1.  What are the four basic types of mood disorders recognized in adults?
Bipolar disorder, cyclothymia, dysthymia, and neurosis
Bipolar disorder, cyclothymia, dysthymia, and unipolar major depression
Bipolar disorder, cyclothymia, melancholia, and unipolar major depression
Bipolar disorder, dysthymia, schizophrenia, and unipolar major depression

2.  In addition to suicide, people suffering with major depression are at great risk of dying from
Accidents
Cancer
Coronary artery disease
Diabetes

3.  Which of the following symptoms is indicative of major depressive disorder as well as normal sadness or grief?
Delusion and hallucinations
Feelings of hopelessness
Inability to experience pleasure
Sleep disturbances

4.  A diagnosis of major depressive disorder may be incorrect if the patient exhibits which of the following?
Insomnia and weight loss
Panic attacks, phobias, or obsessions
Psychotic characteristics in the absence of melancholia
Reversed vegetative symptoms

5.  When dysthymia becomes woven into an individual’s personality, the individual’s condition may be confused with
Major depressive disorder
Neuroticism
Psychosis
Schizophrenia

6.  Mania is often misdiagnosed as schizophrenia in which group of people?
African-Americans
Asian-Americans
Men
Women

7.  The medications that most frequently contribute to depression are
Antihypertensives and oral contraceptives
Glucocorticoids
Stimulants
Sympathomimetic drugs

8.  Which of the following factors affecting depression is NOT correctly matched with its descriptor?
Cognition — psychosocial
Dysregulation of the HPA axis — biological
Elevated levels of corticotrophin-releasing factor — biological
Gender — genetic

9.  Which of the following findings weakened the monoamine hypothesis?
GABA and acetylcholine are altered in depression.
Loss of the principal catecholamines contributes to depression.
Reserpine causes depression.
The depletion of serotonin results in depression.

10.  CRH is regulated in the
Hippocampus
Hypothalamus
Pituitary
Thymus

11.  Evidence of the long-term effects of both anxiety and depression has been found in which part of the body?
Hippocampus
Hypothalamus
Pituitary
Thymus

12.  All of the following qualities associated with reactions to stressful events are indicative of cognitive patterns EXCEPT
Global impact
Impulsivity
Internality
Irreversibility

13.  Which of the following is not considered a factor in making major depressive disorder and dysthymia more prevalent among women than men?
Differences in coping methods
Differences in how emotional material is processed in the brain
Hypothyroidism
Menopause

14.  According to a review by the NIMH, which of the following disorders showed the greatest potential for genetic research?
Bipolar disorder
Depression
Obsessive-compulsive disorder
Panic disorder

15.  Which of the following statements regarding treatment of mood disorders is NOT true?
Mood disorders have a greater negative effect on economic productivity than high blood pressure or diabetes.
Racial and ethnic minorities often encounter special obstacles in obtaining treatment.
Studies show that most people suffering with depression receive some form of treatment.
The stigma placed on seeking treatment for mood disorders by society plays a role in people not being treated.

16.  Electroconvulsive therapy has been shown to be extremely effective in treating which of the following?
Anxiety
Dysthymia
Severe depression
Substance abuse

17.  Under which circumstances might pharmacotherapy be more appropriate than electroconvulsive therapy for treating depression?
Depression accompanied by a physical illness
Depression accompanied by pregnancy
Depression accompanied by psychosis
Depression without uncontrollable suicidal thoughts and actions

18.  Recovery from depression is considered successful if a complete resolution of affective symptoms equivalent to a healthy person is achieved for a minimum of
One month
Six months
One year
Five years

19.  Based on studies, adverse side effects and the greatest risk for fatal overdoses are greatest with
Bupropion
Mirtazapine
SSRIs
Tricyclic antidepressants

20.  Bupropion was not immediately introduced into the U.S. because of concern over the risk of
Insomnia
Seizures
Sexual side effects
Weight gain

21.  Cognitive-behavioral therapy and interpersonal psychotherapy have been shown to be as effective as pharmacotherapy in treating depression in
Mild cases only
Mild-moderate cases
Moderate-severe cases
Psychotic cases

22.  Which of the following are considered somatic treatments?
Cognitive-behavioral therapy
Electroconvulsive therapy and pharmacotherapy
Interpersonal psychotherapy
Psychosocial treatments

23.  Which of the following is not a class of medications considered for treatment of mania?
Anticonvulsants
Calcium-channel blockers
Lithium
SSRIs

24.  Which of the following statements regarding the gap between efficacy and effectiveness in service delivery for mood disorders is NOT true?
The gap does not exist when treatment is administered in specialty mental health practice.
The gap is greatest when treatment is administered by primary care physicians.
The high cost of treatment without insurance coverage makes recommended treatments prohibitive.
The mental health issues of women in obstetrics/gynecology settings have been largely neglected.

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