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Clozapine REMS Certification Exam Questions And Answers 100% Pass

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Clozapine REMS Certification Exam Questions And Answers 100% Pass What are box warnings for clozapine? - answerNeutropenia Orthostatic Hypotension Bradycardia Syncope Seizure Myocarditis Cardiomyopathy What group is clozapine not FDA approved for? - answerIncreased mortality in elderly pat...

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  • October 28, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Clozapine REMS Certification
  • Clozapine REMS Certification
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©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM


Clozapine REMS Certification Exam
Questions And Answers 100% Pass


What are box warnings for clozapine? - answer✔Neutropenia
Orthostatic Hypotension
Bradycardia
Syncope
Seizure
Myocarditis
Cardiomyopathy

What group is clozapine not FDA approved for? - answer✔Increased mortality in elderly patients
with dementia related psychosis

What should the ANC be before starting clozapine medication? - answer✔1500 for general
population
1000 for BEN (benign ethnic neutropenia)

What is considered neutropenia? - answer✔Neutropenia = ANC < 500


(Absolute neutrophil count)

What are symptoms of severe neutropenia/infection? - answer✔Fever
Lethargy
Weakness
Sore throat

, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM

T/F: Risk of neutropenia is greatest from years 1-2 of treatment. - answer✔False; risk is greatest
during first 18 months

T/F: Risk of neutropenia is not dose dependent. - answer✔True

For which conditions is clozapine contraindicated? - answer✔Photosensitivity
Vasculitis
Erythema multiforme
Stevens Johnsons syndrome
Hx of hypersensitivity to clozapine

What is the starting dose for clozapine? - answer✔12.5mg either qd or BID
Your patient taking clozapine starts showing lowered heart rate, dizziness, and chest pain. What
do you do? - answer✔If patients are showing symptoms of cardiac complications, discontinue
and obtain labs

What is the method of increasing the clozapine dose? - answer✔Increase in increments of 25-
50mg/day.

What is the clozapine target dose by the end of 2 weeks? - answer✔300mg to 450mg/day (in
divided doses)

What is the max daily dose of clozapine? - answer✔900mg/day

Weekly ANC monitoring for the first ___ months, then every ___ weeks. - answer✔First 6
months


Then every 2 weeks
T/F: If ANC is greater than or equal to 1500 for the first year, monitoring can be reduced o every
4 weeks. - answer✔True

How is ANC calculated? - answer✔Total WBC count x Total percentage of neutrophils obtained
from differential

A patient taking clozapine presents with an ANC of 1300, what do you do? - answer✔- Continue
treatment
- Monitor ANC 3x/week

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