CMN 552 EXAM 1 QUESTIONS WITH DETAILED
VERIFIED ANSWERS; ALREADY GRADED A
1. What are the diagnostic criteria for Cyclothymic Disorder? -
correct answer- A. Numerous periods with hypomania
symptoms that do not meet criteria for a hypomania episode
and numerous periods with depressive symptoms that do not
meet criteria for a major depressive episode for TWO YEARS
(adults) or ONE YEAR (kids).
B. During the above 1 or 2-year period the hypomania and
depressive periods have been present for at least half the time
and the individual has not been without the symptoms for more
than 2 months at a time.
C. Criteria for a major depressive, manic, or hypomania episode
have never been met.
D. The symptoms in Criterion A are not better explained by
another disorder.
E. Symptoms not the effect of a drug or medical condition.
F. The symptoms cause clinically significant distress or
impairment.
1. What are the diagnostic criteria for Disruptive Mood
Dysregulation Disorder? - correct answer- A. Severe
,recurrent temper outbursts manifested verbally (e.g., verbal
rages) and/or behaviorally (e.g., physical aggression toward
people or property) that are grossly out of proportion in
intensity or duration to the situation or provocation.
B. The temper outbursts are inconsistent with developmental
level.
C. The temper outbursts occur, on average, three or more times
per week.
D. The mood between temper outbursts is persistently irritable
or angry most of the day, nearly every day, and is observable by
others (e.g., parents, teachers, peers). E. Criteria A-D have been
present for 12 or more months. Throughout that time, the
individual has not had a period lasting 3 or more consecutive
months without all of the symptoms in Criteria A-D.
F. Criteria A and D are present in at least two of three settings
(i.e., at home, at school, with peers) and are severe in at least
one of these.
G. The diagnosis should not be made for the first time before
age 6 years or after age 18 years.
H. By history or observation, the age at onset of Criteria A-E is
before 10 years. I. There has never been a distinct period lasting
more than 1 day during which the full symptom criteria, except
duration, for a manic or hypomanie episode have been met.
Note: Developmentally appropriate mood elevation, such as
occurs in the context of a highly positive event or its
,anticipation, should not be considered as a symptom of mania or
hypomania. J. The behaviors do not occur exclusively during an
episode of major depressive disorder and are not better
explained by another mental disorder (e.g., autism spectrum
disorder, posttraumatic stress disorder, separation anxiety
disorder, persistent depressive disorder [dysthymia]). Note: This
diagnosis cannot coexist with oppositional defiant disorder,
intermittent explosive disorder, or bipolar disorde
18. What are the difficulties in recognizing depression in the
elderly population? - correct answer- Elderly people
often have various co-morbid medical disorders that may have
similar symptoms to depression.
19. What are some common Differential diagnosis when
considering MDD? - correct answer- Table 8.8-1
2. What are common differential diagnoses to consider when
you suspect your patient has Cyclothymia? - correct
answer- Medical conditions
Substance abuse
Personality Disorders to include: Borderline, Anti-Social,
Histrionic, and Narcissistic
, Attention Deficit Disorder (stimulants will exacerbate symptoms
of cyclothymia)
2. What are the epidemiological statistics for children and
adolescents with depressive disorders? - correct answer-
Preschool-0.3% in community samples/0.9 in clinic samples.
School age-2-3%. Usually higher in boys. Adolescents-4-8% with
2 to 3 times higher in girls. By age 18, the incidence is increased
to 20%. Children with a first degree relative are 3xs more likely
to develop MDD than their pediatric counterparts without any
family history. The prevalence of persistent depressive disorders
in children ranges from 0.6 to 4.6% and in adolescents increased
to .6-8%. Children and adolescents with persistent depressive
disorders have a higher likelihood of developing MDD at some
point after 1 year of the persistent depressive disorder. The rate
of developing a major depressive disorder (double depression)
within a 6 month period of persistent depressive disorder is
estimated to be around 9.9%. In hospitalized children and
adolescents, the rates of MDD are close to 20% for children and
40% in adolescents.
2. What symptomology would a child most likely present with
who has Disruptive Mood Dysregulation Disorder? 3. -
correct answer- Chronic, severe persistent irritability.
