Lange:psychopharmacology

Question 1

If delirium presents in Serotonin storm syndrome, what is the mediation used

Answer 1

• benzodiazepine

- use cyproheptadine in severe serotonin syndrome

Question 2

Treatment for atypical depression

Answer 2

SSRI

MAOI

Question 3

chlordiazepoxide

Answer 3

long acting benzodiazepine

Question 4

1st line and 2nd line treatment for akethesia

Answer 4

1st: beta blocker
2nd: benzodiazepine

Question 5

First line treatment and 2nd line treatment for bipolar

Answer 5

1st: lithium, lamotrigine, quetiapine
2nd: valproic acid

Question 6

most severe complication of neuroleptic syndrome

Answer 6

rhabdomyolysis

Question 7

Most potent benzodiazepine

Answer 7

Clonazepam

Question 8

Medication to improve tardive dyskinsia

Answer 8

Clozapine

Question 9

most potential risk of SSRI exposure during pregnancy

Answer 9

persistent pulmonary hypertension of the newborn

Question 10

how do you discontinue the use of SSRI

Answer 10

tapered down

Question 11

what drug lowers the efficacy of lamotrigine

Answer 11

drospirenone and ethinyl estradiol

Question 12

what heat problems does lithium cause

Answer 12

T wave depression

Question 13

when do you use cingulotomy

Answer 13

severe, refractory cases of OCD

Question 14

Clozapine reacts at what receptor to help with positive symptoms of schizophrenia

Answer 14

D4

Question 15

Imipramine and Nortriptyline which one is more likely to cause hypotension and why

Answer 15

Imipramine because it is a tertiary amine

- nortripyline is a secondary amine

Question 16

First and second line treatment for mania

Answer 16

1st: lithium and valproic acid
2nd: lamotrigine

Question 17

Which antipsychotic medication is least likely to allow a patient to pass out and minimize risk of falling?

Answer 17

first generation antipsychotics have least alpha1 receptor activity compared to 2nd generation.
- High potency first generation antipsychotics have the least alpha 1 interaction

Question 18

a behavioral modifier medication that decreases alcohol use

Answer 18

disulfiram

Question 19

Drugs used to reduce cravings for alcohol

Answer 19

• Acamprosate

- Naltrexone

Question 20

Side effects of Risperidone

Answer 20

• increase prolactin
• orthostatic hypotension
• reflex tachycardia

Question 21

higher doses of 2nd generation antipsychotics such as risperidone can have what side effect

Answer 21

extrapyramidal side effects

Question 22

what is topiramate used to treat

Answer 22

Buliemia and and binge eating disorder

Question 23

side effect of transcranial magnetic stimulation

Answer 23

headache

Question 24

Pimozide? drug interaction?

Answer 24

First generation antipsychotic

- citalopram, prolong QTc

Question 25

name 2 antipsychotic drugs available as depot injection? which one has less side effects

Answer 25

Haloperidol and risperidone (less side effects)

Question 26

how long a patient stay on antidepressants even if they feel they don't need it

Answer 26

6 months (8-12)

Question 27

Labetalol

Answer 27

mixed alpha and beta antagonists

Question 28

what is the last depression trait to be treated when taking an antidepressant

Answer 28

suicidality

Question 29

Medication used for falling asleep but frequent awakenings during the night

Answer 29

Zaleplon

Question 30

can you give benzodiazepines to a patient with delirium

Answer 30

no

Question 31

Name drugs that would interact with warfin

Answer 31

- buspirone - citalopram - venlafaxine

Question 32

formication

Answer 32

feelings of bugs crawling on the skin, - alcohol withdrawal - cocaine intoxication

Question 33

amotivational syndrome

Answer 33

lack of drive associated with chronic drug use

Question 34

rash around mouth can indicate what drug use

Answer 34

inhalants

Question 35

Rabbit Syndrome

Answer 35

- rare side effect of long-ter antipsychotic use | - involuntary fine, rhythmic motions of the mouth and lips

Question 36

when does delirium tremens start after alcohol withdrawal

Answer 36

72 hours

Question 37

side effect of oxcarbazepine

Answer 37

hyponatremia