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Your patient with bipolar disorder is admitted to a medical
hospital. The internist contacts your office and asks whether
the lithium you prescribed him is effecting his ECG. How do
you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval - ANSWER-Answer:
Lithium can invert the t waves.
Mary is a 45-year-old African American female who has been
treated on Isocarboxazid (Marplan) for over 6 years. Mary is
going in for a surgical procedure. Which medication is strictly
contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen - ANSWER-Answer: Methylphenidate
,You are treating a client with schizophrenia who takes
clozapine. What lab values will indicate the client needs to
discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000 - ANSWER-Answer: ANC less than 1000
If given during pregnancy, socium valproate can cause which
of the following
medical problems in the
baby?
A.
SJS
B. Ebstein's
anomaly
C. Spina
bifida
D. Cleft palate - ANSWER-A.
Spina bifida
Which mood stabilizer is associated with potential life-
threatening rash in the
Asian
population?
A. Carbamazepine
(tegretol)
,B.
Depakote
C.
Lithium
D. Lamictal - ANSWER-A.
Carbamazepine
Which of the following physical exam findings would
help the PMHNP
differentiate anorexia nervosa from
bulimia nervosa?
A. Russell
sign
B. Low
BMI
C. Erosion of dental
enamel
D. Hypertrophy of salivary glands -
ANSWER-Low BMI
If a patient is depression, low energy, fatigued, you would
prescribe - ANSWER-
Wellbutrin
Wellbutrin is contraindicated in patients with - ANSWER-
seizure disorder or
conditions that increase risk of seizures such as
eating disorder.
, Which of the following medications has a unique mechanism
that is both a norepinephrine and dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta) - ANSWER-bupropion
Which cytochrome enzyme is implicated as a tobacco
inducer when an individual is treated with clozapine a.
2D6
b. 1A2
c. 2C19
d. 2C9 - ANSWER-1A2
(want A 2 cigarette break)
When treating older adults, you should keep in mind that they
are more sensitive to issues of drug toxicity because of which
of the following reasons?
A. Decreased body fat
B. Increased liver capacity
C. Decreased protein binding
D. Increased muscle concentration - ANSWER-Decreased
protein binding
For 12 years, a 65 year old patient with bipolar affective
disorder has been treated with lithium 900 mg daily. When oral
HCTC 12.5 daily is added for hypertension, the patient develops
nausea, vomiting, ataxia, and muscle weakness and the