Psychiatry Quiz #12: Bipolar Disorder and Mania

1. A 24-year-old woman is brought to the psychiatrist by her family due to a 1-week history of sleeping only 2-3 hours per night, talking rapidly about grand plans to start her own business, and spending large sums of money on unnecessary items. She has no prior history of similar episodes. Her family also notes that she has been more irritable than usual. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 35-year-old man with a history of depression presents to his psychiatrist for a routine follow-up. He reports feeling "on top of the world" for the past four days, during which he has started several new projects and feels that he needs only 3 hours of sleep per night. He denies any previous episodes of similar mood elevation. His psychiatric history is notable for three episodes of major depression in the past five years. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 28-year-old woman is evaluated for a 3-year history of mood swings. She describes periods of significant energy, creativity, and decreased need for sleep that last a few days, interspersed with weeks where she feels down, lethargic, and disinterested in activities. These mood changes do not significantly impair her social or occupational functioning. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 22-year-old college student is hospitalized after a suicide attempt. He has a past medical history of being treated for depression for the past year. During the hospital stay, he exhibits a markedly elevated mood, inflated self-esteem, decreased need for sleep, and talks incessantly about plans to change the world through his innovative ideas. Which of the following changes in his diagnosis and treatment should be considered? 

Question 4 of 5

5. A 40-year-old man with a known diagnosis of Bipolar I Disorder is brought to the emergency department by his wife due to aggressive behavior, insomnia, and delusional beliefs that he has been chosen to lead a new world order, which have been escalating over the past week. He has been noncompliant with his medications for the past month. Which of the following medications is most appropriate to initiate for acute management of this manic episode? 

Question 5 of 5


 

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