Psychopharmacology mixed exam

Question 1 · lithium

A patient stable on lithium is started on ibuprofen for back pain. Which outcome is MOST likely?

Question 2 · lithium

Which finding in a patient on lithium MOST suggests toxicity?

Question 3 · lithium

Which laboratory test is MOST important to monitor long-term for an endocrine adverse effect of lithium?

Question 4 · valproate

A patient on divalproex reports severe abdominal pain radiating to the back with vomiting. The PRIORITY concern is:

Question 5 · valproate

Which counseling point is MOST essential for a 24-year-old who could become pregnant and is considering valproate?

Question 6 · valproate

A patient on valproate becomes confused. LFTs are normal. Which test should be checked NEXT?

Question 7 · lamotrigine

Lamotrigine is being added for a patient already taking valproate. What adjustment is appropriate?

Question 8 · lamotrigine

Lamotrigine is MOST effective for which phase of bipolar I disorder?

Question 9 · carbamazepine

Before starting carbamazepine in a patient of Han Chinese ancestry, which test is recommended?

Question 10 · carbamazepine

A patient on oral contraceptives starts carbamazepine. What is the MOST important counseling point?

Question 11 · clozapine

Three weeks after starting clozapine, a patient has fever, chest pain and tachycardia. The PRIORITY concern is:

Question 12 · clozapine

A patient stable on clozapine quits smoking. What is the expected effect?

Question 13 · clozapine

Which adverse effect of clozapine should be asked about at EVERY visit because it can be life-threatening?