Psychiatric APEA
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
DANGER SIGNALS - SUICIDE
1. Older people have higher risk (T/F)
2. Young adulthood and age over 60 (T/F)
3. Females make more attempts compared to males, but males are more likely to
due by suicide (T/F)
4. Elderly males who recently lost a partner are at higher risk of suicide (T/F)
5. Females are more likely to attempt, but males are more likely to follow through
with it (T/F)
6. Ages of suicide include _____________. - ANSWER ✅All true!
15-24 years, over age 60.
DANGER SIGNALS - ACUTE SEROTONIN SYNDROME
1. Occurs form high levels of __________ due to introduction of a new drug or
increase of the dose.
2. Symptoms:
3. If switching to another drug affecting serotonin, wait a minimum of how many
weeks?
4. Refer to - ANSWER ✅1. Serotonin
2. Muscular contractions (Clonus), dilated pupils, tremors
3. 2 Weeks
4. ED
DANGER SIGNALS - MALIGNANT NEUROLEPTIC SYNDROME
1. Often seen with with generation of antipsychotics?
2. Can also be seen in what disease?
3. Symptoms
4. Refer to - ANSWER ✅1. First generation
, 2. Parkinson's
3. High Fever, Muscular rigidity, urinary incontinence
4. ED
Monitoring Psychiatric Medications
1. Atypical antipsychotics (Risperidone, Quetiapine and Olanzapine) must be
checked for:
2. Typical Antipsychotics (Haldol and Chlorpromazine) can lead to
3. Anticonvulsants, such as Valproate must be routinely checked for
4. SSRIs can lead to what dysfunction?
5. Atypical antidepressants (Buproprion) can also be used for what cessation? It
can also lead to ________.
6. SNRIs such as Venlafaxine and Duloxetine can precipitate _____________.
7. Lithium is contraindicated for patients who have sodium ____________. -
ANSWER ✅1. Weight gain and BMI
2. Elevated lipids and extrapyramidal effects, tardive dyskenisia (involuntary
movements) and QT prolongation
3. Valproate levels
4. Sexual dysfunction
5. Smoking cessation; seizures
6. Acute narrow-angle glaucoma
7. Depletion
SSRIs Considerations
1. Patients on SSRIs may be at risk of what in the first one to two months?
2. Elderly patients should be prescribed
3. Patients who have sexual dysfunction can have what added to SSRI?
4. Depressed patients who wants to quit smoking should have:
5. With peripheral neuropathy?
6. With chronic pain? - ANSWER ✅1. Suicide
2. Lexapro
3. Buproprion
4. Buproprion
5. Cymbalta (Duloxetine)
6. TCAs
SSRIs
1. First line of treatment for: MDD, GAD, _________ dysphoric disorder and
______ stress disorder.
2. Side Effects
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
DANGER SIGNALS - SUICIDE
1. Older people have higher risk (T/F)
2. Young adulthood and age over 60 (T/F)
3. Females make more attempts compared to males, but males are more likely to
due by suicide (T/F)
4. Elderly males who recently lost a partner are at higher risk of suicide (T/F)
5. Females are more likely to attempt, but males are more likely to follow through
with it (T/F)
6. Ages of suicide include _____________. - ANSWER ✅All true!
15-24 years, over age 60.
DANGER SIGNALS - ACUTE SEROTONIN SYNDROME
1. Occurs form high levels of __________ due to introduction of a new drug or
increase of the dose.
2. Symptoms:
3. If switching to another drug affecting serotonin, wait a minimum of how many
weeks?
4. Refer to - ANSWER ✅1. Serotonin
2. Muscular contractions (Clonus), dilated pupils, tremors
3. 2 Weeks
4. ED
DANGER SIGNALS - MALIGNANT NEUROLEPTIC SYNDROME
1. Often seen with with generation of antipsychotics?
2. Can also be seen in what disease?
3. Symptoms
4. Refer to - ANSWER ✅1. First generation
, 2. Parkinson's
3. High Fever, Muscular rigidity, urinary incontinence
4. ED
Monitoring Psychiatric Medications
1. Atypical antipsychotics (Risperidone, Quetiapine and Olanzapine) must be
checked for:
2. Typical Antipsychotics (Haldol and Chlorpromazine) can lead to
3. Anticonvulsants, such as Valproate must be routinely checked for
4. SSRIs can lead to what dysfunction?
5. Atypical antidepressants (Buproprion) can also be used for what cessation? It
can also lead to ________.
6. SNRIs such as Venlafaxine and Duloxetine can precipitate _____________.
7. Lithium is contraindicated for patients who have sodium ____________. -
ANSWER ✅1. Weight gain and BMI
2. Elevated lipids and extrapyramidal effects, tardive dyskenisia (involuntary
movements) and QT prolongation
3. Valproate levels
4. Sexual dysfunction
5. Smoking cessation; seizures
6. Acute narrow-angle glaucoma
7. Depletion
SSRIs Considerations
1. Patients on SSRIs may be at risk of what in the first one to two months?
2. Elderly patients should be prescribed
3. Patients who have sexual dysfunction can have what added to SSRI?
4. Depressed patients who wants to quit smoking should have:
5. With peripheral neuropathy?
6. With chronic pain? - ANSWER ✅1. Suicide
2. Lexapro
3. Buproprion
4. Buproprion
5. Cymbalta (Duloxetine)
6. TCAs
SSRIs
1. First line of treatment for: MDD, GAD, _________ dysphoric disorder and
______ stress disorder.
2. Side Effects
