LMR - Georgette's / Complete Study Guide / Actual
Exam Questions and Correct Answers (Verified,
Detailed Answers) A Grade.
When questions ask for a priority action...think about... - (ANSWER)ABC, airway
breathing, circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose: - (ANSWER)the
umbrella answer
What is the most common side effect of olanzapine/zyprexa -
(ANSWER)metabolic syndrome
what is the difference between typical and atypical antipsychotics -
(ANSWER)Atypical 5HT2A specific
1st psychotic break... two actions to take - (ANSWER)UDS and r/o sub
Consider IM Geodon or Invega
Three AP with least weight gain - (ANSWER)Latuda, Abilify, Geodon
Always encourage interprofessional collaboration - (ANSWER)between
therapists/pcps/SW/RN, the ENTIRE team
,TSH High, then....t3/t4 - (ANSWER)T3, T4 low
TSH low, then...t3/t4 - (ANSWER)T3, T4 high
cold/hot sensitivity with t3/t4 relationship - (ANSWER)T3/T4 low, hypothyroid,
cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy
What birth defect can be caused by depakote? - (ANSWER)Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see?
labs to run? - (ANSWER)Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat - (ANSWER)anxiety and insomnia
Rash and fever associated with tegretol, suspect - (ANSWER)
What allele is HLAB 1502 associated? - (ANSWER)Asians. They CANNOT have
tegretol. Test all asians for this allele.
what rare and dangerous side effects are associated with tegretol -
(ANSWER)Aplastic anemia
,Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis - (ANSWER)unusual bleeding or bruising, mouth sores,
infections, fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why? - (ANSWER)HCG--
risk of ebstein anomaly
adverse s/e of lamictal/lamotrigine - (ANSWER)SJS
labs to checke BEFORE starting on lithium - (ANSWER)BUN
CRE
urine protein
What does protein in urine indicate - (ANSWER)kidney impairment; 4+ protein in
urine=you cannot start on lithium
best choice med for decreasing si in bipolar disorder. - (ANSWER)lithium
best choice med for si in schizophrenia - (ANSWER)clozaril
best choice med for SI in borderline - (ANSWER)lithium
, What medications will INCREASE Li levels - (ANSWER)NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels -
(ANSWER)dehydration
hyponatremia
lithium s/e inc N/V, which will effect electrolytes, and dehydration status
what type of tremors will you see with lithium toxicity? - (ANSWER)course
tremors
lithium can cause what other comorbidities? - (ANSWER)hypothyroidism
maculopapular rash
leukocytosis
twave inversion
what is a defining characteristic of NMS vs SS - (ANSWER)muscle rigidity
Sx's/labs associated with NMS - (ANSWER)Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
Exam Questions and Correct Answers (Verified,
Detailed Answers) A Grade.
When questions ask for a priority action...think about... - (ANSWER)ABC, airway
breathing, circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose: - (ANSWER)the
umbrella answer
What is the most common side effect of olanzapine/zyprexa -
(ANSWER)metabolic syndrome
what is the difference between typical and atypical antipsychotics -
(ANSWER)Atypical 5HT2A specific
1st psychotic break... two actions to take - (ANSWER)UDS and r/o sub
Consider IM Geodon or Invega
Three AP with least weight gain - (ANSWER)Latuda, Abilify, Geodon
Always encourage interprofessional collaboration - (ANSWER)between
therapists/pcps/SW/RN, the ENTIRE team
,TSH High, then....t3/t4 - (ANSWER)T3, T4 low
TSH low, then...t3/t4 - (ANSWER)T3, T4 high
cold/hot sensitivity with t3/t4 relationship - (ANSWER)T3/T4 low, hypothyroid,
cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy
What birth defect can be caused by depakote? - (ANSWER)Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see?
labs to run? - (ANSWER)Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat - (ANSWER)anxiety and insomnia
Rash and fever associated with tegretol, suspect - (ANSWER)
What allele is HLAB 1502 associated? - (ANSWER)Asians. They CANNOT have
tegretol. Test all asians for this allele.
what rare and dangerous side effects are associated with tegretol -
(ANSWER)Aplastic anemia
,Agranulocytosis-DC at ANC less than 1000
Sx's of agranulocytosis - (ANSWER)unusual bleeding or bruising, mouth sores,
infections, fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why? - (ANSWER)HCG--
risk of ebstein anomaly
adverse s/e of lamictal/lamotrigine - (ANSWER)SJS
labs to checke BEFORE starting on lithium - (ANSWER)BUN
CRE
urine protein
What does protein in urine indicate - (ANSWER)kidney impairment; 4+ protein in
urine=you cannot start on lithium
best choice med for decreasing si in bipolar disorder. - (ANSWER)lithium
best choice med for si in schizophrenia - (ANSWER)clozaril
best choice med for SI in borderline - (ANSWER)lithium
, What medications will INCREASE Li levels - (ANSWER)NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels -
(ANSWER)dehydration
hyponatremia
lithium s/e inc N/V, which will effect electrolytes, and dehydration status
what type of tremors will you see with lithium toxicity? - (ANSWER)course
tremors
lithium can cause what other comorbidities? - (ANSWER)hypothyroidism
maculopapular rash
leukocytosis
twave inversion
what is a defining characteristic of NMS vs SS - (ANSWER)muscle rigidity
Sx's/labs associated with NMS - (ANSWER)Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
