GEORGETTE LMR EVALUATION TEST QUESTIONS
AND ANSWERS SURE A+
✔✔What alpha 2 delta ligands are approved for neuropathic pain tx? - ✔✔Lyrica and
gabapentin
✔✔Celexa and Lexapro side effect - ✔✔Prolonged QT interval
✔✔Effexor side effect - ✔✔elevated bp
✔✔false positives - ✔✔benzos- zoloft
✔✔what to avoid with MAOIs - ✔✔Tyramine (aged cheese, wine, pickled herring)
✔✔What can happen when TCAs and MAOIs are combined? - ✔✔Increased
norepinephrine causing a hypertensive crisis (flushing, explosive headache in the back
of head)
✔✔How to treat hypertensive crisis from MAOI and TCA combo - ✔✔Phentolamine
✔✔What is 1st line antidepressant for children? - ✔✔Prozac
✔✔Tx OCD in kids - ✔✔Zoloft
✔✔How long to wait between MAOI and SSRI - ✔✔14 days
✔✔How long is the wash-out period between MAOI and Prozac? - ✔✔5 weeks
✔✔Pseudodementia - ✔✔A condition with clinical symptoms of dementia but due to
depression
✔✔Remeron (mirtazapine) - ✔✔helps with weight gain
, ✔✔Risk with zoloft and cipro - ✔✔tendon rupture
✔✔Risk with celexa and cipro - ✔✔QTC prolongation
✔✔Imitrex (sumatriptan) and Celexa - ✔✔Serotonin syndrome
✔✔Trazodone (Desyrel) - ✔✔Priapism
✔✔Tamoxifen (Nolvadex) and BFP - ✔✔bupropion, fluoxetine, and paxil can cause
reoccurence of cancer when given with tamoxifen
✔✔Acute disseminated encephalomyelitis (ADEM) action - ✔✔check cytokines (will be
increased), neuro exam, assess asymmetry of extremities, send to ER
✔✔alcohol dehydrogenase - ✔✔an enzyme in the stomach that breaks down alcohol;
women have less than men
✔✔Endocrine findings suggestive of alcohol dependency - ✔✔testicular atrophy,
gynecomastia, and sexual dysfunction
✔✔Kava Kava - ✔✔used for anxiety, causes sedation, metabolized in liver- monitor
LFTs
✔✔Kava kava and levodopa - ✔✔causes decreased absorption of levodopa
✔✔Autism Spectrum Disorder - ✔✔a disorder that appears in childhood and is marked
by significant deficiencies in communication and social interaction, and by rigidly fixated
interests and repetitive behaviors
✔✔Reactive Attachment Disorder - ✔✔no emotions, eating without interest; caused by
negligent care and lack of primary caregiver
✔✔What percentage of children have learning disorders? - ✔✔4-6%
✔✔osteoporosis prevention - ✔✔encourage the women to participate in weight-bearing
activities, take vitamin D, avoid caffeine/smoking/alcohol, estrogen supplement
✔✔decreased testosterone in women - ✔✔less blood to vagina causes dryness, mood
changes, decreased libido
✔✔Rett Syndrome - ✔✔progressive neurological developmental disorder, more in
females, seizure/scoliosis risk, decelerated head growth
AND ANSWERS SURE A+
✔✔What alpha 2 delta ligands are approved for neuropathic pain tx? - ✔✔Lyrica and
gabapentin
✔✔Celexa and Lexapro side effect - ✔✔Prolonged QT interval
✔✔Effexor side effect - ✔✔elevated bp
✔✔false positives - ✔✔benzos- zoloft
✔✔what to avoid with MAOIs - ✔✔Tyramine (aged cheese, wine, pickled herring)
✔✔What can happen when TCAs and MAOIs are combined? - ✔✔Increased
norepinephrine causing a hypertensive crisis (flushing, explosive headache in the back
of head)
✔✔How to treat hypertensive crisis from MAOI and TCA combo - ✔✔Phentolamine
✔✔What is 1st line antidepressant for children? - ✔✔Prozac
✔✔Tx OCD in kids - ✔✔Zoloft
✔✔How long to wait between MAOI and SSRI - ✔✔14 days
✔✔How long is the wash-out period between MAOI and Prozac? - ✔✔5 weeks
✔✔Pseudodementia - ✔✔A condition with clinical symptoms of dementia but due to
depression
✔✔Remeron (mirtazapine) - ✔✔helps with weight gain
, ✔✔Risk with zoloft and cipro - ✔✔tendon rupture
✔✔Risk with celexa and cipro - ✔✔QTC prolongation
✔✔Imitrex (sumatriptan) and Celexa - ✔✔Serotonin syndrome
✔✔Trazodone (Desyrel) - ✔✔Priapism
✔✔Tamoxifen (Nolvadex) and BFP - ✔✔bupropion, fluoxetine, and paxil can cause
reoccurence of cancer when given with tamoxifen
✔✔Acute disseminated encephalomyelitis (ADEM) action - ✔✔check cytokines (will be
increased), neuro exam, assess asymmetry of extremities, send to ER
✔✔alcohol dehydrogenase - ✔✔an enzyme in the stomach that breaks down alcohol;
women have less than men
✔✔Endocrine findings suggestive of alcohol dependency - ✔✔testicular atrophy,
gynecomastia, and sexual dysfunction
✔✔Kava Kava - ✔✔used for anxiety, causes sedation, metabolized in liver- monitor
LFTs
✔✔Kava kava and levodopa - ✔✔causes decreased absorption of levodopa
✔✔Autism Spectrum Disorder - ✔✔a disorder that appears in childhood and is marked
by significant deficiencies in communication and social interaction, and by rigidly fixated
interests and repetitive behaviors
✔✔Reactive Attachment Disorder - ✔✔no emotions, eating without interest; caused by
negligent care and lack of primary caregiver
✔✔What percentage of children have learning disorders? - ✔✔4-6%
✔✔osteoporosis prevention - ✔✔encourage the women to participate in weight-bearing
activities, take vitamin D, avoid caffeine/smoking/alcohol, estrogen supplement
✔✔decreased testosterone in women - ✔✔less blood to vagina causes dryness, mood
changes, decreased libido
✔✔Rett Syndrome - ✔✔progressive neurological developmental disorder, more in
females, seizure/scoliosis risk, decelerated head growth
