Finall Exam:l NU664C/l NUl 664Cl (Latestl
2025/l 2026l Update)l Familyl Psychiatricl Mentall Healthl Il Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l Manic/Hypomanicl withl Mixedl features
Answer:
meetsl fulll criterial forl manicl orl hypomanicl episodel withl atl leastl 3l ofl thel
followingl s/sxl presentl duringl manicl episode:
-prominentl dysphorial orl depressedl mood -diminishedl interest -psychomotorl retardation -fatiguel orl lossl ofl energy -feelingsl ofl worthlessnessl orl guilt -recurrentl thoughtsl ofl death
Q:l Bipolarl Specifier:l Rapidl Cycling
Answer:
Presencel ofl atl leastl 4l moodl episodesl inl previousl 12l monthsl thatl meetl criterial forl manic,l hypomanic,l MDD
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Q:l Cyclothymicl Disorderl (Cyclothymia)
Answer:
Milder,l chronicl forml ofl bipolarl disorder Lastsl atl leastl 2l yearsl inl adults,l 1l yearl inl children/adolescents Numerousl periodsl withl hypomanicl andl depressivel symptoms Doesl notl meetl criterial forl manial orl majorl depressivel episode -havel notl beenl morel thanl 2l symptoml freel monthsl atl al time
Q:l First-linel treatment:l lessl severel manicl episodes
Answer:
monotherapyl withl lithium,l valproate,l orl SGA
Q:l Firstl linel treatment:l bipolarl mixedl episode
Answer:
monotherapyl lithium,l valproate,l orl SGA *howeverl lithiuml isl lessl effectivel forl mixedl states *currentl evidencel suggestl valproatel andl SGAl asl 1stl line
Q:l Firstl linel treatment:l severel manicl episode
Answer:
combinationl ofl lithium/valproatel andl antipsychotic
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Q:l Clinicall Guidelinesl txl forl rapidl cycling
Answer:
mostl difficultl tol treat,l lithiuml andl anticonvulsantsl havel lowl efficacies.l Atypicall antipsychoticsl appearl promising;l olanzapine
Q:l Medicationsl forl Bipolar:
Answer:
Lithiuml -l goldl standard
Anti-convulsants:l valproate,l lamotrigine,l carbamazepine
SGAs:l olanzapine,l risperidone,l quetiapine,l aripiprazole,l ziprasidone
Q:l Lithiuml initiall labl workup
Answer:
BUN/Creat,l thyroidl function,l ECGl (ifl overl 40),l andl pregnancyl test
Q:l Lithiuml long-terml labl monitoring
Answer:
levels,l renall function,l thyroidl
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