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LMR - Georgette's Test Bank | Questions QBank With All Correct & Verified Answers
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LMR - Georgette's Test Bank | Questions QBank With All Correct & Verified Answers
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LMR - Georgette's Test Bank | Questions QBank With All Correct & Verified AnswersWhat drugs should be avoided with Kava Kava? Correct Ans - Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3 functions? Correct Ans - Clarify meaning of illness Empower the patient
Validate symptoms within cultural context
What does a cultural formulation interview do? Correct Ans - cultural assessment
What is the normal range for TSH? Correct Ans - 0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism Correct Ans - Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? Correct Ans - Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? Correct Ans - Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism? Correct Ans - Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? Correct Ans - Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? Correct Ans - Mania
Valproic acid produces what teratogenic effect? Correct Ans - Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic? Correct Ans - Liver (hepatoxicity) What are 4 signs of hepatoxicity? Correct Ans - Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera, and Fatigue are signs of Correct Ans - Hepatoxicity
What is the therapeutic range for valproic acid? Correct Ans - 50-125 mcg/ml
What is a toxic level of valproic acid? Correct Ans - >150 mcg/ml
What are 4 signs of valproic acid toxicity? Correct Ans - Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are symptoms of toxicity with what drug? Correct Ans - Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn? Correct Ans - DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava? Correct Ans - Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? Correct Ans - Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? Correct Ans - Fever
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling are symptoms of Correct Ans - Stephen's Johnson Syndrome
Which mood stabilizer causes the least weight gain? Correct Ans - Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain? Correct Ans - Lurasidone (Latuda)
Aripiprazole (Abilify) Ziprasidone (Geodon)
Which SGA is the least sedating? Correct Ans - Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? Correct Ans - Acute disturbance of LOC
impaired cognition
inattention
Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of Correct Ans - Delirium
How are agitation and psychotic symptoms treated in delirium? Correct Ans - Low dose Haldol
What 4 drugs can cause mania? Correct Ans - Steroids
Disulfiram (Antabuse)
Isoniazid (INH)
Antidepressants (in BPD)
Steroids, Disulfiram (Antabuse), and Isoniazid (INH) can induce Correct Ans - Mania
What 6 drugs can induce depression? Correct Ans - Steroids
Beta blockers
Interferon, Isotretinoin (Accutane)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Progesterone
Steroids can induce what 3 psychiatric states? Correct Ans - Mania
Depression
Psychosis
What medication to treat acne cause cause birth defects? Correct Ans - Isotretinoin (Accutane)
What is the therapeutic range for lithium? Correct Ans - 0.6-1.2 mEq/L
What medication has a neuroprotective effect for bipolar disorder? Correct Ans - Lithium
What is the gold standard for treating manic episodes Correct Ans - Lithium
What mood stabilizer has anti-suicidal effects? Correct Ans - Lithium
What 5 labs should be drawn with lithium? Correct Ans - Thyroid panel (TSH) Serum creatinine
BUN
Urinalysis
HCG
What is a normal SCr range? Correct Ans - 0.6-1.2 mg/dL
What is the normal range for BUN? Correct Ans - 10-20 mg/dL
When should you suspect kidney disease with a urinalysis? Correct Ans - 4+ protein
4+ protein in the kidney suggests Correct Ans - Kidney disease
What are 7 side effects of lithium? Correct Ans - Hypothyroidism
Fine hand tremors
Maculopapular rash
GI upset (N/V/D, cramps, anorexia)
Polyuria, polydipsia, diabetes insipidus
T-wave inversions
Leucocytosis
What are 7 signs of lithium toxicity? Correct Ans - Severe nausea, vomiting, diarrhea
Confusion
Drowsiness
Muscle weakness
Heart palpitations
Coarse hand tremor
Unsteadiness while standing or walking
Which 3 drugs can increase lithium levels by decreasing renal clearance? Correct Ans - NSAIDs (ibuprofen, indomethacin)
Thiazides
ACEI
What is a toxic level of lithium? Correct Ans - 1.5 mEq/L or higher
At what level do you monitor lithium closely (but not discontinue)? Correct Ans - 1.3 mEq/L or higher
With suspected lithium toxicity, what do you do first? Correct Ans - Lithium level (not VS)
What is the appropriate action if lithium level is 1.5 mEq/L? Correct Ans - DC lithium
Check lithium level
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