NSG 3050 Practice Study Guide
Questions with Distinction level
Marking scheme version 2024/2025
Clozapine (Clozaril) - correct answer Second generation (atypical) antipsychotic
Targets positive and negative symptoms of schizophrenia, first line tx, emotional
quieting, can cause metabolic syndrome (increased weight, insulin resistance)
Fatal SE: suppression of bone marrow, agranulocytosis. Frequent WBC counts, assess
fevers, rashes
Olanzapine (Zyprexa) - correct answer Second generation (atypical) antipsychotic
Targets positive and negative symptoms of schizophrenia, first line tx, emotional
quieting, can cause metabolic syndrome (increased weight, insulin resistance)
Risperidone (Risperdal) - correct answer Second generation (atypical) antipsychotic
Targets positive and negative symptoms of schizophrenia, first line tx, emotional
quieting, can cause metabolic syndrome (increased weight, insulin resistance)
EPSEs (tremors, slurred speech, akathisia [inability to stay still], anxiety, dystonia
[repetitive motion], parania)
Sexual disfunction
Paliperidone (Invega) - correct answer Second generation (atypical) antipsychotic
Targets positive and negative symptoms of schizophrenia, first line tx, emotional
quieting, can cause metabolic syndrome (increased weight, insulin resistance)
EPSEs (tremors, slurred speech, akathisia [inability to stay still], anxiety, dystonia
[repetitive motion], parania)
Ziprasidone (Geodon) - correct answer Second generation (atypical) antipsychotic
Serotonin and Norepinephrine reuptake inhibitor,
,Targets positive and negative symptoms of schizophrenia, first line tx, emotional
quieting, can cause metabolic syndrome (increased weight, insulin resistance)
Contra: QT interval prolonged
LOW risk for metabolic syndrome
Aripriprazole (Abilify) - correct answer Second generation (atypical) antipsychotic
Dopamine stabilizer
Targets positive and negative symptoms of schizophrenia, first line tx, emotional
quieting, can cause metabolic syndrome (increased weight, insulin resistance)
LOW risk for metabolic syndrome
Quetiapine (Seroquel) - correct answer Second generation (atypical) antipsychotic
Dopamine stabilizer
Targets positive and negative symptoms of schizophrenia, first line tx, emotional
quieting, can cause metabolic syndrome (increased weight, insulin resistance)
Methylphenidate (Ritalin) - correct answer ADHD
Increase dopamine, norepinephrine
SE: weight loss, long term growth suppression
Dextroamphet-Amine (Adderall) - correct answer ADHD
Increase dopamine, norepinephrine
SE: weight loss, long term growth suppression
Atomoxetine (Strattera) - correct answer ADHD
Increase dopamine, norepinephrine
SE: weight loss, long term growth suppression
Donepezil (Aricept) - correct answer Cholinesterase inhibitor - blocks acetylcholine so
cholinergic is increased (increases parasympathetic)
, SE: NVD, insomnia, fatigue, muscle cramps, bradycardia
MILD/MOD/SEVERE AD
Revastigmine (Exelon) - correct answer Cholinesterase inhibitor - blocks acetylcholine
so cholinergic is increased (increases parasympathetic)
SE: NVD, insomnia, fatigue, muscle cramps, bradycardia
MILD/MOD AD
Galantamine (Razadyne) - correct answer Cholinesterase inhibitor - blocks
acetylcholine so cholinergic is increased (increases parasympathetic)
SE: NVD, insomnia, fatigue, muscle cramps, bradycardia
MILD/MOD AD
Memantine (Namenda) - correct answer NMDA receptor antagonist - for severe AD
SE: dizziness, agitation, headache, constipation, confusion
Valproate (Depakote) - correct answer Anticonvulsant
Treatment of bipolar
SE: tremor, weight gain, sedation, thrombocytopenia, hepatic failure
Carbamazepine (Tegretol) - correct answer Anticonvulsant
Treatment of mania
SE: anticholinergic, orthostasis, sedation, ataxia (loss of control of body movements)
Oxcarbazepine (Trileptal) - correct answer Anticonvulsant
Treatment of mania
SE: anticholinergic, orthostasis, sedation, ataxia (loss of control of body movements)
Lamotrigine (Lamictal) - correct answer
