Welcome to. Who Wants to be an APNA Millionaire! APNA Clinical Psychopharmacology. Session ID: 1011 June 18, 2011

Transcription

1 Session ID: 0 June, 0 APNA 0 Clinical Psychopharmacology Mary A. Gutierrez, PharmD, BCPP Professor of Clinical Pharmacy & Psychiatry Loma Linda University School of Pharmacy 0:0 Welcome to Who Wants to be an APNA Millionaire! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Mary A. Gutierrez, PharmD, BCPP

2 Session ID: 0 June, 0 Which of the following medications is not likely to cause or worsen depression? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Accutane B: Flexeril C: Interferon D: Larium 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Other than sedation, which of the following is a common side effect of trazodone? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Priapism B: Orthostasis C: Anticholinergic D: Peripheral edema Mary A. Gutierrez, PharmD, BCPP

3 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 When Prozac (fluoxetine) is discontinued, it takes approximately how long for the drug to be washed out of the system? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: hours B: days C: weeks D: months 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

4 Session ID: 0 June, 0 Which antidepressant has antiemetic effects and considered the best choice for patients on chemotherapy with nausea and vomiting ADRs? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Sertraline B: Bupropion C: Mirtazapine D: Venlafaxine 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following antidepressants have a higher incidence of serotonin withdrawal syndrome and should be tapered off? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Venlafaxine B: Fluoxetine C: Bupropion D: Paroxetine Mary A. Gutierrez, PharmD, BCPP

5 Session ID: 0 June, 0 the $,000 Milestone! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 What type of sexual dysfunction can be improved with the use of SSRIs? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Low libido B: Erectile dysfunction C: Premature ejaculation D: Anorgasmia Mary A. Gutierrez, PharmD, BCPP

6 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following SSRIs can be used for patients on warfarin? 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Fluoxetine B: Fluvoxamine C: Escitalopram D: Sertraline 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

7 Session ID: 0 June, 0 Which of the following antidepressants has increased absorption (by 0%) when taken with food? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Fluoxetine B: Sertraline C: Duloxetine D: Bupropion 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following is the active drug for Silenor? Received FDA approval in 00 for the treatment of acute and chronic insomnia in adult & geriatric patients 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Trazodone B: Mirtazapine C: Carbamazepine D: Doxepine Mary A. Gutierrez, PharmD, BCPP

8 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which SSRI is not recommended for children and adolescents? 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Fluoxetine B: Paroxetine C: Sertraline D: Fluvoxamine the $,000 Milestone! Mary A. Gutierrez, PharmD, BCPP

9 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following antidepressants can decrease the efficacy of tamoxifen for breast cancer? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Paroxetine B: Fluoxetine C: Duloxetine D: Bupropion 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

10 Session ID: 0 June, 0 Which of the following anticonvulsants has the highest risk of Stevens-Johnson Syndrome? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Lamictal B: Depakote C: Topamax D: Tegretol 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which medications can cause gynecomastia with long term use? (Select all that apply) 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Risperidal B: Phenergan C: Reglan D: EMSAM Mary A. Gutierrez, PharmD, BCPP 0

11 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following is commonly used for ADHD in children and adolescents and does not have a FDA-approved indication? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Zoloft B: Prozac C: Paxil D: Wellbutrin 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

12 Session ID: 0 June, 0 0:0 How does caffeine work to increase wakefulness? 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Increase serotonin B: Increase NE C: Blocks adenosine receptors D: Blocks DA receptors YOU HAVE WON $ MILLION DOLLARS IN PSYCHOPHARM IQ! APNA 0 Game II Clinical Psychopharmacology Mary A. Gutierrez, PharmD, BCPP Professor of Clinical Pharmacy & Psychiatry Loma Linda University School of Pharmacy Mary A. Gutierrez, PharmD, BCPP

