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Advanced Pharmacology Final - Practice Quiz Questions exam with correct answers

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Advanced Pharmacology Final - Practice Quiz Questions exam with correct answers

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Advanced Pharmacology Final - |||\\\ |||\\\ |||\\\ |||\\\




Practice Quiz Questions exam with |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




correct answers |||\\\




Escitalopram may cause serious, potentially fatal reactions when used with _______________.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




(select all that apply) - correct answer✔✔Duloxetine, amitriptilyne, sertraline, St. John's Wort
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Mixing two serotonin agents can cause serotonin syndrome.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




The therapeutic effects of imipramine develop over _____________. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answer✔✔Several weeks |||\\\




The FDA-approved indications for fluoxetine include: (select all that apply) - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answer✔✔Obsessive compulsive disorder, major depressive disorder, bulimia nervosa |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Taking food with buspirone alters absorption. - correct answer✔✔False
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




May be taken with food to minimize gastric irritation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Venlafaxine is extensively metabolized on first pass through the ___________. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answer✔✔Liver



Signs and symptoms of lithium toxicity include: (select all that apply) - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answer✔✔Slurred speech, drowsiness |||\\\ |||\\\

,|||\\\




Valproate acid has FDA-approved indications for: (select all that apply) - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answer✔✔Acute mania, simple and complex absence seizures, prevention of migraine |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




headaches



Atomoxetine selectively ____________ the presynaptic reuptake of norepinephrine resulting in
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a(n) ________________ attention span. - correct answer✔✔Inhibits, improved
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Phenelzine does not need to be discontinued several days before elective surgery that requires
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




anesthesia. - correct answer✔✔False |||\\\ |||\\\ |||\\\ |||\\\




Bupropion can be used for smoking cessation. - correct answer✔✔True
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Methylphenidate is not effective for narcoleptic patients. - correct answer✔✔False |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Clozapine may cause: (select all that apply) - correct answer✔✔Syncope, orthostatic
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




hypotension, cardiac arrest |||\\\ |||\\\ |||\\\




Causes bradycardia which could lead to syncope and cardiac arrest
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Administering risperidone with levodopa is contraindicated. - correct answer✔✔True |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




It decreases the effects of levodopa
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\




The ___________ form of ziprasidone is frequently used for control of acutely agitated
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




patients. - correct answer✔✔Intramuscular (IM)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Anticonvulsants are frequently used as mood stabilizers for the treatment of mania and bipolar |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




spectrum disorders because they: - correct answer✔✔Reduce synaptic kindling
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

,|||\\\




A patient was started on fluoxetine for depression 3 days ago. She now complains that it
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




"doesn't help" and refuses to take it. Understanding the psychopharmacology, the nurse's best |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




first action is to: - correct answer✔✔Discuss with the patient that these types of medications
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




often take several weeks before seeing the results. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Which of the following is a common side effect of both first- and second-generation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




antipsychotic drugs? (select all that apply) - correct answer✔✔Extrapyramidal side effects such |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




as pseudo-parkinsonism or acute dystonia, neuroleptic malignant syndrome, excessive
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




sedation



A male patient who is taking the second-generation antipsychotic reports to the nurse that he
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




has observed a clear fluid leaking from his right nipple for the past month. The nurse's best
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




initial intervention is: - correct answer✔✔Inform the patient that this could be a side effect of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




the medication |||\\\




The physician discusses the appropriateness of prescribing a serotonin/norepinephrine
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




reuptake inhibitor (SNRI) for a patient. Which of the following medications are in this category? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- correct answer✔✔Venlafaxine and duloxetine
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI) for depression.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




The nurse should counsel the patient about which of the following possible side effects, among
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




others? - correct answer✔✔Fever, sweating, agitation, rapid heartbeat
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A nurse counsels a patient who has been prescribed a monoamine oxidase inhibitor (MAOI) to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




treat depression to avoid foods containing tyramine. Which of the following foods should the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




patient avoid? (select all that apply) - correct answer✔✔Yogurt, tofu, pepperoni
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A patient with severe kidney disease is started on lithium by a new resident. As the nurse on
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




duty your best initial response would be to: - correct answer✔✔Contact the resident to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




remind him that the client has kidney disease and lithium is contraindicated |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

, |||\\\




Which of the following is generally true of medications used to treat anxiety disorders? -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




correct answer✔✔Just as with depression, the most common medications prescribed are
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




serotonin reuptake inhibitors (SSRIs) and selective norepinephrine reuptake inhibitors (SNRIs). |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




For which one of the following types of drugs is the consumption of grapefruit juice
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




contraindicated? - correct answer✔✔Second-generation antipsychotics |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Psychopharmaceutical agents are prescribed for individuals with substance use disorders for all |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




of the following reasons except: - correct answer✔✔To elevate the patient's mood in a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




manner comparable to the action of the misused substance |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A patient has been prescribed disulfiram. The nurse would most appropriately counsel the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




patient about which of the following? - correct answer✔✔A toxic reaction if alcohol is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




consumed



When a patient is prescribed risperidone for schizoaffective disorder, the nurse must alert the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




patient to the potential for neuroleptic malignant syndrome. Which of the following would be
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




accurate information to give the patient? - correct answer✔✔Neuroleptic malignant syndrome
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




is potentially fatal. It usually occurs during the first 2 weeks after starting an antipsychotic drug
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




or increasing the dose and is characterized by high fever, muscle stiffness, paranoia, sweating,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




and large changes in blood pressure. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A client with depression is taking phenelzine. The nurse advises the client to avoid consuming
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




which foods while taking the medication - correct answer✔✔Yogurt
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Methylphenidate is a CNS stimulant and is the drug of choice for individuals with attention- |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




deficit/hyperactivity disorder (ADHD). The desired effects of methylphenidate may be noted as: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- correct answer✔✔Increased attention span and concentration
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




The risk of experiencing serotonin syndrome when selective serotonin reuptake inhibitors
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




(SSRIs) are given with monoamine oxidase inhibitors (MAOIs) such as phenelzine. Serotonin
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

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