CMN 552 FINAL EXAM MOOD DISORDERS, ANXIETY
DISORDERS, TRAUMA DISORDERS, PSYCHOTIC DISORDERS,
AND SPECIAL POPULATIONS
MODULE 1: MOOD DISORDERS
Question 1
What percentage of "postpartum" major depressive episodes actually begin
prior to delivery?
A. 25%
B. 50%
C. 75%
D. 10%
Correct Answer: B
Rationale: According to the DSM-5-TR, approximately 50% of "postpartum"
major depressive episodes actually begin prior to delivery. These episodes are
therefore referred to collectively as peripartum episodes. Women with
peripartum major depressive episodes often have severe anxiety and even panic
attacks.
Question 2
Which of the following is one of the strongest and most consistent risk factors
for bipolar disorder?
A. Low income status
B. Family history of bipolar disorder
,C. Being married
D. Living in a low-income country
Correct Answer: B
Rationale: A family history of bipolar disorder is one of the strongest and most
consistent risk factors for bipolar disorders. Bipolar disorder is more common in
high-income than low-income countries. Separated, divorced, or widowed
individuals have higher rates of bipolar I disorder.
Question 3
If an individual has a manic episode with psychotic features, what is the
likelihood regarding future manic episodes?
A. Subsequent manic episodes are less likely to include psychotic features
B. Subsequent manic episodes are more likely to include psychotic features
C. Subsequent manic episodes will never include psychotic features
D. There is no relationship between episodes
Correct Answer: B
Rationale: If an individual has a manic episode with psychotic features,
subsequent manic episodes are more likely to include psychotic features. This is
an important clinical predictor for prognosis and treatment planning.
Question 4
Which of the following is a common differential diagnosis for bipolar disorder?
A. Major depressive disorder only
B. Generalized anxiety disorder only
C. Major depressive disorder, GAD, panic disorder, PTSD, ADHD, and personality
disorders
D. Only substance-induced bipolar disorder
,Correct Answer: C
Rationale: Common differential diagnoses for bipolar disorder include major
depressive disorder, other bipolar disorders, GAD, panic disorder, PTSD,
substance/medication-induced bipolar disorder, schizoaffective disorder, ADHD,
disruptive mood dysregulation disorder, and personality disorders. A thorough
differential is essential for accurate diagnosis.
Question 5
How do depressive episodes in bipolar I disorder differ from bipolar II disorder?
A. Bipolar I has hypomanic episodes; bipolar II has manic episodes
B. Bipolar I is accompanied by manic episodes; bipolar II has hypomanic episodes
only (no mania)
C. Both have manic episodes
D. Neither has depressive episodes
Correct Answer: B
Rationale: The key difference: Bipolar I disorder is accompanied by manic
episodes, while bipolar II disorder has hypomanic episodes only (no full manic
episodes). Depressive episodes are common in both, but only bipolar I requires
mania for diagnosis.
Question 6
Which statement best describes depressive episodes in bipolar II disorder?
A. Patients spend more time in manic phases
B. Patients have greater chronicity of illness and spend more time in the
depressive phase
C. Depressive episodes are rare
D. Patients never experience depression
Correct Answer: B
, Rationale: Patients with bipolar II disorder have greater chronicity of illness and
spend, on average, more time in the depressive phase of their illness compared
to bipolar I. This makes depression the predominant burden in bipolar II.
Question 7
Are major depressive episodes required for the diagnosis of bipolar I disorder?
A. Yes, always required
B. No, they are common but not required
C. Yes, at least 3 episodes are required
D. No, bipolar I has no depressive episodes
Correct Answer: B
Rationale: Major depressive episodes are common in bipolar I disorder but are
NOT required for the diagnosis of bipolar I disorder. The diagnosis requires at
least one manic episode; depressive episodes may or may not be present.
Question 8
What is the minimum duration required for a diagnosis of cyclothymia in adults?
A. 6 months
B. 1 year
C. 2 years
D. 3 years
Correct Answer: C
Rationale: For cyclothymia in adults, the minimum duration is 2 years (at least 1
year in children and adolescents) during which there have been numerous periods
with hypomanic symptoms that do not meet criteria for a hypomanic episode and
numerous periods with depressive symptoms that do not meet criteria for a major
depressive episode.
