Which of the following medication needs to be taken with 350 calories of food?
clozapine (Clozaril)
aripiprazole (Abilify)
lurasidone (Latuda)
haloperidol (Haldol)
The Correct Answer is C
A. Clozapine (Clozaril) does not require food for absorption, but it has a high risk of sedation, weight gain, and metabolic side effects. It also requires regular blood monitoring due to the risk of agranulocytosis.
B. Aripiprazole (Abilify) can be taken with or without food, as food does not significantly affect its absorption. It is a partial dopamine agonist, associated with a lower risk of weight gain and metabolic issues compared to other atypical antipsychotics.
C. Lurasidone (Latuda) must be taken with at least 350 calories of food to ensure proper absorption. Taking it on an empty stomach reduces its bioavailability, making it less effective. It is considered a weight-neutral antipsychotic and has a lower risk of metabolic side effects.
D. Haloperidol (Haldol) does not require food for absorption. It is a first-generation antipsychotic (FGA) with a high risk of extrapyramidal symptoms (EPS) but minimal metabolic effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Repeated passage of saliva into clothing. There is no recognized disorder characterized by excessive saliva passage onto clothing. However, sialorrhea (excessive drooling) may occur in neurological conditions like cerebral palsy or as a side effect of medications like clozapine.
B. Repeated passage of feces into clothing. Encopresis is the repeated, involuntary or intentional passage of feces into inappropriate places, such as clothing or the floor, in children older than 4 years. It is often associated with chronic constipation, stool retention, and overflow incontinence, though it can also occur in response to emotional stress or behavioral issues.
C. Repeated passage of rights. This phrase does not correspond to any recognized medical or psychiatric condition.
D. Repeated voiding of urine into bed or clothing. This describes enuresis, not encopresis. Enuresis is the repeated involuntary or intentional voiding of urine into bed or clothing, occurring at least twice a week for three consecutive months in children older than 5 years. It can be nocturnal (night-time bedwetting), diurnal (daytime), or both.
Correct Answer is C
Explanation
A. Depressed type. Schizoaffective disorder, depressive type, involves schizophrenia symptoms (delusions, hallucinations, disorganized thinking) along with major depressive episodes. There is no history of mania or hypomania, distinguishing it from the bipolar type.
B. Unspecified type. Schizoaffective disorder, unspecified type, is used when the clinician determines that the patient meets criteria for schizoaffective disorder but does not clearly fit into the bipolar or depressive subtypes.
C. Anxiety type. There is no "anxiety type" of schizoaffective disorder. While individuals with schizoaffective disorder may experience anxiety, it is not a defining feature. Anxiety disorders are separate conditions and do not define a subtype of schizoaffective disorder.
D. Bipolar type. Schizoaffective disorder, bipolar type, is diagnosed when schizophrenia symptoms occur alongside manic or mixed episodes, with or without depressive episodes. This distinguishes it from the depressive type, which lacks manic symptoms.
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