MARK KLIMEK AUDIO LECTURES LECTURE 9
PSYCH MEDICATIONS 2026 ACTUAL TEST
PAPER QUESTIONS SOLUTIONS VERIFIED
COMPLETE STUDY PACKAGE
◉ Typical Antipsychotics.
Answer: Block Dopamine, Improve hallucinations & delusions, Do
not target specific dopamine pathways
◉ Atypical Antipsychotics.
Answer: Block Dopamine (less blockade) and Serotonin, less
extrapyramidal effects
◉ Typical Antipsychotic Meds.
Answer: Thorazine, Haldol, Mellaril, Trilifon, Stelazine, Prolixin,
Navane
◉ Atypical Antipsychotic Meds.
Answer: Risperdal, Zyprexa, Seroquel, Clozaril, Abilify, Geodon,
Invega, Fanapt, Saphris, Latuda
◉ Antipsychotic Side Effects.
,Answer: Extrapyramidal Side Effects, Tardive Dyskinesia, Dystonia,
Pseudo parkinsonism, Akathesia
◉ Tardive Dyskinesia/ EPS Side Effects.
Answer: Preventable, may not be reversible
Abnormal, involuntary, irregular movements
Ranges from minimal to grossly incapacitating
Occurs during first 6 months of tx
Caused by dopamine blockade
◉ Test for Tardive Dyskinesia.
Answer: Abnormal Involuntary Movement Scale (AIMS)
◉ Dystonia.
Answer: Uncontrollable and painful tightening of muscles often
involving the neck (torticollis), back, tongue, lateral eye muscles
(oculargyric crisis), laryngeal involvement can comprise the airway
◉ Pseudo Parkinsonism Side Effects.
Answer: Caused by dopamine blockade (stooped posture, muscular
stiffness- cogwheel rigidity/lead pipe rigidity, shuffling gait,
drooling, tremor)
, ◉ Akathesia.
Answer: Subjective feeling of restlessness (anxiety, inability to relax,
jitteriness, pacing, rocking motions while sitting, rapid alteration
between sitting and standing
◉ Other Antipsychotic Side Effects.
Answer: Sedation, Light Sensitivity, Cardiac QT Prolongation,
Metabolic syndrome, Increases risk for CAD, T2DM, Stroke (High
blood pressure, high blood sugar, high triglycerides, low HDL
Cholesterol), Requires lab monitoring of glucose and lipid levels,
Monitor weight/waist circumference, Gynecomastia
◉ Neuroleptic Malignant Syndrome.
Answer: Life threatening/Etiology Unknown, Can occur anytime
during treatment, muscular rigidity and dystonia, akinesia, mutism,
obtundation, agitation, Occasionally associated with renal failure
◉ ANS Sx of Neuroleptic.
Answer: High fever, seating, tachycardia, high blood pressure
◉ Labs for Neuroleptic.
Answer: Increased WBC, creatinine phosphokinase, liver enzymes,
plasma myoglobin
PSYCH MEDICATIONS 2026 ACTUAL TEST
PAPER QUESTIONS SOLUTIONS VERIFIED
COMPLETE STUDY PACKAGE
◉ Typical Antipsychotics.
Answer: Block Dopamine, Improve hallucinations & delusions, Do
not target specific dopamine pathways
◉ Atypical Antipsychotics.
Answer: Block Dopamine (less blockade) and Serotonin, less
extrapyramidal effects
◉ Typical Antipsychotic Meds.
Answer: Thorazine, Haldol, Mellaril, Trilifon, Stelazine, Prolixin,
Navane
◉ Atypical Antipsychotic Meds.
Answer: Risperdal, Zyprexa, Seroquel, Clozaril, Abilify, Geodon,
Invega, Fanapt, Saphris, Latuda
◉ Antipsychotic Side Effects.
,Answer: Extrapyramidal Side Effects, Tardive Dyskinesia, Dystonia,
Pseudo parkinsonism, Akathesia
◉ Tardive Dyskinesia/ EPS Side Effects.
Answer: Preventable, may not be reversible
Abnormal, involuntary, irregular movements
Ranges from minimal to grossly incapacitating
Occurs during first 6 months of tx
Caused by dopamine blockade
◉ Test for Tardive Dyskinesia.
Answer: Abnormal Involuntary Movement Scale (AIMS)
◉ Dystonia.
Answer: Uncontrollable and painful tightening of muscles often
involving the neck (torticollis), back, tongue, lateral eye muscles
(oculargyric crisis), laryngeal involvement can comprise the airway
◉ Pseudo Parkinsonism Side Effects.
Answer: Caused by dopamine blockade (stooped posture, muscular
stiffness- cogwheel rigidity/lead pipe rigidity, shuffling gait,
drooling, tremor)
, ◉ Akathesia.
Answer: Subjective feeling of restlessness (anxiety, inability to relax,
jitteriness, pacing, rocking motions while sitting, rapid alteration
between sitting and standing
◉ Other Antipsychotic Side Effects.
Answer: Sedation, Light Sensitivity, Cardiac QT Prolongation,
Metabolic syndrome, Increases risk for CAD, T2DM, Stroke (High
blood pressure, high blood sugar, high triglycerides, low HDL
Cholesterol), Requires lab monitoring of glucose and lipid levels,
Monitor weight/waist circumference, Gynecomastia
◉ Neuroleptic Malignant Syndrome.
Answer: Life threatening/Etiology Unknown, Can occur anytime
during treatment, muscular rigidity and dystonia, akinesia, mutism,
obtundation, agitation, Occasionally associated with renal failure
◉ ANS Sx of Neuroleptic.
Answer: High fever, seating, tachycardia, high blood pressure
◉ Labs for Neuroleptic.
Answer: Increased WBC, creatinine phosphokinase, liver enzymes,
plasma myoglobin
