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Gurpal

Part II ISQ Club - Mood disorders

21 posts in this topic

Part II ISQs on two topics will be posted twice a week. You are encouraged to post a reply in the thread, stating whether you think an ISQ is true or false and why (eg. a short explanation, with reference to the textbook you used). Please only deal with one ISQ in each post and include the question as the first line of your post. All ISQs are taken from previous posts by Forum members.

In a few days this ISQ Club thread will be moved to the Question Bank board. If you submit an answer, your status will be changed to 'Question Bank member' and you will be able to see the Question Bank board. Please allow up to 48 hours for this change to happen.

1. Old-age depression is not associated with significant structural changes in brain imaging

2. Depression is a recognised feature of hyperthyroidism

3. In the elderly, relapse of depression is more likely following ECT than using tricyclic antidepressants

4. Visual hallucinations are a common feature of depressive psychosis in the elderly

5. Pindolol is used in augmentation for resistant depression

6. Mania makes up 1/3 of admissions to acute old-age wards

7. Mania in elderly is more likely to be accompanied by depressive symptoms than under 65

8. First onset of depression in a man aged 65 without any previous history of depression is likely to be dementia

9. The gender difference for depression increases with age

10. Suicide is less common in the elderly

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1. Old-age depression is not associated with significant structural changes in brain imaging

FALSE

(Pg 417-8, Revision Notes in Psych, Puri & Hall)

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6. Mania makes up 1/3 of admissions to acute old-age wards

FALSE

5-10%

(Pg 529, Oxford textbook of Psych, 3rd Ed, Gelder et al)

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9. The gender difference for depression increases with age

FALSE

(Pg 737, Comp to Psych Studies, 6th Ed, Johnstone et al)

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2. Depression is a recognised feature of hyperthyroidism

TRUE

(Pg 418, Rev Notes in Psych, Puri & Hall)

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8. First onset of depression in a man aged 65 without any previous history of depression is likely to be dementia

TRUE

(Pg 419, Rev Notes in Psych, Puri & Hall)

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7. Mania in elderly is more likely to be accompanied by depressive symptoms than under 65

TRUE

(Pg 237, Exam Notes in Psych, Buckley, Bird & Harrison)

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10. Suicide is less common in the elderly

FALSE

(Pg 738, Comp to Psych Studies, 6th Ed, Johnstone et al)

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q4 False

visual hallucinations are not a common feature of depressive psychosis in the elderly.

may occur in severe mood disorders

[ Comp to psych studies pg. 257 6th edition]

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5. Pindolol is used in augmentation for resistant depression

True

Pindolol (5mg tds) is among the second line of choice drugs in treatment of refractory depression (Maudsley guidelines) 2003 p126

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3. answer to no. 3 is TRUE, haven't got a refence to back it up but have discussed it with few big shots.

Although response is much better and rapid with ECT, relapses are more common unless the patient is on some form of maintainance therapy either Tricyclics/SSRI's.

If you do find evidence against this......... please let me know!!

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7 depressive episodes occur imd. after the manic episode (pg 631,oxford)

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3. answer to no. 3 is TRUE, haven't got a refence to back it up but have discussed it with few big shots.

Although response is much better and rapid with ECT, relapses are more common unless the patient is on some form of maintainance therapy either Tricyclics/SSRI's.

If you do find evidence against this......... please let me know!!

Pg 630 0xford (Pt s who recovered in the 1st three mo. fall in three grps,1/3 well,1/3 episodes with remissions,1/3 chronic invalidism )

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1. Old-age depression is not associated with significant structural changes in brain imaging

false. associated

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4. Visual hallucinations are a common feature of depressive psychosis in the elderly

false. not common

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7. Mania in elderly is more likely to be accompanied by depressive symptoms than under 65

true

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