You have a patient that has rapid cycling bipolar disorder. Which
combination that should not be given together? - ANS ✓carbamazepine
lurasidone, valproate and quetiapine
What medication is safe to take with MAOI - ANS ✓Lithium
What are the two factors that are most useful for determining if a
presenting depressive episode is unipolar or bipolar? - ANS ✓family history,
input from someone close
The only atypical approved for bipolar depression - ANS ✓quetiapine
A 28 yr old woman presents with depression. She has been treated with
manic episode before however is not taking medication. Whhat meds work
the best to tx bipolar depression? - ANS ✓Lamictal
Does clozapine increase TCA A levels? - ANS ✓true
Cigarette smoking decrease TCA levels - ANS ✓false
How many half-lives do you have to wait before you can initiate MAOI
inhibitor medication - ANS ✓5 half lives
Which antidepressant and drug class has a higher incident of gaining
weight out of all the Antidepressants - ANS ✓paxil: SSRI
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Which medication can cause hypothyroidism? - ANS ✓Lithium
Patient comes into the office for smoking cessation education also has a
seizure disorder. Which of the following medications WOULD NOT be
appropriate - ANS ✓Wellbutrin
Wellbutrin is contraindicated in clients with what disorders? - ANS ✓eating
disorders
What is the proposed theory when pt starts taking Prozac and w/in a day or
two is feeling more energized and feels their cognition and attention have
significantly increased. - ANS ✓antagonism of 5HT2C increasing
neurotransmission of norepinephrine and dopamine
You have a pt that is bipolar and has been stabilized on lithium and is now a
long-distance runner and works construction. Informs you he is running 30
mins 5x a week. Which lab would be indicated? - ANS ✓renal, sodium,
lithium, electrolyte labs
MOA of carbamazepine? What does it do to sodium channels, GABA and
AMPA. What does it do to neurotransmitters) - ANS ✓blockage of sodium
dependent voltage channels
SSRI or SNRI which medication is more prone to hypertension - ANS ✓SNRI
26 year old patient has been diagnosed with BPD valproate has been
selected for her treatment what tests do you expect to order? What are you
monitoring for? - ANS ✓urine pregnancy test, neural tube defects
What portion of the brain is involved with feelings of worthlessness and
suicidal ideation? - ANS ✓amygdala
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