Showdown #5 Cont

It's an Emergency!

100

Which of the following agents can be used to counteract the effects of a benzodiazepine overdose? A. midazolam; B. halazepam; C. clorazepate; D. estazolam; E. flumazenil

E. flumazenil

200

Use of restraints can be especially dangerous in patients intoxicated with which of the following substances? A. Alcohol; B. Phencyclidine ; C. Heroin; D. Marijuana ; E. Cocaine

B. Phencyclidine

300

Which of the following opiates is absolutely contraindicated in patients taking monoamine oxidase inhibitors? A. Methadone; B. Codeine; C. Buprenorphine; D. Morphine; E. Meperidine

E. Meperidine

400

Serious rash is associated with treatment with Lamotrigine (Lamictal). This serious rash occurs in approximately - A. 1 out of 10 patients; B. 1 out of 100 patients; C. 1 out of 1000 patients; D. 1 out of 2000 patients; E. 1 out of 3000 patients

C. 1 out of 1000 patients

500

Which of the following is used to treat an acute dystonic reaction? A. Diphenhydramine 100mg po; B. Amantidine 100mg po; C. Benztropine 2mg im; D. Lorazepam 1mg im; E. Trihexyphenidyl 4mg po

C. Benztropine 2mg im

Interns Only

100

Which of the following agents is available as a long-acting depot injection for the treatment of schizophrenia? A. Ziprasidone; B. Aripiprazole; C. Risperidone; D. Quetiapine

C. Risperidone

200

Which of the following agents can cause priapism? A. quetiapine; B. trazodone; C. zolpidem; D. zaleplon ; E. amitriptyline

B. trazodone

300

Which of the following benzodiazepines is safest to use in a patient with liver disease? A. Diazepam; B. Clonazepam; C. Chlorazepate; D. Alprazolam; E. Oxazepam

E. Oxazepam

400

Therapeutic serum levels have been determined for which of the following medications? A. Lithium; B. Divalproex Sodium; C. Lamotrigine; D. Lithium and Divalproex Sodium; E. Lithium, Divalproex Sodium, and Lamotrigine

D. Lithium and Divalproex Sodium

500

Neuroleptic malignant syndrome (NMS) is characterized by all of the following except: A. Hyperthermia; B. Autonomic dysfunction; C. Rigidity; D. Myoglobinuria; E. Leukopenia

E. Leukopenia

It's all about the Meds

100

Adverse effects of Valproate include each of the following except: A. Weight gain; B. Hair loss; C. Thrombocytosis; D. Pancreatitis; E. Hepatotoxicity

C. Thrombocytosis

200

Which of the following antidepressants has the longest half-life? A. Paroxetine; B. Fluoxetine; C. Venlafaxine; D. Duloxetine; E. Sertraline

B. Fluoxetine

300

Which of the following agents is a potent antagonist of histaminageric H1 receptors? A. buproprion; B. buspirone; C. mirtazapine; D. escitalopram; E. venlafaxine

C. mirtazapine

400

Which of the following P450 isoenzymes is responsible for metabolizing clozapine and is induced by chronic cigarette smoking? A. 2B6; B. 1A2; C. 2D6; D. 3A3/4; E. 2C19

B. 1A2

500

In the treatment of a patient suffering from bipolar I disorder, which of the following medications is most likely to precipitate mania when administered as monotherapy? A. Lithium; B. Valproate; C. Lamotrigine; D. Ziprasidone; E. Venlafaxine

E. Venlafaxine

Side Effects

100

Which of the following agents is associated with irreversible pigmentation of the retina? A. chlorpromazine ; B. thioridazine; C. haloperidol; D. loxapine; E. molindone

B. thioridazine

200

Rash can be a side effect of Lamotrigine (Lamictal). The incidence of this rash is: A. 5%; B. 10%; C. 20%; D. 30%; E. 40%

B. 10%

300

All of the following are adverse effects associated with clozapine except: A. Myocarditis; B. Obsessive-compulsive disorder; C. Tachycardia; D. Tardive dyskinesia; E. Lower seizure threshold

D. Tardive dyskinesia

400

Two atypical antipsychotics known to have relatively low affinity dopamine (D2) receptor-binding are: A. Aripiprazole and Risperidone; B. Quetiapine and Clozapine; C. Thioridazine and Ziprasidone ; D. Olanzapine and Haloperidol; E. Risperidone and Quetiapine

B. Quetiapine and Clozapine

500

Which of the following is the least likely to cause sexual side effects? A. Fluoxetine; B. Paroxetine; C. Escitalopram; D. Venlafaxine; E. Mirtazapine;

E. Mirtazapine

Freud who?

100

Dialectical Behavioral Therapy (DBT) was specifically designed for the treatment of which disorder? A. Bipolar Disorder; B. Alcohol Dependence; C. Borderline Personality Disorder; D. Social Anxiety Disorder; E. Panic Attacks With Agoraphobia

C. Borderline Personality Disorder Developed by Marcia Linehan

200

Which type of therapy is primarily based on the principle that cognitive techniques can change an individual's maladaptive beliefs, automatic negative thoughts, and errors in logic? A. Interpersonal therapy; B. Dialectical behavioral therapy; C. Group psychotherapy; D. Cognitive behavioral therapy; E. Psychodynamic therapy

D. Cognitive behavioral therapy

300

Which of the following is not an Interpersonal Therapy problem area? A. role dispute; B. role transition ; C. role reversal; D. complicated bereavement; E. interpersonal deficits

C. role reversal

400

Which of the following theorists described developmental stages of object relations such as the paranoid-schizoid position and the depressive position? A. Melanie Klein; B. John Bowlby; C. Margaret Mahler; D. David Winnicott; E. Otto Kernberg

A. Melanie Klein

500

Which of the following theorists developed the notion of the transitional object? A. Melanie Klein; B. Donald Winnicott; C. Otto Kernberg; D. Anna Freud; E. Karl Abraham

B. Donald Winnicott