NR546-FINALEXAM-PEARLS LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
Firstmlinemtreatmentmformdepressionm-mCORRECTmANSWERmSSRIs
CommonmsidemeffectmofmSSRIsm-mCORRECTmANSWERmsexualmdysfunction
rapidmcyclingmbipolarmdisorderm-mCORRECTmANSWERmMinimummofm4mepisodesmamyear
Goalmofmantidepressantmtherapym-mCORRECTmANSWERmcompletemremissionmofmsymptoms
SerotoninmGImeffectsm-
mCORRECTmANSWERmDuemtomthemfactmthatm90%mofm5HTmreceptorsmaremlocatedminmGImtract
bestmtoleratedmSSRIm-
mCORRECTmANSWERmEscitalopramm(Lexapro)malsomhasmfewestmCYPminteractions
Lithiummlevelsm-mCORRECTmANSWERmCanmbemincreasedmbymNSAIDSmandmACEminhibitors
Canmbemdecreasedmbymcaffeinemandmmania
Unaffectedmbymamiloride,mfurosemide,mandmsulindac
Lithiummpurposem-
mCORRECTmANSWERmEffectivemtreatmentmformmanicmepisodes,mtompreventmreoccurrencemandmtom
amlowermdegreemismeffectiveminmdepressivemepisodes
Lamotriginem-mCORRECTmANSWERmWellmtoleratedmexceptmformthempropensitymtomcausemamrash
,Monoaminesm-mCORRECTmANSWERmdopamine,mnorepinephrine,mserotonin
Lamotriginem-mCORRECTmANSWERmIsmammoodmstabilizer
Lithiumm-
mCORRECTmANSWERmWellmestablishedmtompreventmsuicideminmclientsmwithmmoodmdisorders
Lithiumm-mCORRECTmANSWERmHasmamnarrowmtherapeuticmwindowmandmrequiresmlawmdraws
1stmlinemtreatmentmformOCDm-
mCORRECTmANSWERmSSRIsmaremfirstmline.mBenzodiazepinesmaremnot!!!
PrimarymactionmofmhallucinogenicmdrugsmsuchmasmLSD,mescaline,mpsilocybin,mandmMDMAm-
mCORRECTmANSWERmAgonismmofm5HT2Amreceptors
Hallucinogensmmaymhavemadditionalmactionsmatmothermserotoninmreceptorsm(particularlym5HT1Ama
ndm5HT2C)mandmatmothermneurotransmittermsystems,mandmMDMAminmparticularmalsomblocksmthems
erotoninmtransporterm(SERT)
Controlsmappetitem-
mCORRECTmANSWERmhypothalamusmservesmasmthembrainmcentermthatmcontrolsmappetitembymutilizi
ngmamcomplexmsetmofmcircuitsmandmregulators.mOnemformulationmofmhowmthemhypothalamusmdoesm
thismismthemnotionmthatmtheremismammajormappetitemstimulatingmpathwaymwhosemactionsmaremmedi
atedmbymtwompeptidesm(neuropeptidemYmandmagouti-relatedmprotein)
Phenterminem-
mCORRECTmANSWERmActsmlikemamphetamine,mblockingmbothmthemdopaminemtransporterm(DAT)ma
ndmthemnorepinephrinemtransporterm(NET)mand,matmhighmdoses,mthemvesicularmmonoaminemtransp
orterm(VMAT)
, Buprenorphinem-mCORRECTmANSWERmIsmalsomapprovedmform<18myearmolds
Disulfirammcautionm-
mCORRECTmANSWERmAlcoholmreactionmmaymoccurmwithinmtwomweeksmofmalcoholmingestion
Methadonem-mCORRECTmANSWERmIsmamfullmmu-receptormagonistmwithmamlongmhalf-
life,mwhichmcanmpreventmwithdrawalmsymptomsmform24mhoursmandmprovidemsteadymcontrolmofmcrav
ingsmthroughoutmthemday.mInmadditionmtomitsmopioidmreceptormactivity,mitmismalsomanmantagonistmofm
themN-methyl-D-aspartatem(NMDA)mreceptor.
Hallucinogenicmintoxicationm-
mCORRECTmANSWERmpupillarymdilation,mtachycardia,msweating,mpalpitations,mblurredmvision,mtre
mors,mincoordination
Canmbemperceivedmasmampanicmattackmandmoftenmcalledmambadmtrip.m
Canmexperiencemanmacutemstatemofmconfusionm(delirium)mwheremthemabusermismdisorientedmandma
gitated.
