Anxiety
Depression
Psychosis
Mood disorders
Reactions
100

What neurotransmitter do benzodiazepines act on to produce a calming effect.  

GABA

100

This is the group of antidepressants tha is likely to have fewer side effects.    

What is SSRI

100

What neurological transmitter do first generation antipsychotics target?  

what is Dopamine. Schizophrenia too much dopamine, Parkinson's too little dopamine. 

100

Lithium levels should be in a therapeutic range to perform best.  List the therapeutic range. 

What is 0.6-1.2   

A safe blood level of lithium is 0.6 and 1.2 milliequivalents per liter (mEq/L). Lithium toxicity can happen when this level reaches 1.5 mEq/L or higher. Severe lithium toxicity happens at a level of 2.0 mEq/L and above, which can be life-threatening in rare cases. Levels of 3.0 mEq/L and higher are considered a medical emergency.  

100

Rare but potentially life-threatening reaction to the use of almost any of a group Commonly prescribed neuroleptics include thioridazine, haloperidol, chlorpromazine, fluphenazine and perphenazine. 

What is Neuroleptic Malignant Syndrome

 (Symptoms of neuroleptic malignant syndrome usually include very high fever, irregular pulse, accelerated heartbeat, increased rate of respiration, muscle rigidity, altered mental status, autonomic nervous system dysfunction resulting in high or low blood pressure. 

 

200

Name a quick acting hypnotic (sleep aid) that should be taken at bedtime and you should allow at least 8 hours of sleep for. 

what is Zolpidem (ambien) 

200

This Norepinephrine Dopamine Re-Uptake Inhibitor is contraindicated in patient who have a history of seizures    

What is Bupropion (Wellbutrin)

200

What second generation antipsychotic is closely monitored because it can suppress bone marrow resulting agranulocytosis.    

What is clozapine.  Labs needs to be done before next refill.  National registry.  

200

Does someone who is diagnosed with bipolar disorder be on an antidepressant alone. 

what is no.  An antidepressant alone can cause a manic episode.  Bipolar disorder is the most difficult to diagnose. 

200

When Muscles involuntarily contract and contort which can lead to painful positions or movements. Although not life threatening is very frightening to the patient.

what is dystonia. 

Unintentional sustained muscle contractions leading to abnormal postures. 

300

Anxiety has many subtypes, can you name a few 

what are, GAD, Social anxiety, panic disorder, phobias, OCD, hoarding.  

300

This Serotonin-Norepinephrine Re-uptake Inhibitors not only treats depression but also Diabetic Peripheral Neuropathy, Fibromyalgia, Chronic Musculoskeletal Pain  

What is Duloxetine (Cymbalta)

300

I am a second-generation antipsychotic that has the highest risk for EPS and has been noted with male breast development.  

What is Risperidone

300

Name two mood stabilizers

what are carbamazepine (tegretal), oxcarbazepine (trileptal), lamictal, lithium.

300

Medication used to treat EPS.  

what is Benztropine (Cogentin)

They include movement dysfunction such as dystonia, akathisia, parkinsonism characteristic symptoms such as rigidity, bradykinesia, tremor, and tardive dyskinesia.

400

Benzodiazepines are used to treat anxiety and two medical emergencies. What are they?  

alcohol withdrawal and seizures

400

Side Effects: Dry mouth, constipation, urinary retention, blurred vision, hypotension, cardiac toxicity, sedation are possible when you take what type of antidepressants

What is Tricyclic Antidepressants (amitriptyline,  doxepin, imipramine)

400

First and second-generation antipsychotic can cause what side effect that can increase the fall risk in elderly patients.  

What is Orthostatic Hypotension

400

Name two categories of mood disorders. 

what are depression and bipolar disorder

400

This emergency can happen when someone is taking medications to treat depression in particular if prescribed more than one of these medications, when the medication is started or when there is a dose increased and without prompt response can be fatal.

what is Serotonin Syndrome 

A condition resulting from accumulation of high levels of serotonin in the body. Serotonin is a chemical which plays a role in overall wellbeing and especially a mood stabilizer.

Symptoms of serotonin syndrome are noted within several hours of taking a new medication or increasing the dose of an ongoing medication that can interfere with serotonin. Symptoms can be mild to severe depending on the amount of serotonin in the body.

  • Shivering
  • Diarrhea
  • Irritability and/or restlessness
  • Confusion
  • Increased heart rate
  • High blood pressure
  • Dilated pupils
  • Loss of muscle coordination or twitching muscles
  • Muscle rigidity
  • Excessive sweating
  • Headache
  • Shivering/tremors
  • Goose bumps
  • Hallucinations
  • Overactive reflexes


Severe serotonin syndrome presents as:

  • Unresponsiveness
  • High fever
  • Seizures
  • Irregular heartbeats
  • Unconsciousness
  • Coma

 

500

What medication reduces anxiety without a strong sedative effect?  

Buspirone

500

I take the prescribed medication in the MAOI drug class, I am out celebrating my promotion and am enjoying some oysters and red wine. what might happen to me as a result of this combination.

What is Hypertensive Crisis. Also this class of meds should have a 2 week wash out period before starting other antidepressants. 

500

I am a second-generation antipsychotic that poses a Low risk for EPS or prolactin elevation but has been over prescribed for sleep when other options are available.  

What is Quetiapine (Seroquel)

500

Name two mental health illness categories that are in the DSM. 

what are, depression, anxiety, psychotic disorder and eating disorders, substance abuse, personality disorders.

500

What supplement when mixed with a serotonergic antidepressant can result in a serious life-threatening condition.  

St. John's Wort

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