pre-test pharm

Question 1

pt on carbamazepine w/ high fever, bleeding gums, pallor

Answer 1

acute aplastic anemia

Question 2

antipsychotic with lower rates of tardive dyskinesia

Answer 2

clozapine

Question 3

1st line tx for mild AD

Answer 3

donepizil

Question 4

tx for nocturnal enuresis

Answer 4

imipramine

Question 5

EPS: rapid chewing

Answer 5

rabbit syndrome

Question 6

best weight neutral med for depression

Answer 6

bupropion

Question 7

tx for hyperarousal assoc w/ PTSD

Answer 7

clonidine or beta blockers

Question 8

medical tx for OCD

Answer 8

SSRIs

Question 9

drug used for benzo OD

Answer 9

flumezanil

Question 10

lithium half life

Answer 10

20 hrs - equilibrium reached in 4-7 days

Question 11

initial tx for trouble falling asleep

Answer 11

ramelteon

Question 12

tachy, diaphoresis, mydriasis, clonus - pt recently started fluoxetine

Answer 12

serotonin syndrome

Question 13

labs to follow for neuroleptic malignant syndrome

Answer 13

CPK levels

Question 14

antipsychotic choice for pt w/ orthostatic hTN

Answer 14

haldol or fluphenazine

Question 15

drug class that causes galactorrhea

Answer 15

antipsychotics (dopamine receptor blockade) -> hyperprolactinemia

Question 16

acute tx for acute dystonia

Answer 16

diphendydramine or benztropine IM

Question 17

tx for clozapine-induced seizures

Answer 17

valproate -> then restart clozapine @ low dose

Question 18

tx for lithium levels > 2.5nEq/L

Answer 18

emergency dialysis

Question 19

monitoring for mild leukopenia in pt on clozapine

Answer 19

2x weekly CBCs, continue on drug