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BIPOLAR DISORDER U.G

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Which of the following is the core diagnostic feature that distinguishes Bipolar Disorder from Major Depressive Disorder?

a)

Presence of psychotic symptoms

b)

Recurrent depressive episodes

c)

History of at least one manic or hypomanic episode

d)

Early age of onset

2.

A manic episode is defined by symptoms lasting for a minimum duration of:

a)

24 hours

b)

3 days

c)

4 consecutive days

d)

7 consecutive days

3.

Which of the following symptoms is NOT characteristic of mania?

a)

Grandiosity

b)

Decreased need for sleep

c)

Flight of ideas

d)

Psychomotor retardation

4.

Hypomania differs from mania primarily in that hypomania:

a)

Always requires hospitalization

b)

Is associated with marked social and society dysfunction

c)

Lasts for at least 7 days

d)

Does not cause severe functional impairment

5.

Which subtype of Bipolar Disorder is characterized by at least one hypomanic episode and one major depressive episode, without any manic episode?

a)

Bipolar I Disorder

b)

Bipolar II Disorder

c)

Cyclothymic Disorder

d)

Persistent Mood Disorder

6.

According to ICD/DSM concepts, which mood stabilizer is considered a first-line agent in the long-term management of Bipolar Disorder?

a)

Fluoxetine

b)

Lithium

c)

Diazepam

d)

Haloperidol

7.

Which of the following adverse effects is classically associated with long-term lithium therapy?

a)

Agranulocytosis

b)

Hepatic failure

c)

Hypothyroidism

d)

Tardive dyskinesia

8.

Which antidepressant-related risk is particularly important in patients with Bipolar Disorder?

a)

Sedation

b)

Weight loss

c)

Induction of manic switch

d)

Serotonin syndrome

9.

Which of the following clinical features suggests a diagnosis of rapid cycling Bipolar Disorder?

a)

Presence of psychotic symptoms

b)

≥4 mood episodes in one year

c)

Early age of onset

d)

Family history of mood disorder

10.

In acute severe mania with agitation and psychotic symptoms, the most appropriate initial pharmacological approach is:

a)

Antidepressant monotherapy

b)

Benzodiazepine alone

c)

Mood stabilizer with an antipsychotic

d)

Electroconvulsive therapy as first choice