LMR- GEORGETTE'S LATEST 2025 REVISED
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED COMPLETE SOLUTION)
HIGHEST TEST SCORE A+ GRADE
What drugs should be avoided with Kava Kava?
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH?
0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?
Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?
,Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder?
Mania
Valproic acid produces what teratogenic effect?
Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic?
Liver (hepatoxicity)
What are 4 signs of hepatoxicity?
Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
What is the therapeutic range for valproic acid?
50-125 mcg/ml
What is a toxic level of valproic acid?
>150 mcg/ml
What are 4 signs of valproic acid toxicity?
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?
Hepatotoxicity; hold med, draw LFT's (priority), DVP level
With suspected toxicity with valproic acid, what steps/labs should be drawn?
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?
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?
Kava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome?
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?
Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you add?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset
disturbance of LOC
impaired cognition
inattention
How are agitation and psychotic symptoms treated in delirium?
Low dose Haldol (QTc check first)
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your action?
Do UDS; chances are they may be abusing other substances
, What 4 drugs can cause mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 drugs can induce depression?
"SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Steroids can induce what 3 psychiatric states?
Mania
Depression
Psychosis
REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____.
What is the best environment to interview this pt in?
reassure safety, provide environment of safety
private area with door open/partially open
What is the therapeutic range for lithium?
0.6-1.2 mEq/L
Many postpartum women have SI after delivery, yet they don't have psych evals before leaving the
hospital, what could a possible solution be?
collaborating care between psych and OBGYN to provide the best care for that pt
If collaborating with a provider who is not in the same clinic or hospital, the informed consent
[does/does not] apply?
Does not, ie pt will need to sign consent for labs/ chart to be sent
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED COMPLETE SOLUTION)
HIGHEST TEST SCORE A+ GRADE
What drugs should be avoided with Kava Kava?
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH?
0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?
Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?
,Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder?
Mania
Valproic acid produces what teratogenic effect?
Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic?
Liver (hepatoxicity)
What are 4 signs of hepatoxicity?
Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
What is the therapeutic range for valproic acid?
50-125 mcg/ml
What is a toxic level of valproic acid?
>150 mcg/ml
What are 4 signs of valproic acid toxicity?
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?
Hepatotoxicity; hold med, draw LFT's (priority), DVP level
With suspected toxicity with valproic acid, what steps/labs should be drawn?
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?
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?
Kava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome?
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?
Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you add?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset
disturbance of LOC
impaired cognition
inattention
How are agitation and psychotic symptoms treated in delirium?
Low dose Haldol (QTc check first)
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your action?
Do UDS; chances are they may be abusing other substances
, What 4 drugs can cause mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 drugs can induce depression?
"SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Steroids can induce what 3 psychiatric states?
Mania
Depression
Psychosis
REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____.
What is the best environment to interview this pt in?
reassure safety, provide environment of safety
private area with door open/partially open
What is the therapeutic range for lithium?
0.6-1.2 mEq/L
Many postpartum women have SI after delivery, yet they don't have psych evals before leaving the
hospital, what could a possible solution be?
collaborating care between psych and OBGYN to provide the best care for that pt
If collaborating with a provider who is not in the same clinic or hospital, the informed consent
[does/does not] apply?
Does not, ie pt will need to sign consent for labs/ chart to be sent