This severe irritability has two prominent clinical manifestations,
the first of which is frequent temper outbursts. These outbursts
VERIFIED ANSWERS; ALREADY GRADED A
1. What are the diagnostic criteria for Cyclothymic Disorder? -
correct answer- A. Numerous periods with hypomania
symptoms that do not meet criteria for a hypomania episode
and numerous periods with depressive symptoms that do not
meet criteria for a major depressive episode for TWO YEARS
(adults) or ONE YEAR (kids).
B. During the above 1 or 2-year period the hypomania and
depressive periods have been present for at least half the time
and the individual has not been without the symptoms for more
than 2 months at a time.
C. Criteria for a major depressive, manic, or hypomania episode
have never been met.
D. The symptoms in Criterion A are not better explained by
another disorder.
E. Symptoms not the effect of a drug or medical condition.
F. The symptoms cause clinically significant distress or
impairment.
1. What are the diagnostic criteria for Disruptive Mood
Dysregulation Disorder? - correct answer- A. Severe
,recurrent temper outbursts manifested verbally (e.g., verbal
rages) and/or behaviorally (e.g., physical aggression toward
people or property) that are grossly out of proportion in
intensity or duration to the situation or provocation.
B. The temper outbursts are inconsistent with developmental
level.
C. The temper outbursts occur, on average, three or more times
per week.
D. The mood between temper outbursts is persistently irritable
or angry most of the day, nearly every day, and is observable by
others (e.g., parents, teachers, peers). E. Criteria A-D have been
present for 12 or more months. Throughout that time, the
individual has not had a period lasting 3 or more consecutive
months without all of the symptoms in Criteria A-D.
F. Criteria A and D are present in at least two of three settings
(i.e., at home, at school, with peers) and are severe in at least
one of these.
G. The diagnosis should not be made for the first time before
age 6 years or after age 18 years.
H. By history or observation, the age at onset of Criteria A-E is
before 10 years. I. There has never been a distinct period lasting
more than 1 day during which the full symptom criteria, except
duration, for a manic or hypomanie episode have been met.
Note: Developmentally appropriate mood elevation, such as
occurs in the context of a highly positive event or its
,anticipation, should not be considered as a symptom of mania or
hypomania. J. The behaviors do not occur exclusively during an
episode of major depressive disorder and are not better
explained by another mental disorder (e.g., autism spectrum
disorder, posttraumatic stress disorder, separation anxiety
disorder, persistent depressive disorder [dysthymia]). Note: This
diagnosis cannot coexist with oppositional defiant disorder,
intermittent explosive disorder, or bipolar disorde
18. What are the difficulties in recognizing depression in the
elderly population? - correct answer- Elderly people
often have various co-morbid medical disorders that may have
similar symptoms to depression.
19. What are some common Differential diagnosis when
considering MDD? - correct answer- Table 8.8-1
2. What are common differential diagnoses to consider when
you suspect your patient has Cyclothymia? - correct
answer- Medical conditions
Substance abuse
Personality Disorders to include: Borderline, Anti-Social,
Histrionic, and Narcissistic
, Attention Deficit Disorder (stimulants will exacerbate symptoms
of cyclothymia)
2. What are the epidemiological statistics for children and
adolescents with depressive disorders? - correct answer-
Preschool-0.3% in community samples/0.9 in clinic samples.
School age-2-3%. Usually higher in boys. Adolescents-4-8% with
2 to 3 times higher in girls. By age 18, the incidence is increased
to 20%. Children with a first degree relative are 3xs more likely
to develop MDD than their pediatric counterparts without any
family history. The prevalence of persistent depressive disorders
in children ranges from 0.6 to 4.6% and in adolescents increased
to .6-8%. Children and adolescents with persistent depressive
disorders have a higher likelihood of developing MDD at some
point after 1 year of the persistent depressive disorder. The rate
of developing a major depressive disorder (double depression)
within a 6 month period of persistent depressive disorder is
estimated to be around 9.9%. In hospitalized children and
adolescents, the rates of MDD are close to 20% for children and
40% in adolescents.
2. What symptomology would a child most likely present with
who has Disruptive Mood Dysregulation Disorder? 3. -
correct answer- Chronic, severe persistent irritability.
This severe irritability has two prominent clinical manifestations,
the first of which is frequent temper outbursts. These outbursts
