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  • Angina Pectoris can be precipitated by all of the following except:
    Angina Pectoris can be precipitated by all of the following except:
    Laying on the couch after a mealA. is emotional stress/anger B. anger C. physical exertion E. physical exertion/cold

  • Which of the following anti-anxiety medications would be MOST appropriate for a patient with co-occurring alcohol dependence and GAD, who has a history of elevated liver enzymes (more than one...
    Which of the following anti-anxiety medications would be MOST appropriate for a patient with co-occurring alcohol dependence and GAD, who has a history of elevated liver enzymes (more than one...
    Pregabalin

  • Which of the following substances of abuse can be associated with a potentially fatal withdrawal syndrome following the administration of high doses over extended periods of time?
    Which of the following substances of abuse can be associated with a potentially fatal withdrawal syndrome following the administration of high doses over extended periods of time?
    Alcohol Benzodiazepines

  • Which of the following depressive symptoms MUST be present in order to make a diagnosis of major depressive disorder based upon the DSM-IV criteria (more than one answer may be correct):
    Which of the following depressive symptoms MUST be present in order to make a diagnosis of major depressive disorder based upon the DSM-IV criteria (more than one answer may be correct):
    Depressed mood Anhedonia

  • Which of the following serotonin reuptake inhibitors is the LEAST likely to be involved in a clinically significant pharmacokinetic drug interaction mediated by the cytochrome P450 system? NOTE:...
    Which of the following serotonin reuptake inhibitors is the LEAST likely to be involved in a clinically significant pharmacokinetic drug interaction mediated by the cytochrome P450 system? NOTE:...
    Escitalopram

  • The two SGAs listed with the HIGHEST tendency to cause QT prolongation as a side effect are:
    The two SGAs listed with the HIGHEST tendency to cause QT prolongation as a side effect are:
    Iloperidone and ZiprasidoneThioridizine (Mellaril) is a FGA with a blackbox warning for QT prolongation. However, this question was asking for the SGAs with QT prolongation- Ziprasidone (Geodon) being most noteworthy, and Iloperidone (Fanapt). Note: patients on Geodon should take w/ FOOD, also- a baseline EKG should be performed... any drugs that can prolong QT interval should be avoided: thioridizine, amiodarone, quinidine

  • A patient MZ has recently been diagnosed with schizophrenia. His doctor wants to start him on a second generation antipsychotic that can be taken orally, but later switched over to an IV or IM...
    A patient MZ has recently been diagnosed with schizophrenia. His doctor wants to start him on a second generation antipsychotic that can be taken orally, but later switched over to an IV or IM...
    1. risperdal-geodon does not come in an injectable dosage form. zyprexa does, however it is a short acting im formulation (remember do not give it within 4 hours of an injected benzodiazapine like lorazepam). haldol does come in a long acting depot preparation, however it is a first generation antipsychotic. risperidal is the best choice-the risperdal consta can be given 25-50mg q2 weeks. note: it will take up to 3 weeks to see the full effect, so the patient should take oral risperdal 1-2mg bid during this time. another possible choice not listed: paliperidone (invega sustenna).

  • A patient is taking clozapine for over a month at a dose of 200mg per day. WBC is being monitored weekly and today the patients WBC count is at 2550/mm^3. You suggest:
    A patient is taking clozapine for over a month at a dose of 200mg per day. WBC is being monitored weekly and today the patients WBC count is at 2550/mm^3. You suggest:
    B and CSchizo notes pg 8. Remember if counts go below 2000, you would never recommend RECHALLENGE with clozapine. Also, the only way patients should be on clozapine is if they have treatment-resistant schizophrenia AKA they have failed at least 2 therapies.

  • Match the metabolic regulator to its function:
    Match the metabolic regulator to its function:
    Relaxation of smooth muscle in response to stress Vasoconstrictor that is released in response to stressful stimuli Formed from ATP during stress Vasodilator

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