NUR2474 Pharmacology Module 3 Quiz
Review Questions and answers with 100%
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Test tips:
Be cautious of negatively worded questions! They are easy, but
often misinterpreted due to not paying attention to them.
Topics review:
1. General features of schizophrenia and
Chlorpromazine (class, mechanism of action,
adverse effects, administration/withdrawal
teaching, and review early and late EPS
specifically).
a.Chlorpromazine .
i. Class: Antipsychotic (low-potency)
ii. Mechanism of action: blocks dopamine. Many
cause serious movement disorders known as
(Extrapyramidal symptoms EPS). None if the
Schizophrenia medications are addictive.
Suppress symptoms during acute psychotic
episodes.
iii. Adverse effects (First Generation
Antipsychotics)
1. EPS
, lOMoAR cPSD| 47061011
2.Neuroleptic malignant syndrome: Risk of
death without treatment due to
cardiovascular collapse & dysrhythmias.
a. “Lead pipe” rigidity, sudden high fever,
sweating, autonomic instability,
dysrhythmias, fluctuations in blood
pressure, altered level of
consciousness, and seizures or coma
may develop.
3. Parkinsonism: Bradykinesia, mask-like
facies, drooling, tremor, rigidity, shuffling
gait, cogwheeling, and stooped posture.
4. Akathisia: Pacing and squirming brought on
by an uncontrollable need to be in motion.
5. Tardive Dyskinesia: Choreoathetoid
movements of the tongue and face; lip-
smacking movements; tongue flicks out in a
“flycatching” motion; slow, worm-like
movement of the tongue; and involuntary
movements of the limbs, toes, fingers, and
trunk
iv. Administration/withdrawal teaching
1. Contraindications
a. Parkinson’s Disease because it further
reduces dopamine.
Levodopa counteracts antipsychotic
effects.
v. Early and late EPS