Exercise # 31

PRACTICE QUESTIONS

Exercise # 31

Q1.  Mood incongruent is present when

a. There is a coexistence of maniac and depressive symptoms for atleast 1 week (ALSO KNOWN AS MIXED EPISODE)

b. There is a coexistence of maniac and depressive symptoms for atleast 1 month

C.There is a coexistence of maniac and depressive symptoms for atleast 1 year

d. None of the above

Q2.  Which of the following antidepressants are recommended during bipolar disorder?

a. Bupropion

b. Paroxetine

c. Venlafaxine

d. A & B

e. B & C 

Q3.  Li is not a first line therapy in which of the following cases?

I. Mixed episodes

II. Rapid cycling

III. Acute mania

a. I only

b. III only

c. I & II only

d. II & III only

e. All of the above

Q4.  What are the absolute CI for Li?

a. Acute renal failure and 1^st trimester of pregnancy

b. Chronic renal failure and 3^rd trimester of pregnancy

c. Hepatic failure and 1^st trimester of pregnancy

d. Hepatic failure and 3^rd trimester of pregnancy

Q5.  Which of the following does not decreases Li concn?

a. Na supplements

b. Osmotic diuretics

c. Thiazides

d. Acetazolamide

e. Urine alkalinizers

Q6.  A patient on Li, brings an Rx for Fluoxetine, what could be the effect on Li concn?

a. Li concn will decrease

b. Li concn will increase

c. Li concn will not change

d. Fluoxetine concn will decrease

Q7.  Valporic acid is first line agent for

I. Acute mania

II. Mixed mania

III.Rapid cycling

a. I Only

b. III only

c. I & II only

d. II & III only

e. All

Q8. Common dose related side effects of Valproic acid are

a. Alopecia

b. Thrombocytopenia

c. Weight gain

d. Pancreatitis

e. All of the above

Q9. Therapeutic levels of valproic acid are

a. 6 – 12 microg/ml

b. 80 – 120 microg/ml

c. 0.5 – 1.5 mmol/l

d. none of the above

Q10. The dose limiting side effect for lamotrigine is

a. Agranlocytosis

b. Thrombocytopenia

c. rash

d. a & B

e. a, b, c

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