FNP 2 Latest update Exam Questions and
Complete Verified Answers
drug of choice for anxiety disorders and OCD - ANSWER SSRIs
amitriptyline - ANSWER a TCA - if consumed in large amounts can cause death - be wary
of rx these cuz pts can hoard meds and then overdose
highest suicide risk is in - ANSWER elderly males
med choice for quick relief of anxiety - ANSWER benzos - (ex: alprazolam/Xanax,
lorazepam/Ativan)
when a dx of depression is considered, be sure to also screen for - ANSWER bipolar
disorder
St. john's wort can decrease other medications' effect - ANSWER ...
dextromethorphan can potentiate serotonin levels and cause serotonin syndrome in ppl
taking SSRIs - ANSWER dextromethorpan can decrease the metabolism of serotonin and
allow more to available
profesional negligence = malpractice - ANSWER ...
benzos are what schedule med - ANSWER IV
4 criteria for dx of anorexia nervosa - ANSWER 1) wt < 85% of ideal; 2) amenorrhea; 3)
intense fear of wt gain; 4) severe body image disturbance
,3 categories of sx for ADHD - ANSWER hyperactivity, inattention, and impulsivity
What time frame is important for distinguishing between depressed mood and clinical
depression? - ANSWER 2 weeks
carbamaepine (tegretol) can be used for mood stabilization - it is impt to remember
that: - ANSWER Carbamazepine is an enzyme inducer in the cytochrome P450 system.
Consequently, there are a number of drug-drug interactions that can take place as a
result
major advantage of CAGE screening - ANSWER brevity of questions
Elderly patients who are treated for depression with tricyclic antidepressants (TCAs)
often exhibit - ANSWER arrythmias
sx of serotonin syndrome include - ANSWER hyperreflexia, clonus, rigidity in the lower
extremities, tachycardia, hyperthermia, hypertension, vomiting, disorientation, agitated
delirium, or tremor.
SSRIs and triptans together can cause - ANSWER serotonin syndrome
sx of mania in bipolar disorder include - ANSWER inflated self-esteem and grandiosity
(like a buying a baby grand piano), decreased need for sleep, hyper verbosity (excessive
talking), racing thoughts and flight of ideas, distractibility, and excessive involvement in
pleasurable activities that can be associated with very painful consequences later.
The possibility of neglect should always be given when - ANSWER a young patient and
caregiver make poor eye contact with the examiner. Other clues to neglect are a lack of
, animation and no social smile. Additionally, the child should be observed for nutritional
status, behavior, attitude, and physical appearance
There is strong familial component to bipolar disorder; in addition: - ANSWER Patients
with bipolar disorder have shortened life expectancies. Up to 50% of patients with this
disorder will attempt suicide at least once. Risk factors for suicidal behavior in patients
with bipolar disorder include family history of suicide attempts, substance abuse,
presence of impulsivity or aggression, and frequent depressive episodes.
valproate is associated with what serious side effects and what common side effects -
ANSWER liver toxicity and failure, and thrombocytopenia. Liver function studies and
platelet counts should be monitored prior to therapy and then regularly as indicated by
the drug manufacturer. Common side effects of valproate are nausea, vomiting, easy
bruising, and tremors.
Valproate levels should be measured to insure target blood level between - ANSWER 50-
125 micrograms/mL.
GGT - ANSWER gamma-glutamyl transferase, is often elevated even when ALT and AST
are normal. It can help identify damage to the liver as a result of alcohol abuse.
ADD and ADHD - ANSWER ADD and ADHD with hyperactivity are two separate
diagnoses. This disorder is more common in boys (5:1) and symptoms must be present
by age 7 for at least 6 months before diagnosis can be made. DSM V should be used to
diagnose children. Parents and/or teachers should establish specific elements. Examples
include fidgeting, difficulty remaining in seat, excessive talking, impatient when asked to
wait their turn, blurting out answers before time, and interrupting conversation. These
must be established in more than one environment.
