Example A patient is being treated for schizophrenia with olanzapine. Which of
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fthe following is the most common side effect of olanzapine?
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A. Increased waist circumference
f f f
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor
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fantagonism
C. Increased Lipids
f f
D. Metabolic Syndrome
f f
Which patient is at highest risk for SI
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A. 30y/o married AA female with previous SI attempt *1 risk factor
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B. 35 y/o single Asian male with previous SI attempt *3 risk factors
f f f f f f f f f f f f
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
f f f f f f f f f f f f f f f
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
f f f f f f f f f f f f f
depression)
f
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
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depression)
f
Which antipsychotics have the least weight gain?
f f f f f f
Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic
f f f f f f f f
fsyndrome consider switching to one of the medications above. Or if the
f f f f f f f f f f f
fpatient is overly sedated try switching to ABILIFY
f f f f f f f
,Which mood stabilizer have the least weight gain?
f f f f f f f
f Lamictal
-But remember all mood stabilizers cause some weight gain
f f f f f f f f
When presented with a question about typical vs atypical antipsychotic the
f f f f f f f f f f
answer is usually to start of aatypical
f f f f f f f
A client presents with complains of changes in appetite, feeling fatigued,
f f f f f f f f f f
problems with sleep-rest cycle, and changes in libido. What is the
f f f f f f f f f f f
neuroanatomical area of the brain that is responsible for the normal
f f f f f f f f f f f
regulation of these functions?
f f f f
A. Thalamus f
B. Hypothalamus f
C. Limbic Systemf f
D. Hippocampus f
Count the risk factorsCOWS scale components
f f f f f
· Opioid W/D
f f
How long do you wait when switching between an SSRI to an MAOI?
f f f f f f f f f f f f
2 weeks f
How long do you wait when switching between Prozac and MAOI?
f f f f f f f f f f
5-6 weeks wash out period
f f f f
,What is the first line treatment for depression and why?
f f f f f f f f f
SSRI-First line treatment for depression due to less risk of injury from
f f f f f f f f f f f
OVERDOSE
f
If a cancer patient has depression what should you consider?
f f f f f f f f f
Treating with a medication with minimal drug/drug side effects like Lexapro
f f f f f f f f f f
Patient with depression worries about sexual dysfunction what would be the
f f f f f f f f f f
medication of choice? f f
Wellbutrin
Primary symptoms of depression include fatigue and low energy what med
f f f f f f f f f f
would you chose?
f f f
Wellbutrin
Wellbutrin is contraindicated in patients with f f f f f
f Seizures and anorexia (bulimia also)
f f f f
Which medications are best for neuropathic pain? SNRI
f f f f f f f
Gabapentin
TCA
f
Secondary to the black box warning providers caring for patients on
f f f f f f f f f f
antidepressants should assess for? f f f
Suicidality, frequency, and severity at EVERY appointment Which
f f f f f f f
meds have the worse serotonin discontinuation syndrome Those
f f f f f f f f
f with short half lives such as Zoloft; TCA's
f f f f f f f
, Symptoms of discontinuation syndrome f f f
flu like symptoms (fatigue, lethargy, myalgia, decreased concentration), n/v,
f f f f f f f f
fimpaired memory, paresthesia, irritability, anxiety, insomnia, crying w/o
f f f f f f f
freason, dizziness, and vertigoTx w/periactin f f f f
Ages of onset for schizophrenia in males vs females
f f f f f f f f
-MALES 18-25 years f f
-FEMALE 25-35 years f f
What nationality is most suseptible of getting steven johnson?
f f f f f f f f
Asians
When treating asians with tegretol screen for?
f f f f f f
HLAB-1502 Allele f
What two medications cause agranulocytosis?
f f f f
Clozaril & Tegretol f f
Agranulocytosis whento discontinue medication f f f f
Less than 1000
f f
When monitoring for agranulocytosis in patients look for s/s of what? Infection
f f f f f f f f f f f
-Fever, sore throat, fatigue, chills
f f f f
Before starting any mood stabilizer in a female of childbearing age be sure to
f f f f f f f f f f f f f
check?
