OnlineMedEd: Psychiatry - Psych Pharm II

Question 1

SSRIs should be used to treat chronic anxiety disorders like _____________.

Answer 1

OCD, GAD, and PTSD

Question 2

Performance anxiety can be treated with _______________.

Answer 2

non-selective beta-blockers

Question 3

The positive symptoms of schizophrenia arise from too much dopamine in the ____________ system.

Answer 3

mesolimbic

Question 4

The low-dose first-generation antipsychotics are _____________.

Answer 4

chlorpromazine and thioridazine

Question 5

Sedation is most prominent in which antipsychotic?

Answer 5

Quetiapine

Question 6

Typically, when administering a second-generation antipsychotic you want to do _____________ first.

Answer 6

an EKG (to assess for QT prolongation)

Question 7

Give the antipsychotic recommendations for the following cases: 
•Calm, compliant patient
•Agitated, noncompliant patient
•Noncompliant patient with dysphagia
•Chronically noncompliant person

Answer 7

• Calm, compliant patient: PO SGAs
• Agitated, noncompliant patient: IM olanzapine or haloperidol
• Noncompliant patient with dysphagia: ODT of olanzapine or risperidone
• Chronically noncompliant person: depo arirpiprazole

Question 8

List three treatments for akathisia.

Answer 8

• Beta-blockers
• Decreased dose of offending medication
• Anticholinergic agents

Question 9

Acute dystonia is usually treated with ______________..

Answer 9

anticholinergics

Question 10

How should you approach tardive dyskinesia?

Answer 10

Screen people on antipsychotics for tardive dyskinesia every six months. If they develop TD, then lower the medication dose or switch meds.