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Short Answer Questions for ED Fellowship Study

Case: First presentation bipolar disorder

A 28-year-old female has been brought to your emergency department by concerned work colleagues. They have noticed a significant change in her behaviour over several months. Large amounts of money are missing from company accounts. From your assessment, she has normal cognition but is poorly engaged and repeated states there is nothing wrong. You suspect this is a first presentation of bipolar disorder.

1. In addition to increased spending or gambling, list four other symptoms suggestive of an acute manic episode. 4 marks

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2. List six symptoms that would indicate a major depressive episode. 6 marks

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3. State two non-psychiatric differential diagnoses to consider when assessing acute mania. 2 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.