NINJA PRITE 2 Exam Questions &
Answers 100% Accurate!!
Acetylcysteine is Tx of choice for OD of:ACETAMINOPHEN - ANSWERACETAMINOPHEN
OD on sleeping pill. Hot skin, blurry vision, urinary
retention, dry mucous membranes, tachycardia,
decreased bowel sounds. What is the pill? - ANSWERDIPHENHYDRAMINE
Risk of hepatotoxicity will peak in how many hours after
acetaminophen overdose? - ANSWER72 to 96 HOURS
MC complication of corticosteroid therapy? - ANSWERMOOD DISORDER
What medication strategies is most effective and rapid
in the treatment of severe bipolar illness, manic phase? - ANSWERANTIPSYCHOTIC MEDICATION +
LITHIUM OR
VALPROATE
Molecular targets for improving cognition in
schizophrenia have shown promise via which of the
following mechanisms? - ANSWERD1 RECEPTOR AGONISM
Which med is helpful in Tourette Syndrome who can't
tolerate clonidine? - ANSWERGUANFACINE
Guanfacine's primary effect is through what mechanism
of action? - ANSWERPRESYNAPTIC ALPHA2 ADRENERGIC RECEPTOR
ACTIVATION
Associated with neural tube defect in first trimester of
pregnancy: - ANSWERVALPROATE
Which of the following meds is associated with benign
maculopapular rash in approximately 10-15% of pt's
within the first 3 weeks of treatment? - ANSWERCARBAMAZEPINE
,After psychiatrist adds new med, pt turns bright red w/
sunburn like rash, similar to SJS. Which med caused
this? - ANSWERLAMOTRIGINE
Rare occurrences of priapism are most frequently
associated with: - ANSWERTRAZODONE
Key element in emergency treatment of pt w serotonin
syndrome, beyond stopping offending agent is: - ANSWERSUPPORTING VITAL FUNCTIONS
Restlessness, myoclonus, hyperreflexia, diaphoresis,
shivering, tremor, and confusion are compatible with
which diagnosis? - ANSWERSEROTONIN SYNDROME
Research on the use of psychostimulants to treat pts w/
secondary depressive symptoms in medical setting
suggest: - ANSWERWHEN TREATED WITH THESE AGENTS, PT MAY
ENGAGE IN REHABILITATION SOONER.
A psychiatry consult is placed regarding a patient with
SI. History of Bipolar disorder and admitted for VRE
bacteremia. BP of 171/95, temp of 100.9. Has tremors,
hyperreflexia, myoclonic jerks, not oriented at all, has
visual hallucinations. Meds include linezolid, lithium,
sertraline, Risperdal. What is diagnosis? - ANSWERSEROTONIN SYNDROME
What drug has been known to cause hypertensive
crisis? - ANSWERPHENELZINE
Dry mouth, blurred vision, constipation, urinary
retention. S/E of what psychotropic? - ANSWERAMITRIPTYLINE
Do NOT use in pt w/ narrow-angle glaucoma - ANSWERAMITRIPTYLINE
African americans tend to have higher activity of which
of the following cytochrome p450 enzymes? - ANSWER3A4
Which of the following meds has the lowest likelihood
of discontinuation symptoms if the medication is
abruptly stopped? - ANSWERFLUOXETINE
What med has some evidence of effectiveness in both
,psychotic/nonpsychotic subtypes of body dysmorphic
disorder? - ANSWERFLUOXETINE
What med is most potent inhibitor of the
norepinephrine transporter? - ANSWERPAROXETINE
Bipolar pt on lithium and Zoloft for 3 yrs. Level 0.8.
More depressed and fatigued, low energy level.
