EXAM PSYCHOPHARMACOLOGIC APPROACH TO
TREATMENT OF PSYCHOPATHOLOGY ACTUAL EXAM
2025/2026 AND A NEW UPDATED STUDY GUIDE COMPLETE
ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED SOLUTIONS (A NEW UPDATED VERSION)
|GUARANTEED PASS A+
Five main symptoms of hypertensive crisis:
Answer- hyperthermia, hypertension, tachycardia, arrhythmias,
agitation
Hypertensive crisis commonly occurs when people taking
MAOIs consume foods or drinks high in:
Answer- tyramine (cheese, wine, beer, cured/smoked meats)
Foods and drinks rich in tyramine:
Answer- cheese, wine, beer, cured/smoked meats
When uninhibited, these two enzymes are responsible for
breaking down tyramine:
,Answer- MAO-A and MAO-B
When tyramine is not broken down, it increases the release of
this neurotransmitter, which causes hypertensive crisis:
Answer- Norepinephrine
Due to its action as an adrenergic antagonist this drug is the
treatment of hypertensive crisis:
Answer- Phentolamine
TCAs are subdivided into these two groups:
Answer- Tertiary TCAs and Secondary TCAs
Three Tertiary TCAs:
Answer- amitriptyline, imipramine, clomipramine
Two Secondary TCAs:
,Answer- desipramine, nortriptyline
Tertiary TCAs are non-selective and act on:
Answer- Serotonin and Norepinephrine transporters (increase
5HT and NE)
Secondary TCAs are selective and act only on:
Answer- Norepinephrine transporters (increase NE)
Therapeutic benefits from TCAs typically take approximately:
Answer- 2-4 weeks
In addition to treatment of depression, other indications for
TCAs include:
Answer- Phobic disorders, chronic neuropathic pain, migraine
prophylaxis
, Medication specific indication for clomipramine:
Answer- OCD
Medication specific indication for imipramine:
Answer- Nocturnal enuresis
In addition to SERTs and NETs, TCAs block (causes side
effects):
Answer- Histamine (H1) receptors, Muscarinic receptors, and
Alpha 1 receptors
TCAs inhibitory effects on Histamine (H1) receptors results in
this side effect:
Answer- sedation
TCAs inhibitory effects on Muscarinic receptors results in this
side effect profile:
Answer- anticholinergic side effects