Mood Stabilizers
Antidepressants/Anxiolytics
Antipsychotics
First Aid Grab Bag
The Lord of the Rings
100

Used in treatment of bipolar mania, this drug is known for its low therapeutic window, teratogenesis, and thyroid complications.

What is lithium? 

(Mnemonic: LiTHIUM Low Thyroid, Heart, Insipidus, Unwanted Movements)

100

This class of antidepressants is first line for treatment of major depressive disorder and generalized anxiety disorder.

What is: SSRIs (selective serotonin reuptake inhibitors)

100

The first generation antipsychotics act by blocking this receptor, which increases cAMP.

What is D2

100

This Syndrome occurs when the doctor or patient fails to titrate up their antidepressant, or when the patient overdoses on their serotinergic drug:

What is serotonin syndrome? 

Symptoms: 3A's: Activity, Autonomic instability, Altered mental status

100

Cynthia recently acquired a new ring by becoming engaged. This gemstone is commonly used in engagement rings, not because "it is forever" but because of the falsely elevated price point by DeBeers' false restriction of supply.

What is a diamond?

200

This drug used in the treatment of bipolar disorder, requires close monitoring of other protein-bound drugs due to its tendency to kick other drugs off albumin.

What is valproic acid/valproate? 

Also, LFTs!

200

Second line treatment for depression and anxiety includes the SNRIs, which act at this side of the neuronal cleft (Pre- or post- synaptic).

Presynaptic (Serotonin and norepinephrine)

200

This generation of antipsychotics can treat both the positive and negative symptoms of schizophrenia.

What are the atypicals (2nd gen)

200

The life-threatening effects of lithium toxicity can be treated by administering this:

What is FLUIDS

Also accepted: HEMODIALYSIS

200

Assuming there are about 50 players on a football team, the Patriots have how many SuperBowl rings amongst their players? 

(50 players x ____Number of SuperBowl wins = answer)

6 superbowl wins, so 50x6 = 300 superbowl rings

300

Carbamazepine's side effect profile is commonly referred to as "The Three D's, which are...

What are dizziness, diplopia, drowsiness
300

This drug is effective for treatment of generalized anxiety disorder (but not depression!) and unlike SSRIs and SNRIs, does not interact with alcohol.

What is buspirone?

300

Extrapyramidal symptoms include all of the following EXCEPT: 

Muscle spasms

Parkinsonism

Tardive dyskinesia

Metabolic syndrome

Akathisia


What is metabolic syndrome?

Mnemonic: ADAPT

Acute Dystonia

Akathisia

Parkinsonism

Tardive dyskinesia

300

This drug is used as a sleep aid at low doses, but an antidepressant at high doses. Common side effect: priapism.

What is trazadone?

300

DAILY DOUBLE:

This locale is home to 75% of earth's volcanoes and 90% of its earthquakes. Also a song by Johnny Cash.

What is Ring of Fire

400

Lamotrigine, a mood stabilizer known for its Black Box warning of SJS/TEN, is most effective for this type of bipolar disorder:

What is Bipolar I (or maintenance of Bipolar I)?

400

DAILY DOUBLE

TCAs such as amitriptyline, imipramine, and clomipramine are effective in treating resistant depression, but have this dangerous side effect profile known as the 3C's: Tri-C's:

What is Convulsions, Coma, Cardiotoxicity

400

This 2nd generation antipsychotic is effective in treatment-resistant schizophrenia, schizoaffective disorder, and suicidality in schizophrenia.

What is clozapine

400

This NDRI used to treat depression has a more favorable sexual side effect profile than other antidepressants, but is also known to exacerbate overactivity and cause seizures in bullimic patients.

What is bupropion

Also accepted: Wellbutrin

400

The horror film "The Ring" features a girl in a well and a meta-film stating that "You will die in..." this length of time.

What is: "You will die in Seven Days."

500

Of the following, the drug that is not approved for use in bipolar depression:
quetiapine, lurasidone, sertraline, olanzapine/fluoxetine, cariprazine

What is sertraline?

Bonus: What happens if you give sertraline to a bipolar patient?

500

The MOAIs have fallen out of use due to the dietary restriction of this amino acid, which can cause hypertensive crisis and CNS overstimulation.

What is tyramine

500

PSYCH: EASY ONE!

The 2nd generation antipsychotics all cause this EKG finding:

What is prolonged QT

500

Mirtazapine is an atypical antidepressant that works on these channels:

What is: alpha-2 (antagonist)

5HT2 and 5HT3 (antagonist)

H1 (antagonist)

(Must get alpha-2, serotonin, and H1 for credit!)

500

FINAL JEOPARDY: PLACE YOUR BETS

Sauron, the primary antagonist of The Lord of the Rings, created 3 rings for the elves, 7 rings for the dwarves, 9 rings for men, and 1 ring to rule them all. He makes his home in this fictional place, where our heroes must journey to destroy the one ring.

What is MORDOR

Also accepted: MOUNT DOOM