Increasing Zoloft ineffective. Next step: - ANSWEROBTAIN TSH LEVEL
Sudden death in children taking which medication? - ANSWERTRICYCLICS
47 yo pt presents with fever, confusion, and tremor and
found to be tachy and diaphoretic. Clonus easily
elicited on exam. Pt suspected to have serotonin
syndrome, is taking Celexa and Lithium. What
additional medication may have contributed to
syndrome? - ANSWERST. JOHN'S WORT
Which med has increased risk of hyperglycemia and
DM? - ANSWEROLANZAPINE
Autonomic instability, nonfocal neurological signs, and
elevated temp associated with which elevated lab
value? - ANSWERCREATININE PHOSPHOKINASE (CPK)
Retinal pigmentation from long-term Tx with: - ANSWERTHIORIDAZINE
75 y/o pt with cirrhosis should be given which of the
following meds: - ANSWERTEMAZEPAM
Alcohol use is associated with what changes in sleep? - ANSWERDECREASED REM SLEEP
Which of the following medications is most likely to
precipitate a manic switch in a patient with bipolar I
disorder - ANSWERDESIPRAMINE
Which of the following medications was first used as a
treatment for gout and later promoted by john cade for
treatment of unstable mood? - ANSWERLITHIUM
Medication most likely to cause cognitive side effects,
even seizures, if taken at same time as ECT? - ANSWERLITHIUM
, A psychotropic with same pharmacokinetic properties
in Asian Americans and White Americans - ANSWERLITHIUM
A 32 yo F comes to the ED with CC of 2 weeks of
diarrhea. On exam she is anxious and tremulous and is
not oriented to date or time of the day. She states she
is taking "some drug" for Bipolar disorder and adds
that she started doubling her dose a month ago
because she "wasn't getting better fast enough." She
denies use of drugs/ETOH. Which medication would
most likely cause the symptoms described? - ANSWERLITHIUM
Administration of activated charcoal is ineffective in
overdose of: - ANSWERLITHIUM
Drug-drug interactions in pts taking HIV meds are
particularly problematic with which medication: - ANSWERMETHADONE
The use of flumazenil for treating benzo OD is limited
by ... - ANSWERTHE RISK OF INDUCING WITHDRAWAL SEIZURES IN
BENZO- DEPENDENT PTS
In addition to benzos, which class of meds is assoc with
falls in pts older than 60? - ANSWERANTIDEPRESSANTS
The potency of medication refers to which of the
following properties of a medication? - ANSWERRELATIVE DOSE REQUIRED TO ACHIEVE A CERTAIN
EFFEC
60 yo pt with chronic schizophrenia takes cogent in for
neuroleptic induced parkinson now has increased urine
retention and confusion. What medication would be
the best alternative for treating this patient's condition? - ANSWERAMANTADINE
Most of the body's serotonin is located where? - ANSWERGI TRACT
Common side effect of acetylcholinesterase inhibitors - ANSWERDIARRHEA
Diphenhydramine's ability to treat acute dystonia is due
to action on which receptor? - ANSWERMUSCARINIC-1
28 y/o with BMDII wants to use phototherapy for
Answers 100% Accurate!!
Acetylcysteine is Tx of choice for OD of:ACETAMINOPHEN - ANSWERACETAMINOPHEN
OD on sleeping pill. Hot skin, blurry vision, urinary
retention, dry mucous membranes, tachycardia,
decreased bowel sounds. What is the pill? - ANSWERDIPHENHYDRAMINE
Risk of hepatotoxicity will peak in how many hours after
acetaminophen overdose? - ANSWER72 to 96 HOURS
MC complication of corticosteroid therapy? - ANSWERMOOD DISORDER
What medication strategies is most effective and rapid
in the treatment of severe bipolar illness, manic phase? - ANSWERANTIPSYCHOTIC MEDICATION +
LITHIUM OR
VALPROATE
Molecular targets for improving cognition in
schizophrenia have shown promise via which of the
following mechanisms? - ANSWERD1 RECEPTOR AGONISM
Which med is helpful in Tourette Syndrome who can't
tolerate clonidine? - ANSWERGUANFACINE
Guanfacine's primary effect is through what mechanism
of action? - ANSWERPRESYNAPTIC ALPHA2 ADRENERGIC RECEPTOR
ACTIVATION
Associated with neural tube defect in first trimester of
pregnancy: - ANSWERVALPROATE
Which of the following meds is associated with benign
maculopapular rash in approximately 10-15% of pt's
within the first 3 weeks of treatment? - ANSWERCARBAMAZEPINE
,After psychiatrist adds new med, pt turns bright red w/
sunburn like rash, similar to SJS. Which med caused
this? - ANSWERLAMOTRIGINE
Rare occurrences of priapism are most frequently
associated with: - ANSWERTRAZODONE
Key element in emergency treatment of pt w serotonin
syndrome, beyond stopping offending agent is: - ANSWERSUPPORTING VITAL FUNCTIONS
Restlessness, myoclonus, hyperreflexia, diaphoresis,
shivering, tremor, and confusion are compatible with
which diagnosis? - ANSWERSEROTONIN SYNDROME
Research on the use of psychostimulants to treat pts w/
secondary depressive symptoms in medical setting
suggest: - ANSWERWHEN TREATED WITH THESE AGENTS, PT MAY
ENGAGE IN REHABILITATION SOONER.
