NSG 533 ADVANCED PHARMACOLOGY 4
TEST BANK 2026 COMPLETE QUESTIONS
WITH PRACTICE SOLUTION
◉ Which of the following symptoms is most likely to improve within
approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep. Answer: D
◉ Of the following combinations of medications, which one would
you want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole. Answer: B
◉ A 26-year-old man with a history of depression has been taking
sertraline 200 mg/day for 12 weeks with no response. The patient
has no other complications. The physician asks for your
,recommendation. The most reasonable recommendation would be
to:
A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine
E. Decrease sertraline. Answer: D
◉ Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone. Answer: C
◉ A 23-year-old married white woman comes to the outpatient
psychiatric clinic
complaining of decreased sleep, decreased appetite, decreased
concentration, depressed
mood, thoughts of death, and lack of interest in activities for 6
weeks' duration. She has
no history of psychiatric illness and takes no medications except for
Ortho-Tri Cyclen Lo
, daily. Based upon the patients symptoms, choose the best
medication to treat this patient.
A. Nefazodone 100 mg po twice daily
B. Paroxetine 20 mg po daily
C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime. Answer: B
◉ A 36-year-old man is admitted to the hospital for a severe
methicillin-resistant Staphylococcus aureus diabetic foot infection
and is started on linezolid 600 mg IV every 12 hours. His medication
profile includes paroxetine 40 mg every morning, trazodone 100 mg
at bedtime as needed for sleep, and metformin 1000 mg po twice
daily. After 3
days on these medications, the patient becomes agitated, confused,
and diaphoretic and develops myoclonic jerks. Which of the
following is the most likely diagnosis?
A. Overdose of metformin
B. Bacterial meningitis
C. Neuroleptic malignant syndrome
D. Serotonin syndrome. Answer: D
◉ A 46-year-old woman presents to the psychiatric outpatient clinic
for follow-up treatment of major depression. She is currently on
paroxetine 10 mg at bedtime, which she started taking 2 months ago
when admitted to the psychiatric hospital for suicidal ideation.
TEST BANK 2026 COMPLETE QUESTIONS
WITH PRACTICE SOLUTION
◉ Which of the following symptoms is most likely to improve within
approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep. Answer: D
◉ Of the following combinations of medications, which one would
you want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole. Answer: B
◉ A 26-year-old man with a history of depression has been taking
sertraline 200 mg/day for 12 weeks with no response. The patient
has no other complications. The physician asks for your
,recommendation. The most reasonable recommendation would be
to:
A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine
E. Decrease sertraline. Answer: D
◉ Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone. Answer: C
◉ A 23-year-old married white woman comes to the outpatient
psychiatric clinic
complaining of decreased sleep, decreased appetite, decreased
concentration, depressed
mood, thoughts of death, and lack of interest in activities for 6
weeks' duration. She has
no history of psychiatric illness and takes no medications except for
Ortho-Tri Cyclen Lo
, daily. Based upon the patients symptoms, choose the best
medication to treat this patient.
A. Nefazodone 100 mg po twice daily
B. Paroxetine 20 mg po daily
C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime. Answer: B
◉ A 36-year-old man is admitted to the hospital for a severe
methicillin-resistant Staphylococcus aureus diabetic foot infection
and is started on linezolid 600 mg IV every 12 hours. His medication
profile includes paroxetine 40 mg every morning, trazodone 100 mg
at bedtime as needed for sleep, and metformin 1000 mg po twice
daily. After 3
days on these medications, the patient becomes agitated, confused,
and diaphoretic and develops myoclonic jerks. Which of the
following is the most likely diagnosis?
A. Overdose of metformin
B. Bacterial meningitis
C. Neuroleptic malignant syndrome
D. Serotonin syndrome. Answer: D
◉ A 46-year-old woman presents to the psychiatric outpatient clinic
for follow-up treatment of major depression. She is currently on
paroxetine 10 mg at bedtime, which she started taking 2 months ago
when admitted to the psychiatric hospital for suicidal ideation.
