Georgette's LMR Test Exam Questions And Answers
Verified 100% Correct
Benefits of lithium? - ANSWER Gold standard for mania, neuroprotective,
and
antisuicidal
effects
S/S of lithium toxicity? - ANSWER Severe N/V, polydipsia, polyuria,
leukocytosis,
palpitations, coarse
tremor
What to do if lithium toxicity is suspected? - ANSWER D/C and check serum levels prior
to checking VS
Kidney disease and drugs that reduce renal clearance can raise lithium levels. What are
these drugs? - ANSWER NSAIDs, ace inhibitors for heart failure (-pril), and thiazides
(HCTZ)
What demonstrates understanding of education on lithium? - ANSWER Taking extra
water with patient when they go hiking
NMS s/s? - ANSWER Extreme muscle rigidity, mutism, elevated CPK (muscle
contraction and destruction), myoglobinuria (breakdown of muscle cells,
rhabdomyolysis), increased WBCs, and increased LFTs
Treatment of NMS and MOAs? - ANSWER D/C med, bromocriptine (D2 agonist), and
dantrolene (muscle relaxant)
Serotonin syndrome s/s? - ANSWER Hyperreflexia and myoclonic jerks
Serotonin syndrome causes? - ANSWER SSRIs, SNRIs, MAOIs, -triptans (for migraines
like sumatriptan/imitrex)
Treatment for serotonin syndrome? - ANSWER D/C med and administer
cyproheptadine
Wash out from SSRI to MAOI or vice-versa? - ANSWER 14 days
Wash out from Prozac to MAOI? - ANSWER 5-6 weeks
,Drug choice for patient that is depressed and also has cancer? - ANSWER Celexa or
lexapro d/t fewer drug to drug interactions
Drug choice for patient with low energy and fatigue with depression? - ANSWER
Wellbutrin
Drug choice for patient with sexual problems d/t medication or depression? - ANSWER
Wellbutrin
C/I for Wellbutrin? - ANSWER Seizure disorder or hx or present eating disorder
Drug choices for patient with chronic neuropathic pain and depression? - ANSWER 1.
SNRI (cymbalta)
2. TCA (amitriptyline)
3. Alpha 2 delta ligand (gabapentin or lyrica)
Black box warning for SSRIs in children, adolescents, and young adults? Intervention
for this? - ANSWER Increased risk of SI; always assess SI, frequency, and severity
Alcohol is a form of _______-_________ and a __________ to the treatment of
depression. - ANSWER self-medication; barrier
Prozac can cause? Intervention? - ANSWER Insomnia; take in AM
Disorder that most greatly increases thoughts of self-harm? - ANSWER Depression
Disorder that most greatly increases homicidal ideation? - ANSWER Antisocial
personality
Why is there less evidence available supporting the use of antidepressants in children?
- ANSWER Lower placebo rates
Schizophrenia age of onset in men? Women? - ANSWER 18-25; 25-35
Findings on PET scan or MRI in schizophrenia? - ANSWER INCREASED ventricle size;
DECREASED everything else
No stimulants in schizophrenia due to? - ANSWER Increased dopamine release
Tertiary prevention for schizophrenia? - ANSWER Social skills training
Why should you refer a patient with schizophrenia to exercise programs, especially
aerobic exercise? - ANSWER It improves cognition, quality of life, and long term health
, Benefits of assertive community treatment (ACT)? - ANSWER Rehab
posthospitalization, case management approach, and good for long term hx of
noncompliance
Oral haldol to IM conversion? - ANSWER 20x daily dose of oral dose
Max IM dose of haldol per visit? How long until next injection? - ANSWER 100 mg; 5-7
days
5 mg oral haldol BID = ? IM - ANSWER 200 mg
Firm belief that is maintained despite lack of evidence? - ANSWER Delusion
Example of a delusion? - ANSWER Believing church members or class members are a
cult
MSE in preschooler (3-5 yo)? - ANSWER Listen and observe; dependent on clinical
observation
Thought process? - ANSWER Organization of patients thoughts and ideas
Circumstantial speech? - ANSWER Go in circles but eventually answers
Tangential speech? - ANSWER Never gets to answer of question
Thought content? - ANSWER What themes occupy patient's mind; i.e. SI, HI, and A/VH
MMSE also known as? - ANSWER Folstein scale
Serial 7s or months backwards assesses patient's? - ANSWER Concentration,
attention, and calculation
Name 3 objects assesses? - ANSWER Registration
Name 3 objects after 5 minutes assesses? - ANSWER Recall/memory
Asking patient to name president of governor assesses? - ANSWER Fund of knowledge
If a clock drawing test is abnormal this indicates? - ANSWER Right parietal
lobe/hemisphere damage
What makes SGAs different from FGAs? - ANSWER 5HT2A = less likely to experience
EPS
SGAs that can be administered IM? - ANSWER Invega, geodon, zyprexa, and abilify
