Mental Health and Substance Use Disorders Flashcards
6 cards from real BCACP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Mental Health and Substance Use Disorders flashcards as text
What is the recommended first-line pharmacotherapy for smoking cessation in an otherwise healthy ambulatory care patient?
Answer: Varenicline (Chantix)
Varenicline is the most effective single pharmacotherapy for smoking cessation, outperforming nicotine replacement and bupropion in head-to-head trials.
A patient with bipolar I disorder is stable on lithium but becomes pregnant. What is the primary concern with continuing lithium?
Answer: Risk of Ebstein's anomaly (cardiac defect) in the fetus
Lithium use in the first trimester is associated with Ebstein's anomaly, a rare but serious cardiac malformation.
Which validated tool is used in ambulatory care to screen for depression?
Answer: PHQ-9
The PHQ-9 is the standard validated tool for depression screening and severity monitoring in ambulatory care settings.
A pharmacist managing a patient with ADHD on amphetamine salts notes the patient's BP has increased by 15 mmHg. What is the most appropriate next step?
Answer: Discuss dose reduction or medication switch with the prescriber
Stimulant medications can raise blood pressure, and a clinically significant BP increase warrants reassessment of the medication regimen.
Which medication is recommended for alcohol withdrawal to prevent seizures in an ambulatory-eligible patient?
Answer: A long-acting benzodiazepine such as chlordiazepoxide or diazepam
Long-acting benzodiazepines are first-line for preventing alcohol withdrawal seizures by cross-tolerating with GABA receptors.
What is the clinical significance of the 'black box warning' on antidepressants for young adults under 25?
Answer: Increased risk of suicidal thoughts and behavior in patients under 25
The FDA black box warning on antidepressants states an increased risk of suicidal ideation and behavior in children, adolescents, and young adults under age 25.