13 Session ID: 0 June, 0 0:0 Welcome to Who Wants to be an APNA Millionaire! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following would be the best choice for obese patients with antidepressant induced delayed ejaculation or anorgasmia? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Paroxetine B: Venlafaxine C: Mirtazapine D: Bupropion Mary A. Gutierrez, PharmD, BCPP

14 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Your patient is asking for more trazodone to help with his nightly insomnia. Which of the following can cause or worsen his insomnia? (Select all that apply) 0:0 A: Bupropion 0 mg BID 0 B: Pseudoephedrine 0 mg T QHS $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 C: Advil PM C QHS D: Excedrin Migraine T QHS 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

15 Session ID: 0 June, 0 Which of the following OTC products can decrease the efficacy of oral contraceptives? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Valerian B: Melatonin C: St. Johns wort D: Pseudoephedrine Your patient is on fluoxetine and other CYP0 metabolized meds. What can happen with the CYP0 metabolized drug concentrations when this patient is switched from fluoxetine to sertraline? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Higher drug conc B: Lower drug conc C: Lower drug conc for weeks D: No change in drug conc 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

16 Session ID: 0 June, 0 The Black Box Warning for hepatoxicity for Depakote is mostly associated with which of the following age groups? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: < yo B: < yo C: > 0 yo D: > yo 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Your patient was stabilized on lithium for years with steady-state levels around 0. meq/l. He was started on an antihypertensive agent last week and his lithium levels increased to. meq/l. Which of the following can increase lithium levels by 00-00%? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: HCTZ mg B: Lisinopril 0 mg C: Amlodipine mg D: Furosemide 0 mg Mary A. Gutierrez, PharmD, BCPP

17 Session ID: 0 June, 0 the $,000 Milestone! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Your patient was scheduled to see you next week for mild dystonic reactions secondary to his risperidone. He started taking an OTC agent nightly & his EPSE sxs resolved before his appt. Which of the following OTC agent can treat APinduced dystonia? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Tylenol PM B: Unisom C: Melatonin D: Nyquil Mary A. Gutierrez, PharmD, BCPP

18 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Your patient showed sxs of lithium toxicity after a dental procedure & was prescribed an analgesic agent a few days ago. Which of the following can increase lithium levels? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Ibuprofen 00 mg TID B: Tylenol # T QH C: Vicodin T QH D: Diclofenac 0 mg TID 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

19 Session ID: 0 June, 0 0:0 Which of the following can increase lithium levels? 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: -gm sodium restriction B: Grande Starbucks coffee C: Theophylline D: NS 0.% infusion 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Your patient has sxs of wt gain, fatigue, brittle hair, and cold intolerance after starting on a psychotropic medication for months. Which of the following psychotropic agents can cause hypothyroidism? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Depakote B: Equetro C: Lithium D: Abilify Mary A. Gutierrez, PharmD, BCPP

20 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following OTC agent can increase GI distress ADR risk for patients on Depakote? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Mylanta B: Gas-X C: Align D: Prilosec the $,000 Milestone! Mary A. Gutierrez, PharmD, BCPP 0

21 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following classes of psychotropic medications can cause hand tremor? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Lithium B: Bupropion C: Risperidone D: Selegiline 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

22 Session ID: 0 June, 0 Inhibition of which of the following receptors can cause weight gain? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: H B: D C: M D: HTC 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Your patient has been on carbamazepine for his Bipolar disorder for many years. He was started on an antihypertensive agent and caused CBZ toxicity (ataxia, confusion, nystagmus). Which of the following can increase CBZ concentrations? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Amlodipine B: Diltiazem C: Verapamil D: Felodipine Mary A. Gutierrez, PharmD, BCPP

23 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following psychotropic medications should be tapered off and not stopped abruptly after long-term use? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Depakote B: Paxil C: Equetro D: Effexor 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

