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Psychopharmacology Exam 4 – NURS 752 (Liberty University, PMHNP) – 103 Practice Questions with Answers & Rationales

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This document includes 103 multiple-choice and short-answer questions with verified answers, specifically tailored for Exam 4 of a university-level psychopharmacology course. Topics covered span bipolar disorder, antidepressant use, pediatric and geriatric psychopharmacology, ADHD, autism spectrum treatments, and neurodegenerative diseases such as Parkinson’s and Alzheimer’s. Ideal for exam preparation or quick concept revision, the questions reflect key studies like STEP-BD and current clinical guidelines.

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Psychopharmacology Exam 4 103 questions with verified
answers
1. STEP-BD Study: systematic treatment enhancement for bipolar disorder. A
study that
2. Lithium, SGAs, Valproate: Monotherapy with which first-line drugs should
be prescribed for less severe acute manic episodes?
3. 4-5: About 1 in ___ untreated or inadequately treated bipolar patients
commits suicide.
4. Antidepressants: Mood stabilizers appear to share neurobiological actions
with
5. True: True or false
Topiramate was no more effective than placebo when combined with either
valproate or lithium for the treatment of bipolar I disorder
6. A, B, C, D: Where have controlled trials demonstrated lithium's efficacy?
A. Type 1 and type II bipolar disorders
B. Acute Mania
C. Acute depressive episodes
D. Maintenance treatment for relapse prevention
7. Manic Switch: The administration of antidepressants can result in a _____
______
8. 4: A patient is labeled a rapid cycler if at least ___ illness episodes occur
within a 12-month period.
9. alcohol: Which of the following drugs do bipolar patients most frequently
abuse?
10. There is not sufficient evidence: How useful are omega-3 fatty acids in
treating bipolar disorder?
11. D: What is the risk of recurrence of bipolar episodes over 4 years?



, A. 24%
B. 36%
C. 45%
D. 61%
12. C: What did the STEP-BD study reveal about treatment of bipolar
depression?
A. combining a mood stabilizer with a standard antidepressant produced greater
benefit and less risk of a manic switch than mood-stabilizing monotherapy alone
B. lithium monotherapy produced greater benefit and less risk of a manic switch
than anticonvulsant monotherapy
C. mood-stabilizing monotherapy provided as much benefit and risk of a manic
switch as combining a mood stabilizer with a standard antidepressant
D. patients who failed to respond to a combination of a mood stabilizer and at
least one antidepressant showed a strong therapeutic response when risperidone
was added
13. D: Which statement about valproic acid (Depakene) is correct?
A. Valproic acid is more effective than lithium for rapid-cycling bipolar disorder with
comorbid substance abuse
B. Unlike lithium, valproic is not teratogenic
C. Valproic acid is more effective than lithium for rapid-cycling bipolar disorder
D. The combination of valproic acid and lithium may be more efficacious than
either agent alone
14. carbamazepine (Tegretol): Oxcarbazepine (Trileptal) is a safer and equally
efficacious replacement for
15. C: Which statement about combination therapy is correct?

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