Mental Health

Question 1

Serotonin Syndrome (SHIVERS)
What do their pupils look like?

Answer 1

Shivering
Hyperreflexia/myoclonus
Increased temperature
Vital sign instability
Encephalopathy
Restlessness
Sweating

Dilated pupils

Question 2

What is a concerning adverse effect of antipsychotics and what are the S&S?

Answer 2

NMS
S&S - FEVER
fever, encephalopathy, vital sign instability, elevated enzymes (CK) and rigidity (muscles)

Question 3

What is included in Mini Mental Status Exam? ORAL

Answer 3

Orientation
Recall
Attention/calculation
Language

Question 4

Example of 1st gen antipsychotics

Answer 4

haloperidol

Question 5

example of 2nd gen antipsychotics

Answer 5

olanzipine, risperidone, quietiapine

Question 6

T/F. SNRIs can precipitate narrow angle glaucoma?

Answer 6

True

Question 7

What to Rx for depressed pt w/ postherpetic neuralgia?

Answer 7

TCA

Question 8

Rx for depressed patient w/ peripheral neuropathy

Answer 8

Duloxetine

Question 9

Anticholinergic side effects (5)

Answer 9

“red as a beet, dry as a bone, blind as a bat, mad as a hatter, hot as a hare, full as a flask.”

Question 10

Minor depression vs major depression

Answer 10

2 symptoms but less than 5

Question 11

Alcohol limits for females and males

Answer 11

female - 1 drink/day
Male 2 drink/day

Question 12

Duration of chantix/varenicline course and when to guide patient to quit after starting prescription

Answer 12

12 week course
stop within 1-4 weeks after starting

Question 13

Chronic insomnia

Answer 13

> 3 months for atleast 3 days per week

Question 14

Bipolar I
Bipolar II

Answer 14

Mania and depression
Hypomania and depression –> higher risk for suicide

Question 15

Meds for bipolar (3)

Answer 15

Lithium
Anticonvuslants
Antipsychotics –> prolong QT

Question 16

Which SSRI is most likely to cause erectile dysfunction

Answer 16

Paroxetine