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Of the following antiepileptic agents, which is associated with causing psychosis?
A.
Phenobarbital
B.
Ethosuximide
C.
Phenytoin
D.
Vigabatrin
E.
Valproic acid


q98

98.
A 19-year-old female whose roommate is being treated for depression decides that she is also depressed and secretly takes her roommate's pills "as directed on the bottle" for several days. One night, she makes herself a snack of chicken liver paté and bleu cheese, accompanied by a glass of red wine. She soon develops headache, nausea, and palpitations. She goes to the ED, where her blood pressure is found to be 200/110 mmHg. What antidepressant did she take?
A.
Sertraline
B.
Phenelzine
C.
Nortriptyline
D.
Trazodone
E.
Fluoxetine

q99

99.
A 41-year-old female is seen in the psychiatric clinic for a follow-up appointment. She has been taking an antidepressant for three weeks with some improvement in mood. However, she complains of drowsiness, palpitations, dry mouth, and feeling faint on standing. Which antidepressant is she taking?
A.
Amitriptyline
B.
Trazodone
C.
Fluoxetine
D.
Venlafaxine
E.
Bupropion

97d 98b 99a

e.b.c

97,,,guess is phenytoin,,,dont know exact
98,,,phenelzine
99,,,Amitriptyline

97, c, 98, b, 99, a

97 is Vigabatrin

98 is Phenelzine gr8 question............i remember another Q.....in patient of Migraine with h/o poorly controlled HTN.....Sumatriptan not to be given.....its contraindicated as it can cause HTN emergency.


99 Amitryptyline i guess (a TCA)

E.
B.
A.

97.
Of the following antiepileptic agents, which is associated with causing psychosis?
A.
Phenobarbital
B.
Ethosuximide
C.
Phenytoin
D.
Vigabatrin
E.
Valproic acid

The answer is: D

Vigabatrin can induce psychosis. It is recommended that it not be used in patients with preexisting depression and psychosis.

98.
A 19-year-old female whose roommate is being treated for depression decides that she is also depressed and secretly takes her roommate's pills "as directed on the bottle" for several days. One night, she makes herself a snack of chicken liver paté and bleu cheese, accompanied by a glass of red wine. She soon develops headache, nausea, and palpitations. She goes to the ED, where her blood pressure is found to be 200/110 mmHg. What antidepressant did she take?
A.
Sertraline
B.
Phenelzine
C.
Nortriptyline
D.
Trazodone
E.
Fluoxetine

The answer is: B

This patient ate tyramine-rich foods while taking an MAOI and went into hypertensive crisis. Tyramine causes release of stored catecholamines from presynaptic terminals, which can cause hypertension, headache, tachycardia, cardiac arrhythmias, nausea, and stroke. In patients who do not take MAOIs, tyramine is inactivated in the gut by MAO, and patients taking MAOIs must be warned about the dangers of eating tyramine-rich foods.

99.
A 41-year-old female is seen in the psychiatric clinic for a follow-up appointment. She has been taking an antidepressant for three weeks with some improvement in mood. However, she complains of drowsiness, palpitations, dry mouth, and feeling faint on standing. Which antidepressant is she taking?
A.
Amitriptyline
B.
Trazodone
C.
Fluoxetine
D.
Venlafaxine
E.
Bupropion

The answer is: A

Of the listed antidepressants, only amitriptyline, a tricyclic, causes adverse effects related to blockade of muscarinic acetylcholine receptors. Both trazodone and amitriptyline cause adverse effects related to -adrenoreceptor blockade.