Example A patient is being treated for schizophrenia with olanzapine.
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Which of the following is the most common side effect of olanzapine?
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A. Increased waist circumference
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B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor
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antagonism
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C. Increased Lipids
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D. Metabolic Syndrome
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Which patient is at highest risk for SI
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A. 30y/o married AA female with previous SI attempt *1 risk factor
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B. 35 y/o single Asian male with previous SI attempt *3 risk factors
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C. 38 y/o single AA male who is a manager of a bank *2 risk factors
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D. 68 y/o single white male with depression *5 risk factors (age, male,
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white, depression)
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D. 68 y/o single white male with depression *5 risk factors (age, male,
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white, depression)
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Which antipsychotics have the least weight gain?
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Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic
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syndrome consider switching to one of the medications above. Or if
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the patient is overly sedated try switching to ABILIFY
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,Which mood stabilizer have the least weight gain?
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Lamictal
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-But remember all mood stabilizers cause some weight gain
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When presented with a question about typical vs atypical antipsychotic the
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answer is usually to start of aatypical
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A client presents with complains of changes in appetite, feeling fatigued,
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problems with sleep-rest cycle, and changes in libido. What is the
wq wq wq wq wq wq wq wq wq wq wq
neuroanatomical area of the brain that is responsible for the normal
wq wq wq wq wq wq wq wq wq wq wq
regulation of these functions?
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A. Thalamus wq
B. Hypothalamus
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C. Limbic System
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D. Hippocampus wq
Count the risk factorsCOWS scale components
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· Opioid W/D
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How long do you wait when switching between an SSRI to an MAOI?
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2 weeks
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How long do you wait when switching between Prozac and MAOI?
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5-6 weeks wash out period
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,What is the first line treatment for depression and why?
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SSRI-First line treatment for depression due to less risk of injury from
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OVERDOSE
wq
If a cancer patient has depression what should you consider?
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Treating with a medication with minimal drug/drug side effects like
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Lexapro
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Patient with depression worries about sexual dysfunction what would be the
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medication of choice? wq wq
Wellbutrin
Primary symptoms of depression include fatigue and low energy what med
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would you chose?
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Wellbutrin
Wellbutrin is contraindicated in patients withwq wq wq wq wq
wq Seizures and anorexia (bulimia also)
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Which medications are best for neuropathic pain?
wq wq wq wq wq wq
wq SNRI
Gabapentin
wq TCA
Secondary to the black box warning providers caring for patients on
wq wq wq wq wq wq wq wq wq wq
antidepressants should assess for? wq wq wq
Suicidality, frequency, and severity at EVERY appointment
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wq Which meds have the worse serotonin discontinuation
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syndrome Those with short half lives such as Zoloft; TCA's
wq wq wq wq wq wq wq wq wq wq
, Symptoms of discontinuation syndrome wq wq wq
flu like symptoms (fatigue, lethargy, myalgia, decreased concentration), n/v,
wq wq wq wq wq wq wq wq
impaired memory, paresthesia, irritability, anxiety, insomnia, crying w/o
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reason, dizziness, and vertigoTx w/periactin
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Ages of onset for schizophrenia in males vs females
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-MALES 18-25 years wq wq
-FEMALE 25-35 years wq wq
What nationality is most suseptible of getting steven johnson?
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Asians
When treating asians with tegretol screen for?
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HLAB-1502 Allele wq
What two medications cause agranulocytosis?
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Clozaril & Tegretol wq wq
Agranulocytosis when to discontinue medication wq wq wq wq
Less than 1000 wq wq
When monitoring for agranulocytosis in patients look for s/s of what?
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Infection
wq
-Fever, sore throat, fatigue, chills
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Before starting any mood stabilizer in a female of childbearing age be
wq wq wq wq wq wq wq wq wq wq wq
sure to check?
wq wq wq
wq wq wq wq wq wq wq wq wq
Which of the following is the most common side effect of olanzapine?
wq wq wq wq wq wq wq wq wq wq wq wq
A. Increased waist circumference
wq wq wq
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor
wq wq wq wq wq wq wq wq wq
antagonism
wq
C. Increased Lipids
wq wq
D. Metabolic Syndrome
wq wq
Which patient is at highest risk for SI
wq wq wq wq wq wq wq
A. 30y/o married AA female with previous SI attempt *1 risk factor
wq wq wq wq wq wq wq wq wq wq wq
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
wq wq wq wq wq wq wq wq wq wq wq wq
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
D. 68 y/o single white male with depression *5 risk factors (age, male,
wq wq wq wq wq wq wq wq wq wq wq wq
white, depression)
wq wq
D. 68 y/o single white male with depression *5 risk factors (age, male,
wq wq wq wq wq wq wq wq wq wq wq wq
white, depression)
wq wq
Which antipsychotics have the least weight gain?
