Medications

Question 1

Which of the following is the treatment of choice for benzodiazepine intoxication?

Flumazenil (Romazicon)
Naloxone (Narcan)
Chlordiazepoxide (Librium)
Clonidine

Answer 1

Flumazenil is the treatment of choice for benzodiazepine intoxication.

Question 2

Treatment for Neuoplectic Malignat Syndrome
IE Haldol fever, confusion ect

Corticosteroids
Benzos
Dantrolene

Answer 2

dantrolene (Dantrium) and bromocriptine (Parlodel)

Question 3

What laboratory test must be monitored frequently in patients who are taking clozapine (Clozaril)?

Thyroid stimulation hormone
White blood cell count
Platelet count
Aspartate aminotransferase

Answer 3

WBC

Leukopenia, granulocytopenia, and agranulocytosis occur in approximately 1% of patients on this medication, clozapine should not be dispensed without proof of monitoring.

Question 4

What laboratory test should be followed routinely every six to twelve months in patients taking lithium?

CBC
Calcium
Potassium
TSH

Answer 4

Lithium induces hypothyroidism because of the decrease in concentration of circulating thyroid hormones.

Question 5

Higher doses of SSRIs are usually required in which of the following conditions?

Obsessive Compulsive Disorder
Depression
Manic Depression
Panic Disorder

Answer 5

Obsessive Compulsive Disorder

Question 6

Which of the following is the most appropriate management of acute psychosis in a patient with schizophrenia?

Amitriptyline (Elavil)
Risperidone (Risperdal)
Lithium (Eskalith)
Sertraline (Zoloft)

Answer 6

Risperidone (Risperdal)

Question 7

What are the most effective agents in treating somatoform spectrum pain disorder?

Analgesics
Antidepressants
Antipsychotics
Antiolytics

Answer 7

Antidepressants

Question 8

SSRIs are considered to be first-line agents used in the management of major depression. What drug you want to use for MDD?

A.	Alprazolam (Xanax)
B.	Buspirone (Buspar)
C.	Imipramine (Tofranil)
D.	Paroxetine (Paxil)
E.	Phenelzine (Nardil)

Answer 8

D. Paroxetine (Paxil)

Paroxetine is a selective serotonin reuptake inhibitor (SSRI).

Question 9

PTSD Treatment

A. Insight-oriented psychotherapy
D. Antidepressant
E. Benzodiazepine

Answer 9

Sertraline (Zoloft) and paroxetine (Paxil) are SSRI antidepressants FDA-approved for treatment of this disorder.

Question 10

A patient with schizophrenia is experiencing an acute dystonic reaction, which is a form of extrapyramidal side effect (EPS) associated with antipsychotic medications. What med is he missing from his 2 drug regime.

Alprazolam (Xanax)
Benztropine (Cogentin)
Haloperidol (Haldol)
Lorazepam (Ativan)
Olanzapine (Zyprexa)

Answer 10

Benztropine (Cogentin)

Upon stopping the anticholinergic, the dystonic reaction was more likely to occur. The appropriate initial management of this patient would include immediate IM administration of an anticholinergic agent, such as 2 mg of benztropine or 50 mg of diphenhydramine.

Question 11

an episode of severe, recurrent major depressive disorder with psychotic features. During her hospitalization, She also complains of tenderness in her breasts, and an occasional small amount of milky discharge from her breasts onto her blouse. When questioned further, she also admits to low libido over the past month. Which of the following medications is most likely responsible for this constellation of symptoms?

Olanzapine (Zyprexa)
Paroxetine (Paxil)
Quetiapine (Seroquel)
Haloperidol (Haldol)
Sertraline (Zoloft)

Answer 11

Haloperidol

elevations in plasma prolactin levels.

hyperprolactinemia may include galactorrhea, sexual dysfunction, menstrual irregularities including amenorrhea, infertility, and weight gain.