Anxiety
Migraines
Bipolar Disorder
Depression
ADHD
100

Two categories of medicines most effective for both panic disorder and GAD

What are SNRI's and SSRI's?

100

Medications used to treat episodic migraines

What are Abortive therapies?

- triptans, ergotamine, TCAs, NSAIDs

- CGRP (Ubrogepant)

100

 First-line mood stabilizer for bipolar disorder

What is Lithium?

100

SSRI least likely to cause weight gain

  • What is Fluoxetine (Prozac)?

  • Prozac is the SSRIs that is the leastlikely to cause weight gain. SNRIs andWellbutrin are less likely to cause weightgain than SSRIs.

100

First line category of treatment for an 8year old male diagnosed with attention-deficit/hyperactivity disorder

  • What are stimulants?

  • Psychostimulants are the most effective medication optionfor treating attention-deficit/hyperactivity disorder (ADHD)and are widely accepted as first-line therapy. Behavioraltherapy is recommended before considering medicationsfor children under the age of 6, and may be considered forolder children but may not add much benefit in this agegroup, particularly when there is a good response tomedication.

200

This medication shows equal long-term efficacy to a benzodiazepine for treatment of generalized anxiety disorder (GAD)

What is Buspar (Buspirone)?


  • Benzodiazepines work much faster than SSRIs/SNRIs/Buspar.  However, multiple studies show that Buspar has similar efficacy to benzodiazepines when used chronically and has a much better safety profile.

200

Only two medications acceptable forabortive therapy of migraines duringpregnancy


What are Acetaminophen andMetoclopramide?

200

 antipsychotic is FDA-approved for bipolar depression

What is Quetiapine?

200

SSRI most likely to cause GI upset,particularly diarrhea.

  • What is Sertraline (Zoloft)?

  • Zoloft is the antidepressant most likely tocause diarrhea. SNRIs are more likely ingeneral to cause GI upset than SSRIs.

200

A 28 y/o man presents to your clinic. He reports symptoms of inattention including difficulty focusing, difficulty organizing tasks and activities, being forgetful in daily activities and frequently losing things. These symptoms are very impairing and have been going on since 10th grade. He has no other mental health concerns and does not use any substances.  According to the DSM V, this patient is missing this clinical criteria for diagnosis.

What is age less than 12?

300

Herbal Supplement, if combined with SSRI's, could cause serotonin syndrome

What is St. John's Wort?

300

45-year-old male presents for follow-up of migraine headaches, which had previously responded well to occasional as-needed use of ibuprofen but have recently worsened in severity and frequency. He is interested in trying an abortive therapy. 

Name one condition where Triptan use would be CONTRAINDICATED 

What are.....Coronary artery disease, Cerebrovascular disease, Peripheral vascular disease, Patients with uncontrolled or multiple cardiovascular risk factors, Patients with certain high-risk migraine syndromes (basilar and hemiplegic migraines)?

300

Serious potential side effect of lamotrigine that requires immediate medical attention?

What is Stevens-Johnson Syndrome?


Also may increase risk of suicidal thoughts

300

Class of medications that has evidence for treating depression, irritable bowel syndrome and headaches

  • What are Tricyclic Antidepressants?

While SSRIs remain first line for depression, TCAs can be considered in certain patients with depression who have illnesses such as headaches or IBS as they are less likely to cause headaches, GI disturbance and sexual side effects. They are more likely to cause sedation, weight gain and cardiac abnormalities and can be fatal in overdose.

300

Reasonable management strategy for 7-year-old child on immediate-release stimulants  who experiences appetite suppression.

 What is dosing after meals?

400

SSRI's indicated for moderate to severe childhood anxiety (name two of three)

What are Fluoxetine (Prozac), Sertraline (Zoloft) or Escitalopram (Lexapro)?

400

Name 2 medications that can be added to a regimen in a patient with chronic migraines

What are preventive therapies?

- anti-convulsants (Topiramate, valproate) 

- anti-hypertensives (propanolol, verapamil)

- CGRP antagonists (erenumab)

400

Levels of this class of psychotropic medicationcan be decreased in those who smoke cigarettesdue to cigarette smoke increasing the activity ofthe CYP 1A2 enzyme making it particularlyimportant to evaluate smoking status whenprescribing these medications.


What is antipsychotic medications(particularly Clozapine and Olanzapine)?

Smoking can decrease levels of Olanzapine andClozapine. Therefore, it may be necessary to increasethe dose if someone starts smoking and, conversely,decrease the dose if someone successfully stopssmoking. 

400

SSRI that is most likely to cause QTprolongation and should be avoided incombination with other QT prolongingagents such as antipsychotics or tramadol

What is Celexa (Citalopram)?

  • Prolongation of the QT interval is an important medication adverse effect to consider. This is particularly true in patients taking multiple medications, because this effect can be additive and increases the risk of life-threatening arrhythmias such as torsades de pointes. Among commonly used antidepressants, citalopram and escitalopram may prolong the QT interval. Both tricyclic antidepressants and antipsychotics, commonly used in patients also taking SSRIs, can cause QT prolongation, making their combined use problematic

400

ADHD medication is preferred in patients with a history of substance use disorder

What is Atomoxetine?

500

Intervention equally as effective for treatment of anxiety as addition of benzodiazepines or buspar

What is Physical activity?

500

Common side effect of topiramate used for migraine prophylaxis

What is cognitive slowing?

500

This antipsychotic medication received FDA approval in May 2023 for the treatment of agitation associated with major neurocognitive disorder or dementia

500

This smoking cessation medicationpreviously carried a black box warning foran increased risk of seriousneuropsychiatric events like depressionand suicidality, but this warning wasremoved in 2016.

What is Chantix (Varenicline)?

  • It is extremely important to screen and counsel patientswith psychiatric illness on tobacco cessation as thesepatients are more likely to die of complicationssecondary to tobacco use and are less likely to receivetreatment. Chantix can be used in those who havemental health diagnosis but should be followed veryclosely.

500

Common side effect of stimulant medications

What is Insomnia?

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