NU643 FINAL EXAM STUDY QUESTIONS
WITH THE CORRECT ANSWERS 2025
1.. Common side effects about antidepressants - correct answers-DRY MOUTH SEXUAL DYSFUNCTION
DIZZINESS DECREASED OR INCREASED APPETITE DROWSINESS HEADACHE FATIGUE GI UPSET
(NAUSEA)SLEEP DISTURBANCE
2. Managing behavioral and psychological symptoms of dementia review habilitation therapy - correct
answers-KEEPING ROUTINE, CALM ATMOSPHERE MAINTAIN FUNCTION THEY HAVE AT THIS TIME—CUE
INTO BEHAVIORS THEY CAN DO NOW (HABILITATION THERAPY)BEHAVIORAL SX FOR DEMENTIA
AGGRESSION AGIATATION CONFUSION MEMORY LOSS
3. Review what dietary recommendations from the Carlat report are good for mental health patients -
correct answers-EAT WHOLE FOODS, FOLATE, B12, B6, OMEGA 3S, AVOID CARBS, LESS PROCESSED
FOODS
4. Review which is the slowest delivery method of medications available - correct answers-BY MOUTH-
ORAL FASTEST-IV
5. Review the most common side effects regarding long term Lithium use - correct answers-KIDNEY
IMPAIRMENT AND THYROID,MONITOR KIDENY FUNCTION TEST AND THYROID TEST
6. Review the mechanism of action of clonidine & propranolol for the treatment of anxiety - correct
answers-LOWER HEART RATE, MUSCLE TENSION, PHYSIOLOGICAL AND SOMATIC SYMPTOMS
7. Review psychotropic use during lactation post-partum regarding onset relapse and recurrence of
mental disorders - correct answers-NOT FDA APPROVED AND EXCRETED IN BREAST MILK, WEIGH RISKS
OVER BENEFITS, EDUCATE THERE ARE RISKS, SOME SAFER THAN OTHERS
8. Matching Question regarding labs required for Quetiapin Valproic acid & Lithium - correct answers-
SEROQUEL: GLUCOSE, LIPID PROFILE, BNP DEPAKOTE: PLTS, LIVER FUNCTION, AND PLASMA LITHIUM:
THYROID, KIDNEY, AND PLASMA
9. Review the best description of the mental status examination - correct answers-DETERMINATION OF
COGNITIVE FUNCTION AT TIME OF ASSESSMENT
10. Review symptoms of hyponatremia - correct answers-DELERIUM, LETHARGY, NAUSEA
11. Review Tardive Dyskinesia - correct answers-movemnts can't control, JAW THRUSTING, TONGUE
MOVEMENT, PILL ROLLING, HYPERREFLEXEX, LOTS OF BLINKING SEEN IN ANTIPSYCHOTIC
12. Review substance dependence and a patients vulnerability to craving & relapse following exposure
to any psychoactive substance. - correct answers-DON'T PRESCRIBE CONTROLLED SUBSTANCES TO
THOSE WHO HAVE A SUBSTANCE ABUSE HISTORY . STIMULATES ELEVATED LEVEL OF DOPAMINE.
