NURS 660 EXAM 2 With 100% Correct
Answers
Which |medication |has |the |SE |of |losing |hair |- |Correct |Answer-Lithium
The |pt |is |bipolar, |and |had |a |partial |response |to |depakote |and |now |is |going |to |be
|augmented |with |an |atypical |antipsychotic, |the |effects |of |atypical |antipsychotics |in |non-
psychotic |mania |may |be |due |to |what |- |Correct |Answer-indirect |effect |on |glutamate
|release |via |5H2A |antagonism
A |pt |has |had |some |success |with |his |current |antidepression |medication, |has |tried |many
|different |antidepressants, |so |you |decide |to |augment |with |L-methyl-folate. |What |is |the
|hypothesis |behind |L |methyl |Folate |boosting |the |therapeutic |efficacy |of
|antidepressants...what |is |the |MOA? |- |Correct |Answer-boosts |monamine
|neurotransmitter |function |in |bipolar |disorder
You |have |a |pt |that |has |been |very |depressed |and |has |insomnia |problems |with
|concentrations, |weight |loss |and |SI. |You |start |them |on |an |AD |and |his |symptoms |have
|abated, |however |which |of |the |following |symptoms |is |the |most |likely |to |be |residual
|following |the |successful |tx |of |other |symptoms? |- |Correct |Answer-insomnia
Which |class |of |antidepressant |have |a |lower |incidence |of |sexual |SE? |What |medication |is
|used |in |the |tx |of |BP/mania |and |is |used |in |prophylaxis |as |well |as |antidepressant
|augmentation? |Which |medication |is |this? |- |Correct |Answer-Wellbutrin
What |medication |is |a |very |potent |CYP450 |inhibitor |and |can |dangerously |elevate
|lamotrigine? |- |Correct |Answer-Valproate
Which |class |of |antidepressant |has |the |worst |discontinuation |syndrome? |- |Correct
|Answer-Cymbalta
You |have |a |female |pt |complaining |of |lactating |and |is |not |pregnant |w/ |no |children. |She |has
|been |taking |risperidone. |Which |medication |would |you |avoid |if |you |were |to |switch |her |to
|another |med?" |- |Correct |Answer-Paliperidone
A |pt |is |on |Prozac |and |it |has |stopped |working. |Patient |has |been |on |many |other
|antidepressants |and |wants |to |try |an |MAOI |now. |How |long |do |you |need |to |stop |Prozac
|before |starting |MAOI? |- |Correct |Answer-5-6 |weeks
What |neurotransmitter |are |affected |by |TCAs? |- |Correct |Answer-Serotonin, |dopamine,
|norepinorphrenie, |5HT
What |TCA |medication |should |absolutely |not |be |used |in |combination |with |any |other
|MAOI? |- |Correct |Answer-chlomipramine
Answers
Which |medication |has |the |SE |of |losing |hair |- |Correct |Answer-Lithium
The |pt |is |bipolar, |and |had |a |partial |response |to |depakote |and |now |is |going |to |be
|augmented |with |an |atypical |antipsychotic, |the |effects |of |atypical |antipsychotics |in |non-
psychotic |mania |may |be |due |to |what |- |Correct |Answer-indirect |effect |on |glutamate
|release |via |5H2A |antagonism
A |pt |has |had |some |success |with |his |current |antidepression |medication, |has |tried |many
|different |antidepressants, |so |you |decide |to |augment |with |L-methyl-folate. |What |is |the
|hypothesis |behind |L |methyl |Folate |boosting |the |therapeutic |efficacy |of
|antidepressants...what |is |the |MOA? |- |Correct |Answer-boosts |monamine
|neurotransmitter |function |in |bipolar |disorder
You |have |a |pt |that |has |been |very |depressed |and |has |insomnia |problems |with
|concentrations, |weight |loss |and |SI. |You |start |them |on |an |AD |and |his |symptoms |have
|abated, |however |which |of |the |following |symptoms |is |the |most |likely |to |be |residual
|following |the |successful |tx |of |other |symptoms? |- |Correct |Answer-insomnia
Which |class |of |antidepressant |have |a |lower |incidence |of |sexual |SE? |What |medication |is
|used |in |the |tx |of |BP/mania |and |is |used |in |prophylaxis |as |well |as |antidepressant
|augmentation? |Which |medication |is |this? |- |Correct |Answer-Wellbutrin
What |medication |is |a |very |potent |CYP450 |inhibitor |and |can |dangerously |elevate
|lamotrigine? |- |Correct |Answer-Valproate
Which |class |of |antidepressant |has |the |worst |discontinuation |syndrome? |- |Correct
|Answer-Cymbalta
You |have |a |female |pt |complaining |of |lactating |and |is |not |pregnant |w/ |no |children. |She |has
|been |taking |risperidone. |Which |medication |would |you |avoid |if |you |were |to |switch |her |to
|another |med?" |- |Correct |Answer-Paliperidone
A |pt |is |on |Prozac |and |it |has |stopped |working. |Patient |has |been |on |many |other
|antidepressants |and |wants |to |try |an |MAOI |now. |How |long |do |you |need |to |stop |Prozac
|before |starting |MAOI? |- |Correct |Answer-5-6 |weeks
What |neurotransmitter |are |affected |by |TCAs? |- |Correct |Answer-Serotonin, |dopamine,
|norepinorphrenie, |5HT
What |TCA |medication |should |absolutely |not |be |used |in |combination |with |any |other
|MAOI? |- |Correct |Answer-chlomipramine
