FR is a 24-year-old female recently diagnosed with mild narcolepsy (with infrequent cataplexy). She was started on Dextroamphetamine 4 weeks ago but presents today reporting minimal improvement but complaining of intolerable irritability and tremulousness. Which of the following would be the most appropriate treatment adjustment?

A 16-year-old boy with a history of attention-deficit/hyperactivity disorder and epilepsy has received trials of multiple stimulants, but none have adequately controlled his symptoms. His parents therefore would like to switch him to the nonstimulant medication atomoxetine, given its more favorable risk–benefit profile. Which of the following statements correctly describes a U.S. Food and Drug Administration (FDA) bolded warning regarding atomoxetine?

KJ is a 10-year-old male who has just been diagnosed with ADHD. He is having most difficulty with symptoms at school and during after school activities. He is not currently on any medications and has no past medical history. His parents are concerned about starting a medication.You need to counsel KJ’s parents on stimulants. Which of the following statements is true regarding adverse effects?

Which of the following is true regarding sodium oxybate (GHB)?

A 26-year-old patient with alcohol and opioid dependence has detoxed from both substances and wishes to start treatment to help him maintain abstinence. Which of the following medications would be most appropriate to treat both of his substance use disorders?

A 40-year-old woman with bipolar disorder presents to the emergency room 2 weeks after starting a new medication.  She reports that she was doing well until she got a viral gastroenteritis and was unable to eat for several days.  While the viral symptoms have resolved, she now complains of nausea and vomiting, ataxia and tremor.  Which of the following studies should be ordered first?

AD is a 36-year-old female diagnosed with schizophrenia being readmitted to your inpatient psychiatric unit. She has failed trials of olanzapine, haloperidol, and aripiprazole and she has been deemed treatment resistant. During this admission she reports worsening depressive symptoms as well and admits to suicidal ideation with a plan. Which of the following treatment options would be most appropriate for AD at this time?

A 75-year-old woman is brought to the emergency department (ED) by her husband because she is displaying confusion. He reports that for months, his wife has been talking about seeing “little animals” in their bedroom at night, has had difficulty walking, and has experienced sleep problems. She becomes agitated in the ED and is given an oral medication to calm her down. An hour later, she develops severe rigidity and tremor in her arms, as well as worsening mental status. Which of the following medications is most likely to have caused these symptoms?

FG was started on carbamazepine 1 month ago during an inpatient psychiatric admission for a manic episode of bipolar disorder. His serum level became therapeutic and he achieved remission during this admission, but upon presentation to clinic today you notice that he seems a little more restless and his speech is rapid. He reports adherence to medications. You’re concerned that he’s decompensating. Labs performed in the morning indicate a carbamazepine serum level of 3.2μg/mL. What is the most appropriateexplanation for this current presentation?

A 40-year-old man with a history of a specific phobia of needles comes to your office seeking treatment. He is due for routine but required blood work in 6 weeks, and he describes significant anticipatory anxiety surrounding the appointment. Which of the following pharmacological options would be most appropriate for this patient?