Pharmocotherapy

Question 1

What counselling steps for cannabis use

Answer 1

Verify
Reconcile
Supply accurate information and Rx

Question 2

what are the steps and purpose of medication reconciliation

Answer 2

Question 3

side effects of glycopyrolate

Answer 3

Question 4

other than antipsychotics what medications can you use for behavior in ASD?

Answer 4

alpha agonist
stimulants
valproic acid

Question 5

what adolescent functions do stimulants not prevent in ADHD

Answer 5

Question 6

side effects of stimulants other than sleep disturbance and appetite suppression

Answer 6

possible preaprism
rare psychosis

Question 7

4 side effects of atomoxetine

Answer 7

Question 7

which medications are contraindicated for beahvior management in ASD?

Answer 7

and quetiapine

Question 8

clinical parameters to follow in ADHD on stimulants

Answer 8

Question 9

contraindication to stimulants in adhd? what would you use instead?

Answer 9

Question 10

Name 4 non-pharmacology treatments for ADHD?

Answer 10

Question 11

2 side effects of guanfacine that are not related to blood pressure (not cardiac)?

Answer 11

Question 12

side effects and max dose of atomoxetine in child?

Answer 12

Question 13

side affects of abilify on labs?

Answer 13

Question 14

risk for poor response to ADHD medications?

Answer 14

Inadequate dosing
Dose limiting side effects
Severity
Secondary ADHD (post TBI)
comorbiditie (IDD, LD, ASD, anxiety, etc)
Parental mental health

Question 15

Benefits of aripiprazole over risperidone

Answer 15

Question 16

cardiac risk factors for starting stimulants in ADHD?

Answer 16

family history of sudden death or arrythmia,

personal history of structural heart disease or cardiomyopathy, or artyhmias

Cardiac findings on physical exam, unexplained murmur

Question 17

side effects of stimulants other than appetite suppression or sleep disturbances

Answer 17

dizziness
hypertension
tachycardia
tics
anxiety
headaches
reduced mood

Question 18

Four side effects of glycopyrrolate.

Answer 18

• Excessive thickening of secretions
• Urinary retention
• Constipation
• Headache
• Blurred vision
• Behavioural disturbance

Question 19

SSRI neonatal behavioural syndrome features

Answer 19

fidgety/gittery
Feeding difficulty
tachycardia, cyanosis
hypertonia

Question 20

Antipsychotic medication (use of risperidone) Besides wt, height, bmi, and waist circumference what 2 things should you check on exam and why? What 2 investigations would be done other than lipid profile?

Answer 20

neuro exam - extrapyramidal symptoms
BP

prolactin
fasting glucose
insulin
liver enzymes

Question 21

4 potential side effects of ITB pump

Answer 21

a) CSF leakage
b) Infection at the pump site
c) Catheter malfunction
d) Abrupt withdrawal from baclofen can be life threatening

Question 22

4 counseling points when starting melatonin?

Answer 22

Question 23

6 NDDs that have evidence for the use of melatonin for sleep?

Answer 23

ADHD
ASD
Smith-Magenis
Angelman Syndrome
Rett Syndrome
Tuberous Sclerosis

Question 24

3 drug classes to treat tics

Answer 24

alpha agonists
atypical antipsychotics
Antispasmatics - baclofen, botox

Question 25

medication issues to counsel on before stopping alpha agonist

Answer 25

risk of rebound hypertension - needs to be tapered

Question 26

enzyme metabolizer for SNRI

Answer 26

CYP2D6

Question 27

dose for stimulants (starting and max)

Answer 27

0.5 mg/kg/day MAX 2mg/kd/day

Question 28

starting dose for strattera (atomoxetine) and max dose

Answer 28

0.5 mg/kd/day MAX 1.2 mg/kg/day or 80 mg daily

no improved effect above this dose