EXAM COMPLETE 650 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ BRAND
NEW!!
1st generation antipsychotics black box warning - CORRECT ANSWER: When used off-label to
treat older adult patients with dementia-related psychosis, all antipsychotics (FGAs and SGAs)
approximately double the rate of mortality. Most deaths result from heart-related events (e.g.,
heart failure, sudden death) or from infection (mainly pneumonia). Because antipsychotics are
not approved for treating dementia-related psychosis, and because doing so increases the risk for
death, such use is not recommended.
2nd generation antipsychotic-Clozapine BLACK BOX WARNING - CORRECT ANSWER:
Clozapine can cause life-threatening agranulocytosis. Its use should be reserved for patients who
have not responded to safer alternatives.
antidepressants - CORRECT ANSWER: Because antidepressant drugs can be used to commit
suicide, prescriptions should be written for the smallest number of doses consistent with good
patient management. What should be done if suicidal thoughts emerge during drug therapy, or if
depression is persistently worse while taking drugs? One option is to switch to another
antidepressant. However, as noted, the risk for suicidality appears equal with all antidepressants.
Another option is to stop antidepressants entirely. However, this option is probably unwise
because the long-term risk for suicide from untreated depression is much greater than the long-
term risk associated with antidepressant drugs. If the risk for suicide appears high, temporary
hospitalization may be the best protection.
Are all intranasal glucocorticoids equally effective? - CORRECT ANSWER: Yes, all appear
equally effective.
Are beta-adrenergic blockers suitable for initial therapy or maintenance therapy in glaucoma? -
CORRECT ANSWER: They are suitable for both initial therapy and maintenance therapy.
,Are MAOIs selective or nonselective? - CORRECT ANSWER: Nonselective; they inhibit both
MAO-A and MAO-B at therapeutic doses
Are nonstimulants regulated as controlled substances? - CORRECT ANSWER: No, unlike
stimulants, nonstimulants are not regulated as controlled substances.
Are routine ECGs necessary before starting a child on stimulant therapy without evidence of
heart disease? - CORRECT ANSWER: No, routine ECGs are unnecessary in that case.
Are SGAs approved for treating dementia-related psychosis in older adults? - CORRECT
ANSWER: No, SGAs are not approved for this use.
Are systemic effects common with intranasal glucocorticoids? - CORRECT ANSWER: Systemic
effects are possible but are rare at recommended doses.
Are TCAs recommended for the treatment of BPD? - CORRECT ANSWER: No, they are not
recommended.
Are the increases in heart rate and blood pressure from stimulants clinically significant for most
patients? - CORRECT ANSWER: No, they lack clinical significance for most patients.
Are β-adrenergic blockers suitable for initial therapy or maintenance therapy? - CORRECT
ANSWER: They are suitable for both initial therapy and maintenance therapy.
At what lithium plasma level do more serious toxicities appear? - CORRECT ANSWER: When
plasma levels exceed 1.5 mEq/L.
Can 1st generation antipsychotics cause sexual dysfunction? - CORRECT ANSWER: Yes, they
can cause sexual dysfunction in both women and men.
,Can a history of good mental health protect against psychologic reactions to glucocorticoids? -
CORRECT ANSWER: No, it does not confer protection
Can antidepressants be used PRN (as needed)? - CORRECT ANSWER: No, because therapeutic
effects are delayed
Can beta-adrenergic blockers be used in combination with other drugs? - CORRECT ANSWER:
Yes, they are employed in combination with other drugs for emergency management of acute
angle-closure glaucoma.
Can buspirone be taken long-term without reduction in benefit? - CORRECT ANSWER: Yes, it
has been taken for as long as a year with no reduction in benefit.
Can nonstimulants be used alone for ADHD treatment? - CORRECT ANSWER: Yes, they may
be employed as monotherapy.
Can nonstimulants be used in combination with stimulants for ADHD treatment? - CORRECT
ANSWER: Yes, they can be used as add-on therapy with a stimulant.
Can tardive dyskinesia be reversible? - CORRECT ANSWER: For some patients, symptoms of
TD may decline after dosage reduction or drug withdrawal, but for others, it can be irreversible.
Can β-adrenergic blockers be used in combination with other drugs? - CORRECT ANSWER:
Yes, they are employed for emergency management of acute angle-closure glaucoma.
Diphenhydramine (Benadryl) and Doxylamine (Unisom) - CORRECT ANSWER: Two most
common H1 antagonist sleep aids
Do adrenergic agonists in ocular decongestants typically cause adverse effects? - CORRECT
ANSWER: Rarely, when applied in the low concentrations found in decongestant products.
, Do all first-generation antipsychotic agents have the same effectiveness? - CORRECT
ANSWER: Yes, all FGA agents are equally effective, although individual patients may respond
better to one FGA than another.
Do antipsychotic drugs alter the underlying pathology of schizophrenia? - CORRECT
ANSWER: No, antipsychotic drugs do not alter the underlying pathology of schizophrenia; they
only offer symptomatic relief.
Do glucocorticoids typically induce significant sodium retention? - CORRECT ANSWER: No,
they do not usually induce significant sodium retention.
Do stimulants create positive behavior in children with ADHD? - CORRECT ANSWER: No,
they only reduce negative behavior.
Does benzoyl peroxide promote the emergence of resistant P. acnes? - CORRECT ANSWER:
No, unlike other topical antimicrobials, benzoyl peroxide does not promote emergence of
resistant P. acnes.
Does bupropion affect serotonergic, cholinergic, or histaminergic transmission? - CORRECT
ANSWER: No, it does not affect these transmissions.
Does bupropion inhibit MAO? - CORRECT ANSWER: No, it does not inhibit MAO.
Does buspirone bind to GABA or benzodiazepine receptors? - CORRECT ANSWER: No, it does
not bind to GABA or benzodiazepine receptors.
Does buspirone display cross-dependence with benzodiazepines? - CORRECT ANSWER: No, it
does not display cross-dependence.
Does Dextromethorphan depress respiration at therapeutic doses? - CORRECT ANSWER: No, it
does not depress respiration.