Psych NP Quiz: Can You Master Psychopharmacology?

1. What is the primary mechanism of action for lithium in treating bipolar disorder?

GABA receptor agonism

Inhibition of inositol monophosphatase

Dopamine antagonism

Serotonin reuptake inhibition

2. Which atypical antipsychotic has the lowest risk of metabolic side effects?

Olanzapine

Quetiapine

Aripiprazole

Clozapine

3. A patient develops photosensitivity and blue-gray skin discoloration after long-term use of which antipsychotic?

Haloperidol

Chlorpromazine

Risperidone

Ziprasidone

4. Which antidepressant class is most effective for panic disorder and agoraphobia?

Tricyclic antidepressants

SSRIs

MAOIs

Atypical antidepressants

5. A patient on valproate requires baseline and periodic monitoring of what laboratory value?

Lithium levels

Liver function tests

Renal function only

Thyroid stimulating hormone

6. Which medication interaction increases risk of serotonin syndrome when combined with SSRIs?

Metformin

Monoamine oxidase inhibitors

Aspirin

Metoprolol

7. Which SNRI is preferred in patients with chronic pain and depression?

Escitalopram

Venlafaxine

Sertraline

Paroxetine

8. Which atypical antipsychotic is most associated with prolactin elevation and sexual dysfunction?

Aripiprazole

Paliperidone

Lurasidone

Asenapine

9. Which SSRI is most commonly associated with sexual dysfunction as a side effect?

Sertraline

Fluoxetine

Paroxetine

Citalopram

10. A patient on fluoxetine develops tremor, agitation, and muscle rigidity. What condition is suspected?

Neuroleptic malignant syndrome

Serotonin syndrome

Anticholinergic toxicity

Extrapyramidal side effects

11. Which benzodiazepine has the longest half-life and is preferred for anxiety disorders?

Triazolam

Alprazolam

Clonazepam

Lorazepam

12. True or False: Bupropion is contraindicated in patients with a history of seizure disorder.

True

False

13. True or False: Clozapine requires baseline EKG and regular cardiac monitoring due to myocarditis risk.

True

False

14. A patient develops akathisia while on risperidone. Which medication provides rapid symptomatic relief?

Propranolol

Benztropine

Diphenhydramine

Lorazepam

15. True or False: Lamotrigine requires slow titration to reduce risk of severe skin reactions.

True

False

Psych NP Quiz: Can You Master Psychopharmacology?

1. What is the primary mechanism of action for lithium in treating bipolar disorder?

2.

What first name or nickname would you like us to use?

2. Which atypical antipsychotic has the lowest risk of metabolic side effects?

3. A patient develops photosensitivity and blue-gray skin discoloration after long-term use of which antipsychotic?

4. Which antidepressant class is most effective for panic disorder and agoraphobia?

5. A patient on valproate requires baseline and periodic monitoring of what laboratory value?

6. Which medication interaction increases risk of serotonin syndrome when combined with SSRIs?

7. Which SNRI is preferred in patients with chronic pain and depression?

8. Which atypical antipsychotic is most associated with prolactin elevation and sexual dysfunction?

9. Which SSRI is most commonly associated with sexual dysfunction as a side effect?

10. A patient on fluoxetine develops tremor, agitation, and muscle rigidity. What condition is suspected?

11. Which benzodiazepine has the longest half-life and is preferred for anxiety disorders?

12. True or False: Bupropion is contraindicated in patients with a history of seizure disorder.

13. True or False: Clozapine requires baseline EKG and regular cardiac monitoring due to myocarditis risk.

14. A patient develops akathisia while on risperidone. Which medication provides rapid symptomatic relief?

15. True or False: Lamotrigine requires slow titration to reduce risk of severe skin reactions.