lithium levels every 5 days, thyroid/kidney function never needed after stabilization
Serum lithium levels every week, thyroid function every month, renal function every year
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Patient A: 35 years old, bipolar II. Over the past 3 weeks, she’s shifted between hypomanic and depressive moods every 2–4 days.
Patient B: 30 years old, bipolar I. Over the last 10 days, his mood swings occur within the same day—sometimes irritable in the morning, elated by evening—multiple mood shifts daily. Which statement correctly classifies their cycling patterns?
Patient A: 35 years old, bipolar II. Over the past 3 weeks, she’s shifted between hypomanic and depressive moods every 2–4 days.
Patient B: 30 years old, bipolar I. Over the last 10 days, his mood swings occur within the same day—sometimes irritable in the morning, elated by evening—multiple mood shifts daily. Which statement correctly classifies their cycling patterns?
Patient A: Ultra‑rapid cycling; Patient B: Ultradian cycling
Patient A: Ultradian cycling; Patient B: Ultra‑rapid cycling
Patient A: Rapid annual cycling; Patient B: Ultra‑rapid cycling
Patient A: Ultradian cycling; Patient B: Ultradian cycling
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