wq wq wq wq wq wq
Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic
wq wq wq wq wq wq wq wq
syndrome consider switching to one of the medications above. Or if
wq wq wq wq wq wq wq wq wq wq wq
the patient is overly sedated try switching to ABILIFY
wq wq wq wq wq wq wq wq wq
,Which mood stabilizer have the least weight gain?
wq wq wq wq wq wq wq
Lamictal
wq
-But remember all mood stabilizers cause some weight gain
wq wq wq wq wq wq wq wq
When presented with a question about typical vs atypical antipsychotic the
wq wq wq wq wq wq wq wq wq wq
answer is usually to start of aatypical
wq wq wq wq wq wq wq
A client presents with complains of changes in appetite, feeling fatigued,
wq wq wq wq wq wq wq wq wq wq
problems with sleep-rest cycle, and changes in libido. What is the
wq wq wq wq wq wq wq wq wq wq wq
neuroanatomical area of the brain that is responsible for the normal
wq wq wq wq wq wq wq wq wq wq wq
regulation of these functions?
wq wq wq wq
A. Thalamus wq
B. Hypothalamus
wq
C. Limbic System
wq wq
D. Hippocampus wq
Count the risk factorsCOWS scale components
wq wq wq wq wq
· Opioid W/D
wq wq
How long do you wait when switching between an SSRI to an MAOI?
wq wq wq wq wq wq wq wq wq wq wq wq
2 weeks
wq
How long do you wait when switching between Prozac and MAOI?
wq wq wq wq wq wq wq wq wq wq
5-6 weeks wash out period
wq wq wq wq
,What is the first line treatment for depression and why?
wq wq wq wq wq wq wq wq wq
SSRI-First line treatment for depression due to less risk of injury from
wq wq wq wq wq wq wq wq wq wq wq
OVERDOSE
wq
If a cancer patient has depression what should you consider?
wq wq wq wq wq wq wq wq wq
Treating with a medication with minimal drug/drug side effects like
wq wq wq wq wq wq wq wq wq
Lexapro
wq
Patient with depression worries about sexual dysfunction what would be the
wq wq wq wq wq wq wq wq wq wq
medication of choice? wq wq
Wellbutrin
Primary symptoms of depression include fatigue and low energy what med
wq wq wq wq wq wq wq wq wq wq
would you chose?
wq wq wq
Wellbutrin
Wellbutrin is contraindicated in patients withwq wq wq wq wq
wq Seizures and anorexia (bulimia also)
wq wq wq wq
Which medications are best for neuropathic pain?
wq wq wq wq wq wq
wq SNRI
Gabapentin
wq TCA
Secondary to the black box warning providers caring for patients on
wq wq wq wq wq wq wq wq wq wq
antidepressants should assess for? wq wq wq
Suicidality, frequency, and severity at EVERY appointment
wq wq wq wq wq wq
wq Which meds have the worse serotonin discontinuation
wq wq wq wq wq wq
syndrome Those with short half lives such as Zoloft; TCA's
wq wq wq wq wq wq wq wq wq wq
, Symptoms of discontinuation syndrome wq wq wq
flu like symptoms (fatigue, lethargy, myalgia, decreased concentration), n/v,
wq wq wq wq wq wq wq wq
impaired memory, paresthesia, irritability, anxiety, insomnia, crying w/o
wq wq wq wq wq wq wq wq
reason, dizziness, and vertigoTx w/periactin
wq wq wq wq wq
Ages of onset for schizophrenia in males vs females
wq wq wq wq wq wq wq wq
-MALES 18-25 years wq wq
-FEMALE 25-35 years wq wq
What nationality is most suseptible of getting steven johnson?
wq wq wq wq wq wq wq wq
Asians
When treating asians with tegretol screen for?
wq wq wq wq wq wq
HLAB-1502 Allele wq
What two medications cause agranulocytosis?
wq wq wq wq
Clozaril & Tegretol wq wq
Agranulocytosis when to discontinue medication wq wq wq wq
Less than 1000 wq wq
When monitoring for agranulocytosis in patients look for s/s of what?
wq wq wq wq wq wq wq wq wq wq
Infection
wq
-Fever, sore throat, fatigue, chills
wq wq wq wq
Before starting any mood stabilizer in a female of childbearing age be
wq wq wq wq wq wq wq wq wq wq wq
sure to check?
wq wq wq
