74 Questions
What is a key diagnostic requirement for schizophrenia according to DSM-5?
Having 2 of the specified symptoms for a 1-month period
Which of the following substances is known to exacerbate psychosis?
Ketamine
What are some medical conditions that can present with psychosis?
Parkinson's disease
What is the main concern with ziprasidone use?
QTc prolongation
Which antipsychotic causes a metallic taste as a side effect?
Asenapine
What is the recommended treatment for treatment-resistant schizophrenia?
Clozapine
Which formulation is available for Igalmi?
All of the above
Which antipsychotic has a high risk of akathisia and anxiety, but a less severe risk of weight gain compared to aripiprazole?
Cariprazine
Which antipsychotic is classified as the most effective agent in the text?
Clozapine
True or false: Dose titration is required when using clozapine?
True
Which antipsychotic is known for its metabolic neutrality as a benefit?
Lurasidone
Which antipsychotic is associated with post-injection delirium/sedation syndrome according to the black box warning?
Olanzapine
Which generation of antipsychotics primarily act as dopamine and serotonin antagonists?
Second
What is the first-line choice between atypical and typical antipsychotics?
Atypical
Which antipsychotics pose the risk of hyperprolactinemia due to dopamine antagonism?
Both typical and atypical
Which symptom is associated with neuroleptic malignant syndrome (NMS)?
Rigidity
What is the recommended initial action in the treatment of neuroleptic malignant syndrome?
Discontinue the offending agent
Which condition is a contraindication for deutetrabenazine?
Hepatic impairment
What is a common long-term effect of hyperprolactinemia due to dopamine antagonism?
Infertility
'Pseudo-parkinsonism' associated with antipsychotics presents with which symptom?
Shuffled gait
Which type of antipsychotic has a higher risk of extrapyramidal symptoms?
Typical antipsychotics.
What is the recommended first-line treatment for acute agitation and aggression?
Non-pharmacological interventions
Which atypical antipsychotic has a unique warning related to bronchospasms with inhalation?
Loxapine
How often is haloperidol decanoate given?
Every 4 weeks
Which antipsychotic has a unique adverse effect of metallic taste and tongue numbness when taken sublingually?
Asenapine
What is the primary mechanism of action for aripiprazole?
Partial dopamine and serotonin agonist
Which antipsychotic is contraindicated in patients with asthma or COPD?
Loxapine
What is the risk of metabolic abnormalities associated with aripiprazole?
Low risk
In the mesolimbic system, an increase in dopamine causes negative symptoms.
False
In the nigrostriatal pathway, there is an increase in dopamine and it is associated with drug side effects like EPS and TD.
False
The tuberoinfundibular pathway in schizophrenia has an increase in dopamine.
False
Schizophrenia onset typically begins around the age of 30.
False
Corticosteroids are substances that exacerbate psychosis.
True
Positive symptoms of schizophrenia include blunted affect and poor self-care.
False
Risperidone long-acting injectable given every two weeks is Risperdal Consta.
False
Ziprasidone requires at least a 1000 kcal meal to work effectively.
False
Pimavanserin's main adverse effect is peripheral edema.
False
Igalmi has formulations available in IV and oral tablet forms.
False
Aripiprazole is recommended as the first-line treatment for treatment-resistant schizophrenia.
False
Pimavanserin is FDA approved for Parkinson's disease psychosis due to its agonistic effect on 5-ht2a receptors.
False
Atypical antipsychotics primarily act as dopamine and norepinephrine antagonists.
False
Extrapyramidal symptoms can present as akathisia, dystonia, pseudo-parkinsonism, and tardive dyskinesia.
True
Neuroleptic malignant syndrome (NMS) occurs only in the early stages of antipsychotic treatment.
False
Violent muscle contractions and rigidity are key symptoms of akathisia.
False
VMAT2 inhibitors are only used for treating neuroleptic malignant syndrome (NMS).
False
Haloperidol lactate is commonly used for long-term management of psychosis.
False
Hyperprolactinemia due to dopamine antagonism can lead to infertility as a short-term effect.
True
Typical antipsychotics are more beneficial for reducing negative symptoms compared to atypical antipsychotics.
False
Low-potency typical antipsychotics include fluphenazine and haloperidol.
False
Haloperidol is available in oral tablet form only.
False
Bromocriptine is commonly used as a treatment for extrapyramidal symptoms like akathisia.
False
Haloperidol decanoate is given every 2 weeks.
False
Fluphenazine has a long onset of action and requires oral overlap.
False
Aripiprazole has a high risk of metabolic abnormalities.
False
Asenapine patch should be applied on the lower back.
False
Brexpiprazole has no dose adjustments needed in renal or hepatic impairment.
False
Fluphenazine is contraindicated in patients with severe CNS depression.
True
Lurasidone has a high risk of EPS.
False
Olanzapine is not available in oral formulations for acute agitation and aggression.
False
Quetiapine has a high risk of QTc prolongation.
True
Risperidone is contraindicated in patients with asthma or COPD.
False
Ziprasidone has a high risk of metabolic syndrome compared to FGAs.
False
Cariprazine is recommended in severe renal and hepatic impairment.
False
Iloperidone has a high risk of orthostatic hypotension, glucose, and lipid abnormalities.
True
Lurasidone must be taken on an empty stomach to improve bioavailability.
False
Olanzapine is primarily metabolized by CYP3A4.
False
Zyprexa Relprevv does not require continuous monitoring after administration.
False
Paliperidone is contraindicated in patients with hypersensitivity to olanzapine.
False
Quetiapine is commonly used in the treatment of ICU delirium and sleep disorders.
True
Risperidone is available in solution form only.
False
Aripiprazole has a high risk of akathisia and anxiety compared to other antipsychotics.
False
Lumateperon is contraindicated in moderate-severe hepatic impairment.
True
The primary mechanism of action for olanzapine/samidorphan is as a dopamine antagonist.
False
Quetiapine should be taken with a full meal for optimal absorption.
False
Explore the benefits of Long-Acting Injections (LAIs) in managing difficulties with medication adherence, and the effectiveness of different interventions for acute agitation and aggression. Learn about the significant reductions in risks such as psychiatric hospitalizations, ER visits, and suicide attempts associated with LAIs.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free