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,1. Discrepancybetweenanatomicalsexandgenderisknownas?ANS:B)Gender r r r r r r r r r r
Discordance
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2. Which of the following are risk factors for neuroleptic malignant syndrome?
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Selectallthatapply ANS:Rapiddoseescalation;parentalrouteofadministration;higher
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potency typical antipsychotics
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3. AntipsychoticmedicationprovidesD2blockageinthemeso-coritcalpath- way r r r r r r r r r
causing which of the following effects? ANS: B) Increases EPS
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Incorrect:reducesnegatives/s,causesprolactinemia,reducespositivesymptoms
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4. Phencyclidine(PCP)andketamineexerttheiruniquebehavioraleffectsby r r r r r r r r r
blocking which of the following receptors? ANS:D) NMDA type receptors
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Incorrect:GABA, serotonin, dopamine "receptors"
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5. The diagnosis used to describe a syndrome characterized by specific s/s
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resultingfromrecentingestionorexposuretoasubstanceisknownaswhich of the
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folllowing? ANS: C) Substance use disorder
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Incorrect:substanceintox,substancewithdrawal,alloftheabove
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6. Abnormalinvoluntarymovementsinarhythmicpatternaffectingtheface, r r r r r r r r r
mouth,tonguejawisknownaswhichofthefollowing? ANS:C)Tardivedyskinesia
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Incorrect:akathisia, dystonia, EPS r r r
7. A deeply held belief despite evidence to the contrary,lasting at least 1 month,
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withoutprominenthallucinations,withfunctionalimpairmentthatre- lates to the
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delusional system disordercalled? ANS: Delusional disorder
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8. Which of the following is true about preoccupation with castration? ANS:A)
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Thiscanbeseriousandlifethreateningifcastrationiscarriedoutwithoutmedical
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supervision
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Incorrect:consistentwithtransvestiaticdisorder,otherspecifiedparaphillicdisorder,or
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sexual machochism disorder
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,9. Which of the following is a system that provides a uniform language for de-
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scribing medical and surgical procedures and diagnostics services rendered by
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clinicians? ANS: CPT
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Incorrect:HIPPA,DSM5-,DRG
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10. A patient on Chlorpromazine states his orgasm is dry and afterwards hewill
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commonlyhavemilkyurine.TheAPRNrealizesthisiswhichofthe following?
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ANS: A)This is likely a harmless response to the Chlorpromazine
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, "Thorazine"
11. Aconditionwhichresultsfromabsenceofsecondfemalesexchromo- some
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(XO) and is associated with web neck,dwarfism,cubitus valgus and infertility is
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known as which of the following? ANS:B)Turners Syndrome
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Turnerssyndrome: r
txinvolveshormonetherapy;fertilitytreatmentsforwomenwhentheydecidetohavea baby
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12. Whichofthefollowingwouldbecharacterizedasanegatives/sofschiz- r r r r r r r r r r r r
ophrenia? ANS: B & C only
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B) impaired social and occupational functioning r r r r
C) isolation and impaired self-care r r r
13. Which of the following are keys to distinguishing OCD from psychosis? ANS: -
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Patients with OCD can almost always acknowledge the unreasonable nature of their
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symptoms
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14. A federal program administered nationally and locally which covers en- rolled
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individuals65+whopayspremiumsanddisabledindividuals ANS:BothA& B
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(Medicare and Medicaid)
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15. Having an adequate legal description of nurse practitioner (NP) scope of r r r r r r r r r r
practice according to state law is important for which of the following reasons?
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ANS:Alloftheabove(toavoidanychargesofpracticingmedicinewithouta license,to
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placeaccountabilityforbothbenefitsandharmtopatientssquarelyon the NP, to get
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reimbursed for physician services when provided by a NP
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16. Whichofthefollowingisthemostwidelyconsumedpsychoactivesub- r r r r r r r r r r
stance? ANS: B) Caffeine
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Incorrect:alcohol, heroin, cannabis r r r
17. Whichof the followingis used to txTD? ANS:None of the above r r r r r r r r r r r r r
(cogentin, artane, catapress) r r
18. TheAPRN consensusmodel did whichof thefollowing? ANS:B & C
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