LMR GEORGETTE-S TEST BANK 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Kava Kava~ drugs to Avoid. Answer: Alprazolam & CNS depressants
(phenobarbital, zolpidem)
◉ Cultural Formulation Interview : 3 Fxs? Answer: 1. Clarify meaning
of illness
2. Empower pt
3. Validate s/s within cultural context
◉ Cultural formulation interview: What does it do? Answer: cultural
assessment
◉ TSH ~ WNL range. Answer: 0.5 - 5.0 mu/L
◉ lab values in Hyperthyroid? Hypothyroid>. Answer: Decreased
TSH/Increased T4 & T3
◉ labs in Hypothyroidism? Answer: Increased TSH
Decreased T4 and T3
,◉ Hyperthyroidism: 5 primary s/s. Answer: 1. Heat intol
2. Agitation, Anx, Irritability
3. Tachycardia
4. Mood swings
5. Wt loss
◉ Hypothyroidism: 4 primary s/s. Answer: 1. Cold intol
2. Lethargy
3. Wt gain
4. Decreased libido
◉ Hypothyroidism mimics s/s of what psych d/o? Hyperthyroid?
Answer: Depression // Mania
◉ Valproic acid - teratogenic effect. Answer: Spina bifida (neural tube
defect)
◉ hepatoxicity~ 4 s/s. Answer: 1. RUQ Abd pain
2. Reddish/brown urine
3. Yellowing of skin/sclera
4. Fatigue
,◉ Valproic acid~ therapeutic range // Toxic Level. Answer: 50-125
mcg/ml // > 150 mcg/mL
◉ valproic acid toxicity~ 4 s/s. Answer: 1. Disorientation
2. Lethargy
3. Respiratory depression
4. N/V
◉ Labs to draw w/suspected toxicity - Valproic acid. Answer: 1. D/C
drug
2. Check drug level
3. Obtain LFTs (*Priority)
4. Obtain ammonia level
◉ Kava Kava- Major side effect // Use. Answer: Liver damage // txs
anx, stress, & insomnia
◉ Stephen's Johnson Syndrome- s/s. Answer: 1. Fever *KEY S/S
2. Body aches
3. Severe red rash
4. Peeling skin
5. Facial/tongue swelling 6. Burning mouth/eyes
, ◉ Mood stabilizer that causes the least wt gain. Answer: Lamotrigine
(Lamictal)
◉ 3 SGAs that causes the least wt gain. Answer: Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
◉ Least sedating SGA. Answer: Aripiprazole (Abilify)
◉ Delirium- 3 hallmark s/s. Answer: 1. Acute disturbance of LOC
2. impaired cognition
3. inattention
◉ Tx of agitation/psychotic s/s in delirium? Answer: Low dose Haldol
(check QTc 1st as Haldol can cause QTc prolongation)
◉ 4 drugs that cause mania. Answer: "SAID"
Steroids
Antidepressants (in bipolar disorder)
Isoniazid (INH)
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Kava Kava~ drugs to Avoid. Answer: Alprazolam & CNS depressants
(phenobarbital, zolpidem)
◉ Cultural Formulation Interview : 3 Fxs? Answer: 1. Clarify meaning
of illness
2. Empower pt
3. Validate s/s within cultural context
◉ Cultural formulation interview: What does it do? Answer: cultural
assessment
◉ TSH ~ WNL range. Answer: 0.5 - 5.0 mu/L
◉ lab values in Hyperthyroid? Hypothyroid>. Answer: Decreased
TSH/Increased T4 & T3
◉ labs in Hypothyroidism? Answer: Increased TSH
Decreased T4 and T3
,◉ Hyperthyroidism: 5 primary s/s. Answer: 1. Heat intol
2. Agitation, Anx, Irritability
3. Tachycardia
4. Mood swings
5. Wt loss
◉ Hypothyroidism: 4 primary s/s. Answer: 1. Cold intol
2. Lethargy
3. Wt gain
4. Decreased libido
◉ Hypothyroidism mimics s/s of what psych d/o? Hyperthyroid?
Answer: Depression // Mania
◉ Valproic acid - teratogenic effect. Answer: Spina bifida (neural tube
defect)
◉ hepatoxicity~ 4 s/s. Answer: 1. RUQ Abd pain
2. Reddish/brown urine
3. Yellowing of skin/sclera
4. Fatigue
,◉ Valproic acid~ therapeutic range // Toxic Level. Answer: 50-125
mcg/ml // > 150 mcg/mL
◉ valproic acid toxicity~ 4 s/s. Answer: 1. Disorientation
2. Lethargy
3. Respiratory depression
4. N/V
◉ Labs to draw w/suspected toxicity - Valproic acid. Answer: 1. D/C
drug
2. Check drug level
3. Obtain LFTs (*Priority)
4. Obtain ammonia level
◉ Kava Kava- Major side effect // Use. Answer: Liver damage // txs
anx, stress, & insomnia
◉ Stephen's Johnson Syndrome- s/s. Answer: 1. Fever *KEY S/S
2. Body aches
3. Severe red rash
4. Peeling skin
5. Facial/tongue swelling 6. Burning mouth/eyes
, ◉ Mood stabilizer that causes the least wt gain. Answer: Lamotrigine
(Lamictal)
◉ 3 SGAs that causes the least wt gain. Answer: Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
◉ Least sedating SGA. Answer: Aripiprazole (Abilify)
◉ Delirium- 3 hallmark s/s. Answer: 1. Acute disturbance of LOC
2. impaired cognition
3. inattention
◉ Tx of agitation/psychotic s/s in delirium? Answer: Low dose Haldol
(check QTc 1st as Haldol can cause QTc prolongation)
◉ 4 drugs that cause mania. Answer: "SAID"
Steroids
Antidepressants (in bipolar disorder)
Isoniazid (INH)
