Psych2

Question 1

Rx for tardive dyskinesia (if can’t switch or stop med)

Answer 1

Valbenazine

Question 2

What meds could you use to treat akathisia?

Answer 2

Akathisia = subjective restlessness and inability to sit still.

Can be treated with: BB (propanalol), BZD (lorazepam), or Benztropine (anti-ACh)

Question 3

How to differentiate NMS from serotonin syndrome:

Answer 3

NMS = high fever, lead pipe rigidity, AMS, and autonomic instability (HTN, tachy, diaphoresis)

Serotonin syndrome = hyperthermia (not as high as NMS), autonomic instability, AMS, hyperreflexia/monoclonus but NO lead pipe rigidity

Question 4

MOA of terazosin:

Answer 4

alpha blocker (used for urinary retention in BPH)

Question 5

Most common side effect of methylphenidate in ADHD

Answer 5

Decreased appetite. Then weight loss/insomnia

Question 6

ACEi, HCTZ, NSAIDs, tetracyclines, and metronidazole all share a common feature in that they:

Answer 6

Can increase serum Lithium levels

Question 7

What nonstimulant meds can be used to treat ADHD?

Answer 7

Atomoxetine and alpha 2 AR agonists (guanfacine and clonidine). These can be used when there is poor response or intolerable side effects from stimulants or coexisting conditions.

Question 8

Buspirone can be used as an adjunct to treat:

Answer 8

GAD

Question 9

Compare presentation of acute vs chronic Li3+ toxicity:

Answer 9

Acute Sx = nausea, vomiting, diarrhea, neuro Sx

Chronic = confusion, agitation, ataxia, tremors, and fasciculations.

Question 10

What drug class is zolpidem?

Answer 10

sedative hypnotic

Question 11

Rx for acute PCP intoxication:

Answer 11

Benzo. Can use fast acting parenteral forms (lorazepam, diazepam)

Question 12

What’s first line treatment for management of mania in bipolar I disorder?

Answer 12

Antipsychotics (1st and 2nd gen) followed by Li3+ and anticonvulsant mood stabilizers (valproate)