NU 643 ADVANCED PSYCHOPHARMACOLOGY WEEK 15 FINAL EXAM 2023 -2024 153 QUESTIONS AND CORRECT ANSWERS VERIFIED AND GRADED A 1. A 28 y.o. male presents with a severe alcohol abuse problem and you are discussing pharmacotherapy as part of his treatment plan. You advise naltrexone and use which of the following statements to help with you explanation? Select one: a.Naltrexone blocks mu -opioid receptors to reduce the euphoria you might normally experience with heavy drinking. 2. A 73 -year-old male presents as a new patient with a history of long -term use of clonazepam 1mg QID. Which of the following actions is appropriate in the first visit? Select one: d. Assess for safety, educate about the associated risks of benzodiazepines, begin d iscussion about tapering the medication, obtain and document informed consent. 3. A clinician is considering treatment options for a 28-year-old female with ADHD who has a history of alcohol and marijuana abuse. Which of the following statements accurately explains the effects of different stimulant formulations on neuronal firing? Select one : a. Pulsatile stimulation amplifies undesirable phasic dopamine and norepinephrine firing, which can lead to euphoria and abuse. 4. According to DSM -5 criteria, what is the maximum age threshold for symptom onset when determining a diagnosis of ADHD? Select one: c.12 5. Based on the Carlat reading, "Diet and Mental Health," what dietary recommendations would be most useful for mental health patients? Select one: d. Specific suggestions for following a whole -food diet. 6. Buspirone is indicated for which anxiety disorder? Select one: a. Generalized anxiety disorder 7. Carbamazepine has a half-life of approximately 12 hours. The clinical implications of this are . Select one: c. therapeutic blood monitoring of carbamazepine should not occur before 2½ days of starting the medication. 8. Elimination of a drug can be impacted by all of the following scenarios EXCEPT .Select one: a. a low-fat diet 9. Nootropics are best described as .Select one: b. supplements that are believed to enhance cognition 10. Problems with selective attention associated with ADHD are hypothetically regulated by the: Select one: a. anterior cingulate cortex 11. The medication side effect mostly to result in aggression or violence is . Select one : a. akathisia 12. The psychiatric disorder(s) most likely to result in aggression or violence is (are) . Select one:b. substance use disorders 13. Use the following CYP450 table to hypothesize drug interactions and their clinical significance for a patient on sertraline who begins regularly taking over-the-counter ibuprofen. Select one: e. There is no theoretical interaction between these two medications. 14. What pathway mediates prolactin and is involved in changes in prolactin levels? Select one: d .Tuberoinfundibular 15. When a patient achieves remission of depression, what is the recommended length of time that treatment should continue? Select one: a.The recommended length of treatment depends on the number of depressive episodes that a patient has had. 16. When comparing naltrexone with acamprosate for alcohol dependence, which of the following statements is TRUE? Select one : d. Acamprosate and naltrexone are equally effective with similar side effect profiles. 17. When comparing serotonin syndrome to hypertensi ve crisis, which of the follow statements is TRUE? Select one: d. Although both syndromes have muscular symptoms, only serotonin syndrome has hyperreflexia and myoclonus. 18. When considering length of action of benzodiazepines, which of the following statemen ts is TRUE? Select one: d. Both short -acting and long-acting benzodiazepines have been associated with increased risk for the development of dementia.
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