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NURS 663 Exam 1 – Questions And Answers
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NURS 663 Exam 1 – Questions And AnswersBipolar one disorder DSM five criteria ✔️Ans - Manic episode: 1+
week of a colon elevated, expansive or irritable mood and increase energy.
3+ symptoms from B: distractibility, indiscretion, irresponsible,
grandiosity, flight of ideas, activity(Increase goal-orient), decreased need
for sleep, talkativeness or pressured speech.
Bipolar two DSM five criteria ✔️Ans - Hypo mania and major
depressive disorder: hypo mania same as mania with decreased severity
and duration and no functional impairment for episode of four or more
days and no psychosis
Mixed episodes (bipolar) ✔️Ans - Manic and depressive symptoms
time by side usually with comorbid substance abuse increased risk of
suicide and psychosis
rapid cycling ✔️Ans - Four or more cycles per year no greater than a
week well period
Cyclothymia DSM-V Criteria ✔️Ans - Two or more years of mood
cycling with dysthymia and hypo mania decreased intensity than bipolar
disorder meets criteria for hypo mania but does not meet criteria for major
depressive disorder
Dysthymia DSM five criteria ✔️Ans - HE'S 2 SAD depressive
symptoms lasting two or more years that is subsydromal characterized by
hopelessness decreased energy, decrease self-esteem for two years,
abnormal sleep, abnormal appetite impaired decision-making.
MAOÍ Mechanism of action generally ✔️Ans - Catalyzes the
deamination of monoamines intracellularly and MAO transport Reuptake
extracellular monoamines
MAO-A Mechanism of action ✔️Ans - MAO-A Oxidizes serotonin
norepinephrine and epinephrine
MAO-B Mechanism of action ✔️Ans - Oxidizes phenylalanine
, MAO-A and MAO-B mechanism of action ✔️Ans - Oxidizes dopamine
non-preferentially
MAOs Neumonic -2 ✔️Ans - Date with Tyra banks with wine and
cheese in Maui— can cause hypertensive crisis related to tyramine from
aged food.
MAWIs= my arms weight increased= effective for atypical depression
MAOs adverse effects-6 ✔️Ans - Hypertensive crisis, diet restriction,
avoid meds, five week after Prozac, two week after other antidepressants,
no other medications for two weeks after discontinuing
MAOs diet restriction-4 compounds ✔️Ans - Tyrosine, high tyramine,
tryptophan, phenylalanine
Tyrosine foods-10 ✔️Ans - Aged cheese, aged wine, fava or broad
bean pods, sauerkraut, soy sauce, tap or draft beer, overripe fruit, cured
meat, spoiled food
MAOs drugs to avoid- 6 ✔️Ans - Antidepressants, Dextromethorphan,
stimulants, sympathomimetics, meperidine, disulfiram
MAOs side effects 11 ✔️Ans - Increased weight, drowsy, dizzy,
orthostatic hypotension, tremor, headache, dry mouth, constipation, change
in sexual drive, peripheral Edema, sweating
Tricyclic mechanism of action ✔️Ans - Inhibit 5HT2, norepinephrine,
dopamine and reuptake slows. Amino group interferes with ASP - 98 in
HSERT. Causing down regulation of receptors.
Tricyclic side effects ✔️Ans - Anticholinergic effects (dry mouth,
blurred vision, constipation, urine retention, impotence). Histamine effects
(sedation, increased weight). Adrenergic alpha receptor (postural
hypotension). Direct membrane effects (decrease seizure threshold and
arrhythmias). 5HT2 receptor (increase weight and decrease anxiety).
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