PMHNP Psychopharm Exam 1 2024

The PMHNP is evaluating a 68-year-old man for symptoms of major depression. While assessing the appearance of the patient, an obvious left-sided ptosis is noted. Which cranial nerve is directly linked to this condition? a. III b. IV c. V d. VI - A A 55-year-old woman has been referred for a psychiatric evaluation for a change in personality, lack of impulse control, and increasingly reckless decision-making. Which area of the brain would be responsible for these symptoms? a. Parietal lobe b. Broca's area c. Wernicke's area d. Frontal lobe - D A patient was recently started on a dopamine antagonist, and complains of breast tenderness and a milky discharge. What is the most likely explanation for these symptoms? a. Dopamine transmission in the nigrostriatal pathway b. Dopamine transmission in the tuberoinfundibular pathway c. Dopamine transmission in the mesolimbic pathway d. Dopamine increases throughout the basal ganglia - B A patient who was recently started on haloperidol for psychosis begins to manifest hand tremor, and a shuffling gait. What is the most likely explanation for these symptoms? a. Dopamine transmission in the nigrostriatal pathway b. Dopamine transmission in the tuberoinfundibular pathway c. Dopamine transmission in the mesolimbic pathway d. Dopamine increases throughout the basal ganglia - A A 72-year-old man with a comorbid history of uncontrolled hypertension is referred to the PMHNP for dementia secondary to depression. The mental status exam reveals difficulty speaking fluently, inappropriate and confabulated responses, incongruent affect, and poor judgment. A cerebrovascular accident in which region of the brain would better explain these symptoms? a. Parietal lobe b. Wernicke's area c. Broca's area d. Occipital lobe - C Which region of the brain is associated with sensory integration, spatial awareness, and conscious awareness of the opposite side of the body? a. Occipital lobe b. Wernicke's area c. Broca's area d. Parietal lobe - D A patient appears internally preoccupied and responding to auditory hallucination. This patient may have a pathology affecting which lobe of the brain? a. Temporal lobe b. Occipital lobe c. Parietal lobe d. Cerebellum - A A patient presents with atypical symptoms of psychosis that include inconsistent auditory hallucinations without disorganization. What is the best definition of an EEG and its utility? a. Radiologic test utilizing magnets and radio waves to provide a detailed image of the structures of the brain b. Electrophysiologic test that depicts electrical activity on the surface of the brain c. A serum test to indicate nutritional deficiencies that inhibit the formation of neurotransmitters d. A neuropsychological test to distinguish psychosis from a psychosomatic illness. - B Neurons that only travel from the body to the brain are called: a. Sensory neurons b. Motor neurons c. Inter neurons d. Astrocytes - A The part of the neuron that takes in and receives messages is called: a. Dendrite b. Axon c. Synapse d. Node of Ranvier - A What is the fatty layer that prevents interference and increases the speed of impulse transmission along the axon? a. Dendrite b. Axon c. Synapse d. Myelin sheath - D Which of the following receives messages and conducts impulses to the soma? a. Dendrite b. Axon c. Synapse d. Myelin sheath - A The junction between two neurons is known as the: a. Dendrite b. Node of Ranvier c. Synapse d. Soma - C