Benefits of Long-Acting Injections and Acute Agitation Interventions
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Questions and Answers

What is a key diagnostic requirement for schizophrenia according to DSM-5?

  • Having 2 of the specified symptoms for a 1-month period (correct)
  • Displaying negative symptoms intermittently
  • Presence of delusions only
  • Experiencing hallucinations for at least 6 months

Which of the following substances is known to exacerbate psychosis?

  • Ketamine (correct)
  • Antibiotics
  • Caffeine
  • Antihistamines

What are some medical conditions that can present with psychosis?

  • Parkinson's disease (correct)
  • Diabetes
  • Arthritis
  • Asthma

What is the main concern with ziprasidone use?

<p>QTc prolongation (B)</p> Signup and view all the answers

Which antipsychotic causes a metallic taste as a side effect?

<p>Asenapine (B)</p> Signup and view all the answers

What is the recommended treatment for treatment-resistant schizophrenia?

<p>Clozapine (B)</p> Signup and view all the answers

Which formulation is available for Igalmi?

<p>All of the above (C)</p> Signup and view all the answers

Which antipsychotic has a high risk of akathisia and anxiety, but a less severe risk of weight gain compared to aripiprazole?

<p>Cariprazine (B)</p> Signup and view all the answers

Which antipsychotic is classified as the most effective agent in the text?

<p>Clozapine (D)</p> Signup and view all the answers

True or false: Dose titration is required when using clozapine?

<p>True (B)</p> Signup and view all the answers

Which antipsychotic is known for its metabolic neutrality as a benefit?

<p>Lurasidone (C)</p> Signup and view all the answers

Which antipsychotic is associated with post-injection delirium/sedation syndrome according to the black box warning?

<p>Olanzapine (A)</p> Signup and view all the answers

Which generation of antipsychotics primarily act as dopamine and serotonin antagonists?

<p>Second (C)</p> Signup and view all the answers

What is the first-line choice between atypical and typical antipsychotics?

<p>Atypical (A)</p> Signup and view all the answers

Which antipsychotics pose the risk of hyperprolactinemia due to dopamine antagonism?

<p>Both typical and atypical (A)</p> Signup and view all the answers

Which symptom is associated with neuroleptic malignant syndrome (NMS)?

<p>Rigidity (A)</p> Signup and view all the answers

What is the recommended initial action in the treatment of neuroleptic malignant syndrome?

<p>Discontinue the offending agent (B)</p> Signup and view all the answers

Which condition is a contraindication for deutetrabenazine?

<p>Hepatic impairment (D)</p> Signup and view all the answers

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

<p>Infertility (C)</p> Signup and view all the answers

'Pseudo-parkinsonism' associated with antipsychotics presents with which symptom?

<p>Shuffled gait (B)</p> Signup and view all the answers

Which type of antipsychotic has a higher risk of extrapyramidal symptoms?

<p>Typical antipsychotics. (B)</p> Signup and view all the answers

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

<p>Non-pharmacological interventions (C)</p> Signup and view all the answers

Which atypical antipsychotic has a unique warning related to bronchospasms with inhalation?

<p>Loxapine (B)</p> Signup and view all the answers

How often is haloperidol decanoate given?

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

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

<p>Asenapine (D)</p> Signup and view all the answers

What is the primary mechanism of action for aripiprazole?

<p>Partial dopamine and serotonin agonist (B)</p> Signup and view all the answers

Which antipsychotic is contraindicated in patients with asthma or COPD?

<p>Loxapine (C)</p> Signup and view all the answers

What is the risk of metabolic abnormalities associated with aripiprazole?

<p>Low risk (C)</p> Signup and view all the answers

In the mesolimbic system, an increase in dopamine causes negative symptoms.

<p>False (B)</p> Signup and view all the answers

In the nigrostriatal pathway, there is an increase in dopamine and it is associated with drug side effects like EPS and TD.

<p>False (B)</p> Signup and view all the answers

The tuberoinfundibular pathway in schizophrenia has an increase in dopamine.

<p>False (B)</p> Signup and view all the answers

Schizophrenia onset typically begins around the age of 30.

<p>False (B)</p> Signup and view all the answers

Corticosteroids are substances that exacerbate psychosis.

<p>True (A)</p> Signup and view all the answers

Positive symptoms of schizophrenia include blunted affect and poor self-care.

<p>False (B)</p> Signup and view all the answers

Risperidone long-acting injectable given every two weeks is Risperdal Consta.

