NR 547 (NR547) Midterm Exam |
Differential Diagnosis in Psychiatric
Questions and Answers Graded A+ |
Latest 2024 Guide
Which antipsychotic does not interact with the cyp450 system - correct answer - risperidone
Adverse reactions of ziprasidone - correct answer - need frequent cardiac monitoring, vitals, because of cardiac issues and rash urticaria from SJS and dress syndrome
Which medication needs to be taken with at least 350 calories - correct answer - lurasidone
Which medication is considered precognitive? - correct answer - brexpiprazole Which meds need to be monitored for SJS - correct answer - ziprasidone and lamotrigine
Which medication can cause hepatic failure - correct answer - nefazodone
Define neuroleptic induced parkinsonism - correct answer - muscle stiffness (lead pipe rigidity), cogwheel rigidity, shuffling gait, stooped posture, and drooling, pill-rolling tremor, rabbit syndrome, a tremor affecting the lips and perioral muscles
Tx of neuroleptic induced Parkinson’s - correct answer - anticholinergic agents, Benadryl
What is NMS (neuroleptic malignant syndrome) - correct answer - muscular rigidity and dystonia, akinesia, mutism, obtundation, and agitation, hyperthermia, diaphoresis, and increased pulse and
blood pressure (bp). Occasionally associated with renal failure. Tx of NMS - correct answer - dantrolene, bromocriptine, reduce antipsych to lowest level, ECT, iv hydration, cooling blanket, ice packs, ice-water enema, oxygenation, antipyretics
What is med-induced acute akathisia - correct answer - subjective feeling of restlessness, objective signs of restlessness, or both
Treatment of med-induced acute akathisia - correct answer - reduce dose, b adrenergic receptor antagonists, anticholinergics, benzos
What is med-induced acute dystonia - correct answer - brief or prolonged contractions of muscles that result in obviously abnormal movements or postures, including oculogyric crises, tongue protrusion, trismus, torticollis, laryngeal-pharyngeal dystonia’s, and dystonic postures
Which antipsychotic has the lowest risk of tardive dyskinesia? - correct answer - clozapine