PA PSYCHIATRY EOR 2025/2026 QUESTIONS WITH
ANSWERS MARKED A+
✔✔What are the best medical treatments for maintenance of bipolar? - ✔✔Lithium,
Valproic Acid, Carbamazepine
✔✔What is dysthymia? - ✔✔Chronic, mild depression for >2 years. May be associated
with MDD episodes resulting in double depression.
✔✔A pt presents with emotional/behavioral response to a stressor that occurred 3
months ago. What is this? What is required to maintain the dx? - ✔✔Adjustment d/o.
The sx must resolve with in 6 months of resolution of the stressor.
✔✔What medications increase Lithium levels? - ✔✔ACEi, diuretics, NSAIDs,
dehydration of any kind
✔✔A pt taking anti - psychotics presents w/ muscle rigidity, fever, altered MS, unstable
BP. What is this condition and what can be done to tx it? - ✔✔Neuroleptic Malignant
Syndrome;
*Dantrolene* or Bromocriptine after d/c medication
✔✔A pt taking antipsychotics presents with grimacing, tongue protruding, and lip
smacking - ✔✔Tardive Dyskinesia
✔✔A person taking MAOI are at risk for hypertensive crisis if they eat food rich in: -
✔✔Tyramine
✔✔Which two medications are contraindicated in narrow angle glaucoma? - ✔✔TCAs -
Amitriptyline
Nortriptyline
Imipramine
Desipramine
✔✔What SSRI is safe for use post - MI? - ✔✔Sertaline (Zoloft)
✔✔Which 4 SSRIs are useful in the treatment of OCD and PTSD? - ✔✔Fluoxetine
(Prozac), Sertaline (Zoloft), Paroxetine (Paxil), Fluvoxamine (Luvox)
✔✔Which SSRI is C/I in pregnancy? - ✔✔Paxil
✔✔Which SSRIs are indicated in social phobia? - ✔✔Paxil and Luvox
, ✔✔What atypical antidepressant is used to treat the negative symptoms of
schizophrenia? - ✔✔Mirtazapine (Remeron)
✔✔What are the main SE of Remeron? - ✔✔Major weight gain and sedation worse at
low doses
*less sexual SE*
✔✔What anti-cholinergic is often used to decrease the SE of anti - psychotics? -
✔✔Cogentin
✔✔Which typical antipsychotic is most associated w/ retinal deposits & torsades de
pointe? - ✔✔Thorazine
✔✔Which typical antipsychotic is most associated with high EPS risk and low wt gain
and sedation? - ✔✔Haldol - Tardive Dyskinesia
✔✔What medication increases levels of Lamictal? Which decreases the levels? -
✔✔Valproic Acid; Oral contraceptive and Carbamazapine
✔✔Which mood stablizer has an increased risk of PCOS, pancreatitis, *hepatotoxicity*
and encephalopathy as well as SE of HA, N/V, alopecia, weight gain and tremor? -
✔✔Valproic Acid (Depakote)
✔✔Which mood stablizer carries a risk for SJS in asian decent people with the HLA-
B1502 allele as well as hepatotoxicity? - ✔✔Carbamazepine (Tegratol)
✔✔What are the 2 second generation anti - psychotics which may be used in children
with autism? - ✔✔Aripiprazole (Abilify), Risperidone (Risperdal)
✔✔What are the main risk factors for Clozapine (Clozaril)? - ✔✔Low EPS, risk of
agranulocytosis, carditis, seizures and wt gain
✔✔Which atypical antipsychotic carries a high risk of hyperprolactinemia? -
✔✔Risperidone
*Rise* and shine - less sedating than Zyprexa
*Rise* to a pair - gynecomastia risk
✔✔What can be given in the instance of Risperidone induced gynecomastia? -
✔✔Aripiprazole (Abilify)
ANSWERS MARKED A+
✔✔What are the best medical treatments for maintenance of bipolar? - ✔✔Lithium,
Valproic Acid, Carbamazepine
✔✔What is dysthymia? - ✔✔Chronic, mild depression for >2 years. May be associated
with MDD episodes resulting in double depression.
✔✔A pt presents with emotional/behavioral response to a stressor that occurred 3
months ago. What is this? What is required to maintain the dx? - ✔✔Adjustment d/o.
The sx must resolve with in 6 months of resolution of the stressor.
✔✔What medications increase Lithium levels? - ✔✔ACEi, diuretics, NSAIDs,
dehydration of any kind
✔✔A pt taking anti - psychotics presents w/ muscle rigidity, fever, altered MS, unstable
BP. What is this condition and what can be done to tx it? - ✔✔Neuroleptic Malignant
Syndrome;
*Dantrolene* or Bromocriptine after d/c medication
✔✔A pt taking antipsychotics presents with grimacing, tongue protruding, and lip
smacking - ✔✔Tardive Dyskinesia
✔✔A person taking MAOI are at risk for hypertensive crisis if they eat food rich in: -
✔✔Tyramine
✔✔Which two medications are contraindicated in narrow angle glaucoma? - ✔✔TCAs -
Amitriptyline
Nortriptyline
Imipramine
Desipramine
✔✔What SSRI is safe for use post - MI? - ✔✔Sertaline (Zoloft)
✔✔Which 4 SSRIs are useful in the treatment of OCD and PTSD? - ✔✔Fluoxetine
(Prozac), Sertaline (Zoloft), Paroxetine (Paxil), Fluvoxamine (Luvox)
✔✔Which SSRI is C/I in pregnancy? - ✔✔Paxil
✔✔Which SSRIs are indicated in social phobia? - ✔✔Paxil and Luvox
, ✔✔What atypical antidepressant is used to treat the negative symptoms of
schizophrenia? - ✔✔Mirtazapine (Remeron)
✔✔What are the main SE of Remeron? - ✔✔Major weight gain and sedation worse at
low doses
*less sexual SE*
✔✔What anti-cholinergic is often used to decrease the SE of anti - psychotics? -
✔✔Cogentin
✔✔Which typical antipsychotic is most associated w/ retinal deposits & torsades de
pointe? - ✔✔Thorazine
✔✔Which typical antipsychotic is most associated with high EPS risk and low wt gain
and sedation? - ✔✔Haldol - Tardive Dyskinesia
✔✔What medication increases levels of Lamictal? Which decreases the levels? -
✔✔Valproic Acid; Oral contraceptive and Carbamazapine
✔✔Which mood stablizer has an increased risk of PCOS, pancreatitis, *hepatotoxicity*
and encephalopathy as well as SE of HA, N/V, alopecia, weight gain and tremor? -
✔✔Valproic Acid (Depakote)
✔✔Which mood stablizer carries a risk for SJS in asian decent people with the HLA-
B1502 allele as well as hepatotoxicity? - ✔✔Carbamazepine (Tegratol)
✔✔What are the 2 second generation anti - psychotics which may be used in children
with autism? - ✔✔Aripiprazole (Abilify), Risperidone (Risperdal)
✔✔What are the main risk factors for Clozapine (Clozaril)? - ✔✔Low EPS, risk of
agranulocytosis, carditis, seizures and wt gain
✔✔Which atypical antipsychotic carries a high risk of hyperprolactinemia? -
✔✔Risperidone
*Rise* and shine - less sedating than Zyprexa
*Rise* to a pair - gynecomastia risk
✔✔What can be given in the instance of Risperidone induced gynecomastia? -
✔✔Aripiprazole (Abilify)
