NR 566 Pharmacology Final Exam
Questions and Answers Chamberlain
College
What is a side effects of first-generation antipsychotics?
Correct Answer -Severe movement disorders known as extrapyramidal
symptoms and tardive dyskinesia.
What should a patient be educated on when taking a first-generation
antipsychotic?
Correct Answer -Hypotension signs and management
What drugs interact with SSRIs?
Correct Answer -MAOIs
Antiplatelet (ASA)
Anticoagulant (Eliquis, Xeralto)
What baseline data is needed in older adults and those on diuretics before
starting therapy with an SSRI or SNRI?
Correct Answer -Sodium levels
What is a strategy to minimize adverse effects of SSRIs?
Correct Answer -Report thoughts of suicide or self harm.
Do not abruptly discontinue.
What are common adverse effects of SSRIs?
Correct Answer -Sexual dysfunction
,weight gain
serotonin syndrome
What baseline data is needed before starting tricyclic antidepressants?
Correct Answer -ECG, especially if they are known to have a dysrhythmia
or are above the age of 40
What side effect of tricyclic antidepressants should patients be educated
on?
Correct Answer -Hypotension
What baseline data is needed before starting an MAOI?
Correct Answer -BP
What can happen to patients when taking MAOIs and what are the
symptoms?
Correct Answer -Hypertensive crisis
- headache, tachycardia, palpitations, N/V, sweating.
What is the dietary restriction with MAOIs?
Correct Answer -Tyramine
What kinds of foods contain tyramine?
Correct Answer -Fermented, aged, bean curd, cured meats, protein
supplements, chocolate, caffeine, avocado, banana.
What are examples of benzodiazepine-like drugs?
Correct Answer -Zolpidem
, Zaleplon
Eszopicolone (Lunesta)
Triazolam is an example of what drug class?
Correct Answer -Benzodiazepines
What are examples of melatonin receptor agonists?
Correct Answer -Ramelteon (Rozerem)
Melatonin
What are symptoms of serotonin syndrome?
Correct Answer -Dizziness, headache, nausea, sensory disturbances,
tremor, anxiety, dysphoria.
When can symptoms of serotonin syndrome begin and how long can they
last?
Correct Answer -Begin days to weeks.
Persist 1-3 weeks.
What are adverse effects of Kava?
Correct Answer -hepatotoxicity, severe liver injury
What are adverse effects of ginkgo biloba and how can these be reduced?
Correct Answer -GI upset, headaches, dizziness
Reduce dose = reduced symptoms
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