Psychopharm MSN 634 Exam/ Actual Exam
Questions with Correct Detailed Answers (Verified)
Latest 2024.
A precursor substance from which both dopamine and norepinephrine are synthesized
through enzymatic action
Select one:
a. Dopamine
b. Tyrosine
c. Trazodone
d. Serotonin - Correct Answer - b. Tyrosine
Tyrosine is a precursor element necessary for the synthesis of both norepinephrine and
dopamine. For serotonin the precursor necessary is tryptophan
A precursor substance from which serotonin is synthesized through enzymatic action in
the neuron
Select one:
a. Glycine
b. Tryptophan
c. Trazodone
d. Tyrosine - Correct Answer - b. Tryptophan
Tryptophan is the precursor to serotonin
, 2
Which of the following statements about the heritability of major depressive disorder
MDD) is true?
Select one:
a. Nearly 100% of people with genetic liability can be accounted for by the personality
trait of dogmatism
b. Nearly 50% of people with genetic liability can be accounted for by the personality
trait of aggressiveness.
c. The heritability is approximately 40% and the personality trait of neuroticism accounts
for a substantial portion of this genetic liability
d. The heritability of MDD depends on whether the individual's mother or father had
MDD
e. Less than 10% of people with genetic liability can be accounted for by the personality
trait of perfectionism. - Correct Answer - c. The heritability is approximately 40% and the
personality trait of neuroticism accounts for a substantial portion of this genetic liability
First-degree family members of individuals with major depressive disorder have a risk of
major disorder two- to fourfold higher than that of the general population. Relative risks
appear to be higher for early-onset and recurrent forms. Heritability is approximately
40%, and the personality trait neuroticism accounts for a substantial portion of this
genetic liability. Neuroticism (negative affectivity) is a well-established risk factor for the
onset of major depressive disorder, and high levels appear to render individuals more
likely to develop depressive episodes in response to stressful life events. (166)
A 39-year-old woman reports that she became quite depressed in the winter last year
when her company closed for the season, but she felt completely normal in the spring.
She recalls experiencing several other episodes of depression over the past 5 years (for
which she cannot identify a seasonal pattern) that would have met criteria for major
depressive disorder. Which of the following correctly summarizes this patient's eligibility
for a diagnosis of 'major depressive disorder, with seasonal pattern'?
, 3
Select one:
a. She does qualify for the diagnosis: the single episode started in the winter and ended
in the spring.
b. She does qualify for this diagnosis: the symptoms described are related to
psychosocial stressors
c. She does not qualify for this diagnosis: the episode must start in the fall, and the
patient must have no episodes that do not have a seasonal pattern
d. She does qualify for this diagnosis: the symptom - Correct Answer - E. She does not
qualify for this diagnosis: the patient must have had two episodes with a seasonal
relationship in the past 2 years and no non-seasonal episodes during that period
-The 'with seasonal pattern' specifier requires a regular temporal relationship between
the onset of major depressive episodes (MDEs) in major depressive disorder or in
bipolar I or bipolar II disorder and a particular time of the year (e.g., in the fall or winter.
The diagnosis excludes cases in which there is an obvious effect of seasonal-related
psychosocial stressors (e.g., regularly being unemployed every winter.) Full remissions
(or a change from major depression to mania or hypomania) also occur at a
characteristic time of the years (e.g., depression disappears in the spring). In the past 2
years, two MDEs must have occurred that demonstrate the temporal seasonal
relationships defined above, and no non-seasonal MDEs must have occurred during
that same time. Seasonal MDEs must substantially outnumber the non-seasonal MDEs
that may have occurred over the individual's lifetime. The specifier 'with seasonal
pattern' can be applied to the pattern of MDEs in bipolar I disorder, bipolar II disorder, or
major depressive disorder, recurrent.
What is the appropriate method of confirming a diagnosis of premenstrual dysphoric
disorder?
Select one:
a. Two or more months of prospective symptom ratings on validated scales
b. Family history
c. Neuropsychological testing
d. One month of scoring high on the Daily Rating of Severity of Problems or 1 month of
scoring high on the Visual Analogue Scales for Premenstrual Mood Symptoms.
e. Laboratory tests - Correct Answer - a. Two or more months of prospective symptom
ratings on validated scales
, 4
-The diagnosis of premenstrual dysphoric disorder is appropriately confirmed by 2
months of prospective symptom ratings. (Note: The diagnosis may be made
provisionally prior to this confirmation.) A number of scales, including the Daily Rating of
Severity of Problems or the Visual Analogue Scales for Premenstrual Mood Symptoms
have undergone validation and are commonly used in clinical trials for premenstrual
dysphoric disorder. The Premenstrual Tension Syndrome Rating Scale has a self-report
and an observer version, both of which have been validated and used widely to
measure illness severity in women who have premenstrual dysphoric disorder. (173-
174)
A client whose hypertension is well-controlled on clonidine presents with major
depression. Which of the following antidepressants should be avoided in the treatment
of his depression?
Select one:
a. Fluoxetine
b. Paroxetine
c. Nortriptyline
d. Bupropion - Correct Answer - c. Nortriptyline
Nortriptyline when administered with clonidine may result in hypertension because the
combination decreases the effects of clonidine. No drug-to-drug of clonidine has been
reported with paroxetine, fluoxetine, or bupropion.
Children with disruptive mood dysregulation disorder (DMDD) often meet criteria for
what additional DSM-5 diagnosis?
Select one:
a. Pediatric bipolar disorder
b. Major depressive disorder
c. Intermittent explosive disorder
d. Schizophrenia
e. Oppositional defiant disorder - Correct Answer - e. Oppositional defiant disorder
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PastPapers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.09. You're not tied to anything after your purchase.