24 Session ID: 0 June, 0 Which of the following psychotropic medications has the most dangerous consequences when stopped abruptly without tapering after long term use? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Fluoxetine B: Paroxetine C: Amitriptyline D: Lorazepam YOU WIN $ MILLION DOLLARS IN PSYCHOPHARM IQ! APNA 0 Game III Clinical Psychopharmacology Mary A. Gutierrez, PharmD, BCPP Professor of Clinical Pharmacy & Psychiatry Loma Linda University School of Pharmacy Mary A. Gutierrez, PharmD, BCPP

25 Session ID: 0 June, 0 0:0 Welcome to Who Wants to be an APNA Millionaire! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following antidepressants is usually not recommended for the treatment of panic disorder? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Zoloft B: Wellbutrin C: Effexor D: Paxil Mary A. Gutierrez, PharmD, BCPP

26 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which SSRI is not recommended for your 0 year-old male patient with BPH and chronic constipation? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Fluoxetine B: Citalopram C: Paroxetine D: Sertraline 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

27 Session ID: 0 June, 0 Which of the following are contraindications for the use of bupropion? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Bulimia B: ADHD C: Alcohol w/d D: Use of Zyban 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following medication has significant increase in the its half-life and ADRs in geriatric vs. adult patients? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Lorazepam B: Diazepam C: Lithium D: Sertraline Mary A. Gutierrez, PharmD, BCPP

28 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following benzodiazepines have pregnancy category X (Select all that apply) 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Alprazolam B: Lorazepam C: Flurazepam D: Temazepam the $,000 Milestone! Mary A. Gutierrez, PharmD, BCPP

29 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Propranolol can be used for the treatment of which of the following conditions? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Akathisia C: Migraine prophylaxis B: Lithium-induced hand tremor D: Asthma 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

30 Session ID: 0 June, 0 0:0 Which of the following medications should be avoided for patients with memory impairment? (Select all that apply) 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Tylenol PM B: Flexeril C: Silenor D: Aricept 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 "WARNING: This medicine is an. It may increase the risk of death when used to treat mental problems caused by dementia in elderly patients. Most of the deaths were linked to heart problems or infection. 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: antidepressant B: anxiolytic C: antipsychotic D: anticonvulsant Mary A. Gutierrez, PharmD, BCPP 0

31 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Your patient on clozapine experienced a seizure after taking an antibiotic for a week. Which of following antibiotics can increase clozapine levels? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: E-Mycin B: Keflex C: Cipro D: Zyvox 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

32 Session ID: 0 June, 0 Which of the following antibiotics has monoamine oxidase inhibition and can cause potential problems with other MAOIs, SSRIs, and SNRIs? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: E-Mycin B: Keflex C: Cipro D: Zyvox the $,000 Milestone! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

33 Session ID: 0 June, 0 Among the three Z-hypnotic agents, which one is FDA-approved for long term treatment of insomnia 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Ambien B: Sonata C: Lunesta D: None of the above 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following is the most common side effect of Lunesta? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Sleep eating C: Bitter taste upon awakening B: REM suppression D: Tachycardia Mary A. Gutierrez, PharmD, BCPP

34 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Your patient was noted to have N/V, HA, confusion, c/o very fatigued. She was started on a number of medications last month. Which of following can cause hyponatremia and associated sxs? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Trileptal B: Cymbalta C: Abilify D: Ativan 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

35 Session ID: 0 June, 0 Which ethnic group has the highest deficiency in CYP0 Cs enzymes and prone to higher ADRs from BZDs metabolized by this enzyme? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Caucasians B: Asians C: African Americans D: Hispanics 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following BZDs are metabolized by CYP0 A enzymes and should avoid grapefruit juice? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Alprazolam B: Temazepam C: Triazolam D: Lorazepam Mary A. Gutierrez, PharmD, BCPP

36 Session ID: 0 June, 0 YOU HAVE WON $ MILLION DOLLARS IN PSYCHOPHARM IQ! APNA 0 Game IV Clinical Psychopharmacology Mary A. Gutierrez, PharmD, BCPP Professor of Clinical Pharmacy & Psychiatry Loma Linda University School of Pharmacy 0:0 Welcome to Who Wants to be an APNA Millionaire! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

