Exam 18: Affective Disorders: Antidepressants and Mood Stabilizers

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Which statement about bipolar disorder is true?

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Describe evidence from studies measuring 5-HT turnover, tryptophan levels, receptor binding, and response to various drug challenges that supports a role for serotonin dysfunction in mood disorders.

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Provide evidence that indicates lithium is a very effective drug for bipolar disorder. How does it work at the synapse? Why must blood levels of lithium be monitored on a regular basis? Discuss what happens if levels are too high or too low.

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Evaluate the role of the following risk factors in depression: hereditary factors, stress, and biological rhythms. Briefly discuss the role of melatonin receptor therapy for depression as it relates to altered biological rhythms.

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Which statement about new research into biochemical models for mood disorders is false?

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Which of the following is a benefit of the drug esketamine over racemic ketamine in the treatment of depression?

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Which statement regarding the glucocorticoid hypothesis of depression is false?

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Researchers know that depressed individuals have an abnormal stress response involving the HPA axis because these individuals show

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Describe the mechanism of action of at least three third-generation antidepressants.

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Identify the two older classes of medications used to treat major depression. Describe their mechanism of action at the synapse and their major side effects.

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Depression

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What is the major advantage of the second-generation antidepressants over the MAOIs and the TCAs?

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Describe the gut-brain axis and its proposed role in health and depression. Include the involvement of the HPA in your answer.

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Animal studies on the acute and chronic effects of antidepressants on serotonin have shown that

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The greatest danger of the tricyclic antidepressants is

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Which side effect is a frequent reason for individuals terminating SSRI use?

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All of the following are side effects of the selective serotonin reuptake inhibitors (SSRIs) except

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Which statement about the role of heredity in the affective disorders is true?

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Chronic social defeat stress causes an increase in histone _______, which leads to a decrease in BDNF gene expression by tightening the structure of chromatin. Antidepressant treatment results in a(n) _______ and enhanced BDNF expression.

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Why is the Clock protein of interest in studies on bipolar disorder?

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