GEORGETTE MODULE 6 CERTIFICATION TEST
PAPER 2026 COMPLETE SOLUTIONS GRADED
A PLUS
◉ 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
PAPER 2026 COMPLETE SOLUTIONS GRADED
A PLUS
◉ 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
