WALDEN

Question 1

high levels of serotonin, high fever, muscular rigidity, mental status changes, hyperreflexia, dilated pupils, life threatening reaction, contraindicated with MOA, TCA, SSRI

Answer 1

Acute serotonin syndrome

Question 2

Rare life threatening idiopathic reaction from typical and atypical antipsychotics, affect dopamine in the brain, high fever, muscular rigidity, mental status, fluctuating BP, urinary incontinence

Answer 2

Malignant neuroleptic syndrome

Question 3

Allows 72 hours involuntary detention for evaluation and treatment of high
risk suicidal patients

Answer 3

Baker act

Question 4

Zyprexa, Risperdal, Seroquel

Answer 4

Atypical antipsychotics

Question 5

Haldol black box warning

Answer 5

Typical antipsychotic

Question 6

Lamictal,Tegretol, Depakote

Answer 6

Anticonvulsant

Question 7

loss of libido Erectile dysfunction, anorexia

Answer 7

SSRI-side effect

Question 8

of OCD/depression, celexa/citalopram, Lexapro/escitalopram, Prozac/fluoxetine,
Zoloft/sertraline, Paxil/paroxetine

Answer 8

SSRI- first line treatment

Question 9

Wellbutrin (increases risk of seizures) , Zyban(smoking)

Answer 9

Atypical antidepressant

Question 10

Effexor, Cymbalta

Answer 10

SNRI

Question 11

For depression, can be for post herpetic neuralgia, Elavil, doxepin, nortriptyline,
side effect- suicide, hoard pills, cardiac arrhythmias and neuro effects seizures

Answer 11

TCA

Question 12

bipolar disorder

Answer 12

Lithium

Question 13

Contraindicated with other antidepressants and high tyramine foods ( fermented
foods, beer cheese wine fava beans)

Answer 13

MAO

Question 14

Anxiety panic or insomnia,

Answer 14

Benzodiazepines

Question 15

Used for severe alcohol withdrawal and seizures

Answer 15

Valium

Question 16

Disturbance in cognitive, emotional behavior, somatic regulations, depressed
mood and loss of interest or pleasure are major symptoms, (depressed mood for 2 weeks or longer, anhedonia, decreased/increased appetite, weight loss or gain, sleep disorder, psychomotor agitation or retardation, fatigue, loss of energy, feeling of worthlessness(poor self-image), inappropriate guilt, recurrent thoughts of death(suicide), difficulty thinking or concentrating/indecisiveness

Answer 16

Depression

Question 17

CBC, TSH, Vit B12

Answer 17

Depression DX

Question 18

First line SSRI

Answer 18

Depression TX

Question 19

Akinesia- inability to initiate movement, akathisia- unable to stay still, tardive dyskinesia- involuntary movements- lip smacking, tongue face and extremities

Answer 19

Extrapyramidal symptoms

Question 20

Inability to experience pleasure from activities usually found enjoyable

Answer 20

Anhedonia

Question 21

Is a behavior disorder, common comorbidities- oppositional defiant disorder,
conduct disorder, learning disorder, depression, anxiety, tics and Tourette’s, bipolar and substance abus

Answer 21

ADHD

Question 22

SSRI, antidepressant, sertraline, reduce sperm count, increases infertility Black Box warning

Answer 22

Zoloft

Question 23

Olanzapine, antipsychotic, for schizo and bipolar, monitor CBC for low WBC, weight, b/p, mental status, lips, prolactin, glucose CAUSES ELEVATED LIPDS

Answer 23

Zyprexa

Question 24

Is characterized by mania and depression refer to psychiatrist TX lithium, Depakote, SSRI

Answer 24

Bipolar

Question 25

Delusions, paranoia, disorganized speech, hallucinations, refer to psychiatrist,

Answer 25

Schizophrenia

Question 26

Typical antipsychotic | Eg. ziprasidon (Geodon) haloperidol (Haldol) and refer pt. to psychiatrist for management

Answer 26

Schizophrenia TX

Question 27

Inflated sense of self, during manic episode, bipolar symptom, narcissistic disorder, special powers, spiritual connections, or religious relationships

Answer 27

Grandiosity

Question 28

Onset adolescence, fear of gaining weight, purging uses laxatives, vomiting, binge eating, food restriction, complications osteoporosis, BMI <18.5, lanugo, amenorrhea, peripheral edema, cardiac arrhythmias

Answer 28

Anorexia nervosa

Question 29

Characterized by flashbacks of traumatic event,

Answer 29

PTSD

Question 30

PCL-5

Answer 30

PTSD DX

Question 31

First line treatment SSRI, cognitive behavioral therapy, eye movement desensitization and reprocessing (EMDR)

Answer 31

PTSD TX

Question 32

Depression, menopausal symptoms,

Answer 32

St john wort

Question 33

Anxiety and insomnia

Answer 33

Kava Kava/valerian root

Question 34

Spelling or counting backwards

Answer 34

Attention and calculation

Question 35

Is when maladaptive behavior pattern occurs from repeated alcohol abuse BAC >.08 is illegal

Answer 35

Alcohol abuse

Question 36

GGT, AST ALT

Answer 36

Alcohol abuse DX

Question 37

Screening for problem drinking or dependence, 2 out 4 suggests alcohol abuse

Answer 37

Cage Questionnaire

Question 38

Sudden onset of confusion, delusions, hallucinations, grandmal seizures

Answer 38

Acute delirium tremors

Question 39

Benzodiazepine, Vitamins AA, refer to ED

Answer 39

Acute delirium tremors TX

Question 40

Chronic thiamine deficiency,

Answer 40

Korsakoff’s syndrome

Question 41

Nicotine gum, chew and par in buccal mucosa, no smoking cause nicotine overdose, cause MI, HTN TX Zyban and/or Chantix

Answer 41

Smoking cessation

Question 42

First line TX is sleep hygiene, refer to sleep lab, Benadryl, Benzodiazepines

Answer 42

Insomnia