CMN 552 EXAM 2 EXAM STUDY GUIDE
GRADED A+ QUESTIONS AND SOLUTIONS
◉ in patients with anorexia nervosa, a premeal anxiolytic such as
what may be given to decrease anticipatory anxiety.
Answer: benzodiazepine
lorazepam, alprazolam, clonazepam
◉ in anorexia what is prescribed for severe cases of preoccupation
with weight and food.
Answer: antipsychotics - clozapine, zyprexia
◉ FDA approved med for bulimia.
Answer: SSRI - Fluoxetine (prozac)
◉ first line treatment for binge eating disorder.
Answer: 1.CBT
2. Nutrition
3. ssri
4. stimulant
5. wt loss drug
,escitalopram-lexapro
sertraline-zoloft
fluoxetine-prozac
stimulants - lisdexamfetamine(vyvanse)
NOT FDA approved: topiramate, orlistat
◉ what stimulant is FDA approved for binge eating.
Answer: lisdexamfetamine - Vyvanse
◉ the mechanism of action of this med for binge eating disorder is
the inhibition of pancreatic lipase which decreases the amount of fat
absorbed in GI tract.
Answer: orlistat
◉ in pt with dissociative identity disorder, why would SSRI be given.
Answer: DID comes with comorbid disorders
common: anxiolytics, SSRIs, antipsych, beta blocker
,◉ patients with dissociative identity disorder often cope with PTSD
and what med is taken for nightmares.
Answer: prazosin
◉ why would naltrexone be prescribed for a pt with DID.
Answer: dissociation is related to endogenous opioids. naltrexone is
thought to cause neurochemical stabilization and decrease self
injury behaviors
◉ first line for ptsd.
Answer: 1 CBT
2 exposure therapy
3 SSRI/SNRI/alpha 1 antagonist
Ada approved - sertraline and paroxetine
◉ medication used in PTSD pt to target flashbacks and nightmares.
Answer: targets symptoms of nightmares by decreased flight/fight
mechanism
prazosin - alpha 1 antagonist
, ◉ in severe cases or treatment resistant ptsd, the clinician may
augment with what.
Answer: SGA
atypical antipsych
clozapine
risperidone
quetiapine
◉ why should Benzo be avoided in pt with ptsd.
Answer: decreases pt ability to do cbt
increases abuse and suicide and comorbidities
poor long term outcomes
◉ part of the brain implicated in ptsd that is responsible for memory
and learning.
Answer: hippocampus
memory drive with amygdala cause atypical memory processing
with unregulated emotions
prefrontal cortex can not control like a neurotypical person
GRADED A+ QUESTIONS AND SOLUTIONS
◉ in patients with anorexia nervosa, a premeal anxiolytic such as
what may be given to decrease anticipatory anxiety.
Answer: benzodiazepine
lorazepam, alprazolam, clonazepam
◉ in anorexia what is prescribed for severe cases of preoccupation
with weight and food.
Answer: antipsychotics - clozapine, zyprexia
◉ FDA approved med for bulimia.
Answer: SSRI - Fluoxetine (prozac)
◉ first line treatment for binge eating disorder.
Answer: 1.CBT
2. Nutrition
3. ssri
4. stimulant
5. wt loss drug
,escitalopram-lexapro
sertraline-zoloft
fluoxetine-prozac
stimulants - lisdexamfetamine(vyvanse)
NOT FDA approved: topiramate, orlistat
◉ what stimulant is FDA approved for binge eating.
Answer: lisdexamfetamine - Vyvanse
◉ the mechanism of action of this med for binge eating disorder is
the inhibition of pancreatic lipase which decreases the amount of fat
absorbed in GI tract.
Answer: orlistat
◉ in pt with dissociative identity disorder, why would SSRI be given.
Answer: DID comes with comorbid disorders
common: anxiolytics, SSRIs, antipsych, beta blocker
,◉ patients with dissociative identity disorder often cope with PTSD
and what med is taken for nightmares.
Answer: prazosin
◉ why would naltrexone be prescribed for a pt with DID.
Answer: dissociation is related to endogenous opioids. naltrexone is
thought to cause neurochemical stabilization and decrease self
injury behaviors
◉ first line for ptsd.
Answer: 1 CBT
2 exposure therapy
3 SSRI/SNRI/alpha 1 antagonist
Ada approved - sertraline and paroxetine
◉ medication used in PTSD pt to target flashbacks and nightmares.
Answer: targets symptoms of nightmares by decreased flight/fight
mechanism
prazosin - alpha 1 antagonist
, ◉ in severe cases or treatment resistant ptsd, the clinician may
augment with what.
Answer: SGA
atypical antipsych
clozapine
risperidone
quetiapine
◉ why should Benzo be avoided in pt with ptsd.
Answer: decreases pt ability to do cbt
increases abuse and suicide and comorbidities
poor long term outcomes
◉ part of the brain implicated in ptsd that is responsible for memory
and learning.
Answer: hippocampus
memory drive with amygdala cause atypical memory processing
with unregulated emotions
prefrontal cortex can not control like a neurotypical person
