MARYVILLE UNIVERSITY PHARMACOLOGY NURS-615 EXAM 2 TEST, LATEST TOP SOLUTION 2025. GENUINE TEST ALREADY GRADED A+.

MARYVILLE UNIVERSITY PHARMACOLOGY NURS-615
EXAM 2 TEST, LATEST TOP SOLUTION 2025. GENUINE
TEST ALREADY GRADED A+.

How does carbamazepine work? - - CORRECT ANSWER ->>Works by decreasing nerve impulses
that cause seizures and pain



How often should carbamazepine lab values be monitored? What labs? - - CORRECT ANSWER -
>>CBC q 3-4 months



What anti-seizure med auto induces metabolism? - - CORRECT ANSWER ->>Carbamazepine



What medication decreases the production of RBCs, WBCs, and platelets? - - CORRECT ANSWER -
>>Carbamazepine



What is carbamazepine half-life? - - CORRECT ANSWER ->>Single dose: 30 hours Multiple dose: 15
hours


What is a great risk of seizure potential while taking anti-seizure medications? - - CORRECT
ANSWER ->>Stopping the medication abruptly.



What type of medication is topiramate (Topamax)? - - CORRECT ANSWER ->>Anti-seizure med



What does topiramate cause? - - CORRECT ANSWER ->>Electrolyte imbalance -- hyperchloremic
metabolic acidosis



What are adverse effects of topiramate? - - CORRECT ANSWER ->> Weight loss, high temperature,
and inability to sweat

,What medication affects Lamictal? - - CORRECT ANSWER ->>OCPs decrease the effects of this
drug, so the dose must be doubled



Can valproate (Depakote) be used during pregnancy? - - CORRECT ANSWER ->>It is a known
teratogen. If needed, must be used after 1st trimester.



What must be ruled out in patients before starting an anti-depressant? - - CORRECT ANSWER -
>>Hypothyroidism



Anti-depressant that is to be used with caution in cardiac patients due to behaving like class 1 anti-
arrhythmic? - - CORRECT ANSWER ->>TCAs



TCA side effects are mainly of what type? - - CORRECT ANSWER ->>Anti-cholinergic



What is a first-line antidepressant in children? - - CORRECT ANSWER ->>fluoxetine (Prozac)



How do you discontinue an SSRI? - - CORRECT ANSWER ->>Taper by reducing the dose by 50%
for 3-4 days



When are MAOIs effective? - - CORRECT ANSWER ->>In atypical depression or Parkinson's



Why are MAOIs reserved for last line of treatment? - - CORRECT ANSWER ->>Lethal drug
interactions and food interactions



How long before starting a new antidepressant after MAOIs? - - CORRECT ANSWER ->>At least 2
weeks to clear it from system



What are high tyramine foods and when are they contraindicated? - - CORRECT ANSWER -
>>Fermented foods; aged cheese, wine alcohol
Contraindicated with MAOI use

, Important drug interaction and side effect with MAOIs? - - CORRECT ANSWER ->>Avoid other
serotonin drugs and watch for hypertensive crisis



What anti-depressant may have sleep issues if taken at night? - - CORRECT ANSWER ->>Fluoxetine
(Prozac) (SSRI)



How do SSRIs work? - - CORRECT ANSWER ->>They block the reuptake of serotonin at the
synaptic cleft so there is more serotonin around



How are sexual side effects linked to SSRIs? - - CORRECT ANSWER ->>Sexual side effects may start
after 1 month; especially common in Paxil



How long does it take for SSRIs to work? - - CORRECT ANSWER ->>2-6 weeks; usually within 4
weeks; some symptoms may improve within 1 to 2 weeks



What medication is a seroternergic 5-ht receptor partial agonist (partial alpha 1 receptor agonist)? -
- CORRECT ANSWER ->>buspirone (Buspar)



What is special about buspirone (Buspar)? - - CORRECT ANSWER ->>It has both anti-anxiety and
anti- depressant effects.



How treatment with buspirone (Buspar) is usually conducted? - - CORRECT ANSWER ->>Can be
combined with an SSRI to treat patients with agitated or anxious depression



Benzodiazepines affect what neurotransmitter and how? - - CORRECT ANSWER ->>Increases the
effects of GABA



What medications results in a sedative, hypnotic, anxiolytic, and muscle relaxer effect?
- - CORRECT ANSWER ->>Benzodiazepines