GEORGETTES LMR STUDY SET QUESTIONS
WITH CORRECT ANSWERS
When questions ask for a priority action...think about... - VERIFIED ANSWER-ABC, airway breathing,
circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose: - VERIFIED ANSWER-the umbrella answer
What is the most common side effect of olanzapine/zyprexa - VERIFIED ANSWER-metabolic syndrome
what is the difference between typical and atypical antipsychotics - VERIFIED ANSWER-Atypical 5HT2A
specific
1st psychotic break... two actions to take - VERIFIED ANSWER-UDS and r/o sub
Consider IM Geodon or Invega
Three AP with least weight gain - VERIFIED ANSWER-Latuda, Abilify, Geodon
Always encourage interprofessional collaboration - VERIFIED ANSWER-between
therapists/pcps/SW/RN, the ENTIRE team
TSH High, then....t3/t4 - VERIFIED ANSWER-T3, T4 low
TSH low, then...t3/t4 - VERIFIED ANSWER-T3, T4 high
cold/hot sensitivity with t3/t4 relationship - VERIFIED ANSWER-T3/T4 low, hypothyroid, cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy
Georgettes LMR study set questions with correct answers
,What birth defect can be caused by depakote? - VERIFIED ANSWER-Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see? labs to run? -
VERIFIED ANSWER-Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat - VERIFIED ANSWER-anxiety and insomnia
Rash and fever associated with tegretol, suspect - VERIFIED ANSWER-
What allele is HLAB 1502 associated? - VERIFIED ANSWER-Asians. They CANNOT have tegretol. Test all
asians for this allele.
what rare and dangerous side effects are associated with tegretol - VERIFIED ANSWER-Aplastic anemia
Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis - VERIFIED ANSWER-unusual bleeding or bruising, mouth sores, infections,
fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why? - VERIFIED ANSWER-HCG--risk of
ebstein anomaly
adverse s/e of lamictal/lamotrigine - VERIFIED ANSWER-SJS
labs to checke BEFORE starting on lithium - VERIFIED ANSWER-BUN
CRE
urine protein
What does protein in urine indicate - VERIFIED ANSWER-kidney impairment; 4+ protein in urine=you
cannot start on lithium
Georgettes LMR study set questions with correct answers
,best choice med for decreasing si in bipolar disorder. - VERIFIED ANSWER-lithium
best choice med for si in schizophrenia - VERIFIED ANSWER-clozaril
best choice med for SI in borderline - VERIFIED ANSWER-lithium
What medications will INCREASE Li levels - VERIFIED ANSWER-NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels - VERIFIED ANSWER-dehydration
hyponatremia
lithium s/e inc N/V, which will effect electrolytes, and dehydration status
what type of tremors will you see with lithium toxicity? - VERIFIED ANSWER-course tremors
lithium can cause what other comorbidities? - VERIFIED ANSWER-hypothyroidism
maculopapular rash
leukocytosis
twave inversion
what is a defining characteristic of NMS vs SS - VERIFIED ANSWER-muscle rigidity
Sx's/labs associated with NMS - VERIFIED ANSWER-Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
Can lead to mutism
Georgettes LMR study set questions with correct answers
, myoglobinuria/rhabdo can cause cherry colored urine
Treatment for NMS and what each does - VERIFIED ANSWER-DC the offending agent
bromocriptin-D2 agonis
dantrolene: muscle relaxant
Make sure if ? is asking for agonist or relaxant
Sx of SS - VERIFIED ANSWER-HYPERREFLEXIA
myoclonic jerks
treatment for SS - VERIFIED ANSWER-ciproheptadine
how to best PREVENT SS - VERIFIED ANSWER-follow proper transition protocols
SSRI to MAOI=14 days
Prozac to MAOI=5-6 weeks
Triptans can also cause SS due to serotonin increase with use
Why are SSRIs considered the safest for use in depression - VERIFIED ANSWER-safest for OD
depressed patient presents with fatigue and low energy, consider: - VERIFIED ANSWER-NDRI
wellbutrin
sexual s/e with ssri? try... - VERIFIED ANSWER-wellbutrin due to lower risk of sexual s/e
What medication must be avoided if client has seizure history or eating disorder? why? - VERIFIED
ANSWER-wellbutrin due to decreasing the seizure threshold
if client has depression and neuropathic pain - VERIFIED ANSWER-SNRI or TCA for treatment of BOTH
Georgettes LMR study set questions with correct answers
