Psychotherapeutic

Question 1

First Generation (Conventional) ◦ High Potency

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 1

haloperidol

Question 2

First Generation (Conventional) ◦ Low Potency

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 2

Chlorpromazine

Question 3

Second Generation (Atypical

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 3

clozapine

risperidone

Question 4

Mood Stabilizer

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 4

LITHIUM

Question 5

EXTRAPYRAMIDAL SYMPTOMS (EPS)

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 5

haloperidol

Chlorpromazine

Question 6

Which are EPS

Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons
None
All

Answer 6

All

Question 7

restlessness, constant motion

Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons

Answer 7

Akathisia

Question 8

involuntary contractions of muscles; face, extremities

Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons

Answer 8

Acute dystonia

Question 9

Lip/tongue smacking

Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons

Answer 9

Tardive Dyskinesia

Question 10

◦ muscle rigidity/tremor

Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons

Answer 10

Pseudoparkinsons

Question 11

Which are EPS Treatment

Benztropine (Cogentin®) Trihexyphenidyl
Diphenhydramine
All
None

Answer 11

Benztropine (Cogentin®) Trihexyphenidyl

Diphenhydramine

Question 12

ADVERSE EFFECTS:
NEUROLEPTIC MALIGNANT SYNDROME

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 12

haloperidol

Chlorpromazine

Question 13

ADVERSE EFFECTS:
NEUROLEPTIC MALIGNANT SYNDROME

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 13

haloperidol
Chlorpromazine
risperidone

Question 14

Fever
Encephalopathy
Vitals Unstable
Elevated enzymes (CPK) ◦ Rigidity

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 14

haloperidol

Chlorpromazine

Question 15

Antipsychotics have been shown to prolong QTc interval
-can cause dysrhythmias and DEATH

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 15

haloperidol

Chlorpromazine

Question 16

BOXED WARNING: Elderly patients with dementia- related psychosis treated with antipsychotic drugs are at an increased risk of death

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 16

haloperidol

Chlorpromazine

Question 17

BOXED WARNING: Elderly patients with dementia- related psychosis treated with antipsychotic drugs are at an increased risk of death

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 17

haloperidol
Chlorpromazine
risperidone

Question 18

◦ elevated prolactin (hyperprolactinemia) ◦ General Sexual dysfunction
◦ Gynecomastia
◦ Galactorrhea
◦ Menstrual irregularities

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 18

haloperidol

Chlorpromazine

Question 19

Orthostatic Hypotension

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 19

haloperidol

Chlorpromazine

Question 20

Anticholinergic
◦ Can’t see, can’t pee, can’t spit, can’t s***

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 20

haloperidol

Chlorpromazine

Question 21

Histamine Blockade ◦ Drowsiness
◦ Weight gain

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 21

haloperidol

Chlorpromazine

Question 22

Agranulocytosis

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM
Lower seizure threshold
Skin Sensitivity

Answer 22

haloperidol

Chlorpromazine

Question 23

Agranulocytosis
Lower seizure threshold
Skin Sensitivity

haloperidol
Chlorpromazine
clozapine (Clozaril®)
risperidone 
LITHIUM

Answer 23

haloperidol

Chlorpromazine

Question 24

Which is less potent

haloperidol
Chlorpromazine

Answer 24

Chlorpromazine

Question 25

◦ WEIGHT GAIN, GLUCOSE INTOLERANCE , CHOLESTEROL ``` haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM ```

Answer 25

risperidone

Question 26

Monitor for Metabolic Syndrome ◦ Glucose,cholesterol,weightgain ``` haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM ```

Answer 26

``` risperidone clozapine (Clozaril®) ```

Question 27

Severe neutropenia ``` haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM ```

Answer 27

clozapine (Clozaril®)

Question 28

available only through a restricted program under a Risk Evaluation Mitigation Strategy (REMS) ``` haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM ```

Answer 28

clozapine (Clozaril®)

Question 29

L evels (0.6-1.2 mEq/L) I ncreased urination (polyuria)/ Insipidus T remors/Thirst H ypothyroidism I nteractions (NSAIDS,ACE-Is,Diuretic, etc.) U pset stomach M uscle weakness/ Miscellaneous- EKG changes) ``` haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM ```

Answer 29

LITHIUM

Question 30

``` LITHIUM L evels (?-? mEq/L) ```

Answer 30

(0.6-1.2 mEq/L)