GEORGETTE MODULE 6 CERTIFICATION
PREPARATION 2026 REVIEW SHEET SOLVED
QUESTIONS GUARANTEED PASS
◉ Treatment of Hypertensive Crisis
Answer: 1. d/c offending agent (MAOI)
2. administer PHENTOLAMINE
3. Stabilize fever
◉ medication to reverse hypertensive crisis w/ MAOI?
Answer: Phentolamine****
◉ List of common MAOIs (don't need to memorize, just know what it
looks like)
Answer: Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (Emsam)
Tranylcypromine (Parnate)
◉ Teratogenic risks of common psych meds (Benzo, Carbamazepine,
Lithium, Depakote)
Answer: Benzo: floppy baby & cleft palate
,Carbamazepine: neural tube defect
Lithium: Epstein's anomaly & Congenital heart defects (esp. 1st
trimester)
Depakote: Neural tube defects (spec. spina bifida)
◉ Lamicatal main SE
Answer: Steven Johnson's Syndrome*** (SE below, KNOW)
- Fever**
- Sore throat (may feel like burning**
- Facial/tongue swelling**
- Skin sloughing***
- Prodromal HA, malaise, Arthralgia, painful mucous membranes
may occur BEFORE rash
◉ Valproic Acid/Divalproex Sodium aka Depakote main SE
Answer: Hepatotoxicity**
Pancreatitis**
◉ Carbamazepine (Tegretol) main SE
Answer: Agranulocytosis***
Aplastic Anemia***
Steven-Johnson's*** (mainly Asians HLAB-1502 allele)
,◉ Aplastic Anemia s/s
Answer: pallor, fatigue, HA, fever, nose bleeds, bleeding gums, skin
rash, SOB
◉ Carbamazepine when to d/c
Answer: WBC 2000-3000
ANC < 1000
Rash/Steven Johnson's
Or s/s of aplastic anemia or agranulocytosis
◉ What to test prior to prescribing Cabamazepine??
Answer: HLA-B 1502 allele in Asians d/t Steven's Johnson Syndrome
◉ Clozapine main SE
Answer: Risk for NEUTROPENIA --> monitor for s/s of infection***
◉ Neutropenia is monitored only by...
Answer: ANC
◉ when to d/c Clozapine?
Answer: ANC <1000
, WBC 2000-3000
◉ Check ____ before starting female of childbearing age (12-51yr) on
psychotropic med
Answer: HCG
◉ Folic acid does what & what is the recommended dosage?
Answer: supports neural tube development during FIRST month of
pregnancy--> ALWAYS encourage those of childbearing age to take
(OTC medication)
Dosage= 0.4-0.8mg daily for all women planning or capable of
becoming pregnant**
◉ Symptoms of Steven's Johnson Syndrome
Answer: Fever
Sore throat (burning feeling)
Facial/Tongue Swelling
Rash
Skin Sloughing
◉ Symptoms of Steven's Johnson Syndrome PRIOR to it occuring
Answer: Prodromal HA
Malaise
PREPARATION 2026 REVIEW SHEET SOLVED
QUESTIONS GUARANTEED PASS
◉ Treatment of Hypertensive Crisis
Answer: 1. d/c offending agent (MAOI)
2. administer PHENTOLAMINE
3. Stabilize fever
◉ medication to reverse hypertensive crisis w/ MAOI?
Answer: Phentolamine****
◉ List of common MAOIs (don't need to memorize, just know what it
looks like)
Answer: Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (Emsam)
Tranylcypromine (Parnate)
◉ Teratogenic risks of common psych meds (Benzo, Carbamazepine,
Lithium, Depakote)
Answer: Benzo: floppy baby & cleft palate
,Carbamazepine: neural tube defect
Lithium: Epstein's anomaly & Congenital heart defects (esp. 1st
trimester)
Depakote: Neural tube defects (spec. spina bifida)
◉ Lamicatal main SE
Answer: Steven Johnson's Syndrome*** (SE below, KNOW)
- Fever**
- Sore throat (may feel like burning**
- Facial/tongue swelling**
- Skin sloughing***
- Prodromal HA, malaise, Arthralgia, painful mucous membranes
may occur BEFORE rash
◉ Valproic Acid/Divalproex Sodium aka Depakote main SE
Answer: Hepatotoxicity**
Pancreatitis**
◉ Carbamazepine (Tegretol) main SE
Answer: Agranulocytosis***
Aplastic Anemia***
Steven-Johnson's*** (mainly Asians HLAB-1502 allele)
,◉ Aplastic Anemia s/s
Answer: pallor, fatigue, HA, fever, nose bleeds, bleeding gums, skin
rash, SOB
◉ Carbamazepine when to d/c
Answer: WBC 2000-3000
ANC < 1000
Rash/Steven Johnson's
Or s/s of aplastic anemia or agranulocytosis
◉ What to test prior to prescribing Cabamazepine??
Answer: HLA-B 1502 allele in Asians d/t Steven's Johnson Syndrome
◉ Clozapine main SE
Answer: Risk for NEUTROPENIA --> monitor for s/s of infection***
◉ Neutropenia is monitored only by...
Answer: ANC
◉ when to d/c Clozapine?
Answer: ANC <1000
, WBC 2000-3000
◉ Check ____ before starting female of childbearing age (12-51yr) on
psychotropic med
Answer: HCG
◉ Folic acid does what & what is the recommended dosage?
Answer: supports neural tube development during FIRST month of
pregnancy--> ALWAYS encourage those of childbearing age to take
(OTC medication)
Dosage= 0.4-0.8mg daily for all women planning or capable of
becoming pregnant**
◉ Symptoms of Steven's Johnson Syndrome
Answer: Fever
Sore throat (burning feeling)
Facial/Tongue Swelling
Rash
Skin Sloughing
◉ Symptoms of Steven's Johnson Syndrome PRIOR to it occuring
Answer: Prodromal HA
Malaise