A psychiatry consult is placed regarding a patient with
SI. History of Bipolar disorder and admitted for VRE
bacteremia. BP of 171/95, temp of 100.9. Has tremors,
hyperreflexia, myoclonic jerks, not oriented at all, has
visual hallucinations. Meds include linezolid, lithium,
sertraline, Risperdal. What is diagnosis? - ANSWERSEROTONIN SYNDROME
What drug has been known to cause hypertensive
crisis? - ANSWERPHENELZINE
Dry mouth, blurred vision, constipation, urinary
retention. S/E of what psychotropic? - ANSWERAMITRIPTYLINE
Do NOT use in pt w/ narrow-angle glaucoma - ANSWERAMITRIPTYLINE
African americans tend to have higher activity of which
of the following cytochrome p450 enzymes? - ANSWER3A4
Which of the following meds has the lowest likelihood
of discontinuation symptoms if the medication is
abruptly stopped? - ANSWERFLUOXETINE
What med has some evidence of effectiveness in both
,psychotic/nonpsychotic subtypes of body dysmorphic
disorder? - ANSWERFLUOXETINE
What med is most potent inhibitor of the
norepinephrine transporter? - ANSWERPAROXETINE
Bipolar pt on lithium and Zoloft for 3 yrs. Level 0.8.
More depressed and fatigued, low energy level.
Increasing Zoloft ineffective. Next step: - ANSWEROBTAIN TSH LEVEL
Sudden death in children taking which medication? - ANSWERTRICYCLICS
47 yo pt presents with fever, confusion, and tremor and
found to be tachy and diaphoretic. Clonus easily
elicited on exam. Pt suspected to have serotonin
syndrome, is taking Celexa and Lithium. What
additional medication may have contributed to
syndrome? - ANSWERST. JOHN'S WORT
Which med has increased risk of hyperglycemia and
DM? - ANSWEROLANZAPINE
Autonomic instability, nonfocal neurological signs, and
elevated temp associated with which elevated lab
value? - ANSWERCREATININE PHOSPHOKINASE (CPK)
Retinal pigmentation from long-term Tx with: - ANSWERTHIORIDAZINE
75 y/o pt with cirrhosis should be given which of the
following meds: - ANSWERTEMAZEPAM
Alcohol use is associated with what changes in sleep? - ANSWERDECREASED REM SLEEP
Which of the following medications is most likely to
precipitate a manic switch in a patient with bipolar I
disorder - ANSWERDESIPRAMINE
Which of the following medications was first used as a
treatment for gout and later promoted by john cade for
treatment of unstable mood? - ANSWERLITHIUM
Medication most likely to cause cognitive side effects,
even seizures, if taken at same time as ECT? - ANSWERLITHIUM
, A psychotropic with same pharmacokinetic properties
in Asian Americans and White Americans - ANSWERLITHIUM
A 32 yo F comes to the ED with CC of 2 weeks of
diarrhea. On exam she is anxious and tremulous and is
not oriented to date or time of the day. She states she
is taking "some drug" for Bipolar disorder and adds
that she started doubling her dose a month ago
because she "wasn't getting better fast enough." She
denies use of drugs/ETOH. Which medication would
most likely cause the symptoms described? - ANSWERLITHIUM
Administration of activated charcoal is ineffective in
overdose of: - ANSWERLITHIUM
Drug-drug interactions in pts taking HIV meds are
particularly problematic with which medication: - ANSWERMETHADONE
The use of flumazenil for treating benzo OD is limited
by ... - ANSWERTHE RISK OF INDUCING WITHDRAWAL SEIZURES IN
BENZO- DEPENDENT PTS
In addition to benzos, which class of meds is assoc with
falls in pts older than 60? - ANSWERANTIDEPRESSANTS
The potency of medication refers to which of the
following properties of a medication? - ANSWERRELATIVE DOSE REQUIRED TO ACHIEVE A CERTAIN
EFFEC
60 yo pt with chronic schizophrenia takes cogent in for
neuroleptic induced parkinson now has increased urine
retention and confusion. What medication would be
the best alternative for treating this patient's condition? - ANSWERAMANTADINE
Most of the body's serotonin is located where? - ANSWERGI TRACT
Common side effect of acetylcholinesterase inhibitors - ANSWERDIARRHEA
Diphenhydramine's ability to treat acute dystonia is due
to action on which receptor? - ANSWERMUSCARINIC-1
28 y/o with BMDII wants to use phototherapy for
