high-yield buzzword cards

Question 1

First-line antidepressant for major depressive disorder in most adults?

Answer 1

SSRIs (e.g., sertraline, fluoxetine, escitalopram)

Question 2

First-line medication for generalized anxiety disorder (GAD)?

Answer 2

SSRIs or SNRIs (e.g., escitalopram, venlafaxine)

Question 3

First-line treatment for panic disorder?

Answer 3

SSRIs (e.g., paroxetine, sertraline)

Question 4

First-line treatment for PTSD?

Answer 4

SSRIs (sertraline, paroxetine) or SNRI (venlafaxine)

Question 5

First-line antidepressant in a child or adolescent with MDD?

Answer 5

Fluoxetine (Prozac)

Question 6

First-line med for OCD (adults or pediatric)?

Answer 6

SSRIs (fluvoxamine, fluoxetine, sertraline)

Question 7

First-line treatment for bipolar depression?

Answer 7

Lamotrigine or lurasidone

Question 8

First-line treatment for acute mania in bipolar I?

Answer 8

Lithium or valproate ± antipsychotic

Question 9

Best SSRI for depression in pregnancy (Category C)?

Answer 9

Sertraline (Zoloft)

Question 10

SSRI to avoid in pregnancy (Category D)?

Answer 10

Paroxetine (Paxil)

Question 11

Best antidepressant for patient with low energy, smoking, and fear of sexual side effects?

Answer 11

Bupropion (Wellbutrin)

Question 12

Best antidepressant for underweight patient with poor appetite and insomnia?

Answer 12

Mirtazapine (Remeron)

Question 13

Best antipsychotic for treatment-resistant schizophrenia?

Answer 13

Clozapine

Question 14

Best long-acting injectable for non-adherent patient on risperidone?

Answer 14

Risperdal Consta or Invega Sustenna (paliperidone)

Question 15

Which antidepressant lowers seizure threshold the most?

Answer 15

Bupropion (Wellbutrin)

Question 16

Which medication must be titrated slowly to avoid Stevens-Johnson Syndrome?

Answer 16

Lamotrigine

Question 17

Which antipsychotic has the highest risk of agranulocytosis?

Answer 17

Clozapine

Question 18

Which antipsychotic has the highest metabolic risk?

Answer 18

Olanzapine (Zyprexa)

Question 19

Which SNRI is most likely to increase BP?

Answer 19

Venlafaxine (Effexor XR)

Question 20

Which antidepressants have a black box warning for suicidality?

Answer 20

All of them (especially in youth under 25)

Question 21

“Pt started fluoxetine 2 weeks ago and now has confusion, hyperreflexia, tremors, and fever.” Diagnosis?

Answer 21

Serotonin syndrome

Question 22

“Young adult with depression, history of bulimia, wants to quit smoking.” Best med?

Answer 22

Avoid bupropion → ↑ seizure risk

Question 23

“Patient on haloperidol becomes rigid, febrile, confused, and CK is elevated.” Diagnosis?

Answer 23

Neuroleptic malignant syndrome

Question 24

“Patient has lip smacking and involuntary movements after years of antipsychotics.” Diagnosis?

Answer 24

Tardive dyskinesia

Question 25

“Restless pacing and inability to sit still after antipsychotic use.” Diagnosis?

Answer 25

Akathisia