Meds_Guidlines

Question 1

First line treatment in adults adhd

Answer 1

Lisdexamfetamine or methylphenidate

Question 2

2nd line treatment in adults adhd

Answer 2

Atomoxetine

Question 3

3rd line treatment in adult adhd

Answer 3

Guanfacine

Question 4

Alternative Rx to methylphenidate/lisdexamfetamine induced tics in adult adhd?

Answer 4

Atomoxetine

Question 5

Alternative Rx for methyl/disdexamfetamine resistance attention deficiet in adult adhd

Answer 5

Atomoxetine

Question 6

SSRI S.E in baby when taken after 20 weeks of pregnancy

Answer 6

Persistent pulmonary hypertension

Question 7

What needs monitoring in children treated with methylphenidate?

Answer 7

Height and weight

Question 8

Lenght of therapeutic trial of methylphenidate /lisdexamfetamine in children

Answer 8

6 weeks

Question 9

The only antipsychotic licensed in the UK to treat behavioural and psychological symptoms of dementia???

Answer 9

Risperidone

Question 10

NICE guidline: Fist line treatment for adhd in children(pre school)?

Answer 10

pArEntal training PrOgrAmmes

Question 11

When would you prefer atomoxetine to methylphenidate in adhd+conduct disorder in children?

Answer 11

When there is a chance of misuse or diversion

Question 12

Very common s.e of stimulants in adhd

Answer 12

Appetite suppression

Question 13

Stimulant associated with liver toxicity

Answer 13

Pemoline

Question 14

The stimulant that is controlled drug due to abuse and addiction?

Answer 14

Methylphenidate

Question 15

For hallucination associated with delirium tremens(alcohol withdrawal), what psychotropics are preferred?

Answer 15

first oral lorazepam, if not applicable or not worked then parenteral lorazepam and Haluperidol

Question 16

First line opiod detoxifixation drug (NICE)

Answer 16

buprenorphine (partial opiod agonist)

Question 17

What drug that is used to help alcohol abstinence can cause dizziness and abduminal pain?

Answer 17

Disulfiram

Question 18

Mechanism of acamprosate

Answer 18

Glutamatergic NMDA antagonist

Question 19

NICE 1st line treatment to prevent replase in alcohol dependence

Answer 19

Naltrexone

Question 20

NICE recommends it to use to support prevention of replase in alcoholism!!!

Answer 20

Nalmefene

Question 21

Contradicted to be used in myocardial disease or psychosis + alcoholism

Answer 21

Disulfiram

Question 22

Interferes with conversion of aldehyde to acetic acid in alcoholism

Answer 22

Disulfiram

Question 23

Not to be used with patients who could be having alcohol withdrawals

Answer 23

IV glucose (may precipitate wernick’s encephalopathy)!

Question 24

a hypnotic that is generally avoided in alcohol withdrawal

Answer 24

Clomethiazole ( may cause respiratory depression)

Question 25

First line treatment for alcohol withdrawal

Answer 25

Chlordiazepoxide

Question 26

Should be offered to pts with alcohol withdrawal

Answer 26

Thiamine parenteral

Question 27

First line treatment for depression

Answer 27

SSRI

Question 28

NNT for for SSRI in moderate depression

Answer 28

5

Question 29

Assoc. with liver injury when used as antidepressant in elderly

Answer 29

Agomelatine

Question 30

SSRI in elderly increase risk of...

Answer 30

Falls

Question 31

Continue antidepressants in elderly after remission for how long?

Answer 31

12 months (higher chance of relapse)

Question 32

Increases the level of theophylline

Answer 32

Fluvoxamine

Question 33

How long should antidepressant trial last to decide its effectiveness?

Answer 33

4 weeks

Question 34

Causes steven johnson syndrome

Answer 34

Carbamazepine

Question 35

Causes visual impairment

Answer 35

Vigabatrin (assess visual every 3 months)

Question 36

Increases lamotrigine 2 folds

Answer 36

Valproate

Question 37

Causes angle closure glucoma

Answer 37

Topiramate (red, painful eye with vision loss)

Question 38

Causes aggression when used in epilepsy

Answer 38

Levetiracetam Perampanel

Question 39

Can cause cleft palate and floppy baby syndrome in baby

Answer 39

Benzodiazepines

Question 40

Very rare occasion in which bezodiazepine can be used in pregnancy

Answer 40

Extreme anxiety and agitation (when benefits outweigh risks)

Question 41

Contraindicated in patients with uncontrolled epilepsy

Answer 41

Clozapine

Question 42

Most associated with increase in hypertention, hence needs regular monitoring

Answer 42

Clozapine

Question 43

Indicated in schizophrenia +diabetes

Answer 43

Amisulpride 😎

Question 44

Most likely to cause dyslipidemia

Answer 44

Olan

Question 45

What percentage of non compliance is due to forgeting it

Answer 45

10%

Question 46

What scales are used to check compliance

Answer 46

DAI - Drug Attitude Inventory MARS - Medication Adherence Rating scale

Question 47

% of patients with schizo who become non-compliance after 24 months

Answer 47

75%

Question 48

1st line treatment of body dysmorphic disorder

Answer 48

Fluoxetin

Question 49

How long to continue ssri in body dismorphic sybdrome after symtoms reduced

Answer 49

12 month

Question 50

1st line of medical treatment for OCD

Answer 50

ssri (like citalopram)

Question 51

First line treatment for OCD in children

Answer 51

CBT including exposure response prevension

Question 52

How long antidepressant therapy should continue in child ocd

Answer 52

6 months after remission

Question 53

Rx licenced for OCD in young people in UK

Answer 53

fluvoxamine

Question 54

which one is faster in detox buprenorphine or methadone?

Answer 54

buprenorphine