WITH CORRECT ANSWERS
When questions ask for a priority action...think about... - VERIFIED ANSWER-ABC, airway breathing,
circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose: - VERIFIED ANSWER-the umbrella answer
What is the most common side effect of olanzapine/zyprexa - VERIFIED ANSWER-metabolic syndrome
what is the difference between typical and atypical antipsychotics - VERIFIED ANSWER-Atypical 5HT2A
specific
1st psychotic break... two actions to take - VERIFIED ANSWER-UDS and r/o sub
Consider IM Geodon or Invega
Three AP with least weight gain - VERIFIED ANSWER-Latuda, Abilify, Geodon
Always encourage interprofessional collaboration - VERIFIED ANSWER-between
therapists/pcps/SW/RN, the ENTIRE team
TSH High, then....t3/t4 - VERIFIED ANSWER-T3, T4 low
TSH low, then...t3/t4 - VERIFIED ANSWER-T3, T4 high
cold/hot sensitivity with t3/t4 relationship - VERIFIED ANSWER-T3/T4 low, hypothyroid, cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy
Georgettes LMR study set questions with correct answers
,What birth defect can be caused by depakote? - VERIFIED ANSWER-Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see? labs to run? -
VERIFIED ANSWER-Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat - VERIFIED ANSWER-anxiety and insomnia
Rash and fever associated with tegretol, suspect - VERIFIED ANSWER-
What allele is HLAB 1502 associated? - VERIFIED ANSWER-Asians. They CANNOT have tegretol. Test all
asians for this allele.
what rare and dangerous side effects are associated with tegretol - VERIFIED ANSWER-Aplastic anemia
Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis - VERIFIED ANSWER-unusual bleeding or bruising, mouth sores, infections,
fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why? - VERIFIED ANSWER-HCG--risk of
ebstein anomaly
adverse s/e of lamictal/lamotrigine - VERIFIED ANSWER-SJS
labs to checke BEFORE starting on lithium - VERIFIED ANSWER-BUN
CRE
urine protein
What does protein in urine indicate - VERIFIED ANSWER-kidney impairment; 4+ protein in urine=you
cannot start on lithium
Georgettes LMR study set questions with correct answers
,best choice med for decreasing si in bipolar disorder. - VERIFIED ANSWER-lithium
best choice med for si in schizophrenia - VERIFIED ANSWER-clozaril
best choice med for SI in borderline - VERIFIED ANSWER-lithium
What medications will INCREASE Li levels - VERIFIED ANSWER-NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels - VERIFIED ANSWER-dehydration
hyponatremia
lithium s/e inc N/V, which will effect electrolytes, and dehydration status
what type of tremors will you see with lithium toxicity? - VERIFIED ANSWER-course tremors
lithium can cause what other comorbidities? - VERIFIED ANSWER-hypothyroidism
maculopapular rash
leukocytosis
twave inversion
what is a defining characteristic of NMS vs SS - VERIFIED ANSWER-muscle rigidity
Sx's/labs associated with NMS - VERIFIED ANSWER-Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
Can lead to mutism
Georgettes LMR study set questions with correct answers
, myoglobinuria/rhabdo can cause cherry colored urine
Treatment for NMS and what each does - VERIFIED ANSWER-DC the offending agent
bromocriptin-D2 agonis
dantrolene: muscle relaxant
Make sure if ? is asking for agonist or relaxant
Sx of SS - VERIFIED ANSWER-HYPERREFLEXIA
myoclonic jerks
treatment for SS - VERIFIED ANSWER-ciproheptadine
how to best PREVENT SS - VERIFIED ANSWER-follow proper transition protocols
SSRI to MAOI=14 days
Prozac to MAOI=5-6 weeks
Triptans can also cause SS due to serotonin increase with use
Why are SSRIs considered the safest for use in depression - VERIFIED ANSWER-safest for OD
depressed patient presents with fatigue and low energy, consider: - VERIFIED ANSWER-NDRI
wellbutrin
sexual s/e with ssri? try... - VERIFIED ANSWER-wellbutrin due to lower risk of sexual s/e
What medication must be avoided if client has seizure history or eating disorder? why? - VERIFIED
ANSWER-wellbutrin due to decreasing the seizure threshold
if client has depression and neuropathic pain - VERIFIED ANSWER-SNRI or TCA for treatment of BOTH
Georgettes LMR study set questions with correct answers
