Age range?
18 yo to 40 yo
Which one of the following anticonvulsant agents is known to cause hirsutism, facial changes, and hypertrophy of the gingiva?
Phenytoin
A patient with metastatic carcinoma of the lung presents with generalized muscle weakness and is found to have improved muscle strength with minimal exercise. Most likely diagnosis?
Lambert-Eaton myasthenic syndrome
True or false. Giving meperidine with an MAOI is contraindicated.
True.
Which antipsychotic medication is a partial agonist at the dopamine D2 receptor?
Aripiprazole
Stage 8: Integrity vs. Despair
Age range?
65 yo to death
Which one of the following is safe to combine with MAOIs?
A. Meperidine, B. Lithium, C. Levodopa, D. SSRIs, E. Spinal anesthetic containing epinephrine
Lithium
Homozygosity of [Fill in blank] predispose patients to Alzheimer-type dementia?
Apolipoprotein E4
Which one of the following is not a contraindication to bupropion?
A. Seizure, B. Anorexia, C. Use of an MAOI in the past 14 days, D. Head trauma, E. Hypertension
E. Hypertension
Which one of the following antidepressants does not have strong sedative effects? A. Trazodone, B. Paroxetine, C. Doxepin, D. Clomipramine, E. Mirtazapine
B. Paroxetine
Stage 3: Initiative vs. Guilt
Age range?
3 yo to 5 yo
48 yo women presents with complaints of lancinating, brief, sharp pain to the left side of her face. The pain is short-lived and recurrent. Triggered by cold air touching her face. Best choice for pharmacologic treatment?
Carbamazepine
Down's syndrome is associated with defects in chromosome 21. This is a feature also shared by... which disease?
Alzheimer's disease
True or False.
Methylphenidate will decrease TCA levels.
False
Sumatriptan (Imitrex) is contraindicated in patient with which one?
A. Ischemic heart disease, B. Kidney disease, C. Obstructive pulmonary disease, D. Inflammatory bowel disease, E. Carcinoma
A. Ischemic heart disease
Stage 2: Autonomy vs. Shame and Doubt
Age range?
18 months to 3 yo
Which one of the following anticonvulsant agents needs rapid dosage increases early in therapy owing to autoinduction of its own metabolism?
Carbamazepine
A young women presents to the ED with hx of intractable seizures and intellectual disability. You discover she has sever acne, skin depigmentation on her back, and blotchy patches on her retinal surface on funduscopic exam. Most likely diagnosis?
Which one of the following is a selective inhibitor of monoamine oxidase type B when given at lower doses? A. Moclobemide, B. Phenelzine, C. Tranylcypromine, D. Selegiline, E. Befloxatone
D. Selegiline
Diazepam
Stage 5: Identity vs. Role Confusion
Age range?
12 yo to 18 yo
16 yo male suffered a manic episode and was treated appropriately. After starting treatment, patient complains of worsening acne. What drug was he started on?
Lithium
What is the best test for diagnosing Huntington's disease?
Serum polymerase chain reaction (PCR)
Which one of the following inhibits norepinephrine reuptake? A. Haloperidol, B. Ziprasidone, C. Chlorpromazine, D. Olanzapine, E. Aripiprazole
B. Ziprasidone
75 yo women is referred to your practice by an internist for depression and recently recovered from a heart attack. Which antidepressants would be the best choice for this patient?
Sertraline