NU 643 Final SG Exam Questions
and Answers All Correct
Nicotine Replacement Therapy (NRT) - Answer- - ALL OTC EXCEPT Nicotrol inhaler
and Nicotrol NS
- if < 25: use 2mg gum if >= 25 use 4mg gum
- * 1 gum Q1-2 hours for 6 weeks, then 1 gum q 2-4 hours for 3 weeks then 1 gum q 4-8
hours for 3 weeks max 24 pieces/day *
- Patches
> if more than 10 cig/day, use 21 mg x 6 week, 14mg x 2 week, then 7mg x 2 week
> if less or equal to 10 cig/day, use 14 mg x 6 wk, then 7mg x 2 weeks
- Lozenge
> 1st cig > 30 mins after waking up: use 2 mg lozenge
> 1st cig <= 30 mins after waking up: use 4 mg lozenge ( do not exceed 20 lozenges
per day or 24 pieces of gum per day *
>> same direction as the gum
Generalized Anxiety Disorder (GAD) - Answer- buspirone
herbal tx for anxiety - Answer- kava kava and valerian
Schizophrenia (positive symptoms) - Answer- Psychotic disorder; associated with high
dopamine levels
Positive symptoms
Delusions of reference: (ex. person believes characters in a TV show are talking to him
directly)
Delusions of persecution: (ex. person believes he is being deliberately interfered with,
discriminated against, plotted against, threatened)
Delusions of grandeur: (person is remarkable in some significant way such as being a
historical figure or religious icon)
Thought broadcasting: believe one's thoughts are broadcast directly from one's head to
external world
Thought insertion: belief that thoughts are being placed in one's head)
Hallucinations: hearing voices
, Disorganized thought: loosening of associations; ideas shift from one thought to
another; word salad; schizophrenics invent new words (neologisms)
Disorganized behavior: inability to carry out activities of daily living; patient will either
spontaneously move or remain rigid (catatonia)
negative symptoms of schizophrenia - Answer- disturbance of affect, blunting (severe
reduction in the intensity of affect expression), flat affect, inappropriate affect (might
laugh hysterically while describing someones death)
cognitive symptoms of schizophrenia - Answer- deficits in cognitive abilities, specifically
in executive functioning, attention, and working memory
Clozaril (Clozapine) - Answer- CBC, agranulocytosis
Carbamazepine side effects - Answer- blood dyscrasias, drowsy, fatigue, ataxia,
SIADH, SJS, GI upset, confusion
Switching antidepressants - Answer- -if a switch needed, med doesn't have to be
stopped before beginning a new one
-it is tapered downward and the new one is started at the same time
EXCEPTION: MAOI's and RIMA's need a 2 week washout period; fluoxetine should
also not be used with other antideps
Treatment of akathisia - Answer- Benzos or propranolol or decrease med dose,
cogentin
conventional antipsychotics - Answer- block all pathways d2 which is why they cause
these symptoms
antipsychotic lowest metabolic - Answer- geodon and Latuda
antipsychotic highest metabolic - Answer- clozaril olanzapine, quetiapine, risperidone
SGA with highest risk of EPS - Answer- risperidone
treat with benztropine
most sedating antipsychotics - Answer- clozapine, olanzapine, quetiapine
FGA with highest risk of EPS - Answer- Haldol
order of worse metabolic profile - Answer- clozaril, olanzapine, quetiapine, risperidone
maintenance phase bipolar - Answer- lithium (better at mania)
lamotrigine (better at dip)
atypical (better at mania)
and Answers All Correct
Nicotine Replacement Therapy (NRT) - Answer- - ALL OTC EXCEPT Nicotrol inhaler
and Nicotrol NS
- if < 25: use 2mg gum if >= 25 use 4mg gum
- * 1 gum Q1-2 hours for 6 weeks, then 1 gum q 2-4 hours for 3 weeks then 1 gum q 4-8
hours for 3 weeks max 24 pieces/day *
- Patches
> if more than 10 cig/day, use 21 mg x 6 week, 14mg x 2 week, then 7mg x 2 week
> if less or equal to 10 cig/day, use 14 mg x 6 wk, then 7mg x 2 weeks
- Lozenge
> 1st cig > 30 mins after waking up: use 2 mg lozenge
> 1st cig <= 30 mins after waking up: use 4 mg lozenge ( do not exceed 20 lozenges
per day or 24 pieces of gum per day *
>> same direction as the gum
Generalized Anxiety Disorder (GAD) - Answer- buspirone
herbal tx for anxiety - Answer- kava kava and valerian
Schizophrenia (positive symptoms) - Answer- Psychotic disorder; associated with high
dopamine levels
Positive symptoms
Delusions of reference: (ex. person believes characters in a TV show are talking to him
directly)
Delusions of persecution: (ex. person believes he is being deliberately interfered with,
discriminated against, plotted against, threatened)
Delusions of grandeur: (person is remarkable in some significant way such as being a
historical figure or religious icon)
Thought broadcasting: believe one's thoughts are broadcast directly from one's head to
external world
Thought insertion: belief that thoughts are being placed in one's head)
Hallucinations: hearing voices
, Disorganized thought: loosening of associations; ideas shift from one thought to
another; word salad; schizophrenics invent new words (neologisms)
Disorganized behavior: inability to carry out activities of daily living; patient will either
spontaneously move or remain rigid (catatonia)
negative symptoms of schizophrenia - Answer- disturbance of affect, blunting (severe
reduction in the intensity of affect expression), flat affect, inappropriate affect (might
laugh hysterically while describing someones death)
cognitive symptoms of schizophrenia - Answer- deficits in cognitive abilities, specifically
in executive functioning, attention, and working memory
Clozaril (Clozapine) - Answer- CBC, agranulocytosis
Carbamazepine side effects - Answer- blood dyscrasias, drowsy, fatigue, ataxia,
SIADH, SJS, GI upset, confusion
Switching antidepressants - Answer- -if a switch needed, med doesn't have to be
stopped before beginning a new one
-it is tapered downward and the new one is started at the same time
EXCEPTION: MAOI's and RIMA's need a 2 week washout period; fluoxetine should
also not be used with other antideps
Treatment of akathisia - Answer- Benzos or propranolol or decrease med dose,
cogentin
conventional antipsychotics - Answer- block all pathways d2 which is why they cause
these symptoms
antipsychotic lowest metabolic - Answer- geodon and Latuda
antipsychotic highest metabolic - Answer- clozaril olanzapine, quetiapine, risperidone
SGA with highest risk of EPS - Answer- risperidone
treat with benztropine
most sedating antipsychotics - Answer- clozapine, olanzapine, quetiapine
FGA with highest risk of EPS - Answer- Haldol
order of worse metabolic profile - Answer- clozaril, olanzapine, quetiapine, risperidone
maintenance phase bipolar - Answer- lithium (better at mania)
lamotrigine (better at dip)
atypical (better at mania)
