CNS Flashcards
Lithium Monitoring after start of treatment
3 monthly
What colour does entacapone make you urine
red/brown
What drug class is duloxetine
SNRI
How long does it take for Buspirone to work
up to 2 weeks
Over how long does Clozapine need to be withdrawn to reduce symptoms
over 1 to 2 weeks
Which of the medications below is likely to have caused Mrs K Alory’s weight gain?
A. Metformin
B. Pizotifen
C. Methylphenidate
D. Semaglutide
B. Pizotifen
Which one of the drugs below can be used for the treatment of nocturnal enuresis in children?
A. Citalopram
B. Sertraline
C. Imipramine
D. Duloxetine
C. Imipramine
Which of the medicines below is most likely to prompt you to ring the prescriber due to an interaction with the Fluoxetine?
A. Tamoxifen
B. Anastrozole
C. Alendronic Acid
D. Omeprazole
A. Tamoxifen
Which antiepilepetic has the longest half life
Phenobarbital
A drug is indicated for the short-term relief (two to four weeks only) of anxiety that is severe, disabling, or causing the patient unacceptable distress.
Which of the following is the drug most likely to be?
A. Promethazine
B. Temazepam
C. Methadone
D. Lorazepam
E. Tetrabenazine
D. Lorazepam
Treatment with this drug is associated with impulse control disorders, including pathological gambling, binge eating and hypersexuality.
Which of the following is the drug most likely to be?
A. Varenicline
B. Selegiline
C. Apomorphine
D. Promethazine
E. Rasagiline
C. Apomorphine
The drug is indicated for conscious sedation for dental procedures 30-60 minutes before procedure.
Which of the following is the drug most likely to be?
A. Lorazepam
B. Promethazine
C. Temazepam
D. Methadone
E. Carbamazepine
C. Temazepam
The drug is a potent dopamine-receptor agonist indicated in advanced Parkinson’s disease for patients experiencing ‘off’ periods. The patient must be taught to self-administer the medicine by subcutaneous injection at the first sign if an ‘off’ episode.
Which of the following is the drug most likely to be?
A. Tetrabenazine
B. Selegiline
C. Co-careldopa
D. Apomorphine
E. Bromocriptine
D. Apomorphine
What does low sodium do to Lithium serum levels
increase
Which migraine prophylactic agent has an interaction with Amiodarone
Propranolol
What is the interaction of Lithium and ACE
increase conc of lithium
What is the interaction between fludrocortisone and methadone
increase risk of torse de points
What are therapeutic lithium levels
0.4 to 1
What are therapeutic lithium levels in patients with acute mania
0.8 to 1
Which drug carries an increased risk of cleft palate when given in the first trimester?
A. Sodium valproate
B. Carbamazepine
C. Topiramate
D. Phenytoin
C. Topiramate
Which toxicity can sodium valproate cause
hepatotoxicity
Which electrolyte imbalance causes fall in elderly
Hyponatraemia
What are red flag symptoms of Ibuprofen
- Diarrhoea
- vomiting
- drowsiness
- muscle twitching
How long can domperidone be prescribed for
7 days
Which SSRI has the highest half life
fluoxetine
How long can metoclopramide be prescribed for
3 days
What are withdrawal symptoms of benzodiazepines for anxiety?
Weight loss
Loss of appetite
Insomnia
Tinnitus
Tremor
Which test is not needed when starting lithium
Hepatic function
1st Line anti-epileptic for children
- Levatiractam
What is the serious skin condition associated with Galantamine?
A. Steven-Johnson Syndrome
B. Seborrhoic eczema
C. Kawasaki Disease
D. Shingles
A. Steven-Johnson Syndrome
Which of the following anti-epileptics has a long half-life?
A. Perampanel
B. Sodium Valproate
C. Levetiracetam
D. Ethosuximide
A. Perampanel