When initiating lithium, how long should you wait before checking a...

When initiating lithium, how long should you wait before checking a lithium level? What is the therapeutic goal level of lithium?

A.5 days; 0.6 to 0.8 mEq/L

B.4-6 weeks; 0.6 to 0.8 mEq/L

C.3 days; 0.8 - 1.2 mEq/L

D.No need to check until patient experiences symptoms of lithiu

In order for the NMDA receptor to fully open and allow an influx of calcium, both glutamate and glycine must bind to cause a depolarization of the cell that will ultimately displace which ion? Is the NMDA receptor an ionotropic or metabotropic receptor?

a.Sodium - ionotropic

b.Sodium - metabotropic

c.Magnesium - metabotropic

d.Magnesium - ionotropic

Which drug below has an interaction with cigarette smoking and should be adjusted based on patient's tobacco use/non-use?

A.Risperidone

B.Haloperidol

C.Aripiprazole

D.Clozapine

Of the following medications, which ones are considered first-line in treatment of an acute manic episode of bipolar disorder (assuming monotherapy)?

1. Lithium
2. Fluoxetine
3. Aripiprazole
4. Risperidone
5. Ziprasidone
6. Venlafaxine
7. Quetiapine
8. Valproate

A.II, III, and VIII only

B.I, III, IV, V, VII, and VIII only

C.II, III, and VI only

D.I only

E.All that are listed are appropriate in treating the acute episode.

Which answer choice includes all the components of patient-focused interventions to enhance adherence?

1. Education
2. Motivation
3. Skills
4. Logistics

a.I, II, and III only

b.I, II, III, and IV

c.II and III only

d.I and IV only

K. T. is a 35-year-old woman who was diagnosed with Generalized Anxiety Disorder about 4 weeks ago. She was prescribed Clonazepam 2 mg at bedtime but was referred to you to determine chronic treatment. K. T. states the new medication has been helping a lot but worries about all the side effects that come with it. She wants to discontinue the medication. What is the appropriate next step to help K. T.?

A.Inform her that the therapy is working and there is no need to discontinue.

B.Begin a slow taper of clonazepam and talk about alternative medications to help with her new diagnosis.

C.Discontinue clonazepam at this visit and begin Escitalopram 5 mg daily.

D.Change her scheduled dosing to as needed to help with anxiety symptoms.

Close-ended questions will help identify when patients are taking medications incorrectly.

a.True

b.False

K. B. never felt relief from his depressive symptoms, even after appropriate time and dose titration of Venlafaxine. He was switched to Bupropion 150 mg about 2 months ago and is following up with you today. He reported feeling "great" and that his relationship with his girlfriend is "better than ever now." Because he is feeling so well at this time, he is wondering when he can stop taking Bupropion. How long must the patient be symptom-free before he may begin a trial to taper off the antidepressant therapy?

A.≥ 12 months

B.3 months

C.≥ 6 months

D.4-12 weeks

Selection of an antipsychotic agent is usually guided by the side-effect profile and by available formulations.

A.True

B.False