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Exam (elaborations)

Midterm Review for NR 547: Mental Health Disorders Questions with Verified Answers (Correct Update)

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Midterm Review for NR 547: Mental Health Disorders Questions with Verified Answers (Correct Update)

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Midterm Review for NR 547: Mental Health Disorders Questions
with Verified Answers (Correct Update)
Question 1: Yale-Brown Obsessive Compulsive Scale (Y-BOCS)

Answer: A scale that measures obsession and compulsion severity. ADD 7 TO GET RANGE 0-7
subclinical 8mild 16moderate 24severe 32 Extreme

Question 2: what type of therapy is effective in treating general sleep problems in addition to
circadian rhtyhm sleep disorders, insomnia & alzheimers

Answer: light therapy

Question 3: * what benzo is indicative to help with sleep

Answer: Temazapam

Question 4: what time during the day should Stimulants be taken

Answer: Given in the morning to prevent insomnia.

Question 5: what time during the day should SS- Typically RIs be taken

Answer: AM to avoid activation-related insomnia (except paroxetine, which may cause sedation).

Question 6: what time during the day should SNRIs be taken

Answer: Usually AM due to activating ettects.

Question 7: what time during the day should Benzodiazepines be taken

Answer: Can be PM if sedating; short-acting ones may be given throughout the day.

Question 8: what time during the day should An- Often tipsychotics be taken

Answer: PM due to sedation.

Question 9: what time during the day should Lithium be taken

Answer: Divided doses, sometimes PM if sedation occurs.

Question 10: what time during the day should Val- PM proate be taken

Answer: due to sedation.




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,Question 11: what time during the day should Melatonin be taken

Answer: PM to regulate circadian rhythm.

Question 12: what time during the day should Ramelteon be taken

Answer: PM to regulate circadian rhythm.

Question 13: Fluoxetine 80mg qd is used for

Answer: Used for depression, anxiety, OCD with common side ettects including insomnia, agitation, GI
upset.

Question 14: Bupropion is used for

Answer: Used for depression, smoking cessation with common side ettects including seizure risk,
weight loss, anxiety.

Question 15: Olanzapine is used for

Answer: Used for schizophrenia, bipolar disorder with common side ettects including weight gain,
sedation, metabolic syndrome.

Question 16: Clonazepam is used for

Answer: Used for anxiety, panic disorder with common side ettects including sedation, dependence.

Question 17: Methylphenidate is used for

Answer: Used for ADHD with common side ettects including insomnia, decreased appetite.

Question 18: Primary enuresis

Answer: Never been dry for 6+ months.

Question 19: Secondary enuresis

Answer: Relapse after dryness.

Question 20: what are the causes for enuresis

Answer: Delayed bladder maturation Low vasopressin levels (reduced night-time urine concentration)
Psychological stress Genetics (family history is common)

Question 21: Desmopressin (DDAVP) is first line for

Answer: reducing urine output.




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, Question 22: oxybutynin is used for

Answer: bladder overactivity is suspected.

Question 23: Erectile Dysfunction (ED) prevalence in men is what percent and occurs in which
age

Answer: Prevalence: ~30% in men aged 40-70.

Question 24: what are 4 causes of erectile dysfunction

Answer: Vascular (hypertension, diabetes, atherosclerosis) Neurologic (MS, spinal cord injuries)
Psychological (anxiety, depression) Medication-induced (SSRIs, beta-blockers) Hormonal (low
testosterone)

Question 25: PDE-5 inhibitors such as sidenifil and Erectile tadalafil is first line tx for

Answer: Dysfunction

Question 26: Testosterone replacement is used for

Answer: hypogonadism which is when the gonads (testes & & ovaries) produce insuflcient sex
hormones

Question 27: when obtaining a sexual history, what 5 questions should be asked (5Ps)

Answer: Partners (number, gender), Practices (oral, vaginal, anal), Protection (condom use,
contraception), Past STIs (history of infections) Pregnancy prevention (if relevant).

Question 28: what are the types of sexual dyfunchypoactive tion in women

Answer: sexual desire disorder arousal disorder orgasmic disorder genito-pelvic/pani disorder

Question 29: Hypoactive sexual desire disorder (HSDD)

Answer: Persistent lack of interest.

Question 30: Arousal disorder

Answer: Inability to maintain arousal.

Question 31: Orgasmic disorder

Answer: Delay or absence of orgasm.

Question 32: Genito-pelvic pain/penetration disorder

Answer: Pain during intercourse.



Page 3

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