Question 1
Question
Psychiatric side effects due to anti-epileptic use can include
Answer
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irritability
-
depression
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behavioral change
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psychosis
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anxiety
Question 2
Question
Which anti-epileptic agent is associated with the highest rate of induced psychosis?
Answer
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Levetiracetam
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Gabapentin
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Depakote
Question 3
Question
History of seizures is a contraindication to treatment with clozapine
Question 4
Question
Clozapine is the gold standard and only FDA approved antipsychotic for treatment resistant schizophrenia
Question 5
Question
[blank_start]Valproic acid[blank_end] is the most widely studied anticonvulsant for seizure prophylaxis
Answer
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Valproic acid
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Gabapentin
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Levetiracetam
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Lamotrigine
Question 6
Question
Using valproic acid WITH clozapine can improve
Question 7
Question
When studied in alcoholics, trazodone caused an increase in the number of drinks per drinking day
Question 8
Question
SSRIs are most likely to cause significant sexual dysfunction
Question 9
Question
First line management of sexual dysfunction involves adding bupropion or a PDE-5 inhibitor
Question 10
Question
What can be used off label for socual anxiety
Answer
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propranolol
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atenolol
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metoprolol
Question 11
Question
In first episode psychosis, no antipsychotic is clearly superior to another in regards to efficacy
Question 12
Question
First episode psychosis risk factors for medication non-adherence include
Question 13
Question
High potency antipsychotics are more likely to be the causative agent of catatonia
Question 14
Question
second generation antipsychotics have no risk of inducing NMS
Question 15
Question
Treatment for catatonia includes
Question 16
Question
Valproate increases lamotrigine concentration more than 2 fold
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
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Anorexia
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ARFID
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decreased
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increased
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sodium
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potassium
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renal insufficiency
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cardiovascular disease
Question 18
Question
Which of the following are symptoms of acute lithium toxicity?
Answer
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nausea, vomiting, diarrhea
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ECG changes, arrhythmias, prolonged QTC
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SILENT
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tachycardia
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constipation
Question 19
Question
Lithium is almost entirely excreted by the kidneys
Question 20
Question
The rate of hyperthyroidism is increased in patients on lithium
Question 21
Question
Cyproheptadine is used for moderate to severe serotonin toxicity
Question 22
Question
What neurotransmitters are targeted in treatment of residual insomnia?
Question 23
Question
When treating residual insomnia, what side effects should be considered?
Question 24
Question
In residual concentration difficulty, what neurotransmitters should be targeted?
Question 25
Question
Consider abuse/dependence potential and cardiac history when treating concentration difficulties