Psychopharm- Dementia Exam Questions and Answers Graded A+
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Psychopharm- Dementia
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Psychopharm- Dementia
Psychopharm- Dementia Exam Questions and Answers Graded A+
A 15-year-old with inattentive-type attention deficit hyperactivity disorder has a hard time staying focused on the task at hand, has trouble organizing her work, and relies heavily on her mother to follow through with her homework. Probl...
Psychopharm- Dementia Exam Questions and Answers Graded A+
A 15-year-old with inattentive-type attention deficit hyperactivity disorder has a hard time staying
focused on the task at hand, has trouble organizing her work, and relies heavily on her mother to follow
through with her homework. Problem solving is one of the hardest tasks for her. Her difficulty with
sustained attention could be related to aberrant activation in the - Answers Dorsolateral prefrontal
cortex
Peter, a 35-year-old stockbroker, has been advised by his supervisor to come and see you, the company
mental health consultant. His supervisor is complaining that he often comes late to appointments, is
inappropriately fidgety, interrupts people during meetings, has been offensive towards coworkers, and
has been known to party excessively on weeknights. Peter asserts that he is just fine; he has a lot of
projects on his mind and is simply standing up for himself when speaking with others. He likes to go out
in the evenings to unwind. Recognizing probable ADHD, you interview both the patient and his work
buddy, who is a longtime friend. How would you start your questions? - Answers Compared to other
people his age
A clinician is considering treatment options for a 26-year-old man with ADHD who has a history of
alcohol and marijuana abuse. Which of the following accurately explains the effects of different
stimulant formulations on neuronal firing? - Answers Pulsatile stimulation amplifies undesirable phasic
dopamine (DA) and norepinephrine (NE) firing, which can lead to euphoria and abuse
Scarlet, a 25-year-old bartender, was diagnosed with ADHD at age 10. She has been on and off
medication since then; first on immediate-release methylphenidate, then on the methylphenidate
patch. She has experimented with illicit drugs during her late adolescence and is still a heavy drinker.
After a few years of self-medication with alcohol and cigarettes, she is seeking medical attention again.
You decide to put her on 80 mg/day of atomoxetine, one of the non-stimulant medications effective in
ADHD. Why does atomoxetine lack abuse potential? - Answers It increases dopamine levels in the
prefrontal cortex but not in the nucleus accumbens
A 15-year-old patient with ADHD has a rare mutation in the gene for the dopamine transporter (DAT). In
deciding which treatment to initiate for this patient's ADHD, you know it will be important to avoid
treatments that depend on normally functioning DAT. Which of the following drugs are transported into
neurons via the dopamine transporter - Answers Amphetamine
Rita is a 28-year-old patient with untreated ADHD. You are currently deciding between guanfacine and
clonidine as potential treatments for this patient. The selective alpha 2A agonist guanfacine appears to
be - Answers Better tolerated than the alpha 2 agonist clonidine
Mary, a 79-year-old patient, is brought to your office by her daughter, who reports that her mother has
been exhibiting several concerning symptoms over the past year. Comprehensive questioning reveals
that her symptoms are: trouble remembering familiar things, such as telephone numbers commonly
dialed; not recognizing some close family members who visit often; and difficulty performing writing
, tasks. The patient's motor function appears to be unaffected. Although not definitive, these symptoms
are most likely indicative of which type of dementia? - Answers Alzheimer's Disease
Jackson is a 10-year-old patient with ADHD. He often exhibits impulsive behaviors in the classroom such
as not raising his hand and waiting to be called upon. According to the model of prefrontal cortex
functioning presented in this chapter, impulsivity associated with ADHD is hypothetically regulated by
the: - Answers orbital frontal cortex
Marcus is a 19-year-old patient who was diagnosed with ADHD when he was 9. He has recently
graduated high school and is scheduled to start his first semester at college next month. As individuals
with ADHD progress into adulthood, they generally experience a decline in: - Answers Impulsivity and
hyperactive symptoms (A&B)
A 26-year-old patient with untreated ADHD has recently been arrested for possession of both cocaine
and marijuana. In individuals with comorbid substance abuse and ADHD, it is generally advisable to treat
ADHD first before addressing substance abuse. - Answers False
George is an 81-year-old patient with Alzheimer's dementia. He is currently taking rivastigmine 4 mg/day
but is experiencing treatment-induced nausea and diarrhea. These gastrointestinal side effects may be
due to which action of rivastigmine? - Answers Peripheral inhibition of acetylcholinesterase
& butyrylcholinesterase
In the amyloidogenic pathway, amyloid precursor protein (APP) is first cleaved by - Answers Beta
Secretase
A 73-year-old Alzheimer's patient has been on donepezil 10 mg/day for approximately10 months to aid
in improving her cognitive functioning. Her husband has begun to notice a loss of effectiveness over the
past month. You decide to augment donepezil with 5 mg/day of memantine. Which of the following
properties of memantine may be useful in treating Alzheimer's disease? - Answers NMDA antagonism at
the magnesium site
A 75-year-old patient with Alzheimer's disease is currently being treated with donepezil. Donepezil
increases acetylcholine by: - Answers Inhibiting acetylcholinesterase
PET imaging of a 69-year-old patient with mild cognitive impairment (MCI) has shown some beta
amyloid brain deposition. Which apolipoprotein E (APOE) genotype would predict a faster progression
from MCI to Alzheimer's dementia? - Answers APOE4
What role does the amygdala play in substance abuse? - Answers Communicates to the ventral
tegmental area when cues related to drugs of abuse are Present
A 44-year-old patient has schizophrenia and comorbid alcohol abuse disorder. Alcohol has what effect
on GABA and glutamate in the ventral tegmental area? - Answers Increases GABA and decreases
glutamate
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