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NR 546 Advanced Pharmacology – Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner Midterm Exam (Week 4, 2024–2025) – Complete Exam Questions with Correct Answers and Rationales

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This document contains the NR 546 Advanced Pharmacology Midterm Exam (Week 4) focused on Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner (PMHNP). It includes all verified exam questions with correct answers and rationales. Topics cover neurotransmitter systems, antidepressants, antipsychotics, mood stabilizers, anxiolytics, and pharmacokinetics/pharmacodynamics of psychotropic drugs. Designed for the 2024–2025 academic cycle, this comprehensive resource supports PMHNP students in mastering key medication mechanisms, side effects, contraindications, and therapeutic applications.

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NR 546 Advanced Pharmacology Psychopharmacology

for the Psychiatric-Mental Health Nurse Practitioner

Midterm Exam Week 4



1. How does the orbitofrontal cortex (OFC) affect the amygdala?: inhibits andactivates

the amygdala



2. Wernicke's area is associated with which of the following?: speech compre-hension




3. The limbic system is associated with which of the following: emotion andlearning



4. Which brain structure is most associated with long term memory?: hip-pocampus




5. When prescribing psychotropic medications, the PMHNP knows that these

,medications work within which specific areas?: mood



6. Which of the following are involved in regulating neurotransmission via ex- citation-

secretion coupling?: voltage-sensitive sodium channels and voltage-sen- sitive calcium

channels




7. What system influences the length of time for a drug to achieve efficacy?: -

signal transduction cascades




8. One of the signal transduction cascades, pass the message from a firstreceptor to

a second messenger.: G protein linked systems



9. Human central nervous system communication at synapses is which of the

following?: chemical




10. Which of the following is an excitatory neurotransmitter?: glutamate

11. Which statement correctly pairs the pharmacodynamic effect with its defi-nition?:

antagonist effect - drug binds to receptor, but does not activate a response

, 12. A major current hypothesis for the cause of schizophrenia proposes thatN-methyl-

d-aspartate (NMDA) receptors may be which of the following? Correct!: hypofunctional




13. Which medication is least associated with weight gain?: aripiprazole

14. Which dopamine pathway is associated with positive symptoms of schiz-

ophrenia?: mesolimbic pathway



15. Which pathway is associated with negative symptoms?: The mesocorticalpathway




16. Is part of the extrapyramidal nervous system and associated with ex-

trapyramidal symptoms (EPS): nigrostriatal pathway



17. This pathway is associated with hyperprolactinemia.: The tuberoinfundibu-lar

pathway

18. A 34-year old male recently began experiencing breast secretions while receiving

risperidone . Which dopamine pathway is associated with this sideeffect?:

tuberoinfundibular pathway

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