PSYCH MEDS EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ Typical Antipsychotics. Answer: Block Dopamine, Improve
hallucinations & delusions, Do not target specific dopamine pathways
◉ Atypical Antipsychotics. Answer: Block Dopamine (less blockade)
and Serotonin, less extrapyramidal effects
◉ Typical Antipsychotic Meds. Answer: Thorazine, Haldol, Mellaril,
Trilifon, Stelazine, Prolixin, Navane
◉ Atypical Antipsychotic Meds. Answer: Risperdal, Zyprexa, Seroquel,
Clozaril, Abilify, Geodon, Invega, Fanapt, Saphris, Latuda
◉ Antipsychotic Side Effects. Answer: Extrapyramidal Side Effects,
Tardive Dyskinesia, Dystonia, Pseudo parkinsonism, Akathesia
◉ Tardive Dyskinesia/ EPS Side Effects. Answer: Preventable, may not
be reversible
, Abnormal, involuntary, irregular movements
Ranges from minimal to grossly incapacitating
Occurs during first 6 months of tx
Caused by dopamine blockade
◉ Test for Tardive Dyskinesia. Answer: Abnormal Involuntary
Movement Scale (AIMS)
◉ Dystonia. Answer: Uncontrollable and painful tightening of muscles
often involving the neck (torticollis), back, tongue, lateral eye muscles
(oculargyric crisis), laryngeal involvement can comprise the airway
◉ Pseudo Parkinsonism Side Effects. Answer: Caused by dopamine
blockade (stooped posture, muscular stiffness- cogwheel rigidity/lead
pipe rigidity, shuffling gait, drooling, tremor)
◉ Akathesia. Answer: Subjective feeling of restlessness (anxiety,
inability to relax, jitteriness, pacing, rocking motions while sitting, rapid
alteration between sitting and standing
◉ Other Antipsychotic Side Effects. Answer: Sedation, Light Sensitivity,
Cardiac QT Prolongation, Metabolic syndrome, Increases risk for CAD,
T2DM, Stroke (High blood pressure, high blood sugar, high
triglycerides, low HDL Cholesterol), Requires lab monitoring of glucose
and lipid levels, Monitor weight/waist circumference, Gynecomastia
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ Typical Antipsychotics. Answer: Block Dopamine, Improve
hallucinations & delusions, Do not target specific dopamine pathways
◉ Atypical Antipsychotics. Answer: Block Dopamine (less blockade)
and Serotonin, less extrapyramidal effects
◉ Typical Antipsychotic Meds. Answer: Thorazine, Haldol, Mellaril,
Trilifon, Stelazine, Prolixin, Navane
◉ Atypical Antipsychotic Meds. Answer: Risperdal, Zyprexa, Seroquel,
Clozaril, Abilify, Geodon, Invega, Fanapt, Saphris, Latuda
◉ Antipsychotic Side Effects. Answer: Extrapyramidal Side Effects,
Tardive Dyskinesia, Dystonia, Pseudo parkinsonism, Akathesia
◉ Tardive Dyskinesia/ EPS Side Effects. Answer: Preventable, may not
be reversible
, Abnormal, involuntary, irregular movements
Ranges from minimal to grossly incapacitating
Occurs during first 6 months of tx
Caused by dopamine blockade
◉ Test for Tardive Dyskinesia. Answer: Abnormal Involuntary
Movement Scale (AIMS)
◉ Dystonia. Answer: Uncontrollable and painful tightening of muscles
often involving the neck (torticollis), back, tongue, lateral eye muscles
(oculargyric crisis), laryngeal involvement can comprise the airway
◉ Pseudo Parkinsonism Side Effects. Answer: Caused by dopamine
blockade (stooped posture, muscular stiffness- cogwheel rigidity/lead
pipe rigidity, shuffling gait, drooling, tremor)
◉ Akathesia. Answer: Subjective feeling of restlessness (anxiety,
inability to relax, jitteriness, pacing, rocking motions while sitting, rapid
alteration between sitting and standing
◉ Other Antipsychotic Side Effects. Answer: Sedation, Light Sensitivity,
Cardiac QT Prolongation, Metabolic syndrome, Increases risk for CAD,
T2DM, Stroke (High blood pressure, high blood sugar, high
triglycerides, low HDL Cholesterol), Requires lab monitoring of glucose
and lipid levels, Monitor weight/waist circumference, Gynecomastia
