CMN 552 UNIT 3 COMPREHENSIVE
MODULE TEST 2026 COMPLETE
QUESTIONS AND ANSWERS
◉ 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
◉ recommended first line adjunct to antidepressant medication in
MDD?
Answer: Aripiprazole (Abilify)
◉ potential side effects of trazodone
Answer: can exacerbate ischemic attacks
MODULE TEST 2026 COMPLETE
QUESTIONS AND ANSWERS
◉ 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
◉ recommended first line adjunct to antidepressant medication in
MDD?
Answer: Aripiprazole (Abilify)
◉ potential side effects of trazodone
Answer: can exacerbate ischemic attacks
