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Neuropharmacology - Advanced Pharm - NURS8024 - Exam Three Questions And Complete Solutions

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In Parkinson's disease the amount of __________ lost directly correlates to severity of symptoms. - Correct Answer Dopamine The goal of treatment for Parkinson's disease is to CURE and REVERSE degeneration. T / F - Correct Answer False - Tx focus is on restoring balance Sinamet (Levodopa ...

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  • October 22, 2024
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Neuropharmacology - Advanced Pharm - NURS8024 -
Exam Three Questions And Complete Solutions
In Parkinson's disease the amount of __________ lost directly correlates to severity of
symptoms. - Correct Answer Dopamine

The goal of treatment for Parkinson's disease is to CURE and REVERSE degeneration.
T / F - Correct Answer False - Tx focus is on restoring balance

Sinamet (Levodopa & Carbidopa) MOA includes: - Correct Answer Assist in
conversion of levodopa to dopamine in the basal nigra - Increase in body's production of
dopamine

How does Carbidopa help in Parkinson's disease? - Correct Answer Carbidopa
enhances availability of levodopa to cross the BBB. Decrease metabolism of levodopa
in the GI system

An NP understand that treatment effectiveness _____________ between the 3rd and
5th year of Parkinson treatment using sinemet. - Correct Answer Decreases

Important Pt Ed on Levodopa: - Correct Answer Take on an Empty Stomach

ADE with Levodopa include: - Correct Answer CNS effects (Visual/Auditory
Hallucinations, AIM, depression, GI effects, Tachy, Acute glaucoma

Amantadine is used to treat? - Correct Answer MINOR Parkinsons

MOA for Amantadine includes: - Correct Answer Enhances dopaminergic
neurotransmission, muscarininc blocking

An NP would be cautious in prescribing Amantadine for minor Parkinson's in a patient
with what dx? - Correct Answer Seizure D/O & CHF

Name two dopamine receptor agonists: - Correct Answer Ropinirole & Pramipexole

Name the one anticholingeric for EPS / Parkinsons - Correct Answer Cogentin /
Benzotropine

ADE of dopamine receptor agonists include: - Correct Answer GI, Postural HYPO,
Dyskinesias, confusion, delusions, hallucinations, IMPULSIVITY

Ropinirole and Pramipexole CAUSE: - Correct Answer IMPULSIVITY

Cogentin / Benzotropine is an________________ drug - Correct Answer
Anticholinergic

, MAO-B Inbhitors - Correct Answer Monamine Oxidase B Inhibitors

When prescribing MAO-B Inhibitors use CAUTION with what two medications? - Correct
Answer Fluoxetine or Meperidine (Prozac or Demerol)

MAO-B Inhibitors include: - Correct Answer Selegiline (Eldepryl) & Rasagiline (Azilect)

Use MAO-B Inhibitors _____________ and adjunct with __________. - Correct Answer
Early ; Levodopa

COMT (Catehcol-O-Methyltransferase Inhibitors) - Correct Answer Help with uptake of
Levodopa which increases dopamine in CNS

CAUTION when using _______________ & ___________ as both are major enzymes
that metabolize catecholamines. - Correct Answer MAO-B and COMT

Anticholinergics in Parkinson's disease are prescribed because........ - Correct Answer
Decrease Tremors

Decrease Rigidity

Decrease Drooling

An experienced NP would know what about medication to treat Alzheimers disease? -
Correct Answer Drugs are palliative - Provides only modest ST benefits - FATAL

Name the three types of Alzheimers Disease: - Correct Answer Accumulation of Senile
Plaques (Beta-Amyloid)

Formation of numerous neurofibrillary tangles

Loss of Cortical Neurons - Especially Cholinergic neurons

After PCP consult which medication can be started for EARLY Alzheimers Disease? -
Correct Answer Donepezil (Aricept or EARLYCEPT), Rivastigmine (Exelon),
Galantamine (Razadyne)

Which Alzheimers Medication would an NP start later in the disease? - Correct Answer
NamENDa

What is the MOA of NamENDa? - Correct Answer Blocks enzymes that destroy
acetylcholine

What important ADE would the NP educate the patient on with NamENDa? - Correct
Answer GI, Insominia, Fatigue, Muscle Cramping, Anorexia

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