Quiz 6: Treatment of Psychotic Disorders

SSRI medications alone do not trigger a manic episode in a bipolar patient.

Topamax or topiramate is believed to increase GABA and block glutamate receptors .

Both lithium and olanzepine are FDA approved as mono-therapies for Bipolar illness.

Most atypical antipsychotics and neuroleptics are approved for use with bipolar patients.

For acute manic states, lithium or valproate would be approved medications.

Olanzepine and Lamictal ODT are also available as an orally disintegrating tablet.

Most anticonvulsants and other medications like lithium are safe to use during pregnancy.

Medications like lithium, carbamazepine, and clozapine require blood monitoring.

Vraylar, Rexulti, and Latuda are newer atypicals used in the treatment of bipolar and other psychotic spectrum illnesses.

Which of the following drugs is thought to be the "gold standard" for treating Bipolar Illness? A) Lamictal B) Topamax C) Lithium D) Tegretol

Oxcarbazepine or Trileptal is similar to ________, but does not cause agranulocytosis or aplastic anemia? A) Lithium B) Tegretol C) Neurontin D) None of these

Which of the following is not associated with significant weight gain? A) Lithium B) Zyprexa C) Topamax D) Depakote

Which of the following may cause a toxic rash? A) Lamotrigine B) Gabapentin C) Topiramate D) None of these

Which of the following benzodiazepines is often used for its mood-stabilizing properties? A) Xanax B) Ativan C) Klonopin D) All of the above

Typically, we should wait about ____ days to see if a particular anti-manic medication is working before we consider another. A) 2-5 days B) 5-10 days C) 5-15 days D) 15-20 days

A typical two-drug combinations for Bipolar Illness include: A) An SSRI plus an MAOI B) An SSRI plus a neuroleptic C) Lithium plus an anticonvulsant D) All of the above

A typical three-drug combination could include all except A) An SSRI plus an MAOI, plus an atypical antipsychotic. B) An antipsychotic, a mood stabilizer, and an antidepressant. C) Bupropion, a mood stabilizer, and an antipsychotic. D) None of these

Typical three drug combinations include: A) An SSRI, a benzo, and an anticonvulsant. B) An MAOI, A benzo, and an anticonvulsant. C) Lithium, a stimulant and a benzo. D) Lithium, an anticonvulsant, and an atypical antipsychotic.

Which of the following atypicals is less sedating and less likely to cause weight gain? A) Rexulti B) Abilify C) Zyprexa D) Clozaril