LMR - Georgette's/ 526 Questions with
Definitive Solution/ 2024-2025.
What drugs should be avoided with Kava Kava? - Answer: Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
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 5 symptoms of hyperprolactinemia? - Answer: Amenorrhea
Galactorrhea
Sexual dysfunction
Gynecomastia
Osteoporosis (Long-term)
Page 1 of 66
,What antipsychotic has the greatest effect on prolactin? - Answer: Risperidone
What is the black box warning for carbamazepine? - Answer: Agranulocytosis and
SJS in Asians (+) for HLA-B*1502 allele
What are 8 symptoms of aplastic anemia? - Answer: Pallor
Fatigue
Headache
Fever
Nosebleeds
Bleeding gums
Skin rash
SOB
In which ethnic group must you screen for the HLA-B*1502 allele before initiating CBZ (Tegretol)
therapy? Why is it necessary? - Answer: Asians
risk for SJS in Asians (+) for HLA-B*1502 allele
Which 2 drugs have the highest likelihood of causing agranulocytosis? - Answer: Clozaril
Carbamazepine
A sudden fever, chills, a sore throat, and weakness are symptoms of - Answer: Agranulocytosis
At what ANC should clozapine be stopped (even if asymptomatic)? - Answer: <1000
What is neutropenia? - Answer: <2000 PMNs or WBC <2000
What is agranulocytosis? - Answer: <500 ANC
Page 2 of 66
,What does DIGFAST stand for? - Answer: Distractibility
Indiscretion
Grandiosity
FOI
Activity increased
Sleep decreased
Talkativeness
What neurological symptoms might one see in Conversion Disorder? - Answer: Blindness
Mutism
Paralysis
Paresthesia (glove stocking syndrome)
Seizures
When do symptoms typically begin with Conversion Disorder? - Answer: After a stressful
experience (suddenly)
What are 5 stressful events in a child's life that can cause adjustment disorder? - Answer: Family
move
Parent divorce/separation
Loss of pet
Birth of sibling
Sudden or chronic illness
A child with an Adjustment Disorder with disturbances of conduct may have what symptoms? -
Answer: Not going to school, destroying property, driving recklessly, or fighting
What are some key sx of Oppositional Defiant Disorder (ODD)? - Answer: NOT aggressive (key
difference vs CD)
Page 3 of 66
, loses temper easily
annoys others
angry/resentful
argues with authority
easily annoyed
blames others
spiteful
refuses to comply with rules/requests from authority figures
What is the mainstay treatment of Oppositional Defiant Disorder (ODD)? - Answer: Therapy,
individual and family
What is the primary therapy used to treat Oppositional Defiant Disorder (ODD)? - Answer: Child
and parent problem-solving skills training, boundary setting
A repetitive and persistent pattern of behavior in which the rights of others or societal norms or
rules are violated is what disorder if under age 18? - Answer: Conduct Disorder
What are 3 "hallmark" characteristics of Conduct Disorder? - Answer: aggression
Destruction of property
Lack of remorse
What 2 factors differentiate Conduct Disorder from ODD? - Answer: Severity
Aggression
What are 4 pharmacologic treatments for Conduct Disorder? - Answer: Things to target mood
and aggression
--Antipsychotics
--Mood stabilizers
Page 4 of 66
Definitive Solution/ 2024-2025.
What drugs should be avoided with Kava Kava? - Answer: Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
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 5 symptoms of hyperprolactinemia? - Answer: Amenorrhea
Galactorrhea
Sexual dysfunction
Gynecomastia
Osteoporosis (Long-term)
Page 1 of 66
,What antipsychotic has the greatest effect on prolactin? - Answer: Risperidone
What is the black box warning for carbamazepine? - Answer: Agranulocytosis and
SJS in Asians (+) for HLA-B*1502 allele
What are 8 symptoms of aplastic anemia? - Answer: Pallor
Fatigue
Headache
Fever
Nosebleeds
Bleeding gums
Skin rash
SOB
In which ethnic group must you screen for the HLA-B*1502 allele before initiating CBZ (Tegretol)
therapy? Why is it necessary? - Answer: Asians
risk for SJS in Asians (+) for HLA-B*1502 allele
Which 2 drugs have the highest likelihood of causing agranulocytosis? - Answer: Clozaril
Carbamazepine
A sudden fever, chills, a sore throat, and weakness are symptoms of - Answer: Agranulocytosis
At what ANC should clozapine be stopped (even if asymptomatic)? - Answer: <1000
What is neutropenia? - Answer: <2000 PMNs or WBC <2000
What is agranulocytosis? - Answer: <500 ANC
Page 2 of 66
,What does DIGFAST stand for? - Answer: Distractibility
Indiscretion
Grandiosity
FOI
Activity increased
Sleep decreased
Talkativeness
What neurological symptoms might one see in Conversion Disorder? - Answer: Blindness
Mutism
Paralysis
Paresthesia (glove stocking syndrome)
Seizures
When do symptoms typically begin with Conversion Disorder? - Answer: After a stressful
experience (suddenly)
What are 5 stressful events in a child's life that can cause adjustment disorder? - Answer: Family
move
Parent divorce/separation
Loss of pet
Birth of sibling
Sudden or chronic illness
A child with an Adjustment Disorder with disturbances of conduct may have what symptoms? -
Answer: Not going to school, destroying property, driving recklessly, or fighting
What are some key sx of Oppositional Defiant Disorder (ODD)? - Answer: NOT aggressive (key
difference vs CD)
Page 3 of 66
, loses temper easily
annoys others
angry/resentful
argues with authority
easily annoyed
blames others
spiteful
refuses to comply with rules/requests from authority figures
What is the mainstay treatment of Oppositional Defiant Disorder (ODD)? - Answer: Therapy,
individual and family
What is the primary therapy used to treat Oppositional Defiant Disorder (ODD)? - Answer: Child
and parent problem-solving skills training, boundary setting
A repetitive and persistent pattern of behavior in which the rights of others or societal norms or
rules are violated is what disorder if under age 18? - Answer: Conduct Disorder
What are 3 "hallmark" characteristics of Conduct Disorder? - Answer: aggression
Destruction of property
Lack of remorse
What 2 factors differentiate Conduct Disorder from ODD? - Answer: Severity
Aggression
What are 4 pharmacologic treatments for Conduct Disorder? - Answer: Things to target mood
and aggression
--Antipsychotics
--Mood stabilizers
Page 4 of 66
