FNP Board Review exam- Psychology (Fitzgerald)
questions and answers
1. Lorazepam or oxazepam is the preferred benzodiazepine for treating alco- hol withdrawal
symptoms when there is a concomitant history of:
A. seizure disorder.
B. folate deficiency anemia. C. multiple substance abuse. D. hepatic dysfunction.: D
2. Which of the following agents offers an intervention for the control of tremor and
tachycardia associated with alcohol withdrawal?
A. phenobarbital
B. clonidine
C. verapamil
D. naltrexone: B
3. 13. Which of the following is most likely to be noted in a 45-year-old woman with laboratory
evidence of chronic excessive alcohol ingestion?
A. alanine aminotransferase (ALT) 202 U/L (0 to 31 U/L), mean corpuscular volume (MCV)
70 fL (80 to 96 fL)
B. aspartate transaminase (AST) 149 U/L (0 to 31 U/L), MCV 81 fL (80 to 96 fL)
C. ALT 88 U/L (0 to 31 U/L), MCV 140 fL (80 to 96 fL)
,D. AST 80 U/L (0 to 31 U/L), MCV 103 fL (80 to 96 fL): D
4. 14. Which of the following is the anticipated clinical effect of acamprosate
(Campral®) in the treatment of alcohol dependence?
A. modifies intoxicating effects of alcohol
B. causes unpleasant adverse effects of alcohol
C. helps to reduce the urge to drink
D. minimizes alcohol withdrawal symptoms: C
5. As with other health problems with a behavioral component, using state- ments
beginning with " " is important—" continue to be very con- cerned about your
health and safety when I hear that you are drinking every day.":
6. The most serious presentation of alcohol withdrawal is known as
, which has significant mortality in untreated patients.: delirium tremens
7. Reasonable treatment options for a patient with adequate hepatic function for alcohol
withdrawal: Chlordiazepoxide (Librium®) or diazepam (Valium®), therapeutic agents with a
long halflife
8. For alcohol withdrawal, Benzodiazepines with shorter halflives (e.g.,
) or agents that have an absence of active metabolites (e.g., ox- azepam),should
be used in patients with dysfunction to prevent prolonged effects.: lorazepam,
hepatic
9. Providing a higher dose long-acting benzodiazepine, such as
, 20 mg on day one, followed by a dosing schedule reduced by 5 mg daily (increased if
symptoms are particularly severe), is often effective and is currently favored over a fixed-
dosed dose schedule.: Diazepam
10. are helpful in managing the distressing physical manifes- tations of alcohol
withdrawal such as tachycardia and tremor.: beta-adrener- gic antagonists (i.e., propranolol)
11. deficiency is a common correctable problem in alcohol abuse.: Magnesium
12. The recommended dietary allowance for magnesium in men is
mg/day, while for nonpregnant and nonlactating women, it is
mg/day.: 400 to 420,
310 to 320
13. In nonalcoholic fatty liver steatohepatitis (NASH, also known as nonal- coholic fatty
liver disease [NAFLD]), usually increases higher than
, with enzyme increases usually within 3 times ULN.: ALT, AST
14. In alcohol-related hepatic injury usually increases higher than
.: AST, ALT
15. In overdose, massive increases in AST and ALT are often noted, >20 times
ULN.: acetaminophen
16. With alcoholism, Attention must be focused on treating alcohol induced nutritional
deficiencies, in particular with high dose vitamin B supplementa- tion, including thiamine,
pyridoxine, and folic acid, and vitamin C.:
17. level increases in response to hepatocyte injury, as can occur in heavy alcohol
use and acetaminophen misuse or overdose.: AST18. AST elevation is generally found in
only about % of problem drinkers.: 10
questions and answers
1. Lorazepam or oxazepam is the preferred benzodiazepine for treating alco- hol withdrawal
symptoms when there is a concomitant history of:
A. seizure disorder.
B. folate deficiency anemia. C. multiple substance abuse. D. hepatic dysfunction.: D
2. Which of the following agents offers an intervention for the control of tremor and
tachycardia associated with alcohol withdrawal?
A. phenobarbital
B. clonidine
C. verapamil
D. naltrexone: B
3. 13. Which of the following is most likely to be noted in a 45-year-old woman with laboratory
evidence of chronic excessive alcohol ingestion?
A. alanine aminotransferase (ALT) 202 U/L (0 to 31 U/L), mean corpuscular volume (MCV)
70 fL (80 to 96 fL)
B. aspartate transaminase (AST) 149 U/L (0 to 31 U/L), MCV 81 fL (80 to 96 fL)
C. ALT 88 U/L (0 to 31 U/L), MCV 140 fL (80 to 96 fL)
,D. AST 80 U/L (0 to 31 U/L), MCV 103 fL (80 to 96 fL): D
4. 14. Which of the following is the anticipated clinical effect of acamprosate
(Campral®) in the treatment of alcohol dependence?
A. modifies intoxicating effects of alcohol
B. causes unpleasant adverse effects of alcohol
C. helps to reduce the urge to drink
D. minimizes alcohol withdrawal symptoms: C
5. As with other health problems with a behavioral component, using state- ments
beginning with " " is important—" continue to be very con- cerned about your
health and safety when I hear that you are drinking every day.":
6. The most serious presentation of alcohol withdrawal is known as
, which has significant mortality in untreated patients.: delirium tremens
7. Reasonable treatment options for a patient with adequate hepatic function for alcohol
withdrawal: Chlordiazepoxide (Librium®) or diazepam (Valium®), therapeutic agents with a
long halflife
8. For alcohol withdrawal, Benzodiazepines with shorter halflives (e.g.,
) or agents that have an absence of active metabolites (e.g., ox- azepam),should
be used in patients with dysfunction to prevent prolonged effects.: lorazepam,
hepatic
9. Providing a higher dose long-acting benzodiazepine, such as
, 20 mg on day one, followed by a dosing schedule reduced by 5 mg daily (increased if
symptoms are particularly severe), is often effective and is currently favored over a fixed-
dosed dose schedule.: Diazepam
10. are helpful in managing the distressing physical manifes- tations of alcohol
withdrawal such as tachycardia and tremor.: beta-adrener- gic antagonists (i.e., propranolol)
11. deficiency is a common correctable problem in alcohol abuse.: Magnesium
12. The recommended dietary allowance for magnesium in men is
mg/day, while for nonpregnant and nonlactating women, it is
mg/day.: 400 to 420,
310 to 320
13. In nonalcoholic fatty liver steatohepatitis (NASH, also known as nonal- coholic fatty
liver disease [NAFLD]), usually increases higher than
, with enzyme increases usually within 3 times ULN.: ALT, AST
14. In alcohol-related hepatic injury usually increases higher than
.: AST, ALT
15. In overdose, massive increases in AST and ALT are often noted, >20 times
ULN.: acetaminophen
16. With alcoholism, Attention must be focused on treating alcohol induced nutritional
deficiencies, in particular with high dose vitamin B supplementa- tion, including thiamine,
pyridoxine, and folic acid, and vitamin C.:
17. level increases in response to hepatocyte injury, as can occur in heavy alcohol
use and acetaminophen misuse or overdose.: AST18. AST elevation is generally found in
only about % of problem drinkers.: 10
