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PEBC Practice Exam| 535 Questions| With Complete Solutions
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serum level target (mmol/L) for Lithium in Adults and Elderly correct answer: 1-1.2, 0.5-0.8 Which 2 parameters should be monitored at least Q6months for patients taking Lithium? correct answer: thyroid, renal which drug used for bipolar requires the patient to have a stable salt and caffei...

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  • June 6, 2023
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PEBC Practice Exam| 535 Questions|
With Complete Solutions
serum level target (mmol/L) for Lithium in Adults and Elderly
correct answer: 1-1.2, 0.5-0.8

Which 2 parameters should be monitored at least Q6months for
patients taking Lithium? correct answer: thyroid, renal

which drug used for bipolar requires the patient to have a stable
salt and caffeine intake? correct answer: lithium

carbamazepine effect on CYP enzymes (induce/inhibit) correct
answer: induce

psychosis due to _________ dementia is worsened by use of
antipsychotics correct answer: Lewy body

which acetycholinesterase inhibitor showed slight benefit for
Lewy body dementia and Parkinson's diease dementia? correct
answer: rivastigmine

SSRI's can cause (hyper/hypo)natremia correct answer: hypo

____________ sensitivity is seen with Lewy body dementia,
characterized by rigidity, autonomic dysregulation, and
cognitive deterioration correct answer: antipsychotic

symptoms of major depressive episode must last for at least
__________ (length of time) correct answer: 2 weeks

,depressed mood for most of the day, for most days, for at least 2
years with at least 2 other symptoms = what kind of psychiatric
disorder? correct answer: persistent depressive disorder
(dysthymia)

based on the best available evidence, which 2 antidepressants
have the best efficacy and safety profile? correct answer:
escitalopram, sertraline

according to CANMAT guidelines, trazodone is considered
_________ line therapy for depression correct answer: second

3 common contraindications to bupropion are: correct answer:
seizures, anorexia, head trauma

compared to SSRI's, bupropion and mirtazapine has fewer
_____ and ____ side effects correct answer: sexual, GI

at dose of __________, venlafaxine also inhibits norepinephrine
reuptake correct answer: >150 mg

high doses of which class of antidepressants can cause
hypertension? correct answer: SNRI

phenelzine and tranylcypromine are classified as what class of
drug? correct answer: irreversible MAOI inhibitor

moclobemide is classified as what class of drug? correct answer:
reversible MAOI inhibitor

,switching from irreversible MAOI inhibitors to another agent
requires a washout period of _______ (lenght of time) correct
answer: 2 weeks

switching from reversible MAOI inhibiotrs to another agent
requires a washout period of ______ (length of time) correct
answer: 5 days

T/F: electroconvulsive therapy is 80-90% effective for
depression correct answer: T

which 2 SSRI's are preferred for breastfeeding? correct answer:
paroxetine, sertraline

which prokinetic agent has lower incidence of EPS correct
answer: domperidone

zinc gluconate is used for correct answer: anorexia nervosa

which antidepressant has the most evidence for bulimia nervosa
correct answer: fluoxetine

the diagnosis of insomnia = sleep disturbance for at least ____
nights per week for at least ____months correct answer: 3,3

which BZD must be taken at least 1 hour before bed for
hypnosis due to slow absorption correct answer: oxazepam

preferred hypnotic in pregnancy correct answer: zopiclone

, besides CBT, what are 2 first line options for OCD correct
answer: SSRI,SNRI

definition of schizophrenia = illness for ___ months and
psychotic symptoms for ____ months correct answer: 6,1

which 2 antipsychotics should be titrated rapidly to target dose
correct answer: ziprasidone, quetiapine XR

T/F: risk of relapse over 5 years after first episode psychosis is
70-90% correct answer: T

long acting injectables are (more/less/equal) effective than oral
antipsychotics correct answer: equal

when discontinuing antipsychotics, decrease dose by _____% or
less over _________ weeks correct answer: 20, 2-4

compared to the general population, schizophrenics have ____%
shorter life expectancy correct answer: 20

smoking induces metabolism of which 2 antipsychotics correct
answer: clozapine, olanzapine

muscle rigidity, fever, autonomic disturbance, labile BP,
fluctuating LOC, increased CK and WBC = ______ correct
answer: neuroleptic malignant syndrome

which 2 antipsychotics need to be taken with food correct
answer: lurasidone, ziprasidone

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