f
f f f f f f f f f f f
fthe following is the most common side effect of olanzapine?
f f f f f f f f f
A. Increased waist circumference
f f f
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor
f f f f f f f f f
fantagonism
C. Increased Lipids
f f
D. Metabolic Syndrome
f f
Which patient is at highest risk for SI
f f f f f f f
A. 30y/o married AA female with previous SI attempt *1 risk factor
f f f f f f f f f f f
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
f f f f f f f f f f f f
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
f f f f f f f f f f f f f f f
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
f f f f f f f f f f f f f
depression)
f
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
f f f f f f f f f f f f f
depression)
f
Which antipsychotics have the least weight gain?
f f f f f f
Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic
f f f f f f f f
fsyndrome consider switching to one of the medications above. Or if the
f f f f f f f f f f f
fpatient is overly sedated try switching to ABILIFY
f f f f f f f
,Which mood stabilizer have the least weight gain?
f f f f f f f
f Lamictal
-But remember all mood stabilizers cause some weight gain
f f f f f f f f
When presented with a question about typical vs atypical antipsychotic the
f f f f f f f f f f
answer is usually to start of aatypical
f f f f f f f
A client presents with complains of changes in appetite, feeling fatigued,
f f f f f f f f f f
problems with sleep-rest cycle, and changes in libido. What is the
f f f f f f f f f f f
neuroanatomical area of the brain that is responsible for the normal
f f f f f f f f f f f
regulation of these functions?
f f f f
A. Thalamus f
B. Hypothalamus f
C. Limbic Systemf f
D. Hippocampus f
Count the risk factorsCOWS scale components
f f f f f
· Opioid W/D
f f
How long do you wait when switching between an SSRI to an MAOI?
f f f f f f f f f f f f
2 weeks f
How long do you wait when switching between Prozac and MAOI?
f f f f f f f f f f
5-6 weeks wash out period
f f f f
,What is the first line treatment for depression and why?
f f f f f f f f f
SSRI-First line treatment for depression due to less risk of injury from
f f f f f f f f f f f
OVERDOSE
f
If a cancer patient has depression what should you consider?
f f f f f f f f f
Treating with a medication with minimal drug/drug side effects like Lexapro
f f f f f f f f f f
Patient with depression worries about sexual dysfunction what would be the
f f f f f f f f f f
medication of choice? f f
Wellbutrin
Primary symptoms of depression include fatigue and low energy what med
f f f f f f f f f f
would you chose?
f f f
Wellbutrin
Wellbutrin is contraindicated in patients with f f f f f
f Seizures and anorexia (bulimia also)
f f f f
Which medications are best for neuropathic pain? SNRI
f f f f f f f
Gabapentin
TCA
f
Secondary to the black box warning providers caring for patients on
f f f f f f f f f f
antidepressants should assess for? f f f
Suicidality, frequency, and severity at EVERY appointment Which
f f f f f f f
meds have the worse serotonin discontinuation syndrome Those
f f f f f f f f
f with short half lives such as Zoloft; TCA's
f f f f f f f
, Symptoms of discontinuation syndrome f f f
flu like symptoms (fatigue, lethargy, myalgia, decreased concentration), n/v,
f f f f f f f f
fimpaired memory, paresthesia, irritability, anxiety, insomnia, crying w/o
f f f f f f f
freason, dizziness, and vertigoTx w/periactin f f f f
Ages of onset for schizophrenia in males vs females
f f f f f f f f
-MALES 18-25 years f f
-FEMALE 25-35 years f f
What nationality is most suseptible of getting steven johnson?
f f f f f f f f
Asians
When treating asians with tegretol screen for?
f f f f f f
HLAB-1502 Allele f
What two medications cause agranulocytosis?
f f f f
Clozaril & Tegretol f f
Agranulocytosis whento discontinue medication f f f f
Less than 1000
f f
When monitoring for agranulocytosis in patients look for s/s of what? Infection
f f f f f f f f f f f
-Fever, sore throat, fatigue, chills
f f f f
Before starting any mood stabilizer in a female of childbearing age be sure to
f f f f f f f f f f f f f
check?
f
