NSG 533 PATHOPHYSIOLOGY
NEWEST FINAL EXAM 2024
COMPLETE EXAM QUESTIONS WITH
100% DETAILED VERIFIED AND
CORRECT ANSWERS ACTUAL
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AD is a 58-year-old man who presents to your clinic
with the complaint that he "just can't sleep at night."
Upon further questioning, he reports that he typically falls
asleep without problem but wakes up multiple times
throughout the night. Which of the following sleep
disorders could AD possibly have?
A. Insomnia
B. Obstructive sleep apnea
C. Narcolepsy
D. Restless legs syndrome
E. All of the above - ....ANSWER...E
RS is a 28-year-old man with a history of obsessive-
compulsive disorder who reports that he kicks his legs
during the night, which wakes him up. He reports that he
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,does not really have any symptoms of restless legs
syndrome, but the leg kicking frequently awakens him in
the middle of the night and causes him to be sleepy
during the daytime. RS has a body mass index of 21 kg/m2
and is normotensive, and his wife says he does not snore
or stop breathing during sleep. What would you
recommend for RS?
A. Temazepam 15 mg at bedtime
B. Polysomnography
C. Pramipexole 0.5 mg at bedtime
D. Multiple sleep latency test
E. Gabapentin 300 mg at bedtime - ....ANSWER...A
Regarding therapies for the treatment of insomnia all of
the following are correct except:
A. Sedating antidepressants are commonly used to treat
insomnia despite few good studies that document
efficacy for insomnia.
B. Nonbenzodiazepines (zolpidem, zaleplon,
eszopiclone) are generally associated with less rebound
insomnia than traditional benzodiazepines.
C. Based on efficacy studies, BZDRAs and ramelteon are
the drugs of choice for the treatment of insomnia.
D. Suvorexant is an orexin receptor antagonist used for
insomnia that is novel because it is not a controlled
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, substance.
E. All of the above are correct. - ....ANSWER...D
Which of the following SSRIs requires up to a 5- week
washout period because of the
long half-life of its potent active metabolite?
A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
D. Sertraline - ....ANSWER...C
Which of the following symptoms is most likely to
improve within approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep - ....ANSWER...D
Of the following combinations of medications, which one
would you want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
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