High Yield - Emma Holliday

Question 1

Meds to avoid in someone with mania and why?

Answer 1

SSRIs and TCAs because they can trigger mania

Question 2

NSAIDS can precipitate what toxicity?

Answer 2

Lithium

Question 3

What is a complication of lithium in pregnancy ladies?

Answer 3

Ebstein anomaly

Question 4

Preferred treatment for bipolar in a pregnant lady?

Answer 4

Clonazepam

Question 5

Two drugs causing steven Johnson syndrome?

Answer 5

Lamotrigine and carbamazepine less likely

Question 6

What is the most common complication of carbamazepine?

A second complication?

Answer 6

Rash

Agranulocytosis

Question 7

Best treatment for adjustment disorder?

Answer 7

Psychotherapy

Question 8

First line treatment for MDD?
SSRI with fewest drug to drug interactions?
What med to give for old, skinny sad lady?
What antidepressant to avoid in hypertensive patients?
What med was given if there is an erection not going away?

Answer 8

SSRI
Citalopram
Mirtazapine
Venlafaxine
Trazodone

Question 9

EKG finding of TCAs?

Answer 9

Widened QRS and prolonged QT

Question 10

7 year old complains fo frequent abdominal pain resulting in many missed school days. He never gets the pain on the weekends or in the summer? What are we thinking?

Answer 10

Separation anxiety disorder

Question 11

Two types of meds that can cause mania?

Answer 11

SSRI and TCAs

Question 12

What med was given if the following was going on?
Bipolar and now elevated LFT and hepatitis?
Bipolar and Steven Johnson?
Bipolar and agranulocytosis?

Answer 12

Valproate
Lamotrigine
Carbamazepine

Question 13

Besides increased appetite and sleep, what are 3 other identifiers of atypical depression?

Answer 13

Leaden paralysis in the morning
Sensitivity to rejection
Interpersonal skills suck

Question 14

What SNRI should not be given to HTN patients?

Answer 14

Venlafaxine

Question 15

Widened QRS, what did the pt take and how to treat?

Answer 15

TCA, some kind of arrhythmia

Sodium bicarb and activated charcoal

Question 16

What kind of symptoms are made worse by atypical antipsychotics?

Answer 16

Negative because there is already decreased dopamine in prefrontal cortex

Question 17

What is the side effect of thioridazine?

Answer 17

Pigmentary retinopathy

Question 18

Top 2 side effects of Olanzapine?

Answer 18

Sedation and weight gain

Question 19

Which drug causes orthostasis and cataracts?

Answer 19

Quetiapine

Question 20

How to best treat GAD?

Answer 20

SSRI or buspirone but need to give benzo for a few weeks before it kicks in

Question 21

Big difference between adjustment disorder and acute stress disorder?

Answer 21

Acute stress is more serious or life threatening event

Adjustment is not life threatening

Question 22

Criteria for insomnia?

Answer 22

Problems falling asleep or staying asleep that is causing functional problems over 1 month

Question 23

How do we diagnose normal pressure hydro?

Answer 23

CT or MRI

Question 24

MOA of atomoxetine and what is it used for?

Answer 24

NE reuptake blocker

ADHD

Question 25

What disease?

Cafe UA lait spots, seizures, big head?

Answer 25

Neurofribromatosis

Question 26

Coarse facies, short, cloudy cornea?

Answer 26

Hurler syndrome

Question 27

Hypotonia, hypogonadism, deletion on paternal chr 15?

Answer 27

Prader willli

Question 28

Deletion on maternal chr 15, inappropriate laughing, seizures?

Answer 28

Angel man

Question 29

Small head, smooth philtrum, mentally retarded?

Answer 29

Fetal alcohol

Question 30

Most common infection causing congenital hearing loss?

Answer 30

CMV

Question 31

What is reactive attachment disorder?

Answer 31

Kids are neglected when young and don’t have an emotional attachment to their parents