NR 546 Final PRACTICE EXAM Psychopharmac
vc vc vc vc vc
ology
NR546 WEEK 2: TEST YOUR KNOWLEDGE QUIZ
Pharmacokineticsvc-vcanswer--
thevcstudyvcofvcwhatvchappensvctovcavcdrugvcfromvcthevctimevcofvcadministrationvcuntilvcthevcparentvcdrugvcandvcallvcmetabo
esvcleavevcthevcbody
Pharmacokineticsvcconceptsvc-vcanswer--absorption
distribution
metabolism
excretion
FlockhartvcTablevc-vcanswer--drugvcinteractionsvcthatvcarevcmediatedvcbyvccytochromevcP450vcenzymes
comprehensivevclistvcofvcdrugsvcandvcthevcinteractionsvcrelatedvctovcthevccytochromevcP450vcsystem
clientvcfactorsvcthatvcimpactvcthevceffectvcofvcpsychotropicvcmedicationsvc-vcanswer---age
-diet
-smokingvcstatus
-othervcprescribedvcmedications
-over-the-countervcmedications
*allvcimpactvcdrugvcmetabolism
Neurotransmittersvc-vcanswer--
chemicalsvcreleasedvcbyvcneuronsvctovcsendvccommunicationvcacrossvcsynapticvccleftsvctovcothervcneurons
-impactvchumanvcemotionvcandvcbehavior
Manyvcpsychiatricvcdisordersvcandvcclientvcsymptomsvcoccurvcfromvcanvcexcess,vcdeficiency,vcorvcimbalancevcofvc______
__vc-vcanswer--neurotransmitters
Neurotransmission:vc-vcanswer--
thevcchemicalvctransmissionvcofvcinformationvcbetweenvcneuronsvcandvctheirvctargetvccells
-
thevcchemicals,vcorvcneurotransmitters,vcarevcreleasedvcfromvctheirvctransportvcvesiclesvctovcbindvcwithvcreceptorvcsitesvct
performvctheirvcduties,vcwhichvcarevcexcitatoryvcorvcinhibitory
-
neurotransmittervcthenvceithervcreturnedvcandvcstoredvcforvcfuturevcusevc(reuptake)vcorvcinactivatedvcandvcdissolvedvcbyv
zymes
Excitatoryvcneurotransmitters:vc-vcanswer--increasevcthevclikelihoodvcthatvcthevcneuronvcwillvcfirevcanvcactionvcpotential
inhibitoryvcneurotransmitters:vc-vcanswer--decreasevcthevclikelihoodvcthatvcavcneuronvcwillvcfirevcanvcaction
neurotransmittersvcthatvcmostvcimpactvcmentalvchealthvccanvcbevcclassifiedvcintovcfourvcmajorvccategories:vc-vcanswer--
cholinergics
-acetylcholine
1vc/vc5
, NR 546 Final PRACTICE EXAM Psychopharmac
vc vc vc vc vc
ology
monoamines
-norepinephrine,vcdopamine,vcserotonin,vchistamine
aminovcacids
-gamma-vcamino-butyricvcacidvcandvcglutamate
neuropeptides
Inhibitors:vcVISAvcCKGQvc-vcanswer--Valproate
Isoniazid
Sulfonamides
Amiodarone
Chloramphenicol
Ketoconazole
GrapefruitvcJuice
Quinidine
-decreasevcmedicationvcmetabolism
Inducers:vcCRAPvcGPSvc-vcanswer--Carbamazepine
Rifampin
Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulfonylureas
-increasevcmedicationvcmetabolism
neurotransmittersvcthatvcmayvcbevcresponsiblevcforvcavcclient'svcsymptomsvcofvcdepressionvc-vcanswer--
Imbalancedvclevelsvcofvcacetylcholine,vcnorepinephrine,vcserotonin,vchistamine,vcorvcglutamatevccanvccontributevctovcsy
ptomsvcofvcdepression
clientvcwhovcisvcavcpoorvcmetabolizer:vc-vcanswer--
hasvcavclowervcconcentrationvcofvcthevcnecessaryvcenzymevctovcmetabolizevcavcdrug,vcwhichvcresultsvcinvchighervcbloodvcc
centrationsvcofvcthevcdrug.vc
-increasevcthevcriskvcofvcsidevceffectsvcandvcadversevcreactions
Whyvcisvctrazodonevcnotvcusedvcasvcavcfront-linevcantidepressantvc-vcanswer--
Itsvcantidepressantvcthatvchasvcavcsecondaryvceffectvcofvcblockingvchistaminevcandvcadrenergicvcreceptors
-causesvcsedationvcandvcsomnolencevcandvcasvcavcresult
*oftenvcusedvcasvcanvcadjunctvcinvctherapyvcwhenvcavcdepressedvcpatientvchasvcdifficultyvcsleeping
effectvconvcneurotransmittersvcandvcsidevceffects:vcSelectivevcSerotoninvcReuptakevcInhibitorsvc(SSRIs)vc-vcanswer--
Inhibitsvcthevcreuptakevcofvcserotonin,vcwhichvccanvccausevcnausea,vcagitation,vcheadache,vcandvcsexualvcdysfunction
effectvconvcneurotransmittersvcandvcsidevceffects:vcSerotoninvcandvcNorepinephrinevcReuptakevcInhibitorsvc(SNRIs)vc-
vcanswer--
Inhibitsvcthevcreuptakevcofvcserotoninvcandvcnorepinephrine,vcwhichvccanvccausevcnausea,vcsweating,vcinsomnia,vctremo
