NEWLY UPDATED CMN 552 FINAL REAL EXAM
WITH QUESTIONS AND ANSWERS
Name the common consequences of disruptive
mood dysregulation disorder. - answer-- Chronic,
severe irritability that disrupts relationships and
school performance
- Low frustration tolerance
- Trouble initiating & maintaining friendships
- Level of dysfunction is comparable to children with
bipolar
- Aggression and psychiatric hospitalization are
common
How would a child with bipolar disorder exhibit/meet
the grandiosity criterion? - answer-- Overestimation
of abilities
- Belief they are the best, smartest
- Attempting clearly dangerous feats
_ Beliefs are despite clear evidence to contrary
- Represents a change from baseline
,In children, which diagnoses are most often
confused with mania? - answer-- Severe ADHD:
chronic not episodic
- ODD: difficult to distinguish when mania is
explosive and irritable
- Conduct disorder: aggression and nonaggression
without mood disturbance
- DMDD: irritability is persistent over months but may
wax and wane
- Agitated/ anxious depression
- Substance abuse
- First episode schizophrenia: long standing
cognitive difficulties, psychosis
What risk factor indicates longer manic episode
occurrence? - answer-- Medication non-adherence
- Rapid cycling
- Psychotic symptoms
- Earlier age of onset
- Low SES
,- Comorbid anxiety
- ADHD/ disruptive behaviors
- Those with "other specified bipolar disorder" tend
to have delayed treatment response and persistent
subthreshold symptoms
Compare how depressive episodes differ in Bipolar I
and Bipolar II. - answer-Bipolar I: depressive
episodes are common but not required for diagnosis
Bipolar II: at least one major depressive episode is
required for diagnosis
What symptoms are considered cognitive
distortions? - answer-- Grandiosity
- Lack of judgement
- Poor insight
- Delusion formation
, Rather than dysphoria, what symptoms do children
who are depressed display? - answer-- Irritable
mood
- Loss of interest or pleasure
In Bipolar I, what are the required criteria for a
hypomanic episode? - answer-Persistently elevated,
expansive, or irritable mood and increased activity or
energy for at least 4 consecutive days.
3+ of the following (4+ if irritable)
- inflated self esteem/grandiosity
- Decreased need for sleep (<3hrs)
- Talkative/pressure speech
- Flight of ideas/racing thoughts
- Distractibility
- Increase goal directed activity or psychomotor
agitation
- Excessive risky behaviors
* Episode is uncharacteristic to baseline behavior
WITH QUESTIONS AND ANSWERS
Name the common consequences of disruptive
mood dysregulation disorder. - answer-- Chronic,
severe irritability that disrupts relationships and
school performance
- Low frustration tolerance
- Trouble initiating & maintaining friendships
- Level of dysfunction is comparable to children with
bipolar
- Aggression and psychiatric hospitalization are
common
How would a child with bipolar disorder exhibit/meet
the grandiosity criterion? - answer-- Overestimation
of abilities
- Belief they are the best, smartest
- Attempting clearly dangerous feats
_ Beliefs are despite clear evidence to contrary
- Represents a change from baseline
,In children, which diagnoses are most often
confused with mania? - answer-- Severe ADHD:
chronic not episodic
- ODD: difficult to distinguish when mania is
explosive and irritable
- Conduct disorder: aggression and nonaggression
without mood disturbance
- DMDD: irritability is persistent over months but may
wax and wane
- Agitated/ anxious depression
- Substance abuse
- First episode schizophrenia: long standing
cognitive difficulties, psychosis
What risk factor indicates longer manic episode
occurrence? - answer-- Medication non-adherence
- Rapid cycling
- Psychotic symptoms
- Earlier age of onset
- Low SES
,- Comorbid anxiety
- ADHD/ disruptive behaviors
- Those with "other specified bipolar disorder" tend
to have delayed treatment response and persistent
subthreshold symptoms
Compare how depressive episodes differ in Bipolar I
and Bipolar II. - answer-Bipolar I: depressive
episodes are common but not required for diagnosis
Bipolar II: at least one major depressive episode is
required for diagnosis
What symptoms are considered cognitive
distortions? - answer-- Grandiosity
- Lack of judgement
- Poor insight
- Delusion formation
, Rather than dysphoria, what symptoms do children
who are depressed display? - answer-- Irritable
mood
- Loss of interest or pleasure
In Bipolar I, what are the required criteria for a
hypomanic episode? - answer-Persistently elevated,
expansive, or irritable mood and increased activity or
energy for at least 4 consecutive days.
3+ of the following (4+ if irritable)
- inflated self esteem/grandiosity
- Decreased need for sleep (<3hrs)
- Talkative/pressure speech
- Flight of ideas/racing thoughts
- Distractibility
- Increase goal directed activity or psychomotor
agitation
- Excessive risky behaviors
* Episode is uncharacteristic to baseline behavior
