Georgette's Review 2022 With Complete Solutions

depakote can cause what birth defect? Correct Ans:- spina bifida Depakote can affect what organ? Correct Ans:- liver Can TCAs cause liver toxicity? Correct Ans:- yes Kava Kava can affect what organ s ...

depakote can cause what birth defect? Correct Ans:- spina bifida Depakote can affect what organ? Correct Ans:- liver Can TCAs cause liver toxicity? Correct Ans:- yes Kava Kava can affect what organ system? Correct Ans:- liver Should you take benzo's and kava kava? Correct Ans:- no Carbamazepine can cause what reaction in Asians? Because of which allele? Correct Ans:- SJS; HLAB -1502 allele What 2 meds can cause agranulocytosis; at what ANC would you d/c these drugs? Correct Ans:- carbamazepime and clozaril; 1,000 If creatinine is greater than ___ --> d/c lithium Correct Ans:- 1.5 What level of proteinurea is concerning? Correct Ans:- 4+ BPD patients with mood symptoms may benefit from which medicaiton? Correct Ans:- lithium MEDICATIONS THAT can increase lithium levels Correct Ans:- NSAIDs (ibu and indocin), THIAZIDES, ACE INHIBITORS (lisinopril) does lithium potentially cause hyper or hypothyroidism? Correct Ans:- hypothyroidism lithium can cause what abnormal finding on EKG? Correct Ans:- T-wave inversion (and many more) NMS is primarily caused by which drug class? Correct Ans:- antipsychotics What 3 lab findings indicate muscle breakdown in NMS? Correct Ans:- myoglobinuria, rhabdomyolysis, CPK What 2 treatments are successful for NMS symptoms? Correct Ans:- Bromocriptine-- dopamine agonist, Dantrolene- muscle relaxerQ Medication for serotonin syndrome? Correct Ans:- cyproheptadine How long to wait before switching from one medication class to another (SSRI to a MAOI)? Correct Ans:- 2 weeks how long to wait--> switching from prozac to MAOI Correct Ans:- 5-6 weeks What migraine medication may put you at high risk for SS? Correct Ans:- sumatriptan (Imitrex) Best non-pharmacological way to treat schizophrenia Correct Ans:- Assertive Community Treatment How to test abstraction on MSE? Correct Ans:- interpret a proverb Where is SI documented in the MSE? Correct Ans:- Thought Content How do assess fund of knowledge on MSE? Correct Ans:- Who is the president? problems with clock drawing test point to problem in which brain hemisphere? Correct Ans:- RIGHT mesolimbic pathway Correct Ans:- XS dopamine --positive sx schizophrenia mesocortical pathway Correct Ans:- dopamine deficiency leads to negative symptoms nigrostriatal pathway Correct Ans:- decrease dopamine leads to increased ACH and therefore EPS Tuberoinfundibular pathway Correct Ans:- hyperprolactinemia what anti psychotic is know to frequently cause hyperprolactinemia? Correct Ans:- risperidone what are normal prolactin levles for men vs women? Correct Ans:- <20 men, <25 women Is cogentin recommended for tardive dyskinesia? Correct Ans:- NO TD can occur in as little as Correct Ans:- 2 months What 2 anti nausea medications can cause TD? Correct Ans:- reglan, compazine INducers ___ lvls of drugs in the body Correct Ans:- reduces Inhibitors cause ___ lvls of drugs in the body Correct Ans:- increased Can disulfuram cause mania? Correct Ans:- yes ANTACIDS/PPI (omeprazole, protonix) can decrease absorption of psychotropic medications→ therefore Correct Ans:- take at least 2 hours before taking psychotropic medications creator of DBT? Correct Ans:- MARSHA LINEHAN Conversion disorder Correct Ans:- neurological sx- paralysis, paresthesias, blindness, mutism, as a result of an acute stressful experience factitious DISORDER Correct Ans:- purposeful actions to make yourself sick Reactive Attachment Disorder Correct Ans:- in children, a pattern of inhibited, withdrawn behavior toward adult caregivers OPPOSITIONAL DEFIANT DISORDER Correct Ans:- defiant to authority, NO AGGRESSION Family therapy with emphasis on child mgmt skills (FAMILY THERAPY) CONDUCT DISORDER Correct Ans:- AGGRESSION/VIOLENT- rape, beating other children, stealing, fire, INTENSE-- no remorse-- needs to go to prison time period of ACUTE STRESS DISORDER vs PTSD Correct Ans:- less than 1 month, greater than one month 3 phases of EMDR Correct Ans:- Tourette's criteria Correct Ans:- 2 motor tics and 1 vocal tic for at least 1 year Always d/c stimulant if tics occur? Correct Ans:- yes at what age can you start rx'ing clonidine and guanfacine? Correct Ans:- 6 what is a good med for kid with OCD? Correct Ans:- Prozac what disease mimics bipolar in children? Correct Ans:- DMDD In IED - do kids feel remorse? Correct Ans:- yes time period for GAD diagnosis? Correct Ans:- 6months What 3 nt's are implicated in autism Correct Ans:- G squared S, gaba, glutamate, serotonin 3 screening tools for autism Correct Ans:- M-CHAT, ADOS-G, ASQ 2 labs to check if having memory problems? Correct Ans:- B12 and folic acid family systems therapy Correct Ans:- TRIANGLES, TRIANGULATION, SELF-DIFFERENTIATION, GENOGRAMS (not keyword)