NURS 6630 Psychopharmacology Test Submission: Midterm Exam Week 6
Course :NURS-6630N,Approaches to Treatment.2020 Winter Qtr Test Midterm Exam - Week 6
• Question 1
What is the strongest established risk factor for bipolar disorder? Family History
Response Feedback: “The strongest...
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NURS 6630 Psychopharmacology Test Submission: Midterm Exam Week
6
Course :NURS-6630N,Approaches to Treatment.2020 Winter Qtr Test
Midterm Exam - Week 6
Question 1
What is the strongest established risk factor for bipolar disorder? Family
History
Response “The strongest established risk factor for BPD is a
Feedback: family history of BPD.”
Question 2
Which of the following medications are known as selective serotonin
re-uptake inhibitors (SSRIs)?
i. Nortriptyline
ii. Citalopram
iii. Duloxetine
iv. Fluoxetine
v. Venlafaxine
Question 3
Which disease state of a non-adherent patient is at greater risk for
substance use, violence, and victimization as well as worse overall
quality of life? Schizophrenia
Respons “Moreover, non-adherent patients with schizophrenia are at
e greater risk for substance use, violence, and victimization as
Feedbac well as worse overall quality of life.”
k:
Question 4
Patient is a 72-year-old male with a past medical history significant for
atrial fibrillation and COPD with a new diagnosis of major depression
disorder. Based on his comorbid conditions, what antidepressant would
you recommend as first-line? Atomoxetine
, Respons (Options C & D are both TCA antidepressants and, based on the
e patient’s age and comorbid conditions, a TCA would likely
Feedbac result in more side effects, such as increased fall risk due to
k: potential for orthostatic hypotension and anticholinergic-
related side effects. In addition, patient has a history for
cardiac abnormalities due to A. fib diagnosis - TCAs result in
electrocardiographic changes in susceptible individuals,
therefore, would likely avoid. Choice B is used more for ADHD
purposes than as an antidepressant)
Page numbers used: Page 39 for TCA side-effect profile
Question 5
Which of the following is an appropriate strategy for managing
treatment-resistant depression? Use both SSRI and SNRI
Question 6
Which of the following medications is best to AVOID in maintenance
treatment of bipolar disorder and why?
Respons “As noted previously, antidepressants may contribute
e to an increase in mood episode frequency.”
Feedbac
k:
Question 7
With second-generation antipsychotics, what is the main side effect that
requires frequent monitoring?
Respons table 7-6 & page 80, table 7-7; Page 78: “However, attention
over the past decade has focused on effect of second-generation
e antipsychotics on glucose metabolism and lipids and associated
Feedbac metabolic syndrome.”
k:
Question 8
Which amino acid is involved in the synthesis of both norepinephrine and
dopamine?
Question 9
, An 81-year-old male comes to your clinic today complaining of dry mouth,
blurred vision, and constipation. He has a past medical history significant
for hypertension, heart failure, and depression. Of the following
medications, which one is likely contributing to these side effects?
Respons Only TCA is listed with most anticholinergic effects; Page 39
for TCA side effect profile: “dry mouth, blurred vision,
e constipation, urinary hesitancy, tachycardia, memory
Feedbac difficulties, and ejaculatory difficulties”
k:
Question 10
Which medication has been studied and recommended in patients with a
social anxiety disorder who also suffer from an alcohol use disorder?
, Respons “Suggested that treatment with the SSRI paroxetine
e decreased the anxiety and may have reduced the alcohol
Feedbac use as well”
k:
Question 11
M. B. was just diagnosed with Generalized Anxiety Disorder and
pharmacotherapy is needed. Which of the following would be a first-line
treatment option for M. B.?
I. Duloxetine
II. Quetiapine
III. Diazepam
IV. Escitalopram
Respons “As is true for panic and the other anxiety disorders, the SSRIs
e and SNRIS are generally considered first-line agents for the
Feedbac treatment of GAD because of their favorable side
k: effect profile….”
Question 12
The serotonin system is involved in many processes in psychiatry,
including, most prominently, mood, sleep, and psychosis. Of the following
neurons listed, from where is serotonin synthesized?
Response under serotonin subheading and figure 1-
Feedback: 18 on page 16: Locus Coeruleus:
Norepinephrine
Nucleus basalis: cholinergic neurons
Substantia Nigra:
dopamine Ventral
Tegmental area:
dopamine
Question 13
Which of the following symptoms is NOT part of the diagnostic features for
bipolar disorder?
Respons “Psychosis is not represented in the diagnostic features for
BPD.”
e - “Psychosis typically resolves along with the mood
Feedbac symptoms, though diagnostic criteria acknowledge that
k: psychotic symptoms may linger beyond the end of the
episode.”
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