GEORGETTE’S LMR EXAM | QUESTIONS AND VERIFIED ANSWERS WITH DETAILED EXPLANATIONS | A+ STUDY RESOURCE | BRAND NEW 2026/2027 UPDATE

Depakote birth defect -

ANSWER :

spina bifida



Depakote adverse effect -

ANSWER :

liver toxicity



Liver toxicity symptoms -

ANSWER :

right upper quadrant pain, red brown urine, yellowing of skin and eyes



Normal Valproic acid level -

ANSWER :

50-125



Signs of valproic acid toxicity -

ANSWER :

disorientation, lethargy, n/v



What to do in case of valproic acid toxicity -

ANSWER :

check levels, LFT, and ammonia levels


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,Pancreatitis symptoms -

ANSWER :

upper ab pain, tenderness, fever, rapid pulse, n/v, oily stools



Which antipsychotics cause the least weight gain -

ANSWER :

Ziprasidone, abilify, and lurasidone



Which antipsychotics cause the most weight gain? -

ANSWER :

Olanzapine and Clozapine



Tegretol generic name -

ANSWER :

Carbamazepine



Tegretol black box -

ANSWER :

agranulocytosis (decreased WBCs) and aplastic anemia



Aplastic anemia symptoms -

ANSWER :

pallor, fatigue, headache, fever, nosebleeds, bleeding gums, skin rash, SOB



Tegretol racial consideration -

ANSWER :


2

, Asians more likely to develop stevens johnsons syndrome



Normal lithium level -

ANSWER :

0.6-1.2



Lithium toxicity symptoms -

ANSWER :

diarrhea, vomiting, confusion, heart palpitations, tremors



How do BUN and creatinine effect lithium? -

ANSWER :

High levels increase lithium toxicity risk



Normal BUN and creatinine -

ANSWER :

BUN: 10-20

Creatinine 0.6-1.2



Which sodium level would increase lithium level? -

ANSWER :

Low sodium



Addiction neurotransmitters -

ANSWER :

Dopamine and GABA




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