13. Review when safety should be assessed in psychiatric care - correct answers-ALL THE TIME
14. Review the time period of greatest risk of teratogenicity in pregnancy - correct answers-FIRST
TRIMESTER.....BEFORE KNOW PREGNANT < 8 WEEKS. NEURAL DEVELOPMENT IS TAKING PLACE
, 15. Review drug choices for tapering of Benzodiazepines - correct answers-TO LONG ACTING:
KLONOPIN, VALIUM
16. Review the use of St. Johns Wart as an adjunct to SSRI's medications good or not good that is the
question - correct answers-NOT GOOD.....INCREASES SEROTONIN
17. Review the recommendation regarding the use of atypical antipsychotics for treating dementia -
correct answers-BLACK BOX WARNING: INCREASED RISK FOR CV PROBLEMS CAN INCREASE AGITATION
18. Review what Nootropics are - correct answers-NEUROENHANCERS NOT DRUGS. SUPPLEMENTS AND
OTHER SUBSTANCES THAT CAN ENHANCE COGNITION, MEMORY, MOTIVATION
19. Review the best medication used to augment in the treatment of depression - correct answers-
LITHIUM
20. Review the most serious side effect related to the use of oxcarbazepine - correct answers-
HYPONATREMIA
21. Review what items can impact the elimination of medications - correct answers-KIDNEY FUNCTION,
LIVER FUNCTION, HIGH METABOLISM, DIURETICS
23. Review medication as first line treatment for GAD - correct answers-SSRIS
24. Review statements about neuronal gene expression - correct answers-AFFECTED BY
ENVIRONMENTAL FACTORS
25. Review principals about prescribing for the pediatric population - correct answers-START LOW GO
SLOW, PSYCHOTHERAPY FIRST
26. Review definition of pharmacodynamics - correct answers-ACTION OF DRUGS ON THE BODY
27. Review when you should test for a carbamazepine level after starting medication based on its half
life - correct answers-2.5 DAYS HALF LIFE X 5 DAYS
28. Review precautions for the use of antipsychotic therapy during pregnancy - correct answers-NO
PSYCHOTROPICS BUT ATYPICAL PSYCHOTICS ARE RELATIVELY SAFE RISK VS BENEFITS
29. Review Law related to Telepsychiatry in different states - correct answers-CHECK WITH BOARD
SHOULD BE LICENSED IN EACH STATE PROVIDE TELEPSYCH.
30. Review contraindication for the use of Duloxetine in the presence of liver disease - correct answers-
DO NOT USE IN LIVER DISEASE
31. Review the purpose of the Objective in a medical/psychiatric evaluation of the SOAP note - correct
answers-MENTAL STATUS EXAM, WHAT IS OBSERVED ABOUT COGNITIVE, PSYCHOLOGICAL AND
EMOTIONAL FUNCTIONING. INCLUDE TEST SCORES, VS, AND MEASUREABLE DATA
32. Review strategies related to treating metabolic syndrome - correct answers-DIET AND LIFESTYLE.
WHAT ARE THEY EATING, EXERCISE IMPLEMENT
Review the purpose of the CIWA and COWS Scores - correct answers-CIWA FOR ALCOHOL COWS FOR
OPIOD USE GRADING CAN DETERMINE TREATMENT IN WITHDRAWAL
WITH THE CORRECT ANSWERS 2025
1.. Common side effects about antidepressants - correct answers-DRY MOUTH SEXUAL DYSFUNCTION
DIZZINESS DECREASED OR INCREASED APPETITE DROWSINESS HEADACHE FATIGUE GI UPSET
(NAUSEA)SLEEP DISTURBANCE
2. Managing behavioral and psychological symptoms of dementia review habilitation therapy - correct
answers-KEEPING ROUTINE, CALM ATMOSPHERE MAINTAIN FUNCTION THEY HAVE AT THIS TIME—CUE
INTO BEHAVIORS THEY CAN DO NOW (HABILITATION THERAPY)BEHAVIORAL SX FOR DEMENTIA
AGGRESSION AGIATATION CONFUSION MEMORY LOSS
3. Review what dietary recommendations from the Carlat report are good for mental health patients -
correct answers-EAT WHOLE FOODS, FOLATE, B12, B6, OMEGA 3S, AVOID CARBS, LESS PROCESSED
FOODS
4. Review which is the slowest delivery method of medications available - correct answers-BY MOUTH-
ORAL FASTEST-IV
5. Review the most common side effects regarding long term Lithium use - correct answers-KIDNEY
IMPAIRMENT AND THYROID,MONITOR KIDENY FUNCTION TEST AND THYROID TEST
6. Review the mechanism of action of clonidine & propranolol for the treatment of anxiety - correct
answers-LOWER HEART RATE, MUSCLE TENSION, PHYSIOLOGICAL AND SOMATIC SYMPTOMS
7. Review psychotropic use during lactation post-partum regarding onset relapse and recurrence of
mental disorders - correct answers-NOT FDA APPROVED AND EXCRETED IN BREAST MILK, WEIGH RISKS
OVER BENEFITS, EDUCATE THERE ARE RISKS, SOME SAFER THAN OTHERS
8. Matching Question regarding labs required for Quetiapin Valproic acid & Lithium - correct answers-
SEROQUEL: GLUCOSE, LIPID PROFILE, BNP DEPAKOTE: PLTS, LIVER FUNCTION, AND PLASMA LITHIUM:
THYROID, KIDNEY, AND PLASMA
9. Review the best description of the mental status examination - correct answers-DETERMINATION OF
COGNITIVE FUNCTION AT TIME OF ASSESSMENT
10. Review symptoms of hyponatremia - correct answers-DELERIUM, LETHARGY, NAUSEA
11. Review Tardive Dyskinesia - correct answers-movemnts can't control, JAW THRUSTING, TONGUE
MOVEMENT, PILL ROLLING, HYPERREFLEXEX, LOTS OF BLINKING SEEN IN ANTIPSYCHOTIC
12. Review substance dependence and a patients vulnerability to craving & relapse following exposure
to any psychoactive substance. - correct answers-DON'T PRESCRIBE CONTROLLED SUBSTANCES TO
THOSE WHO HAVE A SUBSTANCE ABUSE HISTORY . STIMULATES ELEVATED LEVEL OF DOPAMINE.