,vcsexualvcdysfunction
2vc/vc5
vc vc vc vc vc
ology
NR546 WEEK 2: TEST YOUR KNOWLEDGE QUIZ
Pharmacokineticsvc-vcanswer--
thevcstudyvcofvcwhatvchappensvctovcavcdrugvcfromvcthevctimevcofvcadministrationvcuntilvcthevcparentvcdrugvcandvcallvcmetabo
esvcleavevcthevcbody
Pharmacokineticsvcconceptsvc-vcanswer--absorption
distribution
metabolism
excretion
FlockhartvcTablevc-vcanswer--drugvcinteractionsvcthatvcarevcmediatedvcbyvccytochromevcP450vcenzymes
comprehensivevclistvcofvcdrugsvcandvcthevcinteractionsvcrelatedvctovcthevccytochromevcP450vcsystem
clientvcfactorsvcthatvcimpactvcthevceffectvcofvcpsychotropicvcmedicationsvc-vcanswer---age
-diet
-smokingvcstatus
-othervcprescribedvcmedications
-over-the-countervcmedications
*allvcimpactvcdrugvcmetabolism
Neurotransmittersvc-vcanswer--
chemicalsvcreleasedvcbyvcneuronsvctovcsendvccommunicationvcacrossvcsynapticvccleftsvctovcothervcneurons
-impactvchumanvcemotionvcandvcbehavior
Manyvcpsychiatricvcdisordersvcandvcclientvcsymptomsvcoccurvcfromvcanvcexcess,vcdeficiency,vcorvcimbalancevcofvc______
__vc-vcanswer--neurotransmitters
Neurotransmission:vc-vcanswer--
thevcchemicalvctransmissionvcofvcinformationvcbetweenvcneuronsvcandvctheirvctargetvccells
-
thevcchemicals,vcorvcneurotransmitters,vcarevcreleasedvcfromvctheirvctransportvcvesiclesvctovcbindvcwithvcreceptorvcsitesvct
performvctheirvcduties,vcwhichvcarevcexcitatoryvcorvcinhibitory
-
neurotransmittervcthenvceithervcreturnedvcandvcstoredvcforvcfuturevcusevc(reuptake)vcorvcinactivatedvcandvcdissolvedvcbyv
zymes
Excitatoryvcneurotransmitters:vc-vcanswer--increasevcthevclikelihoodvcthatvcthevcneuronvcwillvcfirevcanvcactionvcpotential
inhibitoryvcneurotransmitters:vc-vcanswer--decreasevcthevclikelihoodvcthatvcavcneuronvcwillvcfirevcanvcaction
neurotransmittersvcthatvcmostvcimpactvcmentalvchealthvccanvcbevcclassifiedvcintovcfourvcmajorvccategories:vc-vcanswer--
cholinergics
-acetylcholine
1vc/vc5
, NR 546 Final PRACTICE EXAM Psychopharmac
vc vc vc vc vc
ology
monoamines
-norepinephrine,vcdopamine,vcserotonin,vchistamine
aminovcacids
-gamma-vcamino-butyricvcacidvcandvcglutamate
neuropeptides
Inhibitors:vcVISAvcCKGQvc-vcanswer--Valproate
Isoniazid
Sulfonamides
Amiodarone
Chloramphenicol
Ketoconazole
GrapefruitvcJuice
Quinidine
-decreasevcmedicationvcmetabolism
Inducers:vcCRAPvcGPSvc-vcanswer--Carbamazepine
Rifampin
Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulfonylureas
-increasevcmedicationvcmetabolism
neurotransmittersvcthatvcmayvcbevcresponsiblevcforvcavcclient'svcsymptomsvcofvcdepressionvc-vcanswer--
Imbalancedvclevelsvcofvcacetylcholine,vcnorepinephrine,vcserotonin,vchistamine,vcorvcglutamatevccanvccontributevctovcsy
ptomsvcofvcdepression
clientvcwhovcisvcavcpoorvcmetabolizer:vc-vcanswer--
hasvcavclowervcconcentrationvcofvcthevcnecessaryvcenzymevctovcmetabolizevcavcdrug,vcwhichvcresultsvcinvchighervcbloodvcc
centrationsvcofvcthevcdrug.vc
-increasevcthevcriskvcofvcsidevceffectsvcandvcadversevcreactions
Whyvcisvctrazodonevcnotvcusedvcasvcavcfront-linevcantidepressantvc-vcanswer--
Itsvcantidepressantvcthatvchasvcavcsecondaryvceffectvcofvcblockingvchistaminevcandvcadrenergicvcreceptors
-causesvcsedationvcandvcsomnolencevcandvcasvcavcresult
*oftenvcusedvcasvcanvcadjunctvcinvctherapyvcwhenvcavcdepressedvcpatientvchasvcdifficultyvcsleeping
effectvconvcneurotransmittersvcandvcsidevceffects:vcSelectivevcSerotoninvcReuptakevcInhibitorsvc(SSRIs)vc-vcanswer--
Inhibitsvcthevcreuptakevcofvcserotonin,vcwhichvccanvccausevcnausea,vcagitation,vcheadache,vcandvcsexualvcdysfunction
effectvconvcneurotransmittersvcandvcsidevceffects:vcSerotoninvcandvcNorepinephrinevcReuptakevcInhibitorsvc(SNRIs)vc-
vcanswer--
Inhibitsvcthevcreuptakevcofvcserotoninvcandvcnorepinephrine,vcwhichvccanvccausevcnausea,vcsweating,vcinsomnia,vctremo
,vcsexualvcdysfunction
2vc/vc5