Exam (elaborations)
NURS 660: PSYCHOPHARMACOLOGY COMPLETE EXAM 4 ACCURATE REVIEW GRADED PASS
- Course
- NURS 660
- Institution
- Maryville University Of St. Louis
NURS 660: PSYCHOPHARMACOLOGY COMPLETE EXAM 4 ACCURATE REVIEW GRADED PASS
[Show more]
Content preview
NURS 660: PSYCHOPHARMACOLOGY COMPLETE EXAM 4ACCURATE REVIEW GRADED PASS
1. ADHD Medication contraindicated with liver impairment?
A. Strattera
2. What is one of the birth defects associated with Lithium?
a. ebstein's anomaly – cardiac anomaly
3. Review category A, B, C, D-What is the category, not enough human studies risk can’t be
ruled out in pregnancy
a. very few recommended
b. relatively safe sertraline, latuda
c. no data for harm but in animal studies issues occurred
d. D cannot be ruled out
4. SSRI cardiovascular malformation during 1st trimester of pregnancy?
a. Paroxetine can cause cardio malformations
b. Increased risk of cardiovascular malformations (primarily ventricular and atrial
septal defects) if taken in 1st trimester.
c. Late in pregnancy may be associated with higher risk of neonatal complications,
including respiratory distress
5. Mechanism of action of a stimulant for ADHD Methylphenidate and amphetamine?
a. by increasing the intrasynaptic levels of both norepinephrine and dopamine
b. Increases norepinephrine and especially dopamine actions by blocking their
reuptake
6. Cigarette smoker craving withdrawal symptoms are caused from what’s going on inside your
body?
a. Cigarette craving and withdrawal is from the re- sensitization of the nicotine receptors
from Stiles review.
b. Nicotine alpha 4 beta 2 post synaptic receptors desensitizes receptors which leads to
addiction. Craving and withdrawal is from the resensitization. If a smoker goes a long
time in between starts withdrawals
7. What part of the brain is associated with inattentive type ADHD symptoms? Can’t stay
focused do work-problems attention sustained and problem-solving?
a. Dorsal anterior cinglunate (acc)- selective attention
b. Dorsal lateral prefontal cortex- sustained attention and problem solving (CSTC loop
per Dr. Stiles)
c. Prefrontal motor cortex- hyperactivity
, d. Orbitofrontal cortex- impulsive symptoms
8. Strattera (atomoxetine)lacks abuse potential because? Where does it work?
a. increases dopamine levels in dorsal prefrontal cortex and NOT in the nucleus
accumbens
b. MOA: Boosts neurotransmitter norepinephrine/ noradrenaline and may also increase
dopamine in prefrontal cortex,
9. Valproate what malformation of fetus would it cause?
a. spina bifida
b. Use during first trimester may raise risk of neural tube defects (e.g., spina bifida)
and developmental delay
10. What part of the brain is impulsivity hypothesized to be related to or occur in?
a. Orbitofrontal cortex
11. What part of the brain is compulsivity related to?
a. dorsal striatum
b. Mesolimbic dopamine pathway: Pleasure pathway and link to addiction—pathway
of reward in impulsive and compulsive behaviors The mesolimbic pathway
regulates incentive salience, motivation, reinforcement learning, and fear, among
other cognitive processes. The mesolimbic pathway is involved
in motivation cognition.
**NEI: Impulsivity is hypothesized to be related to the VENTRAL STRIATUM, while
compulsivity is hypothesized to be related to the DORSAL STRIATUM.
12. Mechanism of action atomoxetine?
a. Boosts neurotransmitter norepinephrine/ noradrenaline and may also increase
dopamine in prefrontal cortex • Blocks norepinephrine reuptake pumps, also known as
norepinephrine transporters • Presumably this increases noradrenergic neurotransmission
• Since dopamine is inactivated by norepinephrine reuptake in frontal cortex, which
largely lacks dopamine transporters, atomoxetine can also increase dopamine
neurotransmission in this part of the brain (Stahl, prescribers guide)
13. Amyloid precursor protein (APP) is first cleaved by what enzyme?
a. Alpha-secretase (Stahl pscyhopharm, p 506)
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 Edumaxsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.19. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52510 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now