QUESTIONS WITH ACCURATE SOLUTIONS
GRADED A+
●● 2C19.
Answer: Citalopram is metabolized throught which CYT P450 enzyme?
●● 2D6, metabolizes TCAs.
Answer: Fluoxetine, fluvoxamine and paroxetine as well as bupropion
are metabolized through which CYT P450 enzyme?
●● 3A4.
Answer: Sertraline is metabolized through which CYT P450 enzyme?
●● Distractibility, Increased goal-directed activity, Grandiosity, Flight of
ideas (racing thoughts), Activities with a potential for consequences,
Sleep decreased, Talkativeness.
Answer: What does DIGFAST stand for when you describe symptoms of
mania or hypomania?
●● Count all mood episodes (depressed, hypomanic, manic); 4 mood
episodes per year, more common in women..
Answer: What is the definition of rapid cycling?
,●● VPA (valproic acid) better than lithium.
Answer: Which traditional mood stabilizer does rapid cycling respond
best to?
●● Sleep disturbance, Interest decreased, Guilt, Energy loss (fatigue),
Concentration decreased, Appetite changes, Psychomotor changes,
Suicidal ideation.
Answer: What does SIGECAPS stand for in depression?
●● Kleine-Levin Syndrome.
Answer: What is referred to as "sleeping beauty syndrome?" It is rare,
more common in adolescent males and causes extreme
hypersomnolence, hyperphagia, hypersexuality and may have a viral
correlation. It may also be secondary to bipolar disorder; lithium helps
decrease the frequency and intensity of symptoms.
●● Lithium and Clozaril.
Answer: What 2 medications decrease the risk of suicide?
●● Quetiapine (Seroquel), ludisarone (Latuda) and Symbiax.
Answer: What 3 meds are FDA approved for bipolar depression?
, ●● AROLL, Aripiprazole, Risperdal Consta, Olanzepine, Lithium,
Lamictal.
Answer: What meds are indicated for bipolar maintenence? (remember
pneumonic)
●● Amilioride.
Answer: How do you treat diabetes insipidus caused by lithium?
●● PCOS, hepatotoxicity, thrombocytopenia, hemorrhagic pancreatitis..
Answer: What are 4 serious side effects of VPA?
●● Toxic epidermal necrolysis.
Answer: What is the black box warning for CBZ?
●● 6 months.
Answer: How long must symptoms be present to diagnose an individual
with generalized anxiety disorder?
●● 50 - 70%.
Answer: What percentages of persons with borderline personality
disorder (BPD) are estimated to have been victims of sexual and
physical abuse?