NU673 Midterm PMHNP Questions With Complete
Solutions
Vilazodone (Viibryd) is not an SSRI but rather a SPARI
(serotonin partial agonist reuptake inhibitor) and a serotonin
multimodal (S-MM). It is not FDA-approved for adolescents.
Vortioxetine (Trintellix) is not an SSRI but rather a serotonin
multimodal (S-MM) and is not FDA-approved for adolescents.
Buproprion (Wellbutrin) is not an SSRI but rather an NDRI
(norepinephrine dopamine reuptake inhibitor). It is not FDA-
approved for adolescents.
1st generation antipsychotics Correct Answers chlorpromazine
Cornea deposits, sedation
fluphenazine
haldol EPS risk D2 bind
all antagonize D2
2nd generation antipsychotics schizophrenia gold standard
Correct Answers Blocks 5HT2A receptors(serotonin receptor
that increases Dopamine0
Apripripazole (ABILIFY) DA & SE maintenance not acute &
augments & partially binds.
Clozapine last choice ( D1, D4, 5HT2A, muscarinic, weak D2)
baseline & serial ANC
Olanzapine (5HT2a>D2) wt gain
Quetiapine( weak D2, 5HTa) sedating
Riperidone( 5HT2A) best in elderly metabolic SE
,Geodon QT prolong
acute PTSD Correct Answers Acute PTSD onset and length of
symptoms are under three months. When a patient has
symptoms lasting over 3 months, it is considered chronic PTSD.
Acute PTSD can be witnessed or experienced. Flashbacks and
distressing reactions to cues and triggers are a part of an acute
episode of PTSD.
acute stress disorder Correct Answers a disorder in which a
person experiences fear and related symptoms soon after a
traumatic event but for less than a month
Acute Stress Disorder (ASD) Correct Answers a disorder
resulting from exposure to a major stressor, with symptoms of
anxiety, dissociation, recurring nightmares, sleep disturbances,
problems in concentration, and moments in which people seem
to "relive" the event in dreams and flashbacks for as long as 1
month following the event
ADHD Correct Answers a psychological disorder marked by
the appearance by age 7 of one or more of three key symptoms:
extreme inattention, hyperactivity, and impulsivity
ADHD hyperactive symptoms Correct Answers Fidgets
Leaves seat
Runs or climbs
Is unable to engage in quiet activities
Is always on the go
Talks excessively
Blurts out information
, Has a difficult time waiting their turn
Interrupts others
ADHD inattention symptoms Correct Answers Fails to give
attention to details
Has difficulty sustaining attention
Does not listen when spoken to
Does not follow through on instructions
Is disorganized
Avoids or dislikes tasks that require sustained mental effort
Loses things
Is distracted
Is forgetful
ADHD treatment Correct Answers behavior therapy +
methylphenidate or amphetamines (both phenethylamines), or
atomoxetine (NeRI)
Alcohol withdrawal symptoms Correct Answers -appear within
4-12 hrs
-abd cramping
-vomiting
-tremors
-restlessness
-inability to sleep
-TACHYCARDIA
-HTN
-transient hallucinations or illusions
-anxiety
-increased RR, temp
-tonic clonic seizures
Solutions
Vilazodone (Viibryd) is not an SSRI but rather a SPARI
(serotonin partial agonist reuptake inhibitor) and a serotonin
multimodal (S-MM). It is not FDA-approved for adolescents.
Vortioxetine (Trintellix) is not an SSRI but rather a serotonin
multimodal (S-MM) and is not FDA-approved for adolescents.
Buproprion (Wellbutrin) is not an SSRI but rather an NDRI
(norepinephrine dopamine reuptake inhibitor). It is not FDA-
approved for adolescents.
1st generation antipsychotics Correct Answers chlorpromazine
Cornea deposits, sedation
fluphenazine
haldol EPS risk D2 bind
all antagonize D2
2nd generation antipsychotics schizophrenia gold standard
Correct Answers Blocks 5HT2A receptors(serotonin receptor
that increases Dopamine0
Apripripazole (ABILIFY) DA & SE maintenance not acute &
augments & partially binds.
Clozapine last choice ( D1, D4, 5HT2A, muscarinic, weak D2)
baseline & serial ANC
Olanzapine (5HT2a>D2) wt gain
Quetiapine( weak D2, 5HTa) sedating
Riperidone( 5HT2A) best in elderly metabolic SE
,Geodon QT prolong
acute PTSD Correct Answers Acute PTSD onset and length of
symptoms are under three months. When a patient has
symptoms lasting over 3 months, it is considered chronic PTSD.
Acute PTSD can be witnessed or experienced. Flashbacks and
distressing reactions to cues and triggers are a part of an acute
episode of PTSD.
acute stress disorder Correct Answers a disorder in which a
person experiences fear and related symptoms soon after a
traumatic event but for less than a month
Acute Stress Disorder (ASD) Correct Answers a disorder
resulting from exposure to a major stressor, with symptoms of
anxiety, dissociation, recurring nightmares, sleep disturbances,
problems in concentration, and moments in which people seem
to "relive" the event in dreams and flashbacks for as long as 1
month following the event
ADHD Correct Answers a psychological disorder marked by
the appearance by age 7 of one or more of three key symptoms:
extreme inattention, hyperactivity, and impulsivity
ADHD hyperactive symptoms Correct Answers Fidgets
Leaves seat
Runs or climbs
Is unable to engage in quiet activities
Is always on the go
Talks excessively
Blurts out information
, Has a difficult time waiting their turn
Interrupts others
ADHD inattention symptoms Correct Answers Fails to give
attention to details
Has difficulty sustaining attention
Does not listen when spoken to
Does not follow through on instructions
Is disorganized
Avoids or dislikes tasks that require sustained mental effort
Loses things
Is distracted
Is forgetful
ADHD treatment Correct Answers behavior therapy +
methylphenidate or amphetamines (both phenethylamines), or
atomoxetine (NeRI)
Alcohol withdrawal symptoms Correct Answers -appear within
4-12 hrs
-abd cramping
-vomiting
-tremors
-restlessness
-inability to sleep
-TACHYCARDIA
-HTN
-transient hallucinations or illusions
-anxiety
-increased RR, temp
-tonic clonic seizures
