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Levetiracetam (Keppra) has known drug-drug interactions with:

An 8-year-old girl is brought to clinic due to persistent social and behavioral concerns. She speaks in short, simple sentences but has difficulty maintaining back-and-forth conversations. She requires frequent prompting to complete daily tasks and becomes very distressed with changes in routine. At school, she struggles to engage with peers unless closely supported by a teacher. She exhibits repetitive hand-flapping and has highly restricted interests. Her symptoms significantly impair her functioning despite support. Which of the following best describes her level of support needs under Autism Spectrum Disorder? 

A 28-year-old woman presents with a long-standing history of Obsessive-Compulsive Disorder. She reports intrusive thoughts that she might harm others and engages in repetitive checking behaviors to reduce her anxiety. Recently, she describes occasionally “hearing” a voice in her head telling her that she is dangerous. She immediately recognizes that the voice is coming from her own mind and states, “I know it’s not real, but it feels very vivid and upsetting.” She denies any loss of reality testing. Which of the following best explains this patient’s new symptom? 

Barb is a 65-year-old female that has been on lorazepam (Ativan) for over 30 years. You talked to her about how this is on the Beer’s list and a medication she should be weaned off of. To help with the taper of the medication, you decide to switch her to a longer acting benzodiazepine. Which of the following is a long acting benzodiazepine to switch her to that will help with the wean:

A 7-year-old child diagnosed with Autism Spectrum Disorder is brought to clinic due to severe irritability, frequent aggressive outbursts, and self-injurious behavior (head banging). Behavioral interventions have been implemented at school and home with limited improvement. The parents report significant impairment in functioning and safety concerns. Which of the following is the most appropriate next step in management? 

Developmental theories are important when treating patients. Which one of the following were a proponent of developmental theories:

 Billy is currently taking paroxetine (Paxil) for his depression. He has noticed a lot of sexual side effects. Which medication below is a more appropriate option to switch him to that will help with the sexual side effects:

A 58-year-old woman presents with a long history of difficulty discarding possessions, including newspapers, clothing, and broken household items. Her home is severely cluttered, limiting access to rooms and creating safety hazards. She reports significant distress when attempting to throw items away and has poor organizational skills. She is willing to engage in treatment. Which of the following is the most appropriate first-line intervention? 

Billy is a 7-year-old male that presents to the clinic with aggressive behaviors and irritability. He verbalizes he is frustrated with how he is not good enough and does not like himself. He has also verbalized suicidal thoughts in the past when frustrated with not understanding different things at school. His parents are medication adverse, but they are getting pushback from the school to start him on a medication. His behaviors are more so at school and not so much at home. He will get overwhelmed in class and will flip desks and rip bulletin boards off the wall. He has not tried any interventions at this time. You discuss with the parents the first line treatment recommendation for his presentation would be: 

An 11-year-old female was place on lisdexamfetamine (Vyvanse). What is some education pointers regarding this family of medications to give the parents in monitoring the patient: