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Georgette Review. PMHNP- 388 2024 QUESTIONS- WITH COMPLETE SOLUTIONS
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Georgette Review. PMHNP- 388 2024 QUESTIONS- WITH COMPLETE SOLUTIONS
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PMHNP- 388 20241. Which of the following neurotransmitters is primarily involved in mood regulation
and is targeted by selective serotonin reuptake inhibitors (SSRIs)?
A) Dopamine
B) Serotonin
C) Norepinephrine
D) Gamma-Aminobutyric Acid (GABA)
Answer: B) Serotonin
2. In the management of a patient with bipolar disorder, which mood stabilizer is
often considered the first line of treatment?
A) Risperidone
B) Lithium
,C) Fluoxetine
D) Aripiprazole
Answer: B) Lithium
3. What is the most appropriate initial treatment approach for a patient with mild to
moderate major depressive disorder (MDD)?
A) Electroconvulsive therapy (ECT)
B) Pharmacotherapy with antidepressants
C) Cognitive-behavioral therapy (CBT)
D) Transcranial magnetic stimulation (TMS)
Answer: C) Cognitive-behavioral therapy (CBT)
4. Which of the following medications is considered a second-generation
antipsychotic (SGA)?
A) Haloperidol
B) Chlorpromazine
C) Clozapine
D) Lithium
Answer: C) Clozapine
5. Which diagnostic tool is commonly used to screen for generalized anxiety disorder
(GAD)?
A) Beck Depression Inventory (BDI)
B) Generalized Anxiety Disorder 7-item scale (GAD-7)
C) Mini-Mental State Examination (MMSE)
D) Positive and Negative Syndrome Scale (PANSS)
Answer: B) Generalized Anxiety Disorder 7-item scale (GAD-7)
6. Which of the following side effects is most commonly associated with the use of
typical antipsychotics?
A) Weight loss
B) Extrapyramidal symptoms (EPS)
C) Insomnia
D) Hypotension
Answer: B) Extrapyramidal symptoms (EPS)
, 7. What is the recommended treatment for a patient experiencing serotonin
syndrome?
A) Increase the dose of the serotoninergic medication
B) Administer benzodiazepines and discontinue the offending agent
C) Prescribe an additional SSRI
D) Begin electroconvulsive therapy (ECT)
Answer: B) Administer benzodiazepines and discontinue the offending agent
8. In the psychiatric assessment of a patient presenting with hallucinations, which of
the following is the most important factor to determine?
A) The patient’s social history
B) The type and content of the hallucinations
C) The patient's educational background
D) The patient’s financial status
Answer: B) The type and content of the hallucinations
9. Which class of medication is commonly prescribed as a first-line treatment for
attention-deficit/hyperactivity disorder (ADHD) in children?
A) Benzodiazepines
B) Antidepressants
C) Stimulants
D) Antipsychotics
Answer: C) Stimulants
10. Which of the following is considered a risk factor for developing post-traumatic
stress disorder (PTSD)?
A) Lack of social support
B) High socioeconomic status
C) High intelligence quotient (IQ)
D) History of frequent travel
Answer: A) Lack of social support11. Which of the following is a common side effect
of serotonin-norepinephrine reuptake inhibitors (SNRIs)?
A) Hypertension
B) Bradycardia
C) Hypoglycemia
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