<p>False (B)</p> Signup and view all the answers

Ziprasidone requires at least a 1000 kcal meal to work effectively.

<p>False (B)</p> Signup and view all the answers

Pimavanserin's main adverse effect is peripheral edema.

<p>False (B)</p> Signup and view all the answers

Igalmi has formulations available in IV and oral tablet forms.

<p>False (B)</p> Signup and view all the answers

Aripiprazole is recommended as the first-line treatment for treatment-resistant schizophrenia.

<p>False (B)</p> Signup and view all the answers

Pimavanserin is FDA approved for Parkinson's disease psychosis due to its agonistic effect on 5-ht2a receptors.

<p>False (B)</p> Signup and view all the answers

Atypical antipsychotics primarily act as dopamine and norepinephrine antagonists.

<p>False (B)</p> Signup and view all the answers

Extrapyramidal symptoms can present as akathisia, dystonia, pseudo-parkinsonism, and tardive dyskinesia.

<p>True (A)</p> Signup and view all the answers

Neuroleptic malignant syndrome (NMS) occurs only in the early stages of antipsychotic treatment.

<p>False (B)</p> Signup and view all the answers

Violent muscle contractions and rigidity are key symptoms of akathisia.

<p>False (B)</p> Signup and view all the answers

VMAT2 inhibitors are only used for treating neuroleptic malignant syndrome (NMS).

<p>False (B)</p> Signup and view all the answers

Haloperidol lactate is commonly used for long-term management of psychosis.

<p>False (B)</p> Signup and view all the answers

Hyperprolactinemia due to dopamine antagonism can lead to infertility as a short-term effect.

<p>True (A)</p> Signup and view all the answers

Typical antipsychotics are more beneficial for reducing negative symptoms compared to atypical antipsychotics.

<p>False (B)</p> Signup and view all the answers

Low-potency typical antipsychotics include fluphenazine and haloperidol.

<p>False (B)</p> Signup and view all the answers

Haloperidol is available in oral tablet form only.

<p>False (B)</p> Signup and view all the answers

Bromocriptine is commonly used as a treatment for extrapyramidal symptoms like akathisia.

<p>False (B)</p> Signup and view all the answers

Haloperidol decanoate is given every 2 weeks.

<p>False (B)</p> Signup and view all the answers

Fluphenazine has a long onset of action and requires oral overlap.

<p>False (B)</p> Signup and view all the answers

Aripiprazole has a high risk of metabolic abnormalities.

<p>False (B)</p> Signup and view all the answers

Asenapine patch should be applied on the lower back.

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

Fluphenazine is contraindicated in patients with severe CNS depression.

<p>True (A)</p> Signup and view all the answers

Lurasidone has a high risk of EPS.

<p>False (B)</p> Signup and view all the answers

Olanzapine is not available in oral formulations for acute agitation and aggression.

<p>False (B)</p> Signup and view all the answers

Quetiapine has a high risk of QTc prolongation.

<p>True (A)</p> Signup and view all the answers

Risperidone is contraindicated in patients with asthma or COPD.

<p>False (B)</p> Signup and view all the answers

Ziprasidone has a high risk of metabolic syndrome compared to FGAs.

<p>False (B)</p> Signup and view all the answers

Cariprazine is recommended in severe renal and hepatic impairment.

<p>False (B)</p> Signup and view all the answers

Iloperidone has a high risk of orthostatic hypotension, glucose, and lipid abnormalities.

<p>True (A)</p> Signup and view all the answers

Lurasidone must be taken on an empty stomach to improve bioavailability.

<p>False (B)</p> Signup and view all the answers

Olanzapine is primarily metabolized by CYP3A4.

<p>False (B)</p> Signup and view all the answers

Zyprexa Relprevv does not require continuous monitoring after administration.

<p>False (B)</p> Signup and view all the answers

Paliperidone is contraindicated in patients with hypersensitivity to olanzapine.

<p>False (B)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

Risperidone is available in solution form only.

<p>False (B)</p> Signup and view all the answers

Aripiprazole has a high risk of akathisia and anxiety compared to other antipsychotics.

<p>False (B)</p> Signup and view all the answers

Lumateperon is contraindicated in moderate-severe hepatic impairment.

<p>True (A)</p> Signup and view all the answers

The primary mechanism of action for olanzapine/samidorphan is as a dopamine antagonist.

<p>False (B)</p> Signup and view all the answers

Quetiapine should be taken with a full meal for optimal absorption.

<p>False (B)</p> Signup and view all the answers

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