NRNP 6675-15 / NRNP 6675 Week 6 Midterm Exam Solutions 2024

1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply  Age  Rapid dose escalation  Parental route of administration  Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects?  Reduces negative symptoms  Increases extra pyramidal symptoms (EPS)  Causes prolactinemia  Reduces positive symptoms 3. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of the following receptors?  GABA type receptors  Serotonin receptors  Dopamine receptors  NMDA type receptors 4. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting from recent ingestion or exposure to a substance is known as which of the following?  Substance intoxication  Substance withdrawal  Substance use disorder  Any of the above 5. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known as which of the following?  Akathisia  Dystonia  Tardive dyskinesia  Extrapyramidal side effects 6. A deeply held belief despite evidence to the contrary, lasting at least one month, without prominent hallucinations, with functional impairment that relates to the delusional system  Schizophrenia  Delusional disorder  Brief psychotic disorder  Schizophreniform disorder 7. Which of the following is true about preoccupation with castration?  This can be serious and life-threatening if castration is carried out without medical supervision.  This is consistent with Transvestic Disorder  This is consistent with other specified paraphilic disorder  This is consistent with sexual masochism disorder 8. Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians?  HIPPA  DSM-5  CPT  DRG 9. A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milky urine. The ARNP realizes which of the following?  This is likely a harmless response to the Chlorpromazine  This is abnormal and needs to be evaluated by a specialist  It is critical to stop the Chlorpromazine immediately  This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up 10. A condition which results from absence of second female sex Chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility is known as which of the following?  Hermaphroditism  Turner's syndrome  Adrenogenital syndrome  Androgen insensitivity syndrome