LMR GEORGETTE-S EXAMINATION TEST 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ What is the normal range for TSH? Answer: 0.5 - 5.0 mu/L
◉ What are lab values in Hyperthyroidism. Answer: Decreased TSH
Increased T4 and T3
◉ What are labs in Hypothyroidism? Answer: Increased TSH
Decreased T4 and T3
◉ What are 5 primary symptoms of Hyperthyroidism? Answer: Heat
intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
◉ What are 4 primary symptoms of Hypothyroidism? Answer: Cold
intolerance
Lethargy
,Weight gain
Decreased libido
◉ Hypothyroidism mimics symptoms of what psychiatric disorder?
Answer: Depression
◉ Hyperthyroidism mimics symptoms of what psychiatric disorder?
Answer: Mania
◉ Valproic acid produces what teratogenic effect? Answer: Spina bifida
(neural tube defect)
◉ What is the primary organ where valproic acid is toxic? Answer:
Liver (hepatoxicity)
◉ What are 4 signs of hepatoxicity? Answer: Abdominal pain in the
URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
◉ What is the therapeutic range for valproic acid? Answer: 50-125
mcg/ml
,◉ What is a toxic level of valproic acid? Answer: >150 mcg/ml
◉ What are 4 signs of valproic acid toxicity? Answer: Disorientation
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? Answer:
Hepatotoxicity; hold med, draw LFT's (priority), DVP level
◉ With suspected toxicity with valproic acid, what steps/labs should be
drawn? Answer: D/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? Answer: Accutane (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? Answer: Kava Kava
liver damage
, ◉ What are 5 symptoms of Stephen's Johnson Syndrome? Answer:
Fever -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? Answer:
Lamotrigine (Lamictal)
◉ Which 3 SGAs cause the least weight gain? Answer: Lurasidone
(Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
◉ Which SGA is the least sedating? Answer: Aripiprazole (Abilify)
◉ Your pt is taking Kava and you need to add an AS to manage their
SCZ, which do you add? Answer: Aripiprazole (least sedating)
◉ What are 2 hallmark symptoms of delirium? Answer: Acute onset
QUESTIONS WITH ANSWERS GRADED A+
◉ What is the normal range for TSH? Answer: 0.5 - 5.0 mu/L
◉ What are lab values in Hyperthyroidism. Answer: Decreased TSH
Increased T4 and T3
◉ What are labs in Hypothyroidism? Answer: Increased TSH
Decreased T4 and T3
◉ What are 5 primary symptoms of Hyperthyroidism? Answer: Heat
intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
◉ What are 4 primary symptoms of Hypothyroidism? Answer: Cold
intolerance
Lethargy
,Weight gain
Decreased libido
◉ Hypothyroidism mimics symptoms of what psychiatric disorder?
Answer: Depression
◉ Hyperthyroidism mimics symptoms of what psychiatric disorder?
Answer: Mania
◉ Valproic acid produces what teratogenic effect? Answer: Spina bifida
(neural tube defect)
◉ What is the primary organ where valproic acid is toxic? Answer:
Liver (hepatoxicity)
◉ What are 4 signs of hepatoxicity? Answer: Abdominal pain in the
URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
◉ What is the therapeutic range for valproic acid? Answer: 50-125
mcg/ml
,◉ What is a toxic level of valproic acid? Answer: >150 mcg/ml
◉ What are 4 signs of valproic acid toxicity? Answer: Disorientation
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? Answer:
Hepatotoxicity; hold med, draw LFT's (priority), DVP level
◉ With suspected toxicity with valproic acid, what steps/labs should be
drawn? Answer: D/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? Answer: Accutane (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? Answer: Kava Kava
liver damage
, ◉ What are 5 symptoms of Stephen's Johnson Syndrome? Answer:
Fever -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? Answer:
Lamotrigine (Lamictal)
◉ Which 3 SGAs cause the least weight gain? Answer: Lurasidone
(Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
◉ Which SGA is the least sedating? Answer: Aripiprazole (Abilify)
◉ Your pt is taking Kava and you need to add an AS to manage their
SCZ, which do you add? Answer: Aripiprazole (least sedating)
◉ What are 2 hallmark symptoms of delirium? Answer: Acute onset
