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Georgette's LMR (Flashcards made based off of Georgette's Last Minute Review)
Question 1: What drugs should be avoided with Kava Kava?
CORRECT ANSWER : Alprazolam, CNS depressants (e.g.,
phenobarbital, zolpidem)
Question 2: What is the normal range for TSH?
CORRECT ANSWER : 0.5 - 5.0 mu/L
Question 3: What are lab values in Hyperthyroidism?
CORRECT ANSWER : Decreased TSH, Increased T4 and T3
Question 4: What are labs in Hypothyroidism?
CORRECT ANSWER : Increased TSH, Decreased T4 and T3
Question 5: What are 5 primary symptoms of Hyperthyroidism?
CORRECT ANSWER : Heat intolerance, Agitation, Anxiety,
Irritability, Tachycardia, Mood swings, Weight loss
Question 6: What are 4 primary symptoms of Hypothyroidism?
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CORRECT ANSWER : Cold intolerance, Lethargy, Weight
gain, Decreased libido
Question 7: Hypothyroidism mimics symptoms of what
psychiatric disorder?
CORRECT ANSWER : Depression
Question 8: Hyperthyroidism mimics symptoms of what
psychiatric disorder?
CORRECT ANSWER : Mania
Question 9: Valproic acid produces what teratogenic effect?
CORRECT ANSWER : Spina bifida (neural tube defect)
Question 10: What is the primary organ where valproic acid is
toxic?
CORRECT ANSWER : Liver (hepatoxicity)
Question 11: What are 4 signs of hepatoxicity?
CORRECT ANSWER : Abdominal pain in the URQ, Reddish-
brown urine, Yellowing of the skin and sclera, Fatigue
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Question 12: What is the therapeutic range for valproic acid?
CORRECT ANSWER : 50-125 mcg/ml
Question 13: What is a toxic level of valproic acid?
CORRECT ANSWER : >150 mcg/ml
Question 14: What are 4 signs of valproic acid toxicity?
CORRECT ANSWER : Disorientation, Lethargy, Respiratory
depression, Nausea/vomiting
Question 15: A pt on Depakote C/O Abdominal pain in the URQ
and Reddish-brown urine. What do you suspect? What do you do?
CORRECT ANSWER : Hepatotoxicity; hold med, draw LFT's
(priority), DVP level
Question 16: With suspected toxicity with valproic acid, what
steps/labs should be drawn?
CORRECT ANSWER: D/C drug, Check drug level, Obtain
LFTs, Obtain ammonia level
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Question 17: A pregnant pt is taking accutane, zyprexa and
abilify; what med needs to be d/c'd?
CORRECT ANSWER : Accutane (used for acne; Causes birth
Defects!!!)
Question 18: What herbal supplement is used for anxiety, stress,
and insomnia? What is the major side effect with Kava Kava?
CORRECT ANSWER : Kava Kava, liver damage
Question 19: What are 5 symptoms of Stephen's Johnson
Syndrome?
CORRECT ANSWER : Fever -Key sx to suspect SJS; high yield
(HY), burning of mouth/eyes -HY, Body aches, Severe red rash, Peeling skin, Facial and tongue swelling
Question 20: Which mood stabilizer causes the least weight
gain?