EPS

Question 1

Sudden painful muscle spasms of the face neck or tongue suggest which EPS?

Answer 1

Acute dystonia

Question 2

Acute dystonia can be mistaken for what psychiatric presentation?

Answer 2

Agitation or stereotypical movements

Question 3

What is a unique presentation of acute dystonia involving the eyes?

Answer 3

Oculogyric crisis

Question 4

First-line treatment for acute dystonia?

Answer 4

Benztropine (Cogentin)

Question 5

Restlessness pacing and inability to sit still indicate which EPS?

Answer 5

Akathisia

Question 6

Akathisia is commonly mistaken for what condition?

Answer 6

Anxiety

Question 7

Which assessment tool is commonly used to rate akathisia?

Answer 7

Barnes Akathisia Rating Scale

Question 8

First-line medication class for treating akathisia?

Answer 8

Benztropine (Cogentin) or Beta blockers (e.g., propranolol)

Question 9

Absence of movement and difficulty initiating motion indicate which EPS?

Answer 9

Akinesia

Question 10

Akinesia may be misinterpreted clinically as what?

Answer 10

Laziness or lack of interest

Question 11

Treatment for akinesia caused by antipsychotics?

Answer 11

Benztropine (Cogentin)

Question 12

Shuffling gait rigidity tremor and mask-like facial expression suggest which EPS?

Answer 12

Pseudo-parkinsonism

Question 13

Pseudo-parkinsonism results from blockade of which receptor?

Answer 13

D2 dopamine receptor

Question 14

First-line treatment for pseudo-parkinsonian symptoms?

Answer 14

Benztropine (Cogentin)

Question 15

Involuntary lip-smacking, tongue rolling, and facial movements indicate which EPS?

Answer 15

Tardive dyskinesia

Question 16

Which FDA-approved medications treat tardive dyskinesia?

Answer 16

Austedo and Ingrezza

Question 17

Which medication is contraindicated in tardive dyskinesia?

Answer 17

Benztropine (Cogentin)

Question 18

Which non-psychiatric medication can cause tardive dyskinesia-like symptoms?

Answer 18

Metoclopramide (Reglan)