DISORDERS, TRAUMA DISORDERS, PSYCHOTIC DISORDERS,
AND SPECIAL POPULATIONS
MODULE 1: MOOD DISORDERS
Question 1
What percentage of "postpartum" major depressive episodes actually begin
prior to delivery?
A. 25%
B. 50%
C. 75%
D. 10%
Correct Answer: B
Rationale: According to the DSM-5-TR, approximately 50% of "postpartum"
major depressive episodes actually begin prior to delivery. These episodes are
therefore referred to collectively as peripartum episodes. Women with
peripartum major depressive episodes often have severe anxiety and even panic
attacks.
Question 2
Which of the following is one of the strongest and most consistent risk factors
for bipolar disorder?
A. Low income status
B. Family history of bipolar disorder
,C. Being married
D. Living in a low-income country
Correct Answer: B
Rationale: A family history of bipolar disorder is one of the strongest and most
consistent risk factors for bipolar disorders. Bipolar disorder is more common in
high-income than low-income countries. Separated, divorced, or widowed
individuals have higher rates of bipolar I disorder.
Question 3
If an individual has a manic episode with psychotic features, what is the
likelihood regarding future manic episodes?
A. Subsequent manic episodes are less likely to include psychotic features
B. Subsequent manic episodes are more likely to include psychotic features
C. Subsequent manic episodes will never include psychotic features
D. There is no relationship between episodes
Correct Answer: B
Rationale: If an individual has a manic episode with psychotic features,
subsequent manic episodes are more likely to include psychotic features. This is
an important clinical predictor for prognosis and treatment planning.
Question 4
Which of the following is a common differential diagnosis for bipolar disorder?
A. Major depressive disorder only
B. Generalized anxiety disorder only
C. Major depressive disorder, GAD, panic disorder, PTSD, ADHD, and personality
disorders
D. Only substance-induced bipolar disorder
,Correct Answer: C
Rationale: Common differential diagnoses for bipolar disorder include major
depressive disorder, other bipolar disorders, GAD, panic disorder, PTSD,
substance/medication-induced bipolar disorder, schizoaffective disorder, ADHD,
disruptive mood dysregulation disorder, and personality disorders. A thorough
differential is essential for accurate diagnosis.
Question 5
How do depressive episodes in bipolar I disorder differ from bipolar II disorder?
A. Bipolar I has hypomanic episodes; bipolar II has manic episodes
B. Bipolar I is accompanied by manic episodes; bipolar II has hypomanic episodes
only (no mania)
C. Both have manic episodes
D. Neither has depressive episodes
Correct Answer: B
Rationale: The key difference: Bipolar I disorder is accompanied by manic
episodes, while bipolar II disorder has hypomanic episodes only (no full manic
episodes). Depressive episodes are common in both, but only bipolar I requires
mania for diagnosis.
Question 6
Which statement best describes depressive episodes in bipolar II disorder?
A. Patients spend more time in manic phases
B. Patients have greater chronicity of illness and spend more time in the
depressive phase
C. Depressive episodes are rare
D. Patients never experience depression
Correct Answer: B
, Rationale: Patients with bipolar II disorder have greater chronicity of illness and
spend, on average, more time in the depressive phase of their illness compared
to bipolar I. This makes depression the predominant burden in bipolar II.
Question 7
Are major depressive episodes required for the diagnosis of bipolar I disorder?
A. Yes, always required
B. No, they are common but not required
C. Yes, at least 3 episodes are required
D. No, bipolar I has no depressive episodes
Correct Answer: B
Rationale: Major depressive episodes are common in bipolar I disorder but are
NOT required for the diagnosis of bipolar I disorder. The diagnosis requires at
least one manic episode; depressive episodes may or may not be present.
Question 8
What is the minimum duration required for a diagnosis of cyclothymia in adults?
A. 6 months
B. 1 year
C. 2 years
D. 3 years
Correct Answer: C
Rationale: For cyclothymia in adults, the minimum duration is 2 years (at least 1
year in children and adolescents) during which there have been numerous periods
with hypomanic symptoms that do not meet criteria for a hypomanic episode and
numerous periods with depressive symptoms that do not meet criteria for a major
depressive episode.
