CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
what medications are irreversible MAOIs (MAOA&B and MAOB
MAOB)? - correct answer -Isocarboxazid (Marplan), Phenelzine
(Nardil), Tranylcypromine (Parnate), Selegiline Transdermal
(Emasam)
A single dose of irreversible MAOIs may persist in its inhibition of
MAO for how long? - correct answer -2 weeks
What are the most frequent adverse effects of irreversible
MAOIs? - correct answer -MAOA&B: dizziness, drowsiness,
fatigue, headache (without increased BP), hyperreflexia, & sleep
disturbances
Reversible MAOIs (RIMAs) Include what medication? - correct
answer -Maclobemide (Manerix)
, CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
How long will it take to recover MAO activity after a final dose of
RIMA? - correct answer -24-48 hours
What are the most frequent adverse effects of RIMAs? - correct
answer -orthostatic hypotension, insomnia, weight gain, edema
& sexual dysfunction, insomnia tx by dividing doses, not giving
after dinner, and using trazodone
MAOIs are used to treat what conditions? - correct answer
Depression, bipolar depression, panic disorder, social phobia,
bulimia, PTSD, angina pain, atypical face pain, migraine, ADHD,
idiopathic orthostatic HTN, & depression r/t brain injury
Reversible MAO-A (RIMA) used to treat: - correct answer -MDD,
dysthymic, chronic
Irreversible MAOA&B used to treat: - correct answer -Depression,
atypical
MDD, unresponsive to other antidepressants
, CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
Irreversible MAO-B used to treat: - correct answer -MDD in adults
What is the treatment for MAOI induced orthostatic hypotension?
- correct answer -•Avoidance of caffeine, intake of 2L of fluid/day,
addition of dietary salt, adjustment of HTN meds, support
stockings
•fludrocortisone 0.1-0.2mg/day for severe cases
•Advise pts to get out of bed slowly
How long should the Psychiatric Nurse Practitioner wait to begin
another treatment for depression when stopping an MAOI to
begin either another MAOI or an SSRI? - correct answer -When
changing from one MAOI to another taper and stop use of the first
drug for 10-14 days before beginning the second drug
How long should the PNP wait to begin an MAOI after
discontinuing a patient from fluoxetine (Prozac)? - correct answer
-Don't use within 5 weeks of prozac
, CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
Describe potential complications for using MAOIs for patients who
have Bipolar I and Schizophrenia. - correct answer -Induction of
mania in persons in the depressed phase of BPI & triggering
psychotic decompensating in persons w/ schizophrenia
What are the symptoms of a tyramine-induced hypertensive
crisis? - correct answer -Results from inactive GI metabolism of
dietary Tyramine due to the MAOI's
Sxs: HA usually 1st sx, severe HTN, stiff neck, diaphoresis,
nausea, vomiting
Management: a-adrenergic antagonists such as phentolamine
(regitine) or chlorpromazine (thorazine) they will lower BP w/in 5
minutes. IV furosemide (Lasix) to reduce fluid load, and
Badrenergic receptor agonists for tachycardia. SL nifedipine
(Procardia) can be given.
Tyramine containing foods should be avoided for how long after
discontinuing an irreversible MAOI? - correct answer -2 weeks
Tyramine containing foods should be avoided for how long after
discontinuing an reversible MAOI? - correct answer -High
CORRECT SOLUTIONS 2025-2026
CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
what medications are irreversible MAOIs (MAOA&B and MAOB
MAOB)? - correct answer -Isocarboxazid (Marplan), Phenelzine
(Nardil), Tranylcypromine (Parnate), Selegiline Transdermal
(Emasam)
A single dose of irreversible MAOIs may persist in its inhibition of
MAO for how long? - correct answer -2 weeks
What are the most frequent adverse effects of irreversible
MAOIs? - correct answer -MAOA&B: dizziness, drowsiness,
fatigue, headache (without increased BP), hyperreflexia, & sleep
disturbances
Reversible MAOIs (RIMAs) Include what medication? - correct
answer -Maclobemide (Manerix)
, CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
How long will it take to recover MAO activity after a final dose of
RIMA? - correct answer -24-48 hours
What are the most frequent adverse effects of RIMAs? - correct
answer -orthostatic hypotension, insomnia, weight gain, edema
& sexual dysfunction, insomnia tx by dividing doses, not giving
after dinner, and using trazodone
MAOIs are used to treat what conditions? - correct answer
Depression, bipolar depression, panic disorder, social phobia,
bulimia, PTSD, angina pain, atypical face pain, migraine, ADHD,
idiopathic orthostatic HTN, & depression r/t brain injury
Reversible MAO-A (RIMA) used to treat: - correct answer -MDD,
dysthymic, chronic
Irreversible MAOA&B used to treat: - correct answer -Depression,
atypical
MDD, unresponsive to other antidepressants
, CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
Irreversible MAO-B used to treat: - correct answer -MDD in adults
What is the treatment for MAOI induced orthostatic hypotension?
- correct answer -•Avoidance of caffeine, intake of 2L of fluid/day,
addition of dietary salt, adjustment of HTN meds, support
stockings
•fludrocortisone 0.1-0.2mg/day for severe cases
•Advise pts to get out of bed slowly
How long should the Psychiatric Nurse Practitioner wait to begin
another treatment for depression when stopping an MAOI to
begin either another MAOI or an SSRI? - correct answer -When
changing from one MAOI to another taper and stop use of the first
drug for 10-14 days before beginning the second drug
How long should the PNP wait to begin an MAOI after
discontinuing a patient from fluoxetine (Prozac)? - correct answer
-Don't use within 5 weeks of prozac
, CMN 548 UNIT 5 FINAL EXAM VERIFIED QUESTIONS AND
CORRECT SOLUTIONS 2025-2026
Describe potential complications for using MAOIs for patients who
have Bipolar I and Schizophrenia. - correct answer -Induction of
mania in persons in the depressed phase of BPI & triggering
psychotic decompensating in persons w/ schizophrenia
What are the symptoms of a tyramine-induced hypertensive
crisis? - correct answer -Results from inactive GI metabolism of
dietary Tyramine due to the MAOI's
Sxs: HA usually 1st sx, severe HTN, stiff neck, diaphoresis,
nausea, vomiting
Management: a-adrenergic antagonists such as phentolamine
(regitine) or chlorpromazine (thorazine) they will lower BP w/in 5
minutes. IV furosemide (Lasix) to reduce fluid load, and
Badrenergic receptor agonists for tachycardia. SL nifedipine
(Procardia) can be given.
Tyramine containing foods should be avoided for how long after
discontinuing an irreversible MAOI? - correct answer -2 weeks
Tyramine containing foods should be avoided for how long after
discontinuing an reversible MAOI? - correct answer -High
