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

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Jennifer Gay
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Case Studies & Lightning Round

Question 1 of 25

1

Psychiatric side effects due to anti-epileptic use can include

Select one or more of the following:

  • irritability

  • depression

  • behavioral change

  • psychosis

  • anxiety

Explanation

Question 2 of 25

1

Which anti-epileptic agent is associated with the highest rate of induced psychosis?

Select one of the following:

  • Levetiracetam

  • Gabapentin

  • Depakote

Explanation

Question 3 of 25

1

History of seizures is a contraindication to treatment with clozapine

Select one of the following:

  • True
  • False

Explanation

Question 4 of 25

1

Clozapine is the gold standard and only FDA approved antipsychotic for treatment resistant schizophrenia

Select one of the following:

  • True
  • False

Explanation

Question 5 of 25

1

Select from the dropdown list to complete the text.

( Valproic acid, Gabapentin, Levetiracetam, Lamotrigine ) is the most widely studied anticonvulsant for seizure prophylaxis

Explanation

Question 6 of 25

1

Using valproic acid WITH clozapine can improve

Select one of the following:

  • efficacy for managing psychotic symptoms

  • side effect profile

  • insomnia

Explanation

Question 7 of 25

1

When studied in alcoholics, trazodone caused an increase in the number of drinks per drinking day

Select one of the following:

  • True
  • False

Explanation

Question 8 of 25

1

SSRIs are most likely to cause significant sexual dysfunction

Select one of the following:

  • True
  • False

Explanation

Question 9 of 25

1

First line management of sexual dysfunction involves adding bupropion or a PDE-5 inhibitor

Select one of the following:

  • True
  • False

Explanation

Question 10 of 25

1

What can be used off label for socual anxiety

Select one or more of the following:

  • propranolol

  • atenolol

  • metoprolol

Explanation

Question 11 of 25

1

In first episode psychosis, no antipsychotic is clearly superior to another in regards to efficacy

Select one of the following:

  • True
  • False

Explanation

Question 12 of 25

1

First episode psychosis risk factors for medication non-adherence include

Select one or more of the following:

  • severe positive symptoms

  • hospitalization at onset of illness

  • poorer insight

  • improved performance on psychological tests

Explanation

Question 13 of 25

1

High potency antipsychotics are more likely to be the causative agent of catatonia

Select one of the following:

  • True
  • False

Explanation

Question 14 of 25

1

second generation antipsychotics have no risk of inducing NMS

Select one of the following:

  • True
  • False

Explanation

Question 15 of 25

1

Treatment for catatonia includes

Select one or more of the following:

  • Lorazepam

  • ECT

  • Stimulants

Explanation

Question 16 of 25

1

Valproate increases lamotrigine concentration more than 2 fold

Select one of the following:

  • True
  • False

Explanation

Question 17 of 25

1

Risk factors for lithium toxicity:

Cystic fibrosis
circulating volume
decreased intake
infections

Other medications

Drag and drop to complete the text.

    Anorexia
    ARFID
    decreased
    increased
    sodium
    potassium
    renal insufficiency
    cardiovascular disease

Explanation

Question 18 of 25

1

Which of the following are symptoms of acute lithium toxicity?

Select one or more of the following:

  • nausea, vomiting, diarrhea

  • ECG changes, arrhythmias, prolonged QTC

  • SILENT

  • tachycardia

  • constipation

Explanation

Question 19 of 25

1

Lithium is almost entirely excreted by the kidneys

Select one of the following:

  • True
  • False

Explanation

Question 20 of 25

1

The rate of hyperthyroidism is increased in patients on lithium

Select one of the following:

  • True
  • False

Explanation

Question 21 of 25

1

Cyproheptadine is used for moderate to severe serotonin toxicity

Select one of the following:

  • True
  • False

Explanation

Question 22 of 25

1

What neurotransmitters are targeted in treatment of residual insomnia?

Select one or more of the following:

  • 5HT

  • GABA

  • Histamine

  • DA

Explanation

Question 23 of 25

1

When treating residual insomnia, what side effects should be considered?

Select one or more of the following:

  • Abuse/dependence potential

  • memory impairment

  • weight gain

  • GI symptoms

Explanation

Question 24 of 25

1

In residual concentration difficulty, what neurotransmitters should be targeted?

Select one or more of the following:

  • NE

  • DA

  • 5HT

  • GABA

Explanation

Question 25 of 25

1

Consider abuse/dependence potential and cardiac history when treating concentration difficulties

Select one of the following:

  • True
  • False

Explanation

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