,MAOIs (monoamine oxidase inhibitors) affect which neurotransmitters?
A. Serotonin, Dopamine, Norepinephrine
B. Serotonin, GABA, Glutamate
C. Acetylcholine, Dopamine, Norepinephrine
D. Dopamine, GABA, Acetylcholine
A. Serotonin, Dopamine, Norepinephrine
Which of the following is considered first line treatment for depression?
A. SSRI
B. FGA
C. SNRI
D. MAOI
A. SSRI
When treating a patient for major depression disorder which medication would the PMHNP consider
first?
A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
C. Escitalopram
Which of the following medication should be considered for a patient diagnosed with major
depressive disorder who reports "always forgetting to take my pills"?
A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
C. Fluoxetine
Which of the following medication has a black box warning of a life-threatening skin rash?
A. Lithium
,B. Lamotrigine
C. Lurasidone
D. Lorazepam
B. Lamotrigine
Which medication is considered the best tolerated SSRI?
A. Venlafaxine
B. Bupropion
C. Setraline
D. Escitalopram
D. Escitalopram
During a 4 week follow up appointment, Rashida, who is prescribed Sertraline 25mg qAM reports
slight improvement in depression symptoms and tolerating medication well. Which of the following
should the PMHNP do?
A. Increase Setraline dose
B. Switch to an SNRI
C. Switch to a different SSRI
D. Add Trazodone qHS for sleep.
A. Increase Setraline dose
Which medication should be avoided for the 66 year patient diagnosed with major depressive disorder
and anxiety with a reported fall 3 months ago?
A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
C. Paroxetine
A patient reports upset stomach and diarrhea 3 days after taking new prescription of sertraline. Which
of the following is the most appropriate response from the PMHNP?
A. "Start doubling the dose of sertraline and your symptoms will begin to ease up".
B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin
levels".
C. "Stop taking it immediately and go to the local emergency department".
D. "You must take Sertraline with food, otherwise you will continue to experience GI symptoms".
B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin
levels".
, During a 2 week follow up appointment, the patient reports no improvement in depressive symptoms
with escitalopram. Which of the following statement made by the PMHNP is correct?
A. "Let's discontinue escitalopram and start you on something stronger".
B. "It can take up to 6 weeks before you notice improvements of depressive symptoms".
C. "I am going to prescibe Trazodone. Take it at night to help you sleep".
D. "Start taking two pills at a time".
B. "It can take up to 6 weeks before you notice improvements of depressive symptoms".
Duloxetine effects which two neurotransmitters?
A. serotonin and norepinephrine
B. serotonin and dopamine
C. norepinephrine and GABA
D. glutamate and acetylcholine
A. serotonin and norepinephrine
Awura, a 70 year old patient diagnosed with major depressive disorder reports a recent 40 pound
weight loss within the last 3 months. Which medication should the PMHNP consider adding to her
medication regimen?
A. quetiapine
B. mirtazpine
C. valproic acid
D. paroxetine
B. mirtazpine
Which of the following symptoms is NOT an adverse effect associated with the acute use of opioids?
A. Sedation
B. Respiratory depression
C. Immunosuppression
D. Itching
C. Immunosuppression
When dosing citalopram for Lynee, a 72 year old patient, the PMHNP understands to dose at 1/2 dose
due to the increased risk of
A. delirium
B. polypharmacy
C. falls
D. QTc prolongation
D. QTc prolongation
A. Serotonin, Dopamine, Norepinephrine
B. Serotonin, GABA, Glutamate
C. Acetylcholine, Dopamine, Norepinephrine
D. Dopamine, GABA, Acetylcholine
A. Serotonin, Dopamine, Norepinephrine
Which of the following is considered first line treatment for depression?
A. SSRI
B. FGA
C. SNRI
D. MAOI
A. SSRI
When treating a patient for major depression disorder which medication would the PMHNP consider
first?
A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
C. Escitalopram
Which of the following medication should be considered for a patient diagnosed with major
depressive disorder who reports "always forgetting to take my pills"?
A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
C. Fluoxetine
Which of the following medication has a black box warning of a life-threatening skin rash?
A. Lithium
,B. Lamotrigine
C. Lurasidone
D. Lorazepam
B. Lamotrigine
Which medication is considered the best tolerated SSRI?
A. Venlafaxine
B. Bupropion
C. Setraline
D. Escitalopram
D. Escitalopram
During a 4 week follow up appointment, Rashida, who is prescribed Sertraline 25mg qAM reports
slight improvement in depression symptoms and tolerating medication well. Which of the following
should the PMHNP do?
A. Increase Setraline dose
B. Switch to an SNRI
C. Switch to a different SSRI
D. Add Trazodone qHS for sleep.
A. Increase Setraline dose
Which medication should be avoided for the 66 year patient diagnosed with major depressive disorder
and anxiety with a reported fall 3 months ago?
A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
C. Paroxetine
A patient reports upset stomach and diarrhea 3 days after taking new prescription of sertraline. Which
of the following is the most appropriate response from the PMHNP?
A. "Start doubling the dose of sertraline and your symptoms will begin to ease up".
B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin
levels".
C. "Stop taking it immediately and go to the local emergency department".
D. "You must take Sertraline with food, otherwise you will continue to experience GI symptoms".
B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin
levels".
, During a 2 week follow up appointment, the patient reports no improvement in depressive symptoms
with escitalopram. Which of the following statement made by the PMHNP is correct?
A. "Let's discontinue escitalopram and start you on something stronger".
B. "It can take up to 6 weeks before you notice improvements of depressive symptoms".
C. "I am going to prescibe Trazodone. Take it at night to help you sleep".
D. "Start taking two pills at a time".
B. "It can take up to 6 weeks before you notice improvements of depressive symptoms".
Duloxetine effects which two neurotransmitters?
A. serotonin and norepinephrine
B. serotonin and dopamine
C. norepinephrine and GABA
D. glutamate and acetylcholine
A. serotonin and norepinephrine
Awura, a 70 year old patient diagnosed with major depressive disorder reports a recent 40 pound
weight loss within the last 3 months. Which medication should the PMHNP consider adding to her
medication regimen?
A. quetiapine
B. mirtazpine
C. valproic acid
D. paroxetine
B. mirtazpine
Which of the following symptoms is NOT an adverse effect associated with the acute use of opioids?
A. Sedation
B. Respiratory depression
C. Immunosuppression
D. Itching
C. Immunosuppression
When dosing citalopram for Lynee, a 72 year old patient, the PMHNP understands to dose at 1/2 dose
due to the increased risk of
A. delirium
B. polypharmacy
C. falls
D. QTc prolongation
D. QTc prolongation
