CPCU 552 CP&L FINAL PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
◉ Name some signs of psychomotor agitation. Answer: emotional
distress, restlessness, tapping, starting and ending tasks abruptly,
fidgeting, pacing, hand-wringing, fast talking, racing thoughts,
crowded thoughts, moving objects for no reason
◉ set of behaviors that goes along with psychomotor agitation.
Answer: packing back and forth, taking off and on clothes, twisting
their hands, tapping feet on floor, tapping fingers on surface, picking
up and moving objects around a room for no reason
◉ most reliable somatic indicators of depressive disorder:. Answer:
anorexia and weight loss
◉ other somatic indicators of depressive disorder. Answer: blunted
olfactory or taste sensations, decreased enjoyment of food,
dizziness, lethargy, nausea, vomiting, diarrhea, headache, fever,
sweating, chills, malaise, incoordination, insomnia, vivid dreams
◉ contraindications to ECT treatment. Answer: rheumatoid arthritis
complicated by erosion of the odontoid process, recent mi (must
wait 8 weeks), increased intracranial pressure, recent intracerebral
hemorrhage/aneurysm or stroke (must wait 8 weeks), extremely
,loose teeth, threatened retinal detachment, concurrent
administration of an irreversible MAOI (must be discontinued 14
days prior to elective anesthesia), concurrent drug toxicity
◉ baseline labs recommended prior to treatment with Celexa?.
Answer: serum sodium at baseline and after 4 weeks
◉ antidepressant that can cause dose dependent cardiac
irregularities. Answer: Celexa or Tricyclics
◉ which SNRI is recommended for use in the treatment of panic and
major depression?. Answer: Venlafaxine (Effexor)
◉ Which antidepressant has the potential to cause a false
amphetamine lab result?. Answer: Bupropion (Wellbutrin)
◉ Least sedating SSRI?. Answer: Lexapro (Escitalopram)
◉ most likely SSRI to cause discontinuation syndrome?. Answer:
Paxil (Fluoxetine)
◉ which SNRI has fewest drug interactions?. Answer:
Desvenlafaxine (Pristiq)
, ◉ behavioral adverse effects in children taking SSRIs. Answer:
agitation, restlessness, activation, hypomania, insomnia, irritability,
social disinhibition
◉ why is slow upward titration recommended when prescribing
lamotrigine?. Answer: decrease risk of Stevens-Johnson syndrome
and toxic epidermal necrolysis
◉ gold standard for maintenance of treatment of bipolar disorder?.
Answer: lithium
◉ recommended serum lithium schedule?. Answer: first plasma 5
days after starting, once weekly till levels therapeutic, 3-6 months
and at clinical discretion
◉ important education to patients on lithium. Answer: report any
signs of toxicity, requires regular blood monitoring for lithium renal
and electrolytes, maintain consistent salt and water intake, expect
nausea thirst frequent urination during first few days, give with
meals to avoid GI disturbances, caffeine intake should not be altered,
withhold morning dose until after blood draw, withhold prior to ECT,
avoid with angiotensin-acting drugs diuretics NSAIDS, do not break
or crush slow release preparations, avoid activities requiring
alertness until response has been determined
COMPLETE QUESTIONS AND ANSWERS
◉ Name some signs of psychomotor agitation. Answer: emotional
distress, restlessness, tapping, starting and ending tasks abruptly,
fidgeting, pacing, hand-wringing, fast talking, racing thoughts,
crowded thoughts, moving objects for no reason
◉ set of behaviors that goes along with psychomotor agitation.
Answer: packing back and forth, taking off and on clothes, twisting
their hands, tapping feet on floor, tapping fingers on surface, picking
up and moving objects around a room for no reason
◉ most reliable somatic indicators of depressive disorder:. Answer:
anorexia and weight loss
◉ other somatic indicators of depressive disorder. Answer: blunted
olfactory or taste sensations, decreased enjoyment of food,
dizziness, lethargy, nausea, vomiting, diarrhea, headache, fever,
sweating, chills, malaise, incoordination, insomnia, vivid dreams
◉ contraindications to ECT treatment. Answer: rheumatoid arthritis
complicated by erosion of the odontoid process, recent mi (must
wait 8 weeks), increased intracranial pressure, recent intracerebral
hemorrhage/aneurysm or stroke (must wait 8 weeks), extremely
,loose teeth, threatened retinal detachment, concurrent
administration of an irreversible MAOI (must be discontinued 14
days prior to elective anesthesia), concurrent drug toxicity
◉ baseline labs recommended prior to treatment with Celexa?.
Answer: serum sodium at baseline and after 4 weeks
◉ antidepressant that can cause dose dependent cardiac
irregularities. Answer: Celexa or Tricyclics
◉ which SNRI is recommended for use in the treatment of panic and
major depression?. Answer: Venlafaxine (Effexor)
◉ Which antidepressant has the potential to cause a false
amphetamine lab result?. Answer: Bupropion (Wellbutrin)
◉ Least sedating SSRI?. Answer: Lexapro (Escitalopram)
◉ most likely SSRI to cause discontinuation syndrome?. Answer:
Paxil (Fluoxetine)
◉ which SNRI has fewest drug interactions?. Answer:
Desvenlafaxine (Pristiq)
, ◉ behavioral adverse effects in children taking SSRIs. Answer:
agitation, restlessness, activation, hypomania, insomnia, irritability,
social disinhibition
◉ why is slow upward titration recommended when prescribing
lamotrigine?. Answer: decrease risk of Stevens-Johnson syndrome
and toxic epidermal necrolysis
◉ gold standard for maintenance of treatment of bipolar disorder?.
Answer: lithium
◉ recommended serum lithium schedule?. Answer: first plasma 5
days after starting, once weekly till levels therapeutic, 3-6 months
and at clinical discretion
◉ important education to patients on lithium. Answer: report any
signs of toxicity, requires regular blood monitoring for lithium renal
and electrolytes, maintain consistent salt and water intake, expect
nausea thirst frequent urination during first few days, give with
meals to avoid GI disturbances, caffeine intake should not be altered,
withhold morning dose until after blood draw, withhold prior to ECT,
avoid with angiotensin-acting drugs diuretics NSAIDS, do not break
or crush slow release preparations, avoid activities requiring
alertness until response has been determined
