NR 547 Midtern (from Study Guide) M.G. – UPDATED Questions
with 100% Verified Answers
Chamberlain University-Illinois
NR 547
NR 547 Midtern (from Study Guide) M.G.
Study Questions and Answers
Q1 Importance of the differential diagnosis
A working list, initial hypothesis, improves safety
Q2 Differential dx - laboratory analysis
A Basic diagnostic tests and labs are used to rule out physical conditions that may be causing psychiatric symptoms
and to evaluate the effects of treatment
Q3 CBC
A rule out anemia as a cause for depressive symptoms and fatigue, or rule out infection as a cause of acute mental
status changes. Also medications, such as clozapine, require routine analysis of ANC and platelet levels.
Q4 CMP
A electrolyte balance, liver function, CMP may be used to rule out medical conditions that changes or mood or
cognition. The CMP is used to monitor the effects of meds,e.g. antipsychotics, on liver function and glucose levels.
Q5 TFTs
A used r/o thyroid disorders as a cause for symptoms Symptoms related to thyroid disorders include anxiety,
restlessness, depression, mood swings, sleeping difficulties, difficulties with concentration, short-term memory
lapses, and lack of mental alertness.
Q6 Hyperthyroidism
A can affect your mood causing agitation, panic attacks, mania, hallucinations, suicidal ideation
Q7 Hypothyroidism
A fatigue, cognitive and memory problems, slow thinking, low mood or depression
Q8 CMP-range NA 135-145,, phos 20-70, BUN 7-12, creatinine 0.6- 1.2, Calcium 8.4-10.2, CL 95-105, potassium
3.5-5
NR 547 Midtern (from Study Guide) M.G. 1
, A NA 135-145,, phos 20-70, BUN 7-12, creatinine 0.6-1.2, Calcium 8.4-10.2, CL 95-105, potassium 3.5-5
Q9 CBC - range
A WBC 5,00-10,000, plt 150.000-300,00, RBC 4.5-6, hemoglobin 12-18, hematocrit 38-48%, retic count 0-1.5%.
Q10 TFT-range
A TSH 0.4-4.5 T3 100-200, T4 5-11
Q11 B 12 - range
A 190-950 picograms/mL. Between 200-300/mL indicates a borderline level - possible need for additional testing.
Q12 B12 levels. Deficiency
A can affect mood and other brain functions. psychiatric symptoms associated with B12 deficiency include depression,
mania, psychotic symptoms, and cognitive impairment
Q13 Vitamin B12 - range
A 190-950
Q14 Vitamin D range
A 20-50
Q15 liver fxn range
A AST/ALT 8-20
Q16 Alogia
A lack of speech- only saying a few words
Q17 Avolition
A lack of motivation
Q18 Anosognosia
A inability to recognize they have an illness
Q19 Affective flattening
A flat affect, emotional blunting, monotone speech, diminished gestures
NR 547 Midtern (from Study Guide) M.G. 2
, Q20 GAD
A symptoms >6 months, symptoms most days, with 3 or + symptoms of (worry, irritability, restlessness, muscle
tension, difficulty concentrating) Anxiety is NOT related to a specific person/event.
Q21 First line tx, GAD
A First line tx- CBT / SSRI’s
Q22 GAD - comorbidities
A Depression , Asthma, COPD, DM
Q23 OCD
A persistent, uncontrollable thoughts or actions that occur over an hour or more per day. comorbidities often comorbid
with tourettes, tx- exposure and response therapy and fluoxetine 80 mg start low and go slow. Onset by age 35.
Q24 OCD - comorbidities
A Tourette's. Onset by age 35.
Q25 OCD tx
A exposure and response therapy and fluoxetine 80 mg start low and go slow. (start 20mg)
Q26 Compulsions
A typically performed in response to an obsessive thought
Q27 Compulsions sub clinical
A does not meet full criteria and does not cause major disruptions in patient life. Determined based on the level of
distress and impairment in function
Q28 Compulsions - clinical
A meets dx criteria, causes disruptions.
Q29 Panic disorder
A > 1 month- persistent fear or behavior change due to anxiety about having another panic attack
Q30 Panic disorder tx
A CBT, SSRI, SNRI, BENZOS, TCAs, B-Blockers
NR 547 Midtern (from Study Guide) M.G. 3
with 100% Verified Answers
Chamberlain University-Illinois
NR 547
NR 547 Midtern (from Study Guide) M.G.
