Which of the following would you be concerned may induce bipolar rapid cycling or
a manic episode
A. carbamazepine (Tegretol)
B. cariprazine (vraylar)
C. lithium
D. amitriptyline
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D. amitriptyline
Goals of treatment of patients with mood disorders (3)
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1. patient's safety must be guaranteed
2. a complete diagnostic evaluation of the patient is necessary
, 3. a treatment plan should address not only the immediate symptoms, but
also the patient's prospective well-being
Neuropathology of Schizophrenia: causes depressive symptoms, suicidality
A. reduced gray matter volume and enlarged cerebral ventricles
B. reduce symmetry and reduced limbic system
C. anatomical abnormalities of prefrontal cortex
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B. reduce symmetry and reduced limbic system
Uninterrupted period of illness during which there is a major mood episode
(depressive or manic) concurrent with Criterion A of schizophrenia (major depressive
episode must include Criterion A1: depressed mood) &
Delusions or hallucinations for 2+ weeks in the absence of a major mood episode
during the lifetime duration of the illness
A. Schizophrenia
B. Schizotypal
C. Schizophreniform
D. Schizoaffective
E. Delusional Disorder
F. MDD or Bipolar Disorder with psychotic features
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D. Schizoaffective
What concern would a female patient currently prescribed carbamazepine (Tegretol)
have with starting birth control?
,A. tegretol increases birth control levels
B. tegretol decreases birth control efficacy
C. there's nothing to worry about
D. birth control increases tegretol levels
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B. tegretol decreases birth control efficacy
What is lamotrigine (Lamictal) FDA approved for and used off label in Bipolar for?
A. maintenance treatment of bipolar
B. bipolar rapid cycling
C. bipolar depression off label
D. acute bipolar mania
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A. maintenance treatment of bipolar
C. bipolar depression off label
Hallucinations, delusions, and bizarre behavior are what type of symptoms of
schizophrenia?
A. positive
B. negative
C. cognitive
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A. positive
, What medical condition do those treated with lithium often develop?
A. hyperthyroidism
B. hypothyroidism
C. hypotension
D. hypertension
E. diabetes
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B. hypothyroidism
EPS: Parkinsonism Treatment
A. benztropine 1-2 mg 1-2x/day or consider diphenhydramine PO or IM
B. start benztropine 1-2 mg 1-2x/day with antipsychotic therapy for those at high risk
C. second-line is trihexyphenidyl 2-5 mg 1-2x/day OR diphenhydramine 50mg/day
D. propranolol 10 mg BID, can go up to 30-90 mg daily in 2-3 divided doses, or
Inderal LA
E. Benzodiazepines - lorazepam .5-1 mg BID or diazepam 10mg BID
F. if tapering and switching dont work, treat with Auestedo or Ingrezza
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B. start benztropine 1-2 mg 1-2x/day with antipsychotic therapy for those at
high risk
C. second-line is trihexyphenidyl 2-5 mg 1-2x/day OR diphenhydramine
50mg/day
Current indications for Valproic acid include
A. acute mania
B. rapid cycling
C. bipolar disorder maintenance treatment
a manic episode
A. carbamazepine (Tegretol)
B. cariprazine (vraylar)
C. lithium
D. amitriptyline
Give this one a try later!
D. amitriptyline
Goals of treatment of patients with mood disorders (3)
Give this one a try later!
1. patient's safety must be guaranteed
2. a complete diagnostic evaluation of the patient is necessary
, 3. a treatment plan should address not only the immediate symptoms, but
also the patient's prospective well-being
Neuropathology of Schizophrenia: causes depressive symptoms, suicidality
A. reduced gray matter volume and enlarged cerebral ventricles
B. reduce symmetry and reduced limbic system
C. anatomical abnormalities of prefrontal cortex
Give this one a try later!
B. reduce symmetry and reduced limbic system
Uninterrupted period of illness during which there is a major mood episode
(depressive or manic) concurrent with Criterion A of schizophrenia (major depressive
episode must include Criterion A1: depressed mood) &
Delusions or hallucinations for 2+ weeks in the absence of a major mood episode
during the lifetime duration of the illness
A. Schizophrenia
B. Schizotypal
C. Schizophreniform
D. Schizoaffective
E. Delusional Disorder
F. MDD or Bipolar Disorder with psychotic features
Give this one a try later!
D. Schizoaffective
What concern would a female patient currently prescribed carbamazepine (Tegretol)
have with starting birth control?
,A. tegretol increases birth control levels
B. tegretol decreases birth control efficacy
C. there's nothing to worry about
D. birth control increases tegretol levels
Give this one a try later!
B. tegretol decreases birth control efficacy
What is lamotrigine (Lamictal) FDA approved for and used off label in Bipolar for?
A. maintenance treatment of bipolar
B. bipolar rapid cycling
C. bipolar depression off label
D. acute bipolar mania
Give this one a try later!
A. maintenance treatment of bipolar
C. bipolar depression off label
Hallucinations, delusions, and bizarre behavior are what type of symptoms of
schizophrenia?
A. positive
B. negative
C. cognitive
Give this one a try later!
A. positive
, What medical condition do those treated with lithium often develop?
A. hyperthyroidism
B. hypothyroidism
C. hypotension
D. hypertension
E. diabetes
Give this one a try later!
B. hypothyroidism
EPS: Parkinsonism Treatment
A. benztropine 1-2 mg 1-2x/day or consider diphenhydramine PO or IM
B. start benztropine 1-2 mg 1-2x/day with antipsychotic therapy for those at high risk
C. second-line is trihexyphenidyl 2-5 mg 1-2x/day OR diphenhydramine 50mg/day
D. propranolol 10 mg BID, can go up to 30-90 mg daily in 2-3 divided doses, or
Inderal LA
E. Benzodiazepines - lorazepam .5-1 mg BID or diazepam 10mg BID
F. if tapering and switching dont work, treat with Auestedo or Ingrezza
Give this one a try later!
B. start benztropine 1-2 mg 1-2x/day with antipsychotic therapy for those at
high risk
C. second-line is trihexyphenidyl 2-5 mg 1-2x/day OR diphenhydramine
50mg/day
Current indications for Valproic acid include
A. acute mania
B. rapid cycling
C. bipolar disorder maintenance treatment
