Antipsychotcics quiz 1

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An increase in dopamine in the mesocortical pathway leads to positive symptoms of schizophrenia.

False

The Tuberoinfundibular pathway in schizophrenia shows an increase in dopamine levels.

False

Dementia is one of the medical conditions that can present with psychosis.

True

Schizophrenia onset typically begins around the age of 30.

<p>False</p> Signup and view all the answers

Typical antipsychotics primarily act as serotonin agonists.

<p>False</p> Signup and view all the answers

Atypical antipsychotics are considered first generation.

<p>False</p> Signup and view all the answers

Neuroleptic malignant syndrome (NMS) is not a medical emergency.

<p>False</p> Signup and view all the answers

NMS symptoms include hypotension and hypoglycemia.

<p>False</p> Signup and view all the answers

Extrapyramidal symptoms include akathisia, dystonia, and tardive dyskinesia.

<p>True</p> Signup and view all the answers

Akathisia usually presents with a slow onset over months to years.

<p>False</p> Signup and view all the answers

Pseudo-parkinsonism symptoms include tremor, bradykinesia, and shuffled gait.

<p>True</p> Signup and view all the answers

Tardive dyskinesia can occur within days to weeks of starting treatment.

<p>False</p> Signup and view all the answers

Ziprasidone dosing includes once a day oral capsule and immediate IM injection.

<p>False</p> Signup and view all the answers

Pimavanserin is FDA approved for the treatment of Parkinson's Disease psychosis.

<p>True</p> Signup and view all the answers

VMAT2 inhibitors include haloperidol and aripiprazole.

<p>False</p> Signup and view all the answers

Iglami formulations include IV and subcutaneous injection.

<p>False</p> Signup and view all the answers

Hyperprolactinemia due to dopamine antagonism can cause menstrual disturbances and gynecomastia.

<p>True</p> Signup and view all the answers

Risperidone long-acting injectable Perseris is given every two weeks.

<p>False</p> Signup and view all the answers

Typical antipsychotics are mainly beneficial for reducing negative symptoms of schizophrenia.

<p>False</p> Signup and view all the answers

The main benefit of Ziprasidone is its high efficacy in treating metabolic syndrome.

<p>False</p> Signup and view all the answers

Treatment-resistant schizophrenia is defined as a lack of symptom improvement despite trials of antipsychotics from the same class.

<p>False</p> Signup and view all the answers

Lumateperon is recommended in severe hepatic impairment.

<p>False</p> Signup and view all the answers

Olanzapine/samidorphan dosing involves adding 5 mg of samidorphan to the standard olanzapine dose.

<p>False</p> Signup and view all the answers

Haloperidol Decanoate is given every 2 weeks.

<p>False</p> Signup and view all the answers

Fluphenazine Decanoate has a long onset of action and oral overlap is necessary.

<p>False</p> Signup and view all the answers

Quetiapine is commonly used in the treatment of ICU delirium and sleep disorders.

<p>True</p> Signup and view all the answers

Lurasidone must be taken on an empty stomach for optimal bioavailability.

<p>False</p> Signup and view all the answers

Aripiprazole is a full agonist of dopamine and serotonin receptors.

<p>False</p> Signup and view all the answers

Cariprazine has a moderate risk of weight gain compared to aripiprazole.

<p>True</p> Signup and view all the answers

Asenapine sublingual tablet should be swallowed with water.

<p>False</p> Signup and view all the answers

Brexpiprazole has no dose adjustments needed in renal or hepatic impairment.

<p>False</p> Signup and view all the answers

Paliperidone should be avoided in individuals with hypersensitivity to risperidone.

<p>True</p> Signup and view all the answers

Lurasidone is contraindicated with strong CYP3A4 inhibitors.

<p>True</p> Signup and view all the answers

Haloperidol carries a high risk of sedation as an adverse effect.

<p>False</p> Signup and view all the answers

Clozapine must be offered before considering other treatment options.

<p>False</p> Signup and view all the answers

Fluphenazine formulations include oral tablet only.

<p>False</p> Signup and view all the answers

Zyprexa Relprevv has a black box warning related to post-injection delirium/sedation syndrome.

<p>True</p> Signup and view all the answers

Aripiprazole can increase prolactin levels.

<p>False</p> Signup and view all the answers

Quetiapine should be taken on an empty stomach for best results.

<p>False</p> Signup and view all the answers

Asenapine patch should be worn for 48 hours before replacing with a new one.

