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PMH C MEDICATION TEST EXAM ACTUAL EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
What is the MOA of Antipsychotics? - (answers)works on dopamine & serotonin
What are the 2 main groups of Antipsychotics? - (answers)Atypical & Typical
What S&S are treated by atypical & typical groups? - (answers)Atypical treats the positive &
negative symptoms
Typical treats positive symptoms only
What are 2 examples of positive symptoms? - (answers)Hallucinations, paranoia
What are 2 examples of negative symptoms? - (answers)Anergia (lack of energy), Avolition
(lack of motivation)
What are some ENDOCRINE side effects of antipsychotics? - (answers)- breast enlargement
- breast discharge in males & females due to increased prolactin (due to decreased dopamine) --
reversible
- amenorrhea (patient can still get pregnant)
- increased risk for DM...monitor BS--hyperglycemia symptoms (polydipsia, polyuria,
polyphagia)
- Weight gain...enc. exercise and diet changes
What are some CNS side effects of antipsychotics? - (answers)drowsiness, headache, dizziness,
sedation
- safety, postural changes & ask HCP about taking med at night?
,Smartscholarhub
What are some VISION side effects of antipsychotics? - (answers)Blurry vision, difficulty
reading fine print-- resolves in 4-6 weeks (if it does not, get an eye exam) careful driving
What are some CARDIOVASCULAR side effects of antipsychotics? - (answers)- Orthostatic
hypotension (postural changes & inc. fluids)
- Decreased pulse
- EKG changed (prolonged QT intervals) assess for s/s chest pain, palpitations, dizziness,
syncope
What are some GI side effects of antipsychotics? - (answers)- N/V
- constipation
- dry mouth
- enc. increased fluid intake, take meds with food, fiber
What are some GU side effects of antipsychotics? - (answers)- Sexual dysfunction (males &
females) enc. discussion, counseling, changing meds with HCP if the pt really feels it's an issue
- Urinary retention - assess complaints and bladder, encourage voiding and techniques to help
(running water, warm water over perineum, etc.)
What are some OTHER side effects for antipsychotics? - (answers)- RASH
- Photosensitivity (sunblock, sunglasses, dec. time in direct sunlight, light color clothes)
- Agranulocytosis (monitor complaints of sore throat, fever, malaise, Inc. WBC)
Neuroleptic Malignant Syndrome (NMS) - (answers)life-threatening crisis due to severe drop in
dopamine from an antipsychotic med
, Smartscholarhub
What are the s/s of NMS? - (answers)- Hyperthermia (Temp of up to 107
- Muscle rigidity (lead-pipe)
- Rhabdomyolysis ARF
- high CPK & high WBC
- Fluctuating BP, P, RR
- AMS - (acute confusion) stupor, coma
- electrolyte abnormalities
How do we manage NMS? - (answers)- cool IV fluids
- cooling/hypothermic blankets
- Admin. Dantrolene (muscle relaxant) w/ or w/o bromocriptine
- lorazepam, diazepam
Extrapyramidal (EPS) - Movement Disorders - (answers)Induced from long-term use of
antipsychotic meds
Akathisia (acute onset, reversible) - (answers)involuntary restlessness, not able to stay still
Dystonia (acute onset, reversible) - (answers)involuntary muscle spasms
- Oculogyric crisis: fixed upward eyes or rolling back of eyes, difficulty speaking, swallowing or
drooling
- Torticollis neck: sideway twist of neck
- opistotonis: arching of back
Akinesia - Pseudoparkinsonia (acute onset, reversible) - (answers)- flat affect
- decreased blinking
PMH C MEDICATION TEST EXAM ACTUAL EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
What is the MOA of Antipsychotics? - (answers)works on dopamine & serotonin
What are the 2 main groups of Antipsychotics? - (answers)Atypical & Typical
What S&S are treated by atypical & typical groups? - (answers)Atypical treats the positive &
negative symptoms
Typical treats positive symptoms only
What are 2 examples of positive symptoms? - (answers)Hallucinations, paranoia
What are 2 examples of negative symptoms? - (answers)Anergia (lack of energy), Avolition
(lack of motivation)
What are some ENDOCRINE side effects of antipsychotics? - (answers)- breast enlargement
- breast discharge in males & females due to increased prolactin (due to decreased dopamine) --
reversible
- amenorrhea (patient can still get pregnant)
- increased risk for DM...monitor BS--hyperglycemia symptoms (polydipsia, polyuria,
polyphagia)
- Weight gain...enc. exercise and diet changes
What are some CNS side effects of antipsychotics? - (answers)drowsiness, headache, dizziness,
sedation
- safety, postural changes & ask HCP about taking med at night?
,Smartscholarhub
What are some VISION side effects of antipsychotics? - (answers)Blurry vision, difficulty
reading fine print-- resolves in 4-6 weeks (if it does not, get an eye exam) careful driving
What are some CARDIOVASCULAR side effects of antipsychotics? - (answers)- Orthostatic
hypotension (postural changes & inc. fluids)
- Decreased pulse
- EKG changed (prolonged QT intervals) assess for s/s chest pain, palpitations, dizziness,
syncope
What are some GI side effects of antipsychotics? - (answers)- N/V
- constipation
- dry mouth
- enc. increased fluid intake, take meds with food, fiber
What are some GU side effects of antipsychotics? - (answers)- Sexual dysfunction (males &
females) enc. discussion, counseling, changing meds with HCP if the pt really feels it's an issue
- Urinary retention - assess complaints and bladder, encourage voiding and techniques to help
(running water, warm water over perineum, etc.)
What are some OTHER side effects for antipsychotics? - (answers)- RASH
- Photosensitivity (sunblock, sunglasses, dec. time in direct sunlight, light color clothes)
- Agranulocytosis (monitor complaints of sore throat, fever, malaise, Inc. WBC)
Neuroleptic Malignant Syndrome (NMS) - (answers)life-threatening crisis due to severe drop in
dopamine from an antipsychotic med
, Smartscholarhub
What are the s/s of NMS? - (answers)- Hyperthermia (Temp of up to 107
- Muscle rigidity (lead-pipe)
- Rhabdomyolysis ARF
- high CPK & high WBC
- Fluctuating BP, P, RR
- AMS - (acute confusion) stupor, coma
- electrolyte abnormalities
How do we manage NMS? - (answers)- cool IV fluids
- cooling/hypothermic blankets
- Admin. Dantrolene (muscle relaxant) w/ or w/o bromocriptine
- lorazepam, diazepam
Extrapyramidal (EPS) - Movement Disorders - (answers)Induced from long-term use of
antipsychotic meds
Akathisia (acute onset, reversible) - (answers)involuntary restlessness, not able to stay still
Dystonia (acute onset, reversible) - (answers)involuntary muscle spasms
- Oculogyric crisis: fixed upward eyes or rolling back of eyes, difficulty speaking, swallowing or
drooling
- Torticollis neck: sideway twist of neck
- opistotonis: arching of back
Akinesia - Pseudoparkinsonia (acute onset, reversible) - (answers)- flat affect
- decreased blinking
