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MH701 Safety Exam Review Test with Questions Solved 100% Correc
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MH701 Safety Exam Review Test withQuestions Solved 100% Correct
Substance to avoid when taking MAOIs and why? - Answer Tyramine and hypertensive
crisis-Hardly seen in practice and used for last resort. Causes very high pressure.
Tyramine items such as hotdogs, processed meat, sausage, pepperoni, chocolate,
avocodoes, guac, raisins, bananas, yeasts, swiss cheese, blue cheese, wine, beer,
alcohol, aged cheese.
What SSRI has a shorter half-life and most often need to be weened to prevent issues
with discontinuation? - Answer Paroxetine of Paxil-Pt. needs to be monitored due to
days they will feel great or a low drop in their mood because of the half-life. Have a hard
time discontinuing, have more anxiety, dizzy feeling. Paxil causes weight gain and sexual
S/E.
What class of antidepressants is more lethal in an overdose? - Answer TCAs-MOre
lethal, SSRIs are safer. TCAs conducton of heart issues such as EKG changes and
more drying.
What is a patient likely to exhibit if they suddenly stop taking Venlafaxine (Effexor)? -
Answer Discontinuation Syndrome-A rebound effect, feel worse than before starting the
drug. Dizziness, blurry, nausea, cloudy feeling. Can feel a difference in 2-3 days. Educate
, patient on this if they are non-compliant. Must slowly ween off medication, so they
do not have the effects.
SSRI that can often interact with many OTC and prescription drugs? - Answer
Fluvoxamine-Interacts with OTC cold medications ie. sudafed, decongestat.
Educate patients on the possible risks involved.
What antidepressant is contraindicated with seizure disorders, anorexia, and bulemia? -
Answer Buproprion (Wellbutrin)-Do not want to overstimulate the brain, causing a
seizure; with eating disorders electrolytes are out of balance and predisposed to having
a seizure. This med actually helps to DECREASE appetite.
First-line treatment for depression and anxiety? - Answer SSRIs-More tolerable and
lower risks of S/E. Headache and N/V are common for the first 5 days of taking med.
Potentially life-threatening syndrome that is precipitated by the use of serotonergic
drugs? - Answer Serotonin Syndrome-Test reflexes-hyperreflexia early symptom is
very loose stool/diarrhea. Stp med see if symptom resolves. Will see fever, blood
pressure issues, diarrhea, shaking. Mindful of dosage when taking 2 x SSRIs and with
taking Tramadol.
Which of the following OTCs should avoided with concurrently taking a SSRI
medication? - Answer St. Johns Wort or SAMe
Why is there a black box warning on antidepressants about suicide in child and
adolescents? - Answer Brain is not fully developed until 25 years, uncertain
brain reactions. Does NOT cause suicidal thoughts.
Short acting Benzos often used in elderly with dementia or PRN use? - Answer
Lorazepam (Ativan)-More tolerable in the elderly, less fall risk. Clonazepam
and Diazepam are LONG acting.
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