37 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following is an option for long-acting injectable antipsychotic agents for the treatment of Schizophrenia and Bipolar Disorder? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Prolixin Dec QW B: Haldol Dec QW C: Risperdal Consta QW D: Invega Sustenna QW 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

38 Session ID: 0 June, 0 Your patient was stabilized and discharged from a non-smoking psychiatric inpatient unit on an Zyprexa 0 mg QHS. Before his next month s outpatient appt, he had relapse sxs & readmitted to the inpt unit. Which of the following can cause his relapse? (Select all that apply) 0:0 A: Resumed ppd cigarette smoking 0 B: Resumed his daily tid MJ smoking $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 C: Medication noncompliance D: Started daily jogging 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Patients on which atypical antipsychotic should avoid grapefruit juice? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Risperidone B: Olanzapine C: Ziprasidone D: Quetiapine Mary A. Gutierrez, PharmD, BCPP

39 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 What is the antipsychotic of choice for Parkinson s patients with psychotic sxs? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Haloperidal B: Risperidal C: Olanzapine D: Clozapine 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

40 Session ID: 0 June, 0 Which of the following would recommend for patients with antipsychotic-induced tardive dyskinesia? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Benztropine B: Diphenhydramine C: Amitriptyline D: None of the above the $,000 Milestone! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP 0

41 Session ID: 0 June, 0 Your patient on Seroquel 00mg/d c/o increased sedation and dizziness after he took erythromycin for days. What would you recommend? 0:0 A: Continue meds & manage ADRs 0 B: Stop all meds $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 C: Increase hydration D: Admit him to inpt unit 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which benzodiazepine is better for IM injections? 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Valium B: Librium C: Ativan D: Klonopin Mary A. Gutierrez, PharmD, BCPP

42 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following is a current recommended medication for PTSD nightmares? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Prazosin B: Tamsulosin C: Ginkgo biloba D: Yohimbine 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

43 Session ID: 0 June, 0 Your female colleague at the medical center was struggling with her night shifts. She was prescribed Provigil for her night shift sedation. Which of her following medications can be affected with Provigil? (Select all that apply) 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Oral Contraceptives B: Amlodipine C: Ambien D: Omega- 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Which of the following antibiotics has monoamine oxidase inhibition and can cause potential problems with other MAOIs, SSRIs, and SNRIs? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: E-Mycin B: Keflex C: Cipro D: Zyvox Mary A. Gutierrez, PharmD, BCPP

44 Session ID: 0 June, 0 the $,000 Milestone! 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following are FDA-approved antipsychotic agents in the U.S.? 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Lurasidone (Latuda) B: Asenapine (Saphris) C: Lloperidone (Fanapt) D: Paliperidone (Invega) Mary A. Gutierrez, PharmD, BCPP

45 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 How long does it usually take to taper your patient on Xanax mg/day for many years 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Days B: Weeks C: Months D: Years 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 Mary A. Gutierrez, PharmD, BCPP

46 Session ID: 0 June, 0 Which ethnic group has a 0% chance of being a CYP0 D poor metabolizers leading to increased risperidone concentrations and ADRs at usual prescribed doses? 0:0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Caucasians B: Asians C: African Americans D: Hispanics 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following antidepressants can block the sexual ADRs of SSRIs and SNRIs? 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Bupropion B: Trazodone C: Mirtazapine D: None of the above Mary A. Gutierrez, PharmD, BCPP

47 Session ID: 0 June, 0 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 0:0 Which of the following statements apply to this CE session? (Select all that apply) 0 $,000 $,000 $,000 $,000 $,000 $,000 $00 $00 $00 $00 A: Where is my $million? C: I have learn from this session B: I enjoyed these games D: Please!...No more millionaire game music YOU HAVE WON $ MILLION DOLLARS IN PSYCHOPHARM IQ! Mary A. Gutierrez, PharmD, BCPP