Psychopharm
Sleep
Child/Geri
Addiction
OTC
100

A 9-year-old child with ADHD does not respond to methylphenidate.  This medication should be tried next.

Amphetamine/ Dextroamphetamine

100

This neurotransmitter is a precursor for melatonin

Serotonin 

100

Instead of sadness, teens with depression may present with this mood state

Irritable

100

This monthly long-acting medication can be used in the treatment of alcohol use disorder

Vivitrol (naltrexone ER)

100

This OTC supplement is used to target symptoms of trichotillomania.  

N-acetylcysteine (NAC)

200

Memantine exerts its cognitive preservation effects through this mechanism.  

NMDA receptor antagonism 

200

A patient presenting with elevated BMI and complaints of excessive daytime sleepiness, morning headache, and nighttime sweating most likely has this disorder.  

Obstructive Sleep Apnea (OSA)

200

The goal of this stage of Erikson's psychosocial development is the ability to reflect on one's life with a sense of accomplishment and fulfillment 

Integrity vs. Despair 

200

This substance is associated with the highest rate of conversion to schizophrenia or bipolar disorder.

Cannabis 

200

Taken prior to conception, this OTC may reduce the risk of major congenital malformations in women taking anti epileptic medications.

Folic Acid

300

This antipsychotic carries the lowest risk of QT prolongation.

Aripiprazole 

300

A multiple sleep latency test is used to diagnose this disorder.

Narcolepsy or Idiopathic Hypersomnia

300

In this stage of Piaget’s theory of cognitive development, children first understand the concept of conservation of volume.

Concrete Operational

300

Cigarette smoking induces the metabolism of this atypical antipsychotic.

Clozapine (or Olanzapine)

300

Co-prescription of this class of analgesics is likely to cause a clinically significant rise in lithium levels.

NSAIDs

400

This is the mechanism of action of valbenazine, a medication used to treat tardive dyskinesia.

Vesicular Monoamine Transporter 2 (VMAT-2) inhibition

400

Narcolepsy is believed to be caused by a deficiency of this substance.

Hypocretin

400

This hormone surge signals the onset of pubertal development.

 

Gonadotropin-releasing hormone

400

Most substances of abuse activate this dopaminergic pathway, leading to addictive behavior.

Mesolimbic

400

A patient with a history of alcohol use disorder presenting with ataxia, nystagmus, and confusion is likely deficient in this vitamin.

Thiamine (B1)

500

In the CATIE study, this antipsychotic was considered most effective due to its low rate of discontinuation and high reduction in psychopathology.

Olanzapine 

500

A teen presents with episodes of hypersomnolence, binge eating, hypersexuality, hallucinations and episodes of amnesia. This is the most likely diagnosis.

Kleine-Levin Syndrome

500

An elderly patient with memory impairment and gait disturbance is seen in clinic. After a large-volume lumber puncture, their gait is noted to improve. This is the most likely diagnosis.

Normal Pressure Hydrocephalus 

500

Activation of this receptor is thought to be responsible for the anti-anxiety and sedative hypnotic effects of alcohol.

GABA-A

500

A 72-year-old patient's examination is remarkable for profound sensory ataxia with loss of vibratory sensation and cognitive issues described as irritability fluctuating with somnolence. This is the most likely nutritional deficiency associated with these findings.

Cobalamin (B12)

M
e
n
u