This quiz focuses on Schizophrenia, covering diagnosis, treatment options including second-generation antipsychotics, and management of side effects. It assesses understanding of medication compliance, symptom identification, and critical patient care decisions.
Haloperidol, a low potency agent, tends to have more EPS but less anticholinergic effects.
Haloperidol, a high potency agent, tends to have more EPS but less anticholinergic effects.
Chlorpromazine, a low potency agent, tends to have more EPS but less anticholinergic effects.
Chlorpromazine, a high potency agent, tends to have more EPS but less anticholinergic effects.
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A perfect drug would INCREASE dopamine in the Mesocortical pathway but DECREASE dopamine in the Mesolimbic pathway.
FGA's tend to treat the positive symptoms of shizophrenia, while SGA's tend to treat both positive AND negative symptoms.
FGA's differ from SGA's in the fact that SGA's have less incidence of EPS and better mood stabilizing properties.
A common side effect of antipsychotics is that they decrease the seizure threshold.
All of the above.
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Geodon
Zyprexa
Risperdal
Haldol
All of the above
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Agranulocytosis
Myocarditis
Respiratory Depression
A and C
All of the above
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Keep the patient going on the medication; the drop in WBC is expected
Perform twice weekly WBC counts now
Stop therapy until WBC counts go back above 3000 with no signs of infection
A and B
B and C
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Iloperidone and Ziprasidone
Aripiprazole and Ziprasidone
Aripiprazole and Thioridizine
Iloperidone and Thioridizine
Thioridizine and Ziprasidone
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Acute dystonia- Benztropine IM
Akathisia- Diphenhydramine PO
Pseudoparkinsonism- Trihexyphenidyl PO
Neuroleptic Malignant Syndrome- Bromocriptine and Dantroline
All of the above are correct
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Oral medication should be tapered over 16 weeks.
It is okay to start the depot formulation if the patient was not on oral haloperidol first.
The depot injection dose given should be 10X the oral dose.
None of the above.
All of the above.
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Clozapine because it's got so many black box warnings
Ziprasidone because it has very few side effects besides its silly QT prolongation warnings
Paliperidone because its brand name is so awesome: Invega Sustena
Olanzapine because it makes people Fatties!
All of the above
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