Benefits of Long-Acting Injections and Acute Agitation Interventions

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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.

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