NU664C Midterm Exam question with
answers
Know the route of administration for newer agent asenapine (Saphris) and what instructions should be
given to the patient regarding administration. - -Sublingual
-Know and describe the top atypical antipsychotic with greatest incidence of prolonged QTc interval. - -
Ziprasidone (Geodon).
-Know which antipsychotics have specific instructions for minimum food intake or diet restrictions. - -
Lurasidone (Latuda)
-Know an alternative atypical antipsychotic for a patient who has developed diabetes and has a
significant weight gain from treatment with olanzapine. - -Aripiprazole (Abilify)
-Know whether a patient is demonstrating efficacy to clozapine 500 mg/day if this week's granulocyte
count is less than 500mm3. What is the most appropriate recommendation for drug therapy? - -
Discontinue and do not re-start
-Know the common effects of smoking along with antipsychotic drug therapy such as olanzapine. - -
Decreases the plasma levels of Olanzapine (Zyprexa) because of its metabolism at CYP450 enzyme.
-Know what a painful muscle spasm with neck muscles pulling a patient's head to the side called and
Name a common drug therapy to relieve this symptom. - -Dystonia
-Know the role of buspirone in the treatment of anxiety and the recommended dose and time for onset
of action. - -Takes 3 to 4 weeks for full effect
-Know what medication may be an option for patients noncompliant on antipsychotics resulting in
multiple hospital stays. - -Risperdal Consta (risperidone)
-Know baseline labs and vital measurements tests for the patient who will be prescribed an
antipsychotic such as quetiapine (Seroquel). - -Lipid, Fasting Blood Sugar, Family History **NOT CPK**
-Describe common side effects/disadvantages of antihistamines. - -anticholinergic effects
-Identify 3-4 disorders/situations when benzodiazepines may be indicated. - -Alcohol withdrawal,
Benzodiazepine withdrawal, Acute Agitation, Panic Attack, Sleep Disorder, Seizures
-Describe 2-3 common side effects of atypical antipsychotics. - -Weight gain, Sedation, Metabolic
Syndrome
-Know and describe the name of long-acting olanzapine and a key adverse side effect. - -Zyprexa
Relprevv **Post injection delirium syndrome**
answers
Know the route of administration for newer agent asenapine (Saphris) and what instructions should be
given to the patient regarding administration. - -Sublingual
-Know and describe the top atypical antipsychotic with greatest incidence of prolonged QTc interval. - -
Ziprasidone (Geodon).
-Know which antipsychotics have specific instructions for minimum food intake or diet restrictions. - -
Lurasidone (Latuda)
-Know an alternative atypical antipsychotic for a patient who has developed diabetes and has a
significant weight gain from treatment with olanzapine. - -Aripiprazole (Abilify)
-Know whether a patient is demonstrating efficacy to clozapine 500 mg/day if this week's granulocyte
count is less than 500mm3. What is the most appropriate recommendation for drug therapy? - -
Discontinue and do not re-start
-Know the common effects of smoking along with antipsychotic drug therapy such as olanzapine. - -
Decreases the plasma levels of Olanzapine (Zyprexa) because of its metabolism at CYP450 enzyme.
-Know what a painful muscle spasm with neck muscles pulling a patient's head to the side called and
Name a common drug therapy to relieve this symptom. - -Dystonia
-Know the role of buspirone in the treatment of anxiety and the recommended dose and time for onset
of action. - -Takes 3 to 4 weeks for full effect
-Know what medication may be an option for patients noncompliant on antipsychotics resulting in
multiple hospital stays. - -Risperdal Consta (risperidone)
-Know baseline labs and vital measurements tests for the patient who will be prescribed an
antipsychotic such as quetiapine (Seroquel). - -Lipid, Fasting Blood Sugar, Family History **NOT CPK**
-Describe common side effects/disadvantages of antihistamines. - -anticholinergic effects
-Identify 3-4 disorders/situations when benzodiazepines may be indicated. - -Alcohol withdrawal,
Benzodiazepine withdrawal, Acute Agitation, Panic Attack, Sleep Disorder, Seizures
-Describe 2-3 common side effects of atypical antipsychotics. - -Weight gain, Sedation, Metabolic
Syndrome
-Know and describe the name of long-acting olanzapine and a key adverse side effect. - -Zyprexa
Relprevv **Post injection delirium syndrome**
