LMR - GEORGETTE'S EXAM
QUESTIONS WITH CORRECT
ANSWERS | 100% PASS
,What drugs should be avoided with Kava Kava? - ANSWERAlprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH? - ANSWER0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism - ANSWERDecreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? - ANSWERIncreased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - ANSWERHeat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism? - ANSWERCold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - ANSWERDepression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - ANSWERMania
Valproic acid produces what teratogenic effect? - ANSWERSpina bifida (neural tube
defect)
What is the primary organ where valproic acid is toxic? - ANSWERLiver (hepatoxicity)
What are 4 signs of hepatoxicity? - ANSWERAbdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
What is the therapeutic range for valproic acid? - ANSWER50-125 mcg/ml
What is a toxic level of valproic acid? - ANSWER>150 mcg/ml
,What are 4 signs of valproic acid toxicity? - ANSWERDisorientation
Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What do
you suspect? What do you do? - ANSWERHepatotoxicity; hold med, draw LFT's
(priority), DVP level
With suspected toxicity with valproic acid, what steps/labs should be drawn? -
ANSWERD/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd? -
ANSWERAccutane (used for acne; Causes birth Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia? What is the major
side effect with Kava Kava? - ANSWERKava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome? - ANSWERFever -Key sx to
suspect SJS; high yield (HY)
burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain? - ANSWERLamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain? - ANSWERLurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? - ANSWERAripiprazole (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you
add? - ANSWERAripiprazole (least sedating)
What are 2 hallmark symptoms of delirium? - ANSWERAcute onset
disturbance of LOC
impaired cognition
inattention
, How are agitation and psychotic symptoms treated in delirium? - ANSWERLow dose
Haldol (QTc check first)
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your
action? - ANSWERDo UDS; chances are they may be abusing other substances
What 4 drugs can cause mania? - ANSWER"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 drugs can induce depression? - ANSWER"SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Steroids can induce what 3 psychiatric states? - ANSWERMania
Depression
Psychosis
REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____.
What is the best environment to interview this pt in? - ANSWERreassure safety, provide
environment of safety
private area with door open/partially open
What is the therapeutic range for lithium? - ANSWER0.6-1.2 mEq/L
Many postpartum women have SI after delivery, yet they don't have psych evals before
leaving the hospital, what could a possible solution be? - ANSWERcollaborating care
between psych and OBGYN to provide the best care for that pt
If collaborating with a provider who is not in the same clinic or hospital, the informed
consent [does/does not] apply? - ANSWERDoes not, ie pt will need to sign consent for
labs/ chart to be sent
When discharging from inpatient you want [to fax/print off-give to pt.] labs for the
outpatient provider before pt discharge? - ANSWERfax; so the new provider has them
for follow-up appointment
QUESTIONS WITH CORRECT
ANSWERS | 100% PASS
,What drugs should be avoided with Kava Kava? - ANSWERAlprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH? - ANSWER0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism - ANSWERDecreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? - ANSWERIncreased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - ANSWERHeat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism? - ANSWERCold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - ANSWERDepression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - ANSWERMania
Valproic acid produces what teratogenic effect? - ANSWERSpina bifida (neural tube
defect)
What is the primary organ where valproic acid is toxic? - ANSWERLiver (hepatoxicity)
What are 4 signs of hepatoxicity? - ANSWERAbdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
What is the therapeutic range for valproic acid? - ANSWER50-125 mcg/ml
What is a toxic level of valproic acid? - ANSWER>150 mcg/ml
,What are 4 signs of valproic acid toxicity? - ANSWERDisorientation
Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What do
you suspect? What do you do? - ANSWERHepatotoxicity; hold med, draw LFT's
(priority), DVP level
With suspected toxicity with valproic acid, what steps/labs should be drawn? -
ANSWERD/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd? -
ANSWERAccutane (used for acne; Causes birth Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia? What is the major
side effect with Kava Kava? - ANSWERKava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome? - ANSWERFever -Key sx to
suspect SJS; high yield (HY)
burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain? - ANSWERLamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain? - ANSWERLurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? - ANSWERAripiprazole (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you
add? - ANSWERAripiprazole (least sedating)
What are 2 hallmark symptoms of delirium? - ANSWERAcute onset
disturbance of LOC
impaired cognition
inattention
, How are agitation and psychotic symptoms treated in delirium? - ANSWERLow dose
Haldol (QTc check first)
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your
action? - ANSWERDo UDS; chances are they may be abusing other substances
What 4 drugs can cause mania? - ANSWER"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 drugs can induce depression? - ANSWER"SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Steroids can induce what 3 psychiatric states? - ANSWERMania
Depression
Psychosis
REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____.
What is the best environment to interview this pt in? - ANSWERreassure safety, provide
environment of safety
private area with door open/partially open
What is the therapeutic range for lithium? - ANSWER0.6-1.2 mEq/L
Many postpartum women have SI after delivery, yet they don't have psych evals before
leaving the hospital, what could a possible solution be? - ANSWERcollaborating care
between psych and OBGYN to provide the best care for that pt
If collaborating with a provider who is not in the same clinic or hospital, the informed
consent [does/does not] apply? - ANSWERDoes not, ie pt will need to sign consent for
labs/ chart to be sent
When discharging from inpatient you want [to fax/print off-give to pt.] labs for the
outpatient provider before pt discharge? - ANSWERfax; so the new provider has them
for follow-up appointment
