Walden NURS 6630 Psychopharmacology
Midterm exam (New 2026/ 2027 Update)
Questions & Answers {Grade A} 100%
Correct (Verified Solutions)
A spasm of the extraocular muscles causing an upward and outward position of the
eyes (possible extrapyramidal symptom associated with typical antipscyhotics can
occur within hours to days of treatment): - Correct answer Oculogyric Crisis
This extrapyramidal symptom involves a feeling of restlessness and an urge to move
the limbs. It can occur within a few days to a month of Typical Antipsychotic use: -
Correct answer Akathisia
This extrapyramidal symptom is characterized by muscle rigidity (usually in the facial
muscles, giving the face a wooden mask-like appearance), bradykinesia, and tremors.
It can occur within a few days to a month of Typical Antipsychotic use: - Correct
answer Pseudoparkinsonism
,This extrapyramidal symptom is characterized by constant, involuntary, rhythmic
movements. usually of the perioral muscles, causing a person to involuntarily smack
or purse their lips. It can occur within a few months to years of Typical Antipsychotic
use: - Correct answer Tardive Dyskinesia
Unlike more acute extrapyramidal symptoms, this one can be irreversible and so the
antipscyhotic should be discontinued at the first sign: - Correct answer Tardive
Dyskinesia
The most dangerous and severe extrapyramidal symptom that typically occurs within
days or weeks of starting a Typical Antipsychotic: - Correct answer Neuroleptic
Malignant Syndrome
Seven symptoms associated with Neuroleptic Malignant Syndrome: - Correct answer
confusion, coma, agitation, muscle rigidity, seizures, hyperthermia, and hyporeflexia
,This syndrome consists of confusion, coma, agitation, muscle rigidity, seizures,
hyperthermia, and HYPOreflexia: - Correct answer Neuroleptic Malignant Syndrome
(caused by antipsychotics)
The two distinctions between Neuroleptic Malignant Syndrome and Serotonin
Syndrome: - Correct answer HYPOreflexia and NORMAL pupils vs HYPERreflexia and
DILATED pupils
Advanced Neuroleptic Malignant Syndrome can cause: - Correct answer
Rhabdomyolysis
Treatment of Neuroleptic Malignant Syndrome consists of: - Correct answer
Dantrolene (muscle relaxant) and Dopamine agonists (bromocriptine)
Less severe neurotransmitter side effects of Typical Antipsychotics include: - Correct
answer ORTHOSTATIC HYPOTENSION (Alpha-1 receptor inhibition), ANTICHOLINERGIC
SIDE EFFECTS (muscarinic receptor inhibition), and SEDATION (H1 receptor inhibition).
, Which Typical Antipsychotics have a stronger sedating effect but less extrapyramidal
side effects? Low potency or High potency Typical Antipsychotics: - Correct answer
Low potency
Metabolic side effects of Typical Antipsychotics include: - Correct answer Weight gain,
dyslipidemia, and hyperglycemia
Cardiac side effects of Typical Antipsychotics include: - Correct answer Prolongation of
the QT interval (normal = 0.4-0.44 seconds)
Typical Antipsychotic, chlorpromazine specific side effects: - Correct answer Corneal
deposits
Typical Antipsychotic, thioridazine specific side effects: - Correct answer Retinal
deposits
Block Dopamine D2 receptors in the Mesolimbic pathway to alleviate positive
symptoms of psychosis (hallucinations, delusions, disorganized thoughts) and block
Midterm exam (New 2026/ 2027 Update)
Questions & Answers {Grade A} 100%
Correct (Verified Solutions)
A spasm of the extraocular muscles causing an upward and outward position of the
eyes (possible extrapyramidal symptom associated with typical antipscyhotics can
occur within hours to days of treatment): - Correct answer Oculogyric Crisis
This extrapyramidal symptom involves a feeling of restlessness and an urge to move
the limbs. It can occur within a few days to a month of Typical Antipsychotic use: -
Correct answer Akathisia
This extrapyramidal symptom is characterized by muscle rigidity (usually in the facial
muscles, giving the face a wooden mask-like appearance), bradykinesia, and tremors.
It can occur within a few days to a month of Typical Antipsychotic use: - Correct
answer Pseudoparkinsonism
,This extrapyramidal symptom is characterized by constant, involuntary, rhythmic
movements. usually of the perioral muscles, causing a person to involuntarily smack
or purse their lips. It can occur within a few months to years of Typical Antipsychotic
use: - Correct answer Tardive Dyskinesia
Unlike more acute extrapyramidal symptoms, this one can be irreversible and so the
antipscyhotic should be discontinued at the first sign: - Correct answer Tardive
Dyskinesia
The most dangerous and severe extrapyramidal symptom that typically occurs within
days or weeks of starting a Typical Antipsychotic: - Correct answer Neuroleptic
Malignant Syndrome
Seven symptoms associated with Neuroleptic Malignant Syndrome: - Correct answer
confusion, coma, agitation, muscle rigidity, seizures, hyperthermia, and hyporeflexia
,This syndrome consists of confusion, coma, agitation, muscle rigidity, seizures,
hyperthermia, and HYPOreflexia: - Correct answer Neuroleptic Malignant Syndrome
(caused by antipsychotics)
The two distinctions between Neuroleptic Malignant Syndrome and Serotonin
Syndrome: - Correct answer HYPOreflexia and NORMAL pupils vs HYPERreflexia and
DILATED pupils
Advanced Neuroleptic Malignant Syndrome can cause: - Correct answer
Rhabdomyolysis
Treatment of Neuroleptic Malignant Syndrome consists of: - Correct answer
Dantrolene (muscle relaxant) and Dopamine agonists (bromocriptine)
Less severe neurotransmitter side effects of Typical Antipsychotics include: - Correct
answer ORTHOSTATIC HYPOTENSION (Alpha-1 receptor inhibition), ANTICHOLINERGIC
SIDE EFFECTS (muscarinic receptor inhibition), and SEDATION (H1 receptor inhibition).
, Which Typical Antipsychotics have a stronger sedating effect but less extrapyramidal
side effects? Low potency or High potency Typical Antipsychotics: - Correct answer
Low potency
Metabolic side effects of Typical Antipsychotics include: - Correct answer Weight gain,
dyslipidemia, and hyperglycemia
Cardiac side effects of Typical Antipsychotics include: - Correct answer Prolongation of
the QT interval (normal = 0.4-0.44 seconds)
Typical Antipsychotic, chlorpromazine specific side effects: - Correct answer Corneal
deposits
Typical Antipsychotic, thioridazine specific side effects: - Correct answer Retinal
deposits
Block Dopamine D2 receptors in the Mesolimbic pathway to alleviate positive
symptoms of psychosis (hallucinations, delusions, disorganized thoughts) and block
