Laboratory Tests in Psychiatry pt. 1

Eleanor garvey
Quiz by Eleanor garvey, updated more than 1 year ago
Eleanor garvey
Created by Eleanor garvey about 1 year ago
4
1

Description

Test I: 111, 113, 114, 117 Test II: 85, 135 Test III: 65, 79, 85, 123, 127, 149

Resource summary

Question 1

Question
Test 1 Question 111. How long after taking PCP can it still be found in the urine?
Answer
  • 1 day
  • 2 days
  • 5 days
  • 8 days
  • 10 days

Question 2

Question
Test 1 Question 113. A patient you put on carbamazepine has weakness and a rash. Which lab test would you order first?
Answer
  • Liver profile
  • Electrolytes, blood–urea–nitrogen (BUN), creatinine, glucose (Chem-7
  • Complete blood count
  • Thyroid function tests
  • Venereal Disease Research Laboratory (VDRL)

Question 3

Question
Test 1 Question 114. Which one of the following should not be part of an initial workup of a patient with anorexia nervosa?
Answer
  • Complete blood count
  • Chem-7
  • Thyroid function tests
  • Electrocardiogram
  • Head CT scan

Question 4

Question
Test 1 Question 117. A patient on risperidone comes into your office and reports that she intends on going to her gynecologist because she hasn’t been having her menstrual periods. She has taken a pregnancy test and it was negative. Which lab test would you order?
Answer
  • Lumbar puncture
  • Risperidone level
  • Complete blood count
  • Liver profile
  • Prolactin level

Question 5

Question
Test 2 Question 85. Which of the following lab tests can be used to detect chronic alcohol abuse?
Answer
  • Red blood cell count
  • White blood cell (WBC) count
  • γ-Glutamyl transpeptidase (GGT)
  • Creatine phosphokinase
  • Alkaline phosphatase

Question 6

Question
Test 2 Question 135. In hypothyroidism one would expect to find:
Answer
  • Serum free T4 is increased
  • Serum total T4 concentration is increased
  • Serum thyroid-stimulating hormone (TSH) is increased
  • Serum T3 uptake is increased
  • Serum T3–T4 ratio is decreased

Question 7

Question
Test 3 Question 65. Which one of the following baseline lab values would be the least important to obtain on a patient starting lithium therapy?
Answer
  • Thyroid function tests
  • Electrocardiogram
  • WBC count
  • Renal function tests
  • Venereal Disease Research Laboratory (VDRL) test

Question 8

Question
Test 3 Question 79. Which one of the following is the therapeutic range for lithium?
Answer
  • 6–12mEq/L
  • 0.5–1.9mEq/L
  • 0.6–1.2mEq/L
  • 2–4mEq/L
  • >4mEq/L

Question 9

Question
Test 3 Question 85. Which one of the following could drastically increase lithium levels?
Answer
  • Citalopram
  • Carbamazepine
  • Sertraline
  • Ibuprofen
  • Acetaminophen

Question 10

Question
Test 3 Question 123. A patient has overdosed on lithium following a fight with her boyfriend. Her lithium level is 2.8 mEq/L. She is exhibiting severe signs of lithium toxicity. Which one of the following answer choices is the best treatment at this time?
Answer
  • Intravenous fluids
  • Celecoxib
  • Wait and watch
  • Hemodialysis
  • Gastric lavage

Question 11

Question
Test 3 Question 127. Which one of the following is not a requirement for treatment with clozapine?
Answer
  • Baseline WBC count before starting treatment
  • Two WBC counts during the first 7 days of treatment
  • Weekly WBC count during the first 6 months of treatment
  • WBC count every 2 weeks after the first 6 months of treatment
  • WBC count every week for 4 weeks following discontinuation of clozapine

Question 12

Question
Test 3 Question 149. What is the therapeutic range for valproic acid?
Answer
  • 50–100ng/mL
  • 25–50ng/mL
  • 200–250ng/mL
  • 1000–1500ng/mL
  • 0.5–0.15ng/mL
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