PSYCHOPHARM EXAM WITH CORRECT -
SOLUTIONS 2026/2027
1. A patient who was recently started on haloperidol for psychosis begins
to manifest hand tremor, and a shuffling gait. What is the most likely
explanation for these symptoms?
a. Dopamine transmission in the nigrostriatal pathway
b. Dopamine transmission in the tuberoinfundibular pathway
c. Dopamine transmission in the mesolimbic pathway
d. Dopamine increases throughout the basal ganglia - -ANS☑️☑️--A
2. A 72-year-old man with a comorbid history of uncontrolled hypertension
is referred to the PMHNP for dementia secondary to depression. The
mental status exam reveals difficulty speaking fluently, inappropriate
and confabulated responses, incongruent affect, and poor judgment. A
cerebrovascular accident in which region of the brain would better
explain these symptoms?
a. Parietal lobe
b. Wernicke's area
c. Broca's area
d. Occipital lobe - -ANS☑️☑️--C
3. The PMHNP is evaluating a 68-year-old man for symptoms of major
depression. While assessing the appearance of the patient, an obvious
left-sided ptosis is noted. Which cranial nerve is directly linked to this
condition?
a. III
b. IV
c. V
d. VI - -ANS☑️☑️--A
,4. A 55-year-old woman has been referred for a psychiatric evaluation for
a change in personality, lack of impulse control, and increasingly
reckless decision-making. Which area of the brain would be responsible
for these symptoms?
a. Parietal lobe
b. Broca's area
c. Wernicke's area
d. Frontal lobe - -ANS☑️☑️--D
5. A patient was recently started on a dopamine antagonist, and complains
of breast tenderness and a milky discharge. What is the most likely
explanation for these symptoms?
a. Dopamine transmission in the nigrostriatal pathway
b. Dopamine transmission in the tuberoinfundibular pathway
c. Dopamine transmission in the mesolimbic pathway
d. Dopamine increases throughout the basal ganglia - -ANS☑️☑️--B
6. Which region of the brain is associated with sensory integration, spatial
awareness, and conscious awareness of the opposite side of the body?
a. Occipital lobe
b. Wernicke's area
c. Broca's area
d. Parietal lobe - -ANS☑️☑️--D
7. A patient appears internally preoccupied and responding to auditory
hallucination. This patient may have a pathology affecting which lobe of
the brain?
a. Temporal lobe
b. Occipital lobe
c. Parietal lobe
d. Cerebellum - -ANS☑️☑️--A
,8. A patient presents with atypical symptoms of psychosis that include
inconsistent auditory hallucinations without disorganization. What is
the best definition of an EEG and its utility?
a. Radiologic test utilizing magnets and radio waves to provide a
detailed image of the structures of the brain
b. Electrophysiologic test that depicts electrical activity on the
surface of the brain
c. A serum test to indicate nutritional deficiencies that inhibit the
formation of neurotransmitters
d. A neuropsychological test to distinguish psychosis from a
psychosomatic illness. - -ANS☑️☑️--B
9. Neurons that only travel from the body to the brain are called:
a. Sensory neurons
b. Motor neurons
c. Inter neurons
d. Astrocytes - -ANS☑️☑️--A
10. The part of the neuron that takes in and receives messages is called:
a. Dendrite
b. Axon
c. Synapse
d. Node of Ranvier - -ANS☑️☑️--A
11. What is the fatty layer that prevents interference and increases the
speed of impulse transmission along the axon?
a. Dendrite
b. Axon
c. Synapse
d. Myelin sheath - -ANS☑️☑️--D
12. Which of the following receives messages and conducts impulses to the
soma?
, a. Dendrite
b. Axon
c. Synapse
d. Myelin sheath - -ANS☑️☑️--A
13. The junction between two neurons is known as the:
a. Dendrite
b. Node of Ranvier
c. Synapse
d. Soma - -ANS☑️☑️--C
14. When explaining the means by which neurotransmitters relate to
mental illness, a patient ask, "What is a neurotransmitter?" The best -
ANS☑️☑️- is:
a. A fatty layer covering the axon
b. A chemical messenger
c. A nerve cell
d. The space between nerve cells - -ANS☑️☑️--B
15. A patient is diagnosed with major depressive disorder with the most
prominent feature of apathy, anhedonia, and isolation. Which
neurotransmitter is associated with the symptoms?
a. Serotonin
b. Gamma-amino benzoic acid (GABA)
c. Dopamine
d. Cannabinoids - -ANS☑️☑️--C
16. The PMHNP prescribes fluoxetine to treat depression. Which
neurotransmitter will be made readily available in the synapse?
