CMN 552 FINAL EXAM SCRIPT QUESTIONS
AND ANSWERS REVIEW PACK 2026
◉ 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
arrhythmias including torsade's de pointes
contraindicated in heart block or post-mi
weight gain
priapism
, ◉ potential side effect for women taking Valproate?
Answer: teratogenic effects
◉ MODULE 2: ANXIETY DISORDERS
Answer:
◉ neurotransmitters associated with anxiety?
Answer: peptidergic neurotransmitters (CRH, neuropeptide Y,
substance P, opioids), monoaminergic transmitters (norepinephrine,
serotonin, dopamine), and amino acid transmitters (GABA and
glutamate), and adrenal steroids (cortisol)
◉ 1 in 25 people with have _____ Disorder but at least 1 in 7 will have
a ______.
Answer: Panic Disorder, Panic Attack
◉ GAD has a lifetime prevalence of:
Answer: 5%
◉ GAD often begins in late teens and is more common in:
Answer: women
AND ANSWERS REVIEW PACK 2026
◉ 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
arrhythmias including torsade's de pointes
contraindicated in heart block or post-mi
weight gain
priapism
, ◉ potential side effect for women taking Valproate?
Answer: teratogenic effects
◉ MODULE 2: ANXIETY DISORDERS
Answer:
◉ neurotransmitters associated with anxiety?
Answer: peptidergic neurotransmitters (CRH, neuropeptide Y,
substance P, opioids), monoaminergic transmitters (norepinephrine,
serotonin, dopamine), and amino acid transmitters (GABA and
glutamate), and adrenal steroids (cortisol)
◉ 1 in 25 people with have _____ Disorder but at least 1 in 7 will have
a ______.
Answer: Panic Disorder, Panic Attack
◉ GAD has a lifetime prevalence of:
Answer: 5%
◉ GAD often begins in late teens and is more common in:
Answer: women
