GEORGETTE MODULE 1 AND 2 ACTUAL
TEST PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
⩥ Gold standard for treatment of manic episodes. - Evidence of anti-
suicidal effects. Answer: Lithium
⩥ - Neuroprotective treatment of choice for bipolar disorder (protects
nerve cells from damage) Answer: Lithium
⩥ baseline labs to get prior to starting lithium: Answer: TSH, creatinine
(0.6-1.2), BUN (10-20), pregnancy test (HCG), EKG (if older than 50
years old)
⩥ - Hypothyroidism
- weight gain
- fine hand tremor
- fatigue
- mental cloudiness
- headaches
- nystagmus
- acne
- maculopapular rash
,- pruritus
- GI upset
- Diarrhea
- vomiting
- cramps
- anorexia
- renal issues
- edema
- diabetes insipidus
- polyuria
- polydipsia
- microscopic tubular changes
- cardiac issues (T wave inversion, dysrhythmias)
- hematological issues (Leukocytosis) Answer: Lithium side effect
⩥ Examples of things that can decrease renal clearance, by possibly
increasing concentration of drugs that are excreted by kidneys (for
example lithium Answer: Kidney disease or drugs (such as NSAIDs
(ibuprofen, Indocin), thiazides (HCTZ), ACE inhibitors (lisinopril),)
⩥ Signs and symptoms of lithium toxicity: Answer: - Severe nausea,
vomiting, and diarrhea
- Confusion
,- Convulsions
- Drowsiness
- blurred vision
- slurred speech
- muscle weakness
- heart palpitations
- coarse hand tremors
- ataxia (unsteadiness while standing or walking)
⩥ Interventions for lithium toxicity Answer: stop lithium and check
serum lithium levels
⩥ can occur when MAOI (isocarboxazides, phenelzine, selegeline,
tranylcypromine) are taken in conjunction with foods containing
tyramine a dietary precursor to norepinephrine. Answer: Hypertensive
crisis
⩥ - life threatening and cannot be reversed unless more MAO Is
produced by the body Answer: Hypertensive crisis
⩥ - Hypertensive crisis and death can occur when MAOIs are taken in
conjunction with certain meds Answer: o meperidine
o Stimulants
o Decongestants
, o tricyclic antidepressants
o atypical antipsychotics
o St. John's wort
o asthma medications
⩥ Signs and symptoms of hypertensive crisis Answer: - elevated blood
pressure (Greater than or = to 180/120)
- sudden explosive like headache (Occipital region usually)
- facial flushing
- palpitations
- Fever
- pupillary dilation
- diaphoresis
⩥ Treatment for hypertensive crisis: Answer: - stop the MAOI
- give phentolamine
- stabilize fever
- review diet in Med guidelines with patient
⩥ Teratogenic risk Benzodiazepine Answer: floppy baby syndrome, cleft
palate
TEST PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
⩥ Gold standard for treatment of manic episodes. - Evidence of anti-
suicidal effects. Answer: Lithium
⩥ - Neuroprotective treatment of choice for bipolar disorder (protects
nerve cells from damage) Answer: Lithium
⩥ baseline labs to get prior to starting lithium: Answer: TSH, creatinine
(0.6-1.2), BUN (10-20), pregnancy test (HCG), EKG (if older than 50
years old)
⩥ - Hypothyroidism
- weight gain
- fine hand tremor
- fatigue
- mental cloudiness
- headaches
- nystagmus
- acne
- maculopapular rash
,- pruritus
- GI upset
- Diarrhea
- vomiting
- cramps
- anorexia
- renal issues
- edema
- diabetes insipidus
- polyuria
- polydipsia
- microscopic tubular changes
- cardiac issues (T wave inversion, dysrhythmias)
- hematological issues (Leukocytosis) Answer: Lithium side effect
⩥ Examples of things that can decrease renal clearance, by possibly
increasing concentration of drugs that are excreted by kidneys (for
example lithium Answer: Kidney disease or drugs (such as NSAIDs
(ibuprofen, Indocin), thiazides (HCTZ), ACE inhibitors (lisinopril),)
⩥ Signs and symptoms of lithium toxicity: Answer: - Severe nausea,
vomiting, and diarrhea
- Confusion
,- Convulsions
- Drowsiness
- blurred vision
- slurred speech
- muscle weakness
- heart palpitations
- coarse hand tremors
- ataxia (unsteadiness while standing or walking)
⩥ Interventions for lithium toxicity Answer: stop lithium and check
serum lithium levels
⩥ can occur when MAOI (isocarboxazides, phenelzine, selegeline,
tranylcypromine) are taken in conjunction with foods containing
tyramine a dietary precursor to norepinephrine. Answer: Hypertensive
crisis
⩥ - life threatening and cannot be reversed unless more MAO Is
produced by the body Answer: Hypertensive crisis
⩥ - Hypertensive crisis and death can occur when MAOIs are taken in
conjunction with certain meds Answer: o meperidine
o Stimulants
o Decongestants
, o tricyclic antidepressants
o atypical antipsychotics
o St. John's wort
o asthma medications
⩥ Signs and symptoms of hypertensive crisis Answer: - elevated blood
pressure (Greater than or = to 180/120)
- sudden explosive like headache (Occipital region usually)
- facial flushing
- palpitations
- Fever
- pupillary dilation
- diaphoresis
⩥ Treatment for hypertensive crisis: Answer: - stop the MAOI
- give phentolamine
- stabilize fever
- review diet in Med guidelines with patient
⩥ Teratogenic risk Benzodiazepine Answer: floppy baby syndrome, cleft
palate