a. Dopamine
b. Serotonin
c. Gamma-amino benzoic acid (GABA)
d. Acetylcholine - -ANS☑️☑️--B
SOLUTIONS 2026/2027
1. A patient who was recently started on haloperidol for psychosis begins
to manifest hand tremor, and a shuffling gait. What is the most likely
explanation for these symptoms?
a. Dopamine transmission in the nigrostriatal pathway
b. Dopamine transmission in the tuberoinfundibular pathway
c. Dopamine transmission in the mesolimbic pathway
d. Dopamine increases throughout the basal ganglia - -ANS☑️☑️--A
2. A 72-year-old man with a comorbid history of uncontrolled hypertension
is referred to the PMHNP for dementia secondary to depression. The
mental status exam reveals difficulty speaking fluently, inappropriate
and confabulated responses, incongruent affect, and poor judgment. A
cerebrovascular accident in which region of the brain would better
explain these symptoms?
a. Parietal lobe
b. Wernicke's area
c. Broca's area
d. Occipital lobe - -ANS☑️☑️--C
3. The PMHNP is evaluating a 68-year-old man for symptoms of major
depression. While assessing the appearance of the patient, an obvious
left-sided ptosis is noted. Which cranial nerve is directly linked to this
condition?
a. III
b. IV
c. V
d. VI - -ANS☑️☑️--A
,4. A 55-year-old woman has been referred for a psychiatric evaluation for
a change in personality, lack of impulse control, and increasingly
reckless decision-making. Which area of the brain would be responsible
for these symptoms?
a. Parietal lobe
b. Broca's area
c. Wernicke's area
d. Frontal lobe - -ANS☑️☑️--D
5. A patient was recently started on a dopamine antagonist, and complains
of breast tenderness and a milky discharge. What is the most likely
explanation for these symptoms?
a. Dopamine transmission in the nigrostriatal pathway
b. Dopamine transmission in the tuberoinfundibular pathway
c. Dopamine transmission in the mesolimbic pathway
d. Dopamine increases throughout the basal ganglia - -ANS☑️☑️--B
6. Which region of the brain is associated with sensory integration, spatial
awareness, and conscious awareness of the opposite side of the body?
a. Occipital lobe
b. Wernicke's area
c. Broca's area
d. Parietal lobe - -ANS☑️☑️--D
7. A patient appears internally preoccupied and responding to auditory
hallucination. This patient may have a pathology affecting which lobe of
the brain?
a. Temporal lobe
b. Occipital lobe
c. Parietal lobe
d. Cerebellum - -ANS☑️☑️--A
,8. A patient presents with atypical symptoms of psychosis that include
inconsistent auditory hallucinations without disorganization. What is
the best definition of an EEG and its utility?
a. Radiologic test utilizing magnets and radio waves to provide a
detailed image of the structures of the brain
b. Electrophysiologic test that depicts electrical activity on the
surface of the brain
c. A serum test to indicate nutritional deficiencies that inhibit the
formation of neurotransmitters
d. A neuropsychological test to distinguish psychosis from a
psychosomatic illness. - -ANS☑️☑️--B
9. Neurons that only travel from the body to the brain are called:
a. Sensory neurons
b. Motor neurons
c. Inter neurons
d. Astrocytes - -ANS☑️☑️--A
10. The part of the neuron that takes in and receives messages is called:
a. Dendrite
b. Axon
c. Synapse
d. Node of Ranvier - -ANS☑️☑️--A
11. What is the fatty layer that prevents interference and increases the
speed of impulse transmission along the axon?
a. Dendrite
b. Axon
c. Synapse
d. Myelin sheath - -ANS☑️☑️--D
12. Which of the following receives messages and conducts impulses to the
soma?
, a. Dendrite
b. Axon
c. Synapse
d. Myelin sheath - -ANS☑️☑️--A
13. The junction between two neurons is known as the:
a. Dendrite
b. Node of Ranvier
c. Synapse
d. Soma - -ANS☑️☑️--C
14. When explaining the means by which neurotransmitters relate to
mental illness, a patient ask, "What is a neurotransmitter?" The best -
ANS☑️☑️- is:
a. A fatty layer covering the axon
b. A chemical messenger
c. A nerve cell
d. The space between nerve cells - -ANS☑️☑️--B
15. A patient is diagnosed with major depressive disorder with the most
prominent feature of apathy, anhedonia, and isolation. Which
neurotransmitter is associated with the symptoms?
a. Serotonin
b. Gamma-amino benzoic acid (GABA)
c. Dopamine
d. Cannabinoids - -ANS☑️☑️--C
16. The PMHNP prescribes fluoxetine to treat depression. Which
neurotransmitter will be made readily available in the synapse?
a. Dopamine
b. Serotonin
c. Gamma-amino benzoic acid (GABA)
d. Acetylcholine - -ANS☑️☑️--B