NSG 533 Advanced Pharmacology Test 1 Week 4
(Chapters 38, 40, 41)
Terms in this set (45)
Which of the following C
SSRIs requires up to a
5week washout period
because of the long half-life
of its potent active
metabolite? A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
D. Sertraline
Which of the following D
symptoms is most likely to
improve within
approximately 1 week of
starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep
,Of the following B
combinations of medications,
which one would you want to
avoid? A. Fluoxetine-lithium
B. Fluoxetine-phenelzine C.
Citalopram-valproic acid
D. Citalopram-aripiprazole
A 26-year-old man with a D
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
Which of the following is a C
dangerous combination? A.
MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone
,A 23-year-old married white B
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
potwice daily
B. Paroxetine 20 mg
podaily
C. St. John's wort 300
mgpo three times daily
D. Amitriptyline 25 mg
atbedtime
, A 36-year-old man is D
admitted to the hospital for a
severe methicillinresistant
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
meningitisC. Neuroleptic
malignant syndrome
D. Serotonin syndrome
A 46-year-old woman B
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
(Chapters 38, 40, 41)
Terms in this set (45)
Which of the following C
SSRIs requires up to a
5week washout period
because of the long half-life
of its potent active
metabolite? A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
D. Sertraline
Which of the following D
symptoms is most likely to
improve within
approximately 1 week of
starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep
,Of the following B
combinations of medications,
which one would you want to
avoid? A. Fluoxetine-lithium
B. Fluoxetine-phenelzine C.
Citalopram-valproic acid
D. Citalopram-aripiprazole
A 26-year-old man with a D
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
Which of the following is a C
dangerous combination? A.
MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone
,A 23-year-old married white B
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
potwice daily
B. Paroxetine 20 mg
podaily
C. St. John's wort 300
mgpo three times daily
D. Amitriptyline 25 mg
atbedtime
, A 36-year-old man is D
admitted to the hospital for a
severe methicillinresistant
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
meningitisC. Neuroleptic
malignant syndrome
D. Serotonin syndrome
A 46-year-old woman B
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