13. Review when safety should be assessed in psychiatric care - correct answers-ALL THE TIME
14. Review the time period of greatest risk of teratogenicity in pregnancy - correct answers-FIRST
TRIMESTER.....BEFORE KNOW PREGNANT < 8 WEEKS. NEURAL DEVELOPMENT IS TAKING PLACE
, 15. Review drug choices for tapering of Benzodiazepines - correct answers-TO LONG ACTING:
KLONOPIN, VALIUM
16. Review the use of St. Johns Wart as an adjunct to SSRI's medications good or not good that is the
question - correct answers-NOT GOOD.....INCREASES SEROTONIN
17. Review the recommendation regarding the use of atypical antipsychotics for treating dementia -
correct answers-BLACK BOX WARNING: INCREASED RISK FOR CV PROBLEMS CAN INCREASE AGITATION
18. Review what Nootropics are - correct answers-NEUROENHANCERS NOT DRUGS. SUPPLEMENTS AND
OTHER SUBSTANCES THAT CAN ENHANCE COGNITION, MEMORY, MOTIVATION
19. Review the best medication used to augment in the treatment of depression - correct answers-
LITHIUM
20. Review the most serious side effect related to the use of oxcarbazepine - correct answers-
HYPONATREMIA
21. Review what items can impact the elimination of medications - correct answers-KIDNEY FUNCTION,
LIVER FUNCTION, HIGH METABOLISM, DIURETICS
23. Review medication as first line treatment for GAD - correct answers-SSRIS
24. Review statements about neuronal gene expression - correct answers-AFFECTED BY
ENVIRONMENTAL FACTORS
25. Review principals about prescribing for the pediatric population - correct answers-START LOW GO
SLOW, PSYCHOTHERAPY FIRST
26. Review definition of pharmacodynamics - correct answers-ACTION OF DRUGS ON THE BODY
27. Review when you should test for a carbamazepine level after starting medication based on its half
life - correct answers-2.5 DAYS HALF LIFE X 5 DAYS
28. Review precautions for the use of antipsychotic therapy during pregnancy - correct answers-NO
PSYCHOTROPICS BUT ATYPICAL PSYCHOTICS ARE RELATIVELY SAFE RISK VS BENEFITS
29. Review Law related to Telepsychiatry in different states - correct answers-CHECK WITH BOARD
SHOULD BE LICENSED IN EACH STATE PROVIDE TELEPSYCH.
30. Review contraindication for the use of Duloxetine in the presence of liver disease - correct answers-
DO NOT USE IN LIVER DISEASE
31. Review the purpose of the Objective in a medical/psychiatric evaluation of the SOAP note - correct
answers-MENTAL STATUS EXAM, WHAT IS OBSERVED ABOUT COGNITIVE, PSYCHOLOGICAL AND
EMOTIONAL FUNCTIONING. INCLUDE TEST SCORES, VS, AND MEASUREABLE DATA
32. Review strategies related to treating metabolic syndrome - correct answers-DIET AND LIFESTYLE.
WHAT ARE THEY EATING, EXERCISE IMPLEMENT
Review the purpose of the CIWA and COWS Scores - correct answers-CIWA FOR ALCOHOL COWS FOR
OPIOD USE GRADING CAN DETERMINE TREATMENT IN WITHDRAWAL
