BSNC 4000 MENTAL HEALTH EXAM UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. Types of EPS and cause
Answer:
1) Acute dystonia
2) Akathisia
3) Pseudoparkinsonism
4) Tardive dyskinesia
- Caused by antipsychotic medications which block dopamine and serotonin in the limbic system
Question:
2. Pseudoparkinsonism
Answer:
Repetitive "pill rolling" movement, persistent tremors, shuffling gait, drooling, rigidity
Question:
3. acute dystonia
Answer:
- Severe muscle spasms
- difficulty swallowing
- Stiff neck
- rotation of eyes upward
- Extreme facial grimacing
- Protrusion of tongue
Question:
4. Akathisia
Answer:
Muscle restlessness, pacing, jittery
Question:
5. Tardive dyskinesia
Answer:
involuntary movements of the facial muscles, tongue, lips, and trunk
Question:
6. Antidote for acute dystonia
Answer:
Benztropine (anticholinergic) and diphenhydramine (antihistamine) and lorazepam (benzodiazepine)
Question:
7. Antidote for akathisia
, Answer:
Propranolol (beta-blocker) and lorazepam (benzo)
Question:
8. Antidote for Parkinsonism
Answer:
Benztropine (anticholinergic) and diphenhydramine (antihistamine)
Question:
9. Treatment for NMS
Answer:
Stop offending agents (support with dantrolene and lorazepam)
Question:
10. Is there treatment for tardive dyskinesia?
Answer:
No, stop offending agents (may be irreversible)
Question:
11. Atypical vs typical antipsychotics
Answer:
Atypical:
- 2nd generation
- Treats positive and negative symptoms
- Have life threatening side effects
- Examples: respiridone, paliperidone, clozapine, olanzapine Typical:
- Deals with positive symptoms (e.g., hallucinations)
- Block only dopamine
- higher risk of EPS
- Examples: Loxapine, haloperidone
Question:
12. Serious side effect of clozapine
Answer:
- Agranulocytosis (neutropenia) = dangerously low WBCs
- Last resort medication b/c of this side effect
Question:
13. General side effects of antispychotics
Answer:
Metabolic syndrome, neuromalignant syndrome, constipation, hypothyroidism, decreased BP, increased
prolactin, increased lipids and blood glucose
Question:
14. Metabolic syndrome
QUESTIONS AND CORRECT ANSWERS
Question:
1. Types of EPS and cause
Answer:
1) Acute dystonia
2) Akathisia
3) Pseudoparkinsonism
4) Tardive dyskinesia
- Caused by antipsychotic medications which block dopamine and serotonin in the limbic system
Question:
2. Pseudoparkinsonism
Answer:
Repetitive "pill rolling" movement, persistent tremors, shuffling gait, drooling, rigidity
Question:
3. acute dystonia
Answer:
- Severe muscle spasms
- difficulty swallowing
- Stiff neck
- rotation of eyes upward
- Extreme facial grimacing
- Protrusion of tongue
Question:
4. Akathisia
Answer:
Muscle restlessness, pacing, jittery
Question:
5. Tardive dyskinesia
Answer:
involuntary movements of the facial muscles, tongue, lips, and trunk
Question:
6. Antidote for acute dystonia
Answer:
Benztropine (anticholinergic) and diphenhydramine (antihistamine) and lorazepam (benzodiazepine)
Question:
7. Antidote for akathisia
, Answer:
Propranolol (beta-blocker) and lorazepam (benzo)
Question:
8. Antidote for Parkinsonism
Answer:
Benztropine (anticholinergic) and diphenhydramine (antihistamine)
Question:
9. Treatment for NMS
Answer:
Stop offending agents (support with dantrolene and lorazepam)
Question:
10. Is there treatment for tardive dyskinesia?
Answer:
No, stop offending agents (may be irreversible)
Question:
11. Atypical vs typical antipsychotics
Answer:
Atypical:
- 2nd generation
- Treats positive and negative symptoms
- Have life threatening side effects
- Examples: respiridone, paliperidone, clozapine, olanzapine Typical:
- Deals with positive symptoms (e.g., hallucinations)
- Block only dopamine
- higher risk of EPS
- Examples: Loxapine, haloperidone
Question:
12. Serious side effect of clozapine
Answer:
- Agranulocytosis (neutropenia) = dangerously low WBCs
- Last resort medication b/c of this side effect
Question:
13. General side effects of antispychotics
Answer:
Metabolic syndrome, neuromalignant syndrome, constipation, hypothyroidism, decreased BP, increased
prolactin, increased lipids and blood glucose
Question:
14. Metabolic syndrome
