Antidepressants Mood Stabilizers Side Effects of Psychiatric Meds Antipsychotics Child Psychiatry
100
What is Prozac (fluoxetine)
This antidepressant has the longest half life of all of the antidepressants we use.
100
What is Lithium.
This is the only mood stabilizer indicated for the prevention of suicidal ideation/attempt.
100
What is an EKG.
Before starting an any psychiatric you should obtain this test.

::bonus:: why?
100
Mesolimbic.

Mesocortical, tuberinfundibular, Nigrostriatal
Which area of the brain is responsible for positive psychotic symptoms and how do antipsychotics target this area?

::bonus:: which areas are responsible for negative symptoms and side effects?
100
What is fluoxetine, sertraline, escitalopram
What are the only three SSRIs approved for use in pediatric depression (there are 4 but one you don't use).

::bonus:: why should we not be using Paxil in kids (but actually ever)?
200
What is Lexapro (escitalopram)
SSRIs (and may other psych meds) have interactions with other medications because they are mainly metabolized by this receptor.
::bonus:: Name an SSRI that has minimal interactions
::bonus:: Name a blood pressure medication that you need to be careful with due to interactions with Prozac
200
What is kidney function.
When starting Lithium what do you need to check first?

::bonus:: how often do you check blood levels inpatient?
::bonus:: what is a therapeutic lithium level?
200
What is serotonin syndrome.
A patient comes in with abrupt onset of facial flushing, increased tone, hyperreflexia, mydriasis, tachy, HTN, and hyperthermia. They are likely suffering from this.
200
Specificity of dopamine antagonism. Patient's with parkinson's.
What is the difference between a typical and an atypical antipsychotic? When do we not use an antipsychotic for psychosis?
200
What are aripiprazole, risperidone, olanzapine
These are three meds approved for treatment of psychosis in pediatric adolescents.
300
What is Wellbutrin (Buproprion)
This antidepressant is indicated more strongly for atypical depression.

::bonus:: Name two other indications for this medication
::bonus:: Name at least two patient populations that wouldn't be appropriate for this med
300
What is hepatic impairment.
This is a relative (or absolute depending who you ask) contraindication to starting Depakote.
300
What is NMS
Patient presents with gradually worsening stiffness, hyperthermia, tachy, HTN, hyporeflexia, and normal pupils. They are likely suffering from this.
300
Haldol, Zyprexa, Geodon. IM available.
What antipsychotics can you use emergently for schizophrenic agitation? Why?
300
What is PTSD
A child says they're seeing shadow figures out of the corner of their eye and voices inside their head telling them that they're worthless. These symptoms are indicative of this disorder.
400
What is inhibition of the SERT transporter and eventual downregulation of the 5HT1a receptors over time. Neurotrophic effects via increased BDNF.
These are two ways that SSRIs and SNRIs work physiologically to alleviate depression/anxiety (be specific).
400
YES. CHECK A LEVEL THEN YES.
A pregnant patient with bipolar disorder comes to your clinic asking if she should continue her lithium. She has had two manic episodes in the last two years. What do you tell her?

::bonus:: what fetal defect do we sometimes see with it?
::bonus:: what is the pathophysiology of that defect?
400
Falls, medication interactions, dosing and elimination, bleeds
Name three reasons you need exercise caution when starting antidepressants in the elderly.

::bonus:: how can you use unintended effects of meds to produce intended effects in special populations like the elderly?
400
Abilify, geodon, Latuda, Lamictal
Name at least two ~weight neutral antipsychotic
400
That the inattention/hyperactivity is consistent across multiple contexts. GAD/MDD/ODD/DMDD
A parent comes to your office and wants you to start stimulant therapy for their kid due to ADHD symptoms. What aspect about the symptoms do you need to know to clarify the diagnosis? What could be a differential diagnosis? Why is it important to know?
500
What is tramadol and linezolid.
This pain medication and this antibiotic should be used in caution in patients already on serotonergic agents.
500
What is depakote
A patient comes in with mania and a history of aggression of agitation, sometimes even at baseline. What med is most appropriate?
500
Metabolic disturbances, sedation, akathisia, NMS, cardiotoxicity, sudden death

Seizures, agranulocytosis, myocarditis/cardiomyopathy, sialorrhea
Name three major side effects caused by antipsychotics that need to be monitored when starting one. Name three that we particularly worry about with Clozapine.
500
Eat 500 calories with each dose.
What do you need to remember to tell patients when starting Latuda (lurasidone) and Geodon (ziprasidone)
500
Constipation/bed wetting
Name a physical symptom, seemingly unrelated to psychiatry but whose proper completion is necessary for independent living, that indicates you should take time to assess psychiatric safety of a child.






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