NSG 533 Advanced Pharmacology Test 1
Week 4 Exam Questions With Correct
Answers
Which cof cthe cfollowing cSSRIs crequires cup cto ca c5-week cwashout cperiod cbecause cof
cthe
long chalf-life cof cits cpotent cactive cmetabolite?
A. cEscitalopram
B. cFluvoxamine
C. cFluoxetine
D. cSertraline c- ccorrect canswers✔✔C
Which cof cthe cfollowing csymptoms cis cmost clikely cto cimprove cwithin capproximately c1
cweek
of cstarting ctreatment?
A. cDepressed cmood
B. cSuicidal cthoughts
C. cAnhedonia
D. cSleep c- ccorrect canswers✔✔D
Of cthe cfollowing ccombinations cof cmedications, cwhich cone cwould cyou cwant cto
cavoid?
A. cFluoxetine-lithium
B. cFluoxetine-phenelzine
C. cCitalopram-valproic cacid
D. cCitalopram-aripiprazole c- ccorrect canswers✔✔B
A c26-year-old cman cwith ca chistory cof cdepression chas cbeen ctaking csertraline c200
cmg/day cfor c12 cweeks cwith cno cresponse. cThe cpatient chas cno cother ccomplications.
cThe cphysician casks cfor cyour crecommendation. cThe cmost creasonable
crecommendation cwould cbe cto:
A. cIncrease csertraline
B. cAdd cfluoxetine
C. cSwitch cto camitriptyline
D. cChange cto cvenlafaxine
E. cDecrease csertraline c- ccorrect canswers✔✔D
Which cof cthe cfollowing cis ca cdangerous ccombination?
A. cMAOI-lorazepam
B. cMAOI-acetaminophen
, C. cMAOI-meperidine
D. cMAOI-ziprasidone c- ccorrect canswers✔✔C
A c23-year-old cmarried cwhite cwoman ccomes cto cthe coutpatient cpsychiatric cclinic
complaining cof cdecreased csleep, cdecreased cappetite, cdecreased cconcentration,
cdepressed
mood, cthoughts cof cdeath, cand clack cof cinterest cin cactivities cfor c6 cweeks' cduration.
cShe chas
no chistory cof cpsychiatric cillness cand ctakes cno cmedications cexcept cfor cOrtho-Tri
cCyclen cLo
daily. cBased cupon cthe cpatients csymptoms, cchoose cthe cbest cmedication cto ctreat
cthis cpatient.
A. cNefazodone c100 cmg cpo ctwice cdaily
B. cParoxetine c20 cmg cpo cdaily
C. cSt. cJohn's cwort c300 cmg cpo cthree ctimes cdaily
D. cAmitriptyline c25 cmg cat cbedtime c- ccorrect canswers✔✔B
A c36-year-old cman cis cadmitted cto cthe chospital cfor ca csevere cmethicillin-resistant
cStaphylococcus caureus cdiabetic cfoot cinfection cand cis cstarted con clinezolid c600 cmg
cIV cevery c12 chours. cHis cmedication cprofile cincludes cparoxetine c40 cmg cevery
cmorning, ctrazodone c100 cmg cat cbedtime cas cneeded cfor csleep, cand cmetformin c1000
cmg cpo ctwice cdaily. cAfter c3
days con cthese cmedications, cthe cpatient cbecomes cagitated, cconfused, cand
cdiaphoretic cand cdevelops cmyoclonic cjerks. cWhich cof cthe cfollowing cis cthe cmost
clikely cdiagnosis?
A. cOverdose cof cmetformin
B. cBacterial cmeningitis
C. cNeuroleptic cmalignant csyndrome
D. cSerotonin csyndrome c- ccorrect canswers✔✔D
A c46-year-old cwoman cpresents cto cthe cpsychiatric coutpatient cclinic cfor cfollow-up
ctreatment cof cmajor cdepression. cShe cis ccurrently con cparoxetine c10 cmg cat cbedtime,
cwhich cshe cstarted ctaking c2 cmonths cago cwhen cadmitted cto cthe cpsychiatric chospital
cfor csuicidal cideation. cDuring cthe cinterview, cshe csays cthat cshe cdoes cnot cthink cthe
cmedication cis cworking cbecause cshe cis cjust cas cdepressed cas cshe cwas cbefore
ctaking cthe cmedication cand chas crecently cstarted cdrinking ceight cto c10 cbeers cdaily cto
calleviate cthe cdepression. cBefore cthis cepisode, cshe cwas
sober cfor c4 cyears. cWhich cof cthe cfollowing ctreatment cstrategies cwould cbe cthe
cappropriate cchoice cfor cthis cpatient?
A. cStop cthe cparoxetine cand cstart cnefazodone c100 cmg cpo ctwice cdaily
B. cIncrease cthe cdose cof cparoxetine cto c20 cmg cpo cat cbedtime
C. cStop cthe cparoxetine cand cstart cduloxetine c20 cmg/day
D. cContinue cthe cparoxetine cat cthem csame cdose cfor ca clonger cperiod cof ctime cto
cevaluate
whether cshe cwill cres c- ccorrect canswers✔✔B
Week 4 Exam Questions With Correct
Answers
Which cof cthe cfollowing cSSRIs crequires cup cto ca c5-week cwashout cperiod cbecause cof
cthe
long chalf-life cof cits cpotent cactive cmetabolite?
