N220 - Week 13 UPDATED ACTUAL Exam
Questions and CORRECT Answers
What defines bipolar disorder? - CORRECT ANSWER - 1. Cycles between depression
(sadness, hopelessness)
2. Mania (elevated mood, impulsivity)
3. Impairs work/relationships
What are key non-pharmacologic strategies for bipolar? - CORRECT ANSWER - 1. Sleep
hygiene (regular schedule)
2. Stress reduction (mindfulness, therapy)
3. Nutrition (balanced meals)
4. Support groups (peer connection)
5. ECT (for severe/resistant cases)
What are some common triggers to avoid for bipolar? - CORRECT ANSWER - 1. Sleep
deprivation
2. High stress
3. Substance use
Why is pharmacotherapy complex for bipolar? - CORRECT ANSWER - 1. Highly
individualized (mood stabilizers, antipsychotics, etc.)
, 2. Nonadherence common (due to side effects/denial of illness)
Which drugs increase lithium toxicity risk for bipolar? - CORRECT ANSWER - 1.
*Diuretics* (especially thiazides like HCTZ) → ↑ lithium levels
2. *NSAIDs* (e.g., ibuprofen) → ↓ lithium excretion
What psychiatric combo is dangerous when used with lithium? - CORRECT ANSWER -
*Haloperidol* → ↑ risk of neurotoxicity (confusion, tremors).
What drugs worsen lithium's thyroid effects? - CORRECT ANSWER - Antithyroid
drugs/iodine → ↑ hypothyroidism risk.
Which antidepressants are risky with lithium? - CORRECT ANSWER -
SSRIs/MAOIs/dextromethorphan → ↑ serotonin syndrome risk.
How frequently should lithium levels be checked? - CORRECT ANSWER - 1. Q1-3 days
initially (until stable)
2. Q2-3 months thereafter (maintenance)
What baseline tests are required when taking lithium? - CORRECT ANSWER - 1. Thyroid
function (TSH)
2. Renal function (creatinine, eGFR)
3. Electrolytes (Na+, K+)
4. ECG (if cardiac history)
Questions and CORRECT Answers
What defines bipolar disorder? - CORRECT ANSWER - 1. Cycles between depression
(sadness, hopelessness)
2. Mania (elevated mood, impulsivity)
3. Impairs work/relationships
What are key non-pharmacologic strategies for bipolar? - CORRECT ANSWER - 1. Sleep
hygiene (regular schedule)
2. Stress reduction (mindfulness, therapy)
3. Nutrition (balanced meals)
4. Support groups (peer connection)
5. ECT (for severe/resistant cases)
What are some common triggers to avoid for bipolar? - CORRECT ANSWER - 1. Sleep
deprivation
2. High stress
3. Substance use
Why is pharmacotherapy complex for bipolar? - CORRECT ANSWER - 1. Highly
individualized (mood stabilizers, antipsychotics, etc.)
, 2. Nonadherence common (due to side effects/denial of illness)
Which drugs increase lithium toxicity risk for bipolar? - CORRECT ANSWER - 1.
*Diuretics* (especially thiazides like HCTZ) → ↑ lithium levels
2. *NSAIDs* (e.g., ibuprofen) → ↓ lithium excretion
What psychiatric combo is dangerous when used with lithium? - CORRECT ANSWER -
*Haloperidol* → ↑ risk of neurotoxicity (confusion, tremors).
What drugs worsen lithium's thyroid effects? - CORRECT ANSWER - Antithyroid
drugs/iodine → ↑ hypothyroidism risk.
Which antidepressants are risky with lithium? - CORRECT ANSWER -
SSRIs/MAOIs/dextromethorphan → ↑ serotonin syndrome risk.
How frequently should lithium levels be checked? - CORRECT ANSWER - 1. Q1-3 days
initially (until stable)
2. Q2-3 months thereafter (maintenance)
What baseline tests are required when taking lithium? - CORRECT ANSWER - 1. Thyroid
function (TSH)
2. Renal function (creatinine, eGFR)
3. Electrolytes (Na+, K+)
4. ECG (if cardiac history)