Verified 100% Correct
Benefits of lithium? - ANSWER Gold standard for mania, neuroprotective,
and
antisuicidal
effects
S/S of lithium toxicity? - ANSWER Severe N/V, polydipsia, polyuria,
leukocytosis,
palpitations, coarse
tremor
What to do if lithium toxicity is suspected? - ANSWER D/C and check serum levels prior
to checking VS
Kidney disease and drugs that reduce renal clearance can raise lithium levels. What are
these drugs? - ANSWER NSAIDs, ace inhibitors for heart failure (-pril), and thiazides
(HCTZ)
What demonstrates understanding of education on lithium? - ANSWER Taking extra
water with patient when they go hiking
NMS s/s? - ANSWER Extreme muscle rigidity, mutism, elevated CPK (muscle
contraction and destruction), myoglobinuria (breakdown of muscle cells,
rhabdomyolysis), increased WBCs, and increased LFTs
Treatment of NMS and MOAs? - ANSWER D/C med, bromocriptine (D2 agonist), and
dantrolene (muscle relaxant)
Serotonin syndrome s/s? - ANSWER Hyperreflexia and myoclonic jerks
Serotonin syndrome causes? - ANSWER SSRIs, SNRIs, MAOIs, -triptans (for migraines
like sumatriptan/imitrex)
Treatment for serotonin syndrome? - ANSWER D/C med and administer
cyproheptadine
Wash out from SSRI to MAOI or vice-versa? - ANSWER 14 days
Wash out from Prozac to MAOI? - ANSWER 5-6 weeks
,Drug choice for patient that is depressed and also has cancer? - ANSWER Celexa or
lexapro d/t fewer drug to drug interactions
Drug choice for patient with low energy and fatigue with depression? - ANSWER
Wellbutrin
Drug choice for patient with sexual problems d/t medication or depression? - ANSWER
Wellbutrin
C/I for Wellbutrin? - ANSWER Seizure disorder or hx or present eating disorder
Drug choices for patient with chronic neuropathic pain and depression? - ANSWER 1.
SNRI (cymbalta)
2. TCA (amitriptyline)
3. Alpha 2 delta ligand (gabapentin or lyrica)
Black box warning for SSRIs in children, adolescents, and young adults? Intervention
for this? - ANSWER Increased risk of SI; always assess SI, frequency, and severity
Alcohol is a form of _______-_________ and a __________ to the treatment of
depression. - ANSWER self-medication; barrier
Prozac can cause? Intervention? - ANSWER Insomnia; take in AM
Disorder that most greatly increases thoughts of self-harm? - ANSWER Depression
Disorder that most greatly increases homicidal ideation? - ANSWER Antisocial
personality
Why is there less evidence available supporting the use of antidepressants in children?
- ANSWER Lower placebo rates
Schizophrenia age of onset in men? Women? - ANSWER 18-25; 25-35
Findings on PET scan or MRI in schizophrenia? - ANSWER INCREASED ventricle size;
DECREASED everything else
No stimulants in schizophrenia due to? - ANSWER Increased dopamine release
Tertiary prevention for schizophrenia? - ANSWER Social skills training
Why should you refer a patient with schizophrenia to exercise programs, especially
aerobic exercise? - ANSWER It improves cognition, quality of life, and long term health
, Benefits of assertive community treatment (ACT)? - ANSWER Rehab
posthospitalization, case management approach, and good for long term hx of
noncompliance
Oral haldol to IM conversion? - ANSWER 20x daily dose of oral dose
Max IM dose of haldol per visit? How long until next injection? - ANSWER 100 mg; 5-7
days
5 mg oral haldol BID = ? IM - ANSWER 200 mg
Firm belief that is maintained despite lack of evidence? - ANSWER Delusion
Example of a delusion? - ANSWER Believing church members or class members are a
cult
MSE in preschooler (3-5 yo)? - ANSWER Listen and observe; dependent on clinical
observation
Thought process? - ANSWER Organization of patients thoughts and ideas
Circumstantial speech? - ANSWER Go in circles but eventually answers
Tangential speech? - ANSWER Never gets to answer of question
Thought content? - ANSWER What themes occupy patient's mind; i.e. SI, HI, and A/VH
MMSE also known as? - ANSWER Folstein scale
Serial 7s or months backwards assesses patient's? - ANSWER Concentration,
attention, and calculation
Name 3 objects assesses? - ANSWER Registration
Name 3 objects after 5 minutes assesses? - ANSWER Recall/memory
Asking patient to name president of governor assesses? - ANSWER Fund of knowledge
If a clock drawing test is abnormal this indicates? - ANSWER Right parietal
lobe/hemisphere damage
What makes SGAs different from FGAs? - ANSWER 5HT2A = less likely to experience
EPS
SGAs that can be administered IM? - ANSWER Invega, geodon, zyprexa, and abilify
