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A pregnant patient is taking accutane, zyprexa, and abilify.
What medication needs to be discontinued? - Answer-
Accutane
Accutane is used for acne and is contraindicated in
pregnancy as it can cause birth defects
What herbal supplement is used for anxiety, stress, and
insomnia? - Answer-Kava Kava
What is a major side effect of Kava Kava? - Answer-Liver
damage
What drugs should be avoided with Kava Kava? - Answer-
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
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What are 5 symptoms of Stephen's Johnson Syndrome
(SJS)? - Answer-Key symptoms:
-Fever
-Burning of mouth/eyes
Additional symptoms:
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain? -
Answer-Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain? - Answer-
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? - Answer-Aripiprazole
(Abilify)
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Your patient is taking Kava Kava and you need to add an
antipsychotic to manage their schizophrenia. Which
medication do you add? - Answer-Aripiprazole (least
sedating)
What are 2 hallmark symptoms of delirium? - Answer-
Acute onset
Altered LOC
impaired cognition
inattention
How are agitation and psychotic symptoms treated in
delirium? - Answer-Low-dose Haldol
Ensure you check QTc first as Haldol can cause QTc
prolongation
Your 16 year old patient complains of feeling "funny" after
inhaling Acetone (nail polish remover). What is your
action? - Answer-Obtain a UDS
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They may be abusing other substances
What 4 drugs can cause mania? - Answer-"SAID"
Steroids
Antidepressants (in bipolar disorder)
Isoniazid (INH)
Disulfiram (Antabuse)
What is the normal range for TSH? - Answer-0.5 - 5.0
mu/L
What are lab values in Hyperthyroidism - Answer-
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? - Answer-Increased
TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? -
Answer-Heat intolerance
Agitation, Anxiety, Irritability