A patient with acute manic excitement requires reduction of psychomotor activity with little sedation. Which antipsychotic has this stated property?
QUESTION 2
A patient taking an MAO inhibitor develops a hypertensive crisis after consuming cheese. Which food constituent accounts for this interaction?
QUESTION 3
Above which serum lithium concentration does toxicity usually appear?
QUESTION 4
In which muscles is tardive dyskinesia first noticed?
QUESTION 5
Which pair of drugs is explicitly prohibited for treating phenothiazine-induced postural hypotension?
QUESTION 6
Which drug is used to treat neuroleptic malignant syndrome either alone or with bromocriptine?
QUESTION 7
Which drug is the treatment of choice for monosymptomatic hypochondriasis?
QUESTION 8
Which extrapyramidal symptom is the commonest with neuroleptic use?
QUESTION 9
Which pair of antipsychotics belongs to the butyrophenone group?
QUESTION 10
Blockade of dopamine D2 receptors in which system produces the antipsychotic effect?
QUESTION 11
Which antipsychotic is described as not producing tardive dyskinesia or neuroleptic syndrome, but potentially causing seizures and increased salivation?
QUESTION 12
Dopamine receptor blockade with increased dopamine turnover in the caudate nucleus produces which adverse effect?
QUESTION 13
A patient receiving chronic lithium treatment develops hypothyroidism. Which management approach is described?
QUESTION 14
Which antipsychotic is a phenothiazine with a piperidine side chain?
QUESTION 15
Which antidepressant has both antidepressant and antipsychotic effects and is associated with neuroleptic malignant syndrome and tardive dyskinesia?
QUESTION 16
A patient taking lithium develops polyuria and polydipsia at therapeutic plasma concentrations. What mechanism explains this adverse effect?
QUESTION 17
What washout period is specified before starting an MAO inhibitor in a patient previously taking a tricyclic antidepressant?
QUESTION 18
Which antipsychotic belongs to the diphenylbutylpiperidine group?
QUESTION 19
Which antidepressant is classified as a tetracyclic?
QUESTION 20
Which ECG change is associated with tricyclic antidepressants?
QUESTION 21
Which antidepressant is classified as an inhibitor of both norepinephrine and dopamine reuptake?
QUESTION 22
A patient with epilepsy experiences psychosis between seizure attacks. What term describes this psychosis?
QUESTION 23
Which drug is explicitly listed as increasing lithium toxicity?
QUESTION 24
Which drug is listed for helping regain lost weight?
QUESTION 25
Which drug is specifically mentioned for monosymptomatic hypochondriasis?
QUESTION 26
What is the commonest dermatological side effect of lithium?
QUESTION 27
Which effects are mainly attributed to central BZ2 receptors?
QUESTION 28
Which pair of drugs is listed for Gilles de la Tourette’s syndrome?
QUESTION 29
What effect on seizure threshold is preferred when selecting a drug for postictal psychosis?
QUESTION 30
Which location and effect are associated with central BZ1 receptors?
QUESTION 31
Which renal condition is explicitly listed as a contraindication to lithium therapy?
QUESTION 32
A patient receiving lithium has a dosage adjustment. When should the serum lithium level be estimated after this change?
QUESTION 33
How frequently should thyroid function be checked during lithium treatment?
QUESTION 34
In the stated antipsychotic dose equivalence list, what dose of haloperidol is equivalent to chlorpromazine 500 mg?
QUESTION 35
A patient taking lithium needs a fasting blood sample for plasma level monitoring. How long after the last dose should the sample be collected?
QUESTION 36
What is the therapeutic serum lithium concentration range stated for treatment?
QUESTION 37
Which antipsychotic is listed at an equivalent dose of 87 mg?
QUESTION 38
Which lithium salt is most often used for administration?
QUESTION 39
What effect does lithium have on the diurnal rhythm of corticosteroids in mania?
QUESTION 40
What serum lithium concentration range is specified for children and elderly patients?