1. A patient with schizophrenia presents with extrapyramidal side effects after starting a first-gen

1. A patient with schizophrenia presents with extrapyramidal side effects after starting a first-generation antipsychotic. Which category of FGAs is most likely responsible for these side effects? A High-potency drugs B Low-potency drugs C Phenothiazines D Butyrophenones 2. A patient with depression presents with significant somnolence after starting mirtazapine therapy. Which of the following measures should be taken to manage this side effect? A Add a benzodiazepine for sedation B Increase the mirtazapine dosage C Reduce the mirtazapine dosage D Discontinue mirtazapine and start an SSRI 3. What class of medications is considered first line for most patients with Social Anxiety Disorder (SAD)? A Benzodiazepines B Beta blockers C SSRIS DTricyclic antisdepressants 4. How long should drug therapy for transient insomnia typically last? A 6 to 8 weeks B 4 to 6 months C 2 to 3 weeks D Indefinitely 5. I patient with major depression has not responded to treatment with SSRIs or TCAs. What alternative medication option should the healthcare provider consider? A Atypical antipsychotics B Benzodiazepines C Monoamine oxidase inhibitors (MAOIs) D Selective serotonin reuptake inhibitors (SSRIs) 6. Which class of medications is the best choice to use as adjunctive therapy to mood stabilizers for the short-term management of severe mania in bipolar disorder? A Antidepressants B Benzodiazepines C First-generation antipsychotics D Second-generation antipsychotics 7. A patient taking an MAOI and is prescribed venlafaxine for another medical condition. What should the healthcare provider do with the MAOI? A No special precautions are needed B Discontinue venlafaxine and continue the MAOI since it is the more important medication. C Stop the MAOI for at least 14 days before starting the venlafaxine. D Continue both medications but monitor the patient closely for adverse effects 8. A patient with postpartum depression is breastfeeding their newborn. They express concern about the safety of antidepressant use while breastfeeding. Which antidepressant would be considered safest for use while breastfeeding? A Citalopram B Fluoxetine C Venlafaxine D Sertraline 9. A patient with bipolar disorder is being started on lithium therapy. What baseline data should be assessed before initiating lithium treatment? A Electrocardiogram, comprehensive metabolic panel, and thyroid function test B Electroencephalogram, basic metabolic panel, and thyroid function test C Electrocardiogram, comprehensive metabolic panel, and erythrocyte sedimentation rate D Electroencephalogram, brain nucleopeptide, and troponin 10. Which factor primarily influences the selection of antidepressants among drugs with nearly equal efficacy? A Tolerability and safety profile B Onset of action C Cost-effectiveness D Duration of therapy 11. An adult presents with symptoms suggestive of ADHD and expresses concerns about the potential for medication abuse. The clinician decides to initiate pharmacotherapy and prescribes atomoxetine (Strattera) After starting the medication, the patient reports no improvement in symptoms after 5 days. What information should the clinician provide to the patient regarding the expected response to atomoxetine? A Symptoms should improve wíthin a few days of starting the medication B Symptoms may worsen initially before improving C Significant improvement should be observed within 1 to 3 weeks D The full therapeutic effect of atomoxetine may take up to 6 months. 12. A patient presents with symptoms of serotonin syndrome after starting fluoxetine therapy. What is the appropriate management strategy for this patient? A Starting a low dose of an antipsychotic medication B Discontinuing fluoxetine immediately C Providing supportive care and discontinuing fluoxetine D Increasing the dosage of fluoxetine to achieve therapeutic levels 13. A patient presents with symptoms of severe headache, nausea, and profuse sweating after consuming aged cheese while taking an MAOI. What should the healthcare provider suspect? A Serotonin syndrome B Hypertensive crisis C An allergic reaction D Parkinsonism 14. Which of the following symptoms is characteristic of neuroleptic malignant syndrome (NMS), a rare but serious reaction to antipsychotic medications? A Sudden high fever and autonomic instability B Lightheadedness and dizziness C Prolonged QT interval on electrocardiogram (ECG) D Erectile and ejaculatory dysfunction

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