Exam (elaborations)
GEORGETTES LMR TEST QUESTIONS AND ANSWERS
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GEORGETTES LMR TEST QUESTIONS AND ANSWERS
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GEORGETTES LMR TEST QUESTIONS AND ANSWERSWhen questions ask for a priority action...think about... - Answers- ABC, airway
breathing, circulation
Maslows hierarchy
If undecided on an answer due to high similarities, choose: - Answers- the umbrella
answer
What is the most common side effect of olanzapine/zyprexa - Answers- metabolic
syndrome
what is the difference between typical and atypical antipsychotics - Answers- Atypical
5HT2A specific
1st psychotic break... two actions to take - Answers- UDS and r/o sub
Consider IM Geodon or Invega
Three AP with least weight gain - Answers- Latuda, Abilify, Geodon
Always encourage interprofessional collaboration - Answers- between
therapists/pcps/SW/RN, the ENTIRE team
TSH High, then....t3/t4 - Answers- T3, T4 low
TSH low, then...t3/t4 - Answers- T3, T4 high
cold/hot sensitivity with t3/t4 relationship - Answers- T3/T4 low, hypothyroid, cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy
What birth defect can be caused by depakote? - Answers- Spina bifida
What organ does depakote cause toxicity? and what sx would you expect to see? labs
to run? - Answers- Hepatotoxicity: RUQ pain, reddish brown urine-
Do LFTs
kava kava is used to treat - Answers- anxiety and insomnia
Rash and fever associated with tegretol, suspect - Answers-
What allele is HLAB 1502 associated? - Answers- Asians. They CANNOT have
tegretol. Test all asians for this allele.
what rare and dangerous side effects are associated with tegretol - Answers- Aplastic
anemia
Agranulocytosis-DC at ANC less than 1000
,Sx's of agranulocytosis - Answers- unusual bleeding or bruising, mouth sores,
infections, fever, sore throat, fatigue
if starting a woman on lithium what test should be done? why? - Answers- HCG--risk of
ebstein anomaly
adverse s/e of lamictal/lamotrigine - Answers- SJS
labs to checke BEFORE starting on lithium - Answers- BUN
CRE
urine protein
What does protein in urine indicate - Answers- kidney impairment; 4+ protein in
urine=you cannot start on lithium
best choice med for decreasing si in bipolar disorder. - Answers- lithium
best choice med for si in schizophrenia - Answers- clozaril
best choice med for SI in borderline - Answers- lithium
What medications will INCREASE Li levels - Answers- NSAIDS
ACE's
Thiazides/HCTZ
Besides medications, what else can cause increased Li levels - Answers- dehydration
hyponatremia
lithium s/e inc N/V, which will effect electrolytes, and dehydration status
what type of tremors will you see with lithium toxicity? - Answers- course tremors
lithium can cause what other comorbidities? - Answers- hypothyroidism
maculopapular rash
leukocytosis
twave inversion
what is a defining characteristic of NMS vs SS - Answers- muscle rigidity
Sx's/labs associated with NMS - Answers- Inc CPK, WBC, LFT
Rhabdomyolosis
myoglobinuria
Can lead to mutism
myoglobinuria/rhabdo can cause cherry colored urine
, Treatment for NMS and what each does - Answers- DC the offending agent
bromocriptin-D2 agonis
dantrolene: muscle relaxant
Make sure if ? is asking for agonist or relaxant
Sx of SS - Answers- HYPERREFLEXIA
myoclonic jerks
treatment for SS - Answers- ciproheptadine
how to best PREVENT SS - Answers- follow proper transition protocols
SSRI to MAOI=14 days
Prozac to MAOI=5-6 weeks
Triptans can also cause SS due to serotonin increase with use
Why are SSRIs considered the safest for use in depression - Answers- safest for OD
depressed patient presents with fatigue and low energy, consider: - Answers- NDRI
wellbutrin
sexual s/e with ssri? try... - Answers- wellbutrin due to lower risk of sexual s/e
What medication must be avoided if client has seizure history or eating disorder? why? -
Answers- wellbutrin due to decreasing the seizure threshold
if client has depression and neuropathic pain - Answers- SNRI or TCA for treatment of
BOTH
What med class treats neuropathic pain well - Answers- alpha 2 delta ligands
Gabapentin
Lyrica
what is the cause of schizophrenia - Answers- inadequate synapse formation
excessive pruning of synapses
intrauterine insult (drugs/toxin/viral agent/malnutrition/substance use, mental illness, o2
deprivation)
on MRI /PET schizonphrenia - Answers- ventrical enlargement
positive sx of schizophrenia caused by... - Answers- excess DA in mesolimbic pathway
positive sx of schizophrenia on a stimulant? - Answers- will potentiate DA release
(worsening schizophrenias positive symtpoms) bc stimulants tap into the reward and
addiction pathway inc dopamine
What is ACT - Answers- Assertive
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