A. cEscitalopram
B. cFluvoxamine
C. cFluoxetine
D. cSertraline c- ccorrect canswers✔✔C
Which cof cthe cfollowing csymptoms cis cmost clikely cto cimprove cwithin capproximately c1
cweek
of cstarting ctreatment?
A. cDepressed cmood
B. cSuicidal cthoughts
C. cAnhedonia
D. cSleep c- ccorrect canswers✔✔D
Of cthe cfollowing ccombinations cof cmedications, cwhich cone cwould cyou cwant cto
cavoid?
A. cFluoxetine-lithium
B. cFluoxetine-phenelzine
C. cCitalopram-valproic cacid
D. cCitalopram-aripiprazole c- ccorrect canswers✔✔B
A c26-year-old cman cwith ca chistory cof cdepression chas cbeen ctaking csertraline c200
cmg/day cfor c12 cweeks cwith cno cresponse. cThe cpatient chas cno cother ccomplications.
cThe cphysician casks cfor cyour crecommendation. cThe cmost creasonable
crecommendation cwould cbe cto:
A. cIncrease csertraline
B. cAdd cfluoxetine
C. cSwitch cto camitriptyline
D. cChange cto cvenlafaxine
E. cDecrease csertraline c- ccorrect canswers✔✔D
Which cof cthe cfollowing cis ca cdangerous ccombination?
A. cMAOI-lorazepam
B. cMAOI-acetaminophen
, C. cMAOI-meperidine
D. cMAOI-ziprasidone c- ccorrect canswers✔✔C
A c23-year-old cmarried cwhite cwoman ccomes cto cthe coutpatient cpsychiatric cclinic
complaining cof cdecreased csleep, cdecreased cappetite, cdecreased cconcentration,
cdepressed
mood, cthoughts cof cdeath, cand clack cof cinterest cin cactivities cfor c6 cweeks' cduration.
cShe chas
no chistory cof cpsychiatric cillness cand ctakes cno cmedications cexcept cfor cOrtho-Tri
cCyclen cLo
daily. cBased cupon cthe cpatients csymptoms, cchoose cthe cbest cmedication cto ctreat
cthis cpatient.
A. cNefazodone c100 cmg cpo ctwice cdaily
B. cParoxetine c20 cmg cpo cdaily
C. cSt. cJohn's cwort c300 cmg cpo cthree ctimes cdaily
D. cAmitriptyline c25 cmg cat cbedtime c- ccorrect canswers✔✔B
A c36-year-old cman cis cadmitted cto cthe chospital cfor ca csevere cmethicillin-resistant
cStaphylococcus caureus cdiabetic cfoot cinfection cand cis cstarted con clinezolid c600 cmg
cIV cevery c12 chours. cHis cmedication cprofile cincludes cparoxetine c40 cmg cevery
cmorning, ctrazodone c100 cmg cat cbedtime cas cneeded cfor csleep, cand cmetformin c1000
cmg cpo ctwice cdaily. cAfter c3
days con cthese cmedications, cthe cpatient cbecomes cagitated, cconfused, cand
cdiaphoretic cand cdevelops cmyoclonic cjerks. cWhich cof cthe cfollowing cis cthe cmost
clikely cdiagnosis?
A. cOverdose cof cmetformin
B. cBacterial cmeningitis
C. cNeuroleptic cmalignant csyndrome
D. cSerotonin csyndrome c- ccorrect canswers✔✔D
A c46-year-old cwoman cpresents cto cthe cpsychiatric coutpatient cclinic cfor cfollow-up
ctreatment cof cmajor cdepression. cShe cis ccurrently con cparoxetine c10 cmg cat cbedtime,
cwhich cshe cstarted ctaking c2 cmonths cago cwhen cadmitted cto cthe cpsychiatric chospital
cfor csuicidal cideation. cDuring cthe cinterview, cshe csays cthat cshe cdoes cnot cthink cthe
cmedication cis cworking cbecause cshe cis cjust cas cdepressed cas cshe cwas cbefore
ctaking cthe cmedication cand chas crecently cstarted cdrinking ceight cto c10 cbeers cdaily cto
calleviate cthe cdepression. cBefore cthis cepisode, cshe cwas
sober cfor c4 cyears. cWhich cof cthe cfollowing ctreatment cstrategies cwould cbe cthe
cappropriate cchoice cfor cthis cpatient?
A. cStop cthe cparoxetine cand cstart cnefazodone c100 cmg cpo ctwice cdaily
B. cIncrease cthe cdose cof cparoxetine cto c20 cmg cpo cat cbedtime
C. cStop cthe cparoxetine cand cstart cduloxetine c20 cmg/day
D. cContinue cthe cparoxetine cat cthem csame cdose cfor ca clonger cperiod cof ctime cto
cevaluate
whether cshe cwill cres c- ccorrect canswers✔✔B