Disulfiramm-
mCORRECTmANSWERmIrreversiblyminhibitsmaldehydemdehydrogenasemresultingminmbuildmofmtoxicmle
velsmofmacetaldehyde
Acamprosatemreducesmglutamatemreleasemassociatedmwithmalcoholmwithdrawal,mnaltrexonemblock
smthemenjoymentmofmheavymdrinkingmthroughmitsmactionmonmrewardmcircuitry.
sedative-hypnoticsm-mCORRECTmANSWERmActmatmGABAmAmreceptormsitesminmrewardmcircuits
ImpulsivemDisordersm-
mCORRECTmANSWERmFocusedmonmrewardmandmassociatedmwithmMesolimbicmpathway
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
Firstmlinemtreatmentmformdepressionm-mCORRECTmANSWERmSSRIs
CommonmsidemeffectmofmSSRIsm-mCORRECTmANSWERmsexualmdysfunction
rapidmcyclingmbipolarmdisorderm-mCORRECTmANSWERmMinimummofm4mepisodesmamyear
Goalmofmantidepressantmtherapym-mCORRECTmANSWERmcompletemremissionmofmsymptoms
SerotoninmGImeffectsm-
mCORRECTmANSWERmDuemtomthemfactmthatm90%mofm5HTmreceptorsmaremlocatedminmGImtract
bestmtoleratedmSSRIm-
mCORRECTmANSWERmEscitalopramm(Lexapro)malsomhasmfewestmCYPminteractions
Lithiummlevelsm-mCORRECTmANSWERmCanmbemincreasedmbymNSAIDSmandmACEminhibitors
Canmbemdecreasedmbymcaffeinemandmmania
Unaffectedmbymamiloride,mfurosemide,mandmsulindac
Lithiummpurposem-
mCORRECTmANSWERmEffectivemtreatmentmformmanicmepisodes,mtompreventmreoccurrencemandmtom
amlowermdegreemismeffectiveminmdepressivemepisodes
Lamotriginem-mCORRECTmANSWERmWellmtoleratedmexceptmformthempropensitymtomcausemamrash
,Monoaminesm-mCORRECTmANSWERmdopamine,mnorepinephrine,mserotonin
Lamotriginem-mCORRECTmANSWERmIsmammoodmstabilizer
Lithiumm-
mCORRECTmANSWERmWellmestablishedmtompreventmsuicideminmclientsmwithmmoodmdisorders
Lithiumm-mCORRECTmANSWERmHasmamnarrowmtherapeuticmwindowmandmrequiresmlawmdraws
1stmlinemtreatmentmformOCDm-
mCORRECTmANSWERmSSRIsmaremfirstmline.mBenzodiazepinesmaremnot!!!
PrimarymactionmofmhallucinogenicmdrugsmsuchmasmLSD,mescaline,mpsilocybin,mandmMDMAm-
mCORRECTmANSWERmAgonismmofm5HT2Amreceptors
Hallucinogensmmaymhavemadditionalmactionsmatmothermserotoninmreceptorsm(particularlym5HT1Ama
ndm5HT2C)mandmatmothermneurotransmittermsystems,mandmMDMAminmparticularmalsomblocksmthems
erotoninmtransporterm(SERT)
Controlsmappetitem-
mCORRECTmANSWERmhypothalamusmservesmasmthembrainmcentermthatmcontrolsmappetitembymutilizi
ngmamcomplexmsetmofmcircuitsmandmregulators.mOnemformulationmofmhowmthemhypothalamusmdoesm
thismismthemnotionmthatmtheremismammajormappetitemstimulatingmpathwaymwhosemactionsmaremmedi
atedmbymtwompeptidesm(neuropeptidemYmandmagouti-relatedmprotein)
Phenterminem-
mCORRECTmANSWERmActsmlikemamphetamine,mblockingmbothmthemdopaminemtransporterm(DAT)ma
ndmthemnorepinephrinemtransporterm(NET)mand,matmhighmdoses,mthemvesicularmmonoaminemtransp
orterm(VMAT)
, Buprenorphinem-mCORRECTmANSWERmIsmalsomapprovedmform<18myearmolds
Disulfirammcautionm-
mCORRECTmANSWERmAlcoholmreactionmmaymoccurmwithinmtwomweeksmofmalcoholmingestion
Methadonem-mCORRECTmANSWERmIsmamfullmmu-receptormagonistmwithmamlongmhalf-
life,mwhichmcanmpreventmwithdrawalmsymptomsmform24mhoursmandmprovidemsteadymcontrolmofmcrav
ingsmthroughoutmthemday.mInmadditionmtomitsmopioidmreceptormactivity,mitmismalsomanmantagonistmofm
themN-methyl-D-aspartatem(NMDA)mreceptor.
Hallucinogenicmintoxicationm-
mCORRECTmANSWERmpupillarymdilation,mtachycardia,msweating,mpalpitations,mblurredmvision,mtre
mors,mincoordination
Canmbemperceivedmasmampanicmattackmandmoftenmcalledmambadmtrip.m
Canmexperiencemanmacutemstatemofmconfusionm(delirium)mwheremthemabusermismdisorientedmandma
gitated.
Disulfiramm-
mCORRECTmANSWERmIrreversiblyminhibitsmaldehydemdehydrogenasemresultingminmbuildmofmtoxicmle
velsmofmacetaldehyde
Acamprosatemreducesmglutamatemreleasemassociatedmwithmalcoholmwithdrawal,mnaltrexonemblock
smthemenjoymentmofmheavymdrinkingmthroughmitsmactionmonmrewardmcircuitry.
sedative-hypnoticsm-mCORRECTmANSWERmActmatmGABAmAmreceptormsitesminmrewardmcircuits
ImpulsivemDisordersm-
mCORRECTmANSWERmFocusedmonmrewardmandmassociatedmwithmMesolimbicmpathway