Mental Health

Question 1

what is the target serum level of lithium?

Answer 1

0.8 - 1/2 mEq/L

Question 2

What is the severe toxicity (medical emergency) level of lithium?

Answer 2

Levels >2.5 mEq/L

Question 3

What is a rare, but life theatening complication associated with dopamine antagonist (typical and atypical antipsychotics)

Answer 3

Malignant Neuroleptic syndrome

Question 4

Malignant Neuroleptic syndrome may also be seen in parkinson’s patients due to what?

Answer 4

withdrawal from Carbidopa-Levodopa

Question 5

What are the symptoms of Malignant Neuroleptic syndrome?

Answer 5

Sudden onset of high fever, muscular rigidity, mental status changes, dysautonomia and urinary incontinence

Question 6

What is potentially life theatening syndrome r/t serotonin toxicity?

Answer 6

Serotonin syndrome

Question 7

What should be avoided when taking SSRI/SNRI’s to avoid serotonin syndrome

Answer 7

St. John’s Wort

Question 8

What is the treatment of serotonin syndrome?

Answer 8

Benzodiazepines

Question 9

What is the first line treatment for treatment for alcohol abuse?

Answer 9

naltrexone

Acamprosate (alternative)

Question 10

Residual side effects of a Stroke: Aphasias

Broca’s area affected?

Answer 10

Expressive (trouble talking)

Question 11

Residual side effects of a Stroke: Aphasias

Wernicke’s area affected?

Answer 11

Receptive (trouble understanding)