Bipolar/Schizophrenia Kahoot (Dolecki)

Which of the following substances does not cause symptoms similar to bipolar disorder

a. Pseudoephedrine

b. Prednisone

c. Propranolol

d. Phentermine

c. Propranolol

Mania episodes last ___ days whereas hypomanic episodes last ____ days

7 and 4

remember manic lasts longer than hypomanic

Which of the following lithium levels would be of concern to you

a. 0.4

b. 0.8

c. 1.2

d. 1.9

d. 1.9

T/F: Patients taking ibuprofen have increased livelihood of lithium toxicity

True

Which of the following drugs does NOT increase the risk of neurotoxicity associated with lithium

a. Oxcarbazepine

b. Diltiazem

c. Phenytoin

d. Carbazepine

a. Oxcarbazepine

What property is unique to lithium as a mood stabilizer

Suicidal protective property

Which mood stabilizer is contraindicated in pregnancy due to risk of birth defects

Divalproex

T/F: Lamotrigine can be used for a patient actively manic

False

Which mood stabilizer do you want to ensure you titrate slowly

a. Lamotrigine

b. Lithium

c. Divalproex

d. Carbamazepine

a. Lamotrigine

all titrate slowly but increase risk of SSGS10 with Lamotrigine

Which antipsych is not recommended for treatment of acute depressive episodes

Cariprazine

T/F: Patient with paranoia, social withdrawal, and empathy meets diagnostic criteria for scizophrenia

False (paranoia is there but no other positive symptoms)

Which of the following NT is not affected by scizophrenia

a. Dopamine

b. Serotonin

c. Glutamate

d. Histamine

d. Histamine

T/F: Clozapine is the only antipsych indicated for treatment resistant scizophrenia

True

Which first generation antipsych has a REMS program for bronchospasm

a. Haloperidol

b. Loxapine

c. Fluphenazine

d. Perphenazine

b. Loxapine

T/F: Treatment of pseudoparkinsonism includes utilization of valbenazine

False

its used for Tardive Dyskinesia

Which EPS symptom can not be treated by decreasing the dose of an antipsych

Tardive Dyskinesia

needs to be discontinued in antipsych completely

Which antipsych would be an optimal option for a patient with concerns of weight gain

Lurasidone

Which antipsych interacts with CYP3A4

a. Risperidone

b. Paliperidone

c. Lurasidone

d. Ziprasidone

c. Lurasidone

Which of the following is not a BBW associated with Clozapine

a. QT Prolongation

b. Neutropenia

c. Myocardia

d. Bradycardia

a. QT Prolongation

it is a concern but not BBW

T/F: Clozapine has highest risk of constipation

True

Which antipsych does not affect dopamine

Pipvanserin

Which of the following drugs does not have a LAI available

a. Quetipine

b. Aripiprazole

c. Haloperidol

a. Quetipine

T/F: All antipsychs have a BBW for increase risk of death in dementia patients

True

Which antipsych poses a risk of gestational diabetes in pregnant patients

Olanzapine

Which antipsych is not FDA approved for pediatric use

Cariprazine