<p>False</p> Signup and view all the answers

Iloperidone interacts with CYP450 CYP2D6 CYP3A4 enzymes.

<p>True</p> Signup and view all the answers

Haloperidol Decanoate maintenance dose is typically 5 times the oral dose.

<p>False</p> Signup and view all the answers

BBW for Loxapine includes risk of QT prolongation.

<p>False</p> Signup and view all the answers

Which of the following substances is NOT listed as exacerbating psychosis in the text?

<p>Benzodiazepines</p> Signup and view all the answers

What are the minimum number of the following required for a schizophrenia diagnosis according to the DSM-5?

<p>2</p> Signup and view all the answers

In the mesolimbic system, an increase in dopamine causes which type of symptoms in schizophrenia?

<p>Positive</p> Signup and view all the answers

Which pathway in schizophrenia shows a decrease in dopamine levels and is associated with extrapyramidal side effects (EPS) and Tardive Dyskinesia?

<p>Nigrostriatal pathway</p> Signup and view all the answers

Which antipsychotic medication requires dose adjustments for both hepatic and renal impairment?

<p>Ziprasidone</p> Signup and view all the answers

What is the main warning associated with Risperidone use?

<p>Increased risk of QTc prolongation</p> Signup and view all the answers

What is the primary benefit of Ziprasidone?

<p>Low risk for metabolic abnormalities</p> Signup and view all the answers

What is the main treatment recommendation for individuals with treatment-resistant schizophrenia?

<p>Clozapine</p> Signup and view all the answers

Atypical antipsychotics primarily antagonize which neurotransmitters?

<p>Dopamine and serotonin</p> Signup and view all the answers

What is a common short-term effect of hyperprolactinemia due to dopamine antagonism?

<p>Gynecomastia</p> Signup and view all the answers

Which symptom is characteristic of pseudo-parkinsonism induced by antipsychotics?

<p>Rigidity</p> Signup and view all the answers

What is the primary mechanism of action of typical antipsychotics?

<p>Dopamine antagonism</p> Signup and view all the answers

Which treatment is recommended for akathisia induced by antipsychotic medications?

<p>Propranolol</p> Signup and view all the answers

What is the first-line treatment choice for individuals with schizophrenia?

<p>Atypical antipsychotics</p> Signup and view all the answers

Which condition is a Black Box Warning associated with in all antipsychotic medications?

<p>[NMS] Neuroleptic Malignant Syndrome</p> Signup and view all the answers

Which treatment is used for the long-term management of tardive dyskinesia?

<p>Velbenazine</p> Signup and view all the answers

In what pathway does an increase in dopamine levels lead to positive symptoms of schizophrenia?

<p>Mesolimbic pathway</p> Signup and view all the answers

What is the first-line treatment recommended for acute agitation and aggression?

<p>Non-pharmacologic interventions</p> Signup and view all the answers

Which atypical antipsychotic is known for causing a high risk of extrapyramidal symptoms (EPS)?

<p>Loxapine</p> Signup and view all the answers

How often is Haloperidol Decanoate typically administered?

<p>Every 4 weeks</p> Signup and view all the answers

What is the black box warning associated with Loxapine?

<p>Bronchospasm with inhalation (REMS)</p> Signup and view all the answers

Which atypical antipsychotic has a unique adverse effect of metallic taste and tongue numbness when taken sublingually?

<p>Asenapine</p> Signup and view all the answers

What is the mechanism of action of Aripiprazole?

<p>Dopamine and serotonin partial agonist</p> Signup and view all the answers

Which antipsychotic has the highest risk of metabolic syndrome?

<p>Olanzapine</p> Signup and view all the answers

Which antipsychotic requires dose titration due to orthostatic hypotension?

<p>Iloperidone</p> Signup and view all the answers

Which antipsychotic is contraindicated in patients with hypersensitivity to risperidone?

<p>Paliperidone</p> Signup and view all the answers

Which antipsychotic does NOT includes an ODT option?

<p>Lumateperon</p> Signup and view all the answers

Which antipsychotic has a BBW (Black Box Warning) for severe neutropenia?

<p>Clozapine</p> Signup and view all the answers

Which antipsychotic is known for requiring a 350 kcal meal for optimal bioavailability?

<p><strong>Lurasidone</strong></p> Signup and view all the answers

Which antipsychotic formulation includes an oral tablet, ODT, and suspension options?

<p>Clozapine</p> Signup and view all the answers

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