NR546 FINAL EXAM SCRIPT UPDATED
COMPLETE QUESTIONS AND ANSWERS
EXPERT REVIEWED
●● Bipolar disorder treatment
Answer: Combine antidepressants with mood stabilizers.
●● SNRI breastfeeding caution
Answer: Monitor infant irritability when prescribing SNRIs.
●● Antidepressant prescribing factors
Answer: Consider client preference, comorbidities, and interactions.
●● Initial antidepressant dosing
Answer: Start at lowest dose for 4-8 weeks.
●● Citalopram dosage for elderly
Answer: Reduce dose to half for older patients.
●● Paroxetine contraindication
Answer: Avoid in patients with history of falls.
,●● SSRI screening requirements
Answer: Check blood pressure before and during SNRI treatment.
●● SSRI suicide risk age group
Answer: Kids and adults under 25 are at higher risk.
●● Escitalopram interactions
Answer: Has the least CYP interactions among SSRIs.
●● Fluoxetine half-life
Answer: Longest acting with a half-life of 1-2 weeks.
●● Discontinuation syndrome
Answer: More likely with paroxetine after stopping.
●● Sertraline safety
Answer: Safe for use in nursing and pregnancy.
●● Paroxetine pregnancy risk
Answer: Contraindicated due to atrial septal defect risk.
, ●● Adjunct medications
Answer: Bupropion and mirtazapine have lowest sexual side effects.
●● Serotonin syndrome
Answer: Occurs with two serotonergic drugs; causes agitation.
●● Serotonin syndrome symptoms
Answer: Includes mental status changes and autonomic instability.
●● MAOIs black box warning
Answer: Suicidal ideation risk in youth.
●● MAOI half-life
Answer: Typically ranges from 2-4 hours.
●● SSRIs black box warning
Answer: Indicates risk of suicidal tendencies.
●● MAOIs function
Answer: Inhibit enzyme that deactivates neurotransmitters.
●● MAOI side effects
COMPLETE QUESTIONS AND ANSWERS
EXPERT REVIEWED
●● Bipolar disorder treatment
Answer: Combine antidepressants with mood stabilizers.
●● SNRI breastfeeding caution
Answer: Monitor infant irritability when prescribing SNRIs.
●● Antidepressant prescribing factors
Answer: Consider client preference, comorbidities, and interactions.
●● Initial antidepressant dosing
Answer: Start at lowest dose for 4-8 weeks.
●● Citalopram dosage for elderly
Answer: Reduce dose to half for older patients.
●● Paroxetine contraindication
Answer: Avoid in patients with history of falls.
,●● SSRI screening requirements
Answer: Check blood pressure before and during SNRI treatment.
●● SSRI suicide risk age group
Answer: Kids and adults under 25 are at higher risk.
●● Escitalopram interactions
Answer: Has the least CYP interactions among SSRIs.
●● Fluoxetine half-life
Answer: Longest acting with a half-life of 1-2 weeks.
●● Discontinuation syndrome
Answer: More likely with paroxetine after stopping.
●● Sertraline safety
Answer: Safe for use in nursing and pregnancy.
●● Paroxetine pregnancy risk
Answer: Contraindicated due to atrial septal defect risk.
, ●● Adjunct medications
Answer: Bupropion and mirtazapine have lowest sexual side effects.
●● Serotonin syndrome
Answer: Occurs with two serotonergic drugs; causes agitation.
●● Serotonin syndrome symptoms
Answer: Includes mental status changes and autonomic instability.
●● MAOIs black box warning
Answer: Suicidal ideation risk in youth.
●● MAOI half-life
Answer: Typically ranges from 2-4 hours.
●● SSRIs black box warning
Answer: Indicates risk of suicidal tendencies.
●● MAOIs function
Answer: Inhibit enzyme that deactivates neurotransmitters.
●● MAOI side effects