what disease are associated with high rates of depression - ANSWER Diseases associated
with the central nervous system are associated with high rates of depression. These
include stroke, Parkinson's disease, multiple sclerosis, and dementia. Other illnesses
Complete Verified Answers
drug of choice for anxiety disorders and OCD - ANSWER SSRIs
amitriptyline - ANSWER a TCA - if consumed in large amounts can cause death - be wary
of rx these cuz pts can hoard meds and then overdose
highest suicide risk is in - ANSWER elderly males
med choice for quick relief of anxiety - ANSWER benzos - (ex: alprazolam/Xanax,
lorazepam/Ativan)
when a dx of depression is considered, be sure to also screen for - ANSWER bipolar
disorder
St. john's wort can decrease other medications' effect - ANSWER ...
dextromethorphan can potentiate serotonin levels and cause serotonin syndrome in ppl
taking SSRIs - ANSWER dextromethorpan can decrease the metabolism of serotonin and
allow more to available
profesional negligence = malpractice - ANSWER ...
benzos are what schedule med - ANSWER IV
4 criteria for dx of anorexia nervosa - ANSWER 1) wt < 85% of ideal; 2) amenorrhea; 3)
intense fear of wt gain; 4) severe body image disturbance
,3 categories of sx for ADHD - ANSWER hyperactivity, inattention, and impulsivity
What time frame is important for distinguishing between depressed mood and clinical
depression? - ANSWER 2 weeks
carbamaepine (tegretol) can be used for mood stabilization - it is impt to remember
that: - ANSWER Carbamazepine is an enzyme inducer in the cytochrome P450 system.
Consequently, there are a number of drug-drug interactions that can take place as a
result
major advantage of CAGE screening - ANSWER brevity of questions
Elderly patients who are treated for depression with tricyclic antidepressants (TCAs)
often exhibit - ANSWER arrythmias
sx of serotonin syndrome include - ANSWER hyperreflexia, clonus, rigidity in the lower
extremities, tachycardia, hyperthermia, hypertension, vomiting, disorientation, agitated
delirium, or tremor.
SSRIs and triptans together can cause - ANSWER serotonin syndrome
sx of mania in bipolar disorder include - ANSWER inflated self-esteem and grandiosity
(like a buying a baby grand piano), decreased need for sleep, hyper verbosity (excessive
talking), racing thoughts and flight of ideas, distractibility, and excessive involvement in
pleasurable activities that can be associated with very painful consequences later.
The possibility of neglect should always be given when - ANSWER a young patient and
caregiver make poor eye contact with the examiner. Other clues to neglect are a lack of
, animation and no social smile. Additionally, the child should be observed for nutritional
status, behavior, attitude, and physical appearance
There is strong familial component to bipolar disorder; in addition: - ANSWER Patients
with bipolar disorder have shortened life expectancies. Up to 50% of patients with this
disorder will attempt suicide at least once. Risk factors for suicidal behavior in patients
with bipolar disorder include family history of suicide attempts, substance abuse,
presence of impulsivity or aggression, and frequent depressive episodes.
valproate is associated with what serious side effects and what common side effects -
ANSWER liver toxicity and failure, and thrombocytopenia. Liver function studies and
platelet counts should be monitored prior to therapy and then regularly as indicated by
the drug manufacturer. Common side effects of valproate are nausea, vomiting, easy
bruising, and tremors.
Valproate levels should be measured to insure target blood level between - ANSWER 50-
125 micrograms/mL.
GGT - ANSWER gamma-glutamyl transferase, is often elevated even when ALT and AST
are normal. It can help identify damage to the liver as a result of alcohol abuse.
ADD and ADHD - ANSWER ADD and ADHD with hyperactivity are two separate
diagnoses. This disorder is more common in boys (5:1) and symptoms must be present
by age 7 for at least 6 months before diagnosis can be made. DSM V should be used to
diagnose children. Parents and/or teachers should establish specific elements. Examples
include fidgeting, difficulty remaining in seat, excessive talking, impatient when asked to
wait their turn, blurting out answers before time, and interrupting conversation. These
must be established in more than one environment.
what disease are associated with high rates of depression - ANSWER Diseases associated
with the central nervous system are associated with high rates of depression. These
include stroke, Parkinson's disease, multiple sclerosis, and dementia. Other illnesses
