Case Studies & Lightning Round

Jennifer Gay
Quiz by Jennifer Gay, updated more than 1 year ago
Jennifer Gay
Created by Jennifer Gay over 3 years ago
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Description

Quiz on Case Studies & Lightning Round, created by Jennifer Gay on 03/24/2018.

Resource summary

Question 1

Question
Psychiatric side effects due to anti-epileptic use can include
Answer
  • irritability
  • depression
  • behavioral change
  • psychosis
  • anxiety

Question 2

Question
Which anti-epileptic agent is associated with the highest rate of induced psychosis?
Answer
  • Levetiracetam
  • Gabapentin
  • Depakote

Question 3

Question
History of seizures is a contraindication to treatment with clozapine
Answer
  • True
  • False

Question 4

Question
Clozapine is the gold standard and only FDA approved antipsychotic for treatment resistant schizophrenia
Answer
  • True
  • False

Question 5

Question
[blank_start]Valproic acid[blank_end] is the most widely studied anticonvulsant for seizure prophylaxis
Answer
  • Valproic acid
  • Gabapentin
  • Levetiracetam
  • Lamotrigine

Question 6

Question
Using valproic acid WITH clozapine can improve
Answer
  • efficacy for managing psychotic symptoms
  • side effect profile
  • insomnia

Question 7

Question
When studied in alcoholics, trazodone caused an increase in the number of drinks per drinking day
Answer
  • True
  • False

Question 8

Question
SSRIs are most likely to cause significant sexual dysfunction
Answer
  • True
  • False

Question 9

Question
First line management of sexual dysfunction involves adding bupropion or a PDE-5 inhibitor
Answer
  • True
  • False

Question 10

Question
What can be used off label for socual anxiety
Answer
  • propranolol
  • atenolol
  • metoprolol

Question 11

Question
In first episode psychosis, no antipsychotic is clearly superior to another in regards to efficacy
Answer
  • True
  • False

Question 12

Question
First episode psychosis risk factors for medication non-adherence include
Answer
  • severe positive symptoms
  • hospitalization at onset of illness
  • poorer insight
  • improved performance on psychological tests

Question 13

Question
High potency antipsychotics are more likely to be the causative agent of catatonia
Answer
  • True
  • False

Question 14

Question
second generation antipsychotics have no risk of inducing NMS
Answer
  • True
  • False

Question 15

Question
Treatment for catatonia includes
Answer
  • Lorazepam
  • ECT
  • Stimulants

Question 16

Question
Valproate increases lamotrigine concentration more than 2 fold
Answer
  • True
  • False

Question 17

Question
Risk factors for lithium toxicity: [blank_start]Anorexia[blank_end] Cystic fibrosis [blank_start]decreased[blank_end] circulating volume decreased [blank_start]sodium[blank_end] intake infections [blank_start]renal insufficiency[blank_end] Other medications
Answer
  • Anorexia
  • ARFID
  • decreased
  • increased
  • sodium
  • potassium
  • renal insufficiency
  • cardiovascular disease

Question 18

Question
Which of the following are symptoms of acute lithium toxicity?
Answer
  • nausea, vomiting, diarrhea
  • ECG changes, arrhythmias, prolonged QTC
  • SILENT
  • tachycardia
  • constipation

Question 19

Question
Lithium is almost entirely excreted by the kidneys
Answer
  • True
  • False

Question 20

Question
The rate of hyperthyroidism is increased in patients on lithium
Answer
  • True
  • False

Question 21

Question
Cyproheptadine is used for moderate to severe serotonin toxicity
Answer
  • True
  • False

Question 22

Question
What neurotransmitters are targeted in treatment of residual insomnia?
Answer
  • 5HT
  • GABA
  • Histamine
  • DA

Question 23

Question
When treating residual insomnia, what side effects should be considered?
Answer
  • Abuse/dependence potential
  • memory impairment
  • weight gain
  • GI symptoms

Question 24

Question
In residual concentration difficulty, what neurotransmitters should be targeted?
Answer
  • NE
  • DA
  • 5HT
  • GABA

Question 25

Question
Consider abuse/dependence potential and cardiac history when treating concentration difficulties
Answer
  • True
  • False
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