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If a friend of yours stops sleeping and suddenly claims that he is going to go to law school and medical school simultaneously so he can change the world, you might suspect he is .


A) anxious
B) depressed
C) manic
D) anhedonic

E) A) and B)
F) A) and C)

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Mood disorders can range from mild to severe; the most severe type of depression is called


A) major depressive disorder
B) dysthymia.
C) cyclothymia.
D) profound depression.

E) A) and B)
F) A) and C)

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Which of the following is a symptom of a manic mood state?


A) Clear, coherent speech
B) Hypoactive behavior
C) Fatigue
D) Grandiose planning

E) A) and B)
F) None of the above

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A relative of yours has been diagnosed with bipolar disorder. Your family is impressed when you mention that the preferred drug for this condition is .


A) Prozac
B) St. John's Wort
C) an anticonvulsant
D) lithium

E) A) and B)
F) All of the above

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All of the following statements are accurate about electroconvulsive therapy (ECT) except


A) relief of symptoms can occur within a week or two with ECT.
B) ECT treatment should be followed up with medication.
C) short-term memory loss can be a side effect of treatment with ECT.
D) psychotically depressed patients should be treated with ongoing medication, not ECT, even when response to those drugs is poor.

E) A) and D)
F) None of the above

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When individuals who are biologically vulnerable to depression place themselves in high-risk stressful environments, it is called


A) humoral theory.
B) the cognitive-behavioral model.
C) the gene-environment correlation model.
D) a stress-depression linkage effect.

E) C) and D)
F) B) and C)

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Regarding Beck's views on depression, which of the following definitions of cognitive errors and negative schema is NOT correct?


A) In a self-blame schema, depressed individuals feel personally responsible for every bad thing that happens.
B) Arbitrary inference means that a depressed individual emphasizes the positive rather than the negative aspects of a situation.
C) In a negative self-evaluation schema, depressed individuals believe that they can never do anything correctly.
D) Overgeneralization occurs when a small error is magnified to mean something much more significant.

E) A) and D)
F) All of the above

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A 35-year-old individual named Manny has recently formulated an elaborate plan to cure AIDS with vitamin therapy. To provide funding for this cause, he has withdrawn all the money from his bank account and purchased thousands of jars of vitamins and small boxes in which to put them. When he appeared at a hospital emergency room loudly demanding names of patients with AIDS, he himself was hospitalized for psychiatric observation. What is your diagnosis of Manny?


A) Major depressive episode
B) Hypomanic episode
C) Manic episode
D) Postpartum psychosis

E) All of the above
F) B) and D)

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All of the following statements are true about ECT EXCEPT


A) electric shock is administered directly to the brain for less than a second.
B) patient response to antidepressant medication is poor.
C) for severely depressed patients with psychotic features, approximately 25% of those not responding to medication will benefit.
D) ECT treatments are administered every other day for a total of 6 to 10 treatments.

E) A) and B)
F) A) and C)

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Dysphoric mania refers to a type of mood disorder in which manic episodes are


A) extremely severe.
B) very mild.
C) accompanied by depression or anxiety.
D) related to a medical condition.

E) B) and C)
F) C) and D)

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Recent research suggests that an equally effective alternative to some antidepressant medications that appears to alter electrical activity in the brain may be


A) transcranial magnetic stimulation (TMS) .
B) electrocranial stimulation (ECS) .
C) magnetic resonance stimulation (MRS) .
D) positron cranial stimulation (PCS) .

E) None of the above
F) A) and B)

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All of the following are accurate statements about the prevalence of mood disorders in children and adolescents EXCEPT


A) Bipolar disorder in children is often misdiagnosed as attention deficit hyperactivity disorder (ADHD) .
B) Major depressive disorder in adolescents is largely a female disorder.
C) Rates of attempted suicide decrease during adolescence.
D) Adolescents with bipolar disorder may become aggressive, impulsive, sexually provocative and accident- prone.

E) B) and C)
F) A) and D)

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The best conclusion about the dexamethasone suppression test (DST) for the diagnosis of depression is that


A) it is accurate.
B) it is effective but cannot differentiate bipolar disorder from major depression.
C) it promises to be an effective diagnostic tool in the future.
D) it is not useful as a diagnostic tool.

E) B) and C)
F) C) and D)

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Which of the following statements applies to the condition known as seasonal affective disorder (SAD) ?


A) Women with SAD reported more autonomous negative thoughts throughout the year than women without SAD.
B) People with SAD have symptoms of decreased sleep and decreased appetite.
C) Depression in vulnerable people might be triggered by decreased production of the hormone called melatonin.
D) SAD can be treated with phototherapy, i.e., 2 hours of exposure to bright light just before going to sleep.

E) None of the above
F) A) and B)

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Which of the following factors contribute to the integrative theory of depression?


A) Stressful life events
B) Stress hormones
C) Neurotransmitter systems
D) All of these

E) C) and D)
F) A) and B)

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Milton has been mildly depressed for many years. Just recently, however, his depression deepened, and he was severely depressed for about three months. His deep depression then lifted and he was once again mildly depressed. Milton


A) will be easier to treat now that the severe depression is resolved.
B) will quickly respond to treatment and will recover completely from his depression.
C) will require a longer and more intense course of treatment to maintain a normal mood state.
D) will require treatment for the rest of his life.

E) B) and C)
F) A) and B)

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In rare tragic cases, a mother suffering from major depression with peripartum onset sometimes


A) kills her child.
B) commits suicide.
C) murders other people's children.
D) injures the child's father.

E) A) and B)
F) A) and C)

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An effective treatment for SAD is


A) exposure to bright light shortly after awakening.
B) exposure to bright light in the evening.
C) exposure to a negative ion generator shortly after awakening.
D) exposure to a negative ion generator in the evening.

E) B) and D)
F) All of the above

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At various times, Cynthia, a 20-year-old college student, has been considered by her family and/or friends to be moody, high-strung, explosive, or hyperactive. She never fails to take care of her responsibilities, but the fact that she seems to experience mood swings that are outside the norm has been noticed by those around her. Knowing the criteria for mood disorders, you would diagnose Cynthia with .


A) major depressive disorder
B) panic disorder
C) persistent depressive disorder
D) cyclothymic disorder

E) None of the above
F) A) and B)

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Jane is diagnosed with bipolar II disorder. You can expect that she will experience


A) full manic episodes.
B) hypomanic episodes.
C) both manic and hypomanic episodes.
D) neither manic nor hypomanic episodes.

E) All of the above
F) C) and D)

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