NSG 533 Advanced Pharmacology 2027 Test 1 Questions and Answers
- Newest Updated Study Guide with Accurate Solutions - Grade A+
Question 1.
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
Correct Answer: D
Question 2.
Of the following combinations of medications, which one would you want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole
Correct Answer: B
Question 3.
A 26-year-old man with a history of depression has been taking sertraline 200 mg/day
for 12 weeks with no response. The patient has no other complications. The physician
asks for your recommendation. The most reasonable recommendation would be to:
A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine
E. Decrease sertraline
Correct Answer: D
Question 4.
Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone
Correct Answer: C
Question 5.
A 23-year-old married white woman comes to the outpatient psychiatric clinic
complaining of decreased sleep, decreased appetite, decreased concentration,
, depressed mood, thoughts of death, and lack of interest in activities for 6 weeks'
duration. She has no history of psychiatric illness and takes no medications except for
Ortho-Tri Cyclen Lo daily. Based upon the patients symptoms, choose the best
medication to treat this patient.
A. Nefazodone 100 mg po twice daily
B. Paroxetine 20 mg po daily
C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime
Correct Answer: B
Question 6.
A 36-year-old man is admitted to the hospital for a severe methicillin-resistant
Staphylococcus aureus diabetic foot infection and is started on linezolid 600 mg IV every
12 hours. His medication profile includes paroxetine 40 mg every morning, trazodone
100 mg at bedtime as needed for sleep, and metformin 1000 mg po twice daily. After 3
days on these medications, the patient becomes agitated, confused, and diaphoretic
and develops myoclonic jerks. Which of the following is the most likely diagnosis?
A. Overdose of metformin
B. Bacterial meningitis
C. Neuroleptic malignant syndrome
D. Serotonin syndrome
Correct Answer: D
Question 7.
A 46-year-old woman presents to the psychiatric outpatient clinic for follow-up
treatment of major depression. She is currently on paroxetine 10 mg at bedtime, which
she started taking 2 months ago when admitted to the psychiatric hospital for suicidal
ideation. During the interview, she says that she does not think the medication is
working because she is just as depressed as she was before taking the medication and
has recently started drinking eight to 10 beers daily to alleviate the depression. Before
this episode, she was sober for 4 years. Which of the following treatment strategies
would be the appropriate choice for this patient?
A. Stop the paroxetine and start nefazodone 100 mg po twice daily
B. Increase the dose of paroxetine to 20 mg po at bedtime
C. Stop the paroxetine and start duloxetine 20 mg/day
D. Continue the paroxetine at them same dose for a longer period of time to evaluate
whether she will res
Correct Answer: B
Question 8.
Which of the following is a flaw in the monoamine hypothesis of depression?
A. Concentrations of neurotransmitters are reduced in the synaptic cleft
B. A switch to a different class of antidepressants does not improve response
- Newest Updated Study Guide with Accurate Solutions - Grade A+
Question 1.
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
Correct Answer: D
Question 2.
Of the following combinations of medications, which one would you want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole
Correct Answer: B
Question 3.
A 26-year-old man with a history of depression has been taking sertraline 200 mg/day
for 12 weeks with no response. The patient has no other complications. The physician
asks for your recommendation. The most reasonable recommendation would be to:
A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine
E. Decrease sertraline
Correct Answer: D
Question 4.
Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone
Correct Answer: C
Question 5.
A 23-year-old married white woman comes to the outpatient psychiatric clinic
complaining of decreased sleep, decreased appetite, decreased concentration,
, depressed mood, thoughts of death, and lack of interest in activities for 6 weeks'
duration. She has no history of psychiatric illness and takes no medications except for
Ortho-Tri Cyclen Lo daily. Based upon the patients symptoms, choose the best
medication to treat this patient.
A. Nefazodone 100 mg po twice daily
B. Paroxetine 20 mg po daily
C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime
Correct Answer: B
Question 6.
A 36-year-old man is admitted to the hospital for a severe methicillin-resistant
Staphylococcus aureus diabetic foot infection and is started on linezolid 600 mg IV every
12 hours. His medication profile includes paroxetine 40 mg every morning, trazodone
100 mg at bedtime as needed for sleep, and metformin 1000 mg po twice daily. After 3
days on these medications, the patient becomes agitated, confused, and diaphoretic
and develops myoclonic jerks. Which of the following is the most likely diagnosis?
A. Overdose of metformin
B. Bacterial meningitis
C. Neuroleptic malignant syndrome
D. Serotonin syndrome
Correct Answer: D
Question 7.
A 46-year-old woman presents to the psychiatric outpatient clinic for follow-up
treatment of major depression. She is currently on paroxetine 10 mg at bedtime, which
she started taking 2 months ago when admitted to the psychiatric hospital for suicidal
ideation. During the interview, she says that she does not think the medication is
working because she is just as depressed as she was before taking the medication and
has recently started drinking eight to 10 beers daily to alleviate the depression. Before
this episode, she was sober for 4 years. Which of the following treatment strategies
would be the appropriate choice for this patient?
A. Stop the paroxetine and start nefazodone 100 mg po twice daily
B. Increase the dose of paroxetine to 20 mg po at bedtime
C. Stop the paroxetine and start duloxetine 20 mg/day
D. Continue the paroxetine at them same dose for a longer period of time to evaluate
whether she will res
Correct Answer: B
Question 8.
Which of the following is a flaw in the monoamine hypothesis of depression?
A. Concentrations of neurotransmitters are reduced in the synaptic cleft
B. A switch to a different class of antidepressants does not improve response
