Psychiatry Flashcards
7 cards from real PANRE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Psychiatry flashcards as text
A 35-year-old with bipolar I disorder is stable on lithium but develops polyuria and polydipsia. What is the most appropriate next step?
Answer: Check serum lithium level and renal function
Nephrogenic diabetes insipidus is a common lithium side effect; checking levels and renal function guides management.
Which medication augmentation strategy is FDA-approved for treatment-resistant major depressive disorder in adults?
Answer: Aripiprazole
Aripiprazole is FDA-approved as an adjunct to antidepressants for treatment-resistant MDD.
A patient on clozapine develops a WBC of 2,800/mm³. What is the correct action?
Answer: Discontinue clozapine immediately
A WBC below 3,000/mm³ requires immediate discontinuation of clozapine due to agranulocytosis risk.
Which of the following is the first-line pharmacotherapy for panic disorder?
Answer: SSRIs
SSRIs are first-line for panic disorder due to efficacy and favorable side-effect profile.
A 28-year-old presents with 2 weeks of depressed mood, insomnia, poor concentration, and passive suicidal ideation after a romantic breakup. She denies psychosis. What is the diagnosis?
Answer: Major depressive episode
Five or more DSM-5 depressive symptoms for ≥2 weeks including depressed mood qualifies as a major depressive episode.
Which side effect is most associated with SNRI antidepressants compared to SSRIs?
Answer: Hypertension
SNRIs inhibit norepinephrine reuptake, which can raise blood pressure, especially at higher doses.
A patient with schizophrenia on haloperidol develops sustained muscle contractions of the neck. Which medication should be given immediately?
Answer: Diphenhydramine IV
Acute dystonic reactions respond rapidly to IV diphenhydramine or IM benztropine; IV diphenhydramine acts fastest.