Study Questions and Answers
Q1 Importance of the differential diagnosis
A working list, initial hypothesis, improves safety
Q2 Differential dx - laboratory analysis
A Basic diagnostic tests and labs are used to rule out physical conditions that may be causing psychiatric symptoms
and to evaluate the effects of treatment
Q3 CBC
A rule out anemia as a cause for depressive symptoms and fatigue, or rule out infection as a cause of acute mental
status changes. Also medications, such as clozapine, require routine analysis of ANC and platelet levels.
Q4 CMP
A electrolyte balance, liver function, CMP may be used to rule out medical conditions that changes or mood or
cognition. The CMP is used to monitor the effects of meds,e.g. antipsychotics, on liver function and glucose levels.
Q5 TFTs
A used r/o thyroid disorders as a cause for symptoms Symptoms related to thyroid disorders include anxiety,
restlessness, depression, mood swings, sleeping difficulties, difficulties with concentration, short-term memory
lapses, and lack of mental alertness.
Q6 Hyperthyroidism
A can affect your mood causing agitation, panic attacks, mania, hallucinations, suicidal ideation
Q7 Hypothyroidism
A fatigue, cognitive and memory problems, slow thinking, low mood or depression
Q8 CMP-range NA 135-145,, phos 20-70, BUN 7-12, creatinine 0.6- 1.2, Calcium 8.4-10.2, CL 95-105, potassium
3.5-5
NR 547 Midtern (from Study Guide) M.G. 1
, A NA 135-145,, phos 20-70, BUN 7-12, creatinine 0.6-1.2, Calcium 8.4-10.2, CL 95-105, potassium 3.5-5
Q9 CBC - range
A WBC 5,00-10,000, plt 150.000-300,00, RBC 4.5-6, hemoglobin 12-18, hematocrit 38-48%, retic count 0-1.5%.
Q10 TFT-range
A TSH 0.4-4.5 T3 100-200, T4 5-11
Q11 B 12 - range
A 190-950 picograms/mL. Between 200-300/mL indicates a borderline level - possible need for additional testing.
Q12 B12 levels. Deficiency
A can affect mood and other brain functions. psychiatric symptoms associated with B12 deficiency include depression,
mania, psychotic symptoms, and cognitive impairment
Q13 Vitamin B12 - range
A 190-950
Q14 Vitamin D range
A 20-50
Q15 liver fxn range
A AST/ALT 8-20
Q16 Alogia
A lack of speech- only saying a few words
Q17 Avolition
A lack of motivation
Q18 Anosognosia
A inability to recognize they have an illness
Q19 Affective flattening
A flat affect, emotional blunting, monotone speech, diminished gestures
NR 547 Midtern (from Study Guide) M.G. 2
, Q20 GAD
A symptoms >6 months, symptoms most days, with 3 or + symptoms of (worry, irritability, restlessness, muscle
tension, difficulty concentrating) Anxiety is NOT related to a specific person/event.
Q21 First line tx, GAD
A First line tx- CBT / SSRI’s
Q22 GAD - comorbidities
A Depression , Asthma, COPD, DM
Q23 OCD
A persistent, uncontrollable thoughts or actions that occur over an hour or more per day. comorbidities often comorbid
with tourettes, tx- exposure and response therapy and fluoxetine 80 mg start low and go slow. Onset by age 35.
Q24 OCD - comorbidities
A Tourette's. Onset by age 35.
Q25 OCD tx
A exposure and response therapy and fluoxetine 80 mg start low and go slow. (start 20mg)
Q26 Compulsions
A typically performed in response to an obsessive thought
Q27 Compulsions sub clinical
A does not meet full criteria and does not cause major disruptions in patient life. Determined based on the level of
distress and impairment in function
Q28 Compulsions - clinical
A meets dx criteria, causes disruptions.
Q29 Panic disorder
A > 1 month- persistent fear or behavior change due to anxiety about having another panic attack
Q30 Panic disorder tx
A CBT, SSRI, SNRI, BENZOS, TCAs, B-Blockers
NR 547 Midtern (from Study Guide) M.G. 3
