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Neurology Part 2 Questions and Correct
Answers/ Latest Update / Already Graded
A patient is admitted to the emergency department with spasms of his
face and back. He has recently begun taking chlorpromazine to treat
schizophrenia. Which of the following adverse reactions should the
health care professional suspect?
Ans: acute dystonia
Reasoning: manifestations include muscle spasms of the back,
neck, face, and tongue. Tx includes IMMEDIATE admini stration
of an anticholinergic drug, such as diphenhydramine.
A health care professional is caring for a patient who is taking
venlafaxine to treat major depression. The health care professional
should recognize that which of the following drugs can cause serotonin
syndrome when patient take it concurrently with venlafaxine
Ans: Phenelzine (Nardil)
Reasoning: patients hsould not take venlafaxine, a serotonin
norepinephrine reuptake inhibitor, within 14 days of taking
phenelzine, other MAOIs, or serotonergic drugs. Serotonin
syndrome is a life-threatening complication characterized by
anxiety, confusion, hallucinations, and fever
All rights reserved © 2025/ 2026 |
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A health care professional is caring for a patient who is about to begin
amitriptyline therapy to treat major depression. The health care
professional should include which of the following instructions when
talking with the patient about taking the drug?
A. change position slowly
B. do not quit taking abruptly
C. Wear sunscreen and protective clothing
D. take at bedtime to prevent daytime drowsiness
E. Increase fiber and fluid intake
Ans: Answers: A, B, D, E
A. change position slowly
-orthostatic hypotension
B. do not quit taking abruptly
-relapse and withdrawal s/s can occur. Reduce dose over a 2
week period
C. Wear sunscreen and protective clothing
-sun exposure is unlikely to cause photo-sensitivity
D. take at bedtime to prevent daytime drowsiness
-can cause drowsiness: avoid activities requiring mental
alertness
All rights reserved © 2025/ 2026 |
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E. Increase fiber and fluid intake
-Amitriptyline, a tricyclic antidepressant, causes
anticholinergic effects, such as dry mouth, constipation, and
urinary retention. Patients should increase fiber and fluid intake
during drug therapy and urinate before taking the drug.
A health care professional should advise a patient who is taking
phenelzine (Nardil) to avoid tyamine-enriched foods because of an
increased risk for which of the following adverse reactions?
Ans: hypertensive crisis
Reasoning: Tyramine-enriched foods, such aged cheese and
processed meat, can trigger severe hypertension in patients
who are taking phenelzine. Manifestations include
hypertension, headache, and nausea.
A health care professional is collecting data from a patient who is
taking bupropion hydroooride (Wellbutrin) to treat depression. The
health care professional notes that the patient has a recent history of a
head injury. She should recognize that the drug is inappropriate for the
patient because of the increase risk for which of the following?
A. ischemic stroke
B. Drowsiness
All rights reserved © 2025/ 2026 |
Neurology Part 2 Questions and Correct
Answers/ Latest Update / Already Graded
A patient is admitted to the emergency department with spasms of his
face and back. He has recently begun taking chlorpromazine to treat
schizophrenia. Which of the following adverse reactions should the
health care professional suspect?
Ans: acute dystonia
Reasoning: manifestations include muscle spasms of the back,
neck, face, and tongue. Tx includes IMMEDIATE admini stration
of an anticholinergic drug, such as diphenhydramine.
A health care professional is caring for a patient who is taking
venlafaxine to treat major depression. The health care professional
should recognize that which of the following drugs can cause serotonin
syndrome when patient take it concurrently with venlafaxine
Ans: Phenelzine (Nardil)
Reasoning: patients hsould not take venlafaxine, a serotonin
norepinephrine reuptake inhibitor, within 14 days of taking
phenelzine, other MAOIs, or serotonergic drugs. Serotonin
syndrome is a life-threatening complication characterized by
anxiety, confusion, hallucinations, and fever
All rights reserved © 2025/ 2026 |
, Page |2
A health care professional is caring for a patient who is about to begin
amitriptyline therapy to treat major depression. The health care
professional should include which of the following instructions when
talking with the patient about taking the drug?
A. change position slowly
B. do not quit taking abruptly
C. Wear sunscreen and protective clothing
D. take at bedtime to prevent daytime drowsiness
E. Increase fiber and fluid intake
Ans: Answers: A, B, D, E
A. change position slowly
-orthostatic hypotension
B. do not quit taking abruptly
-relapse and withdrawal s/s can occur. Reduce dose over a 2
week period
C. Wear sunscreen and protective clothing
-sun exposure is unlikely to cause photo-sensitivity
D. take at bedtime to prevent daytime drowsiness
-can cause drowsiness: avoid activities requiring mental
alertness
All rights reserved © 2025/ 2026 |
, Page |3
E. Increase fiber and fluid intake
-Amitriptyline, a tricyclic antidepressant, causes
anticholinergic effects, such as dry mouth, constipation, and
urinary retention. Patients should increase fiber and fluid intake
during drug therapy and urinate before taking the drug.
A health care professional should advise a patient who is taking
phenelzine (Nardil) to avoid tyamine-enriched foods because of an
increased risk for which of the following adverse reactions?
Ans: hypertensive crisis
Reasoning: Tyramine-enriched foods, such aged cheese and
processed meat, can trigger severe hypertension in patients
who are taking phenelzine. Manifestations include
hypertension, headache, and nausea.
A health care professional is collecting data from a patient who is
taking bupropion hydroooride (Wellbutrin) to treat depression. The
health care professional notes that the patient has a recent history of a
head injury. She should recognize that the drug is inappropriate for the
patient because of the increase risk for which of the following?
A. ischemic stroke
B. Drowsiness
All rights reserved © 2025/ 2026 |
