NUR 624 MARYVILLE Exam questions and
answers
Acute protatitis - ✅✅- caused by aerobic gram negative bacteria
● with abrupt onset, always asstd with UTI
● swollen, tender and warm.
SEPTICEMIA. - ✅✅● Vigorous massage and palpation of infected prostate may cause
chronic prostatitis - ✅✅- E Coli -
● gradual onset
● prostate can feel normal or slightly boggy, usually with older men
Depression First Line Therapy: - ✅✅Mild or moderate depression, medication and psychotherapy is
recommended.
Medication effective in front line MDD are the - ✅✅SSRIs, SNRI, TCA's, and DA
SSRI: - ✅✅● Escitalopram (lexapro) ages 12-17 , increased insomnia
● Paroxetine (paxil) monitor liver, kidneys Severe d/c syndrome, N,V, insomnia, tremor,
● Sertraline (zoloft) N,V,D, drowsiness, headache, Monitor LFT, TSH, weight
● Citalopram (Clexa) monitor TSH
SNRI - ✅✅● Venlafaxine (effexor) Monitor B/P and Cholesterol
● Duloxetine (Cymbalta) no for liver impairment or seizure
Anxiety First Line Therapy: - ✅✅Self Care management coping skills and focus on developing more
effective awareness and relaxation skills. Avoid simulants such as caffeine, nicotine
, can be helpful with acute management of GAD. - ✅✅• Benzodiazepine (alprazolam, Diazepam)
can worsen depression, and dependence can occur - ✅✅• Benzodiazepine
• Antidepressants, SSRI - ✅✅for long term treatment of GAD with coexisting depression Escitalopram
(Lexapro), Paroxetine (Paxil), Sertaline (Zoloft)
• SNRIs Venlafaxine (Effexor - ✅✅are effective in the acute treatment of GAD
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's
Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive
worry or apprehension must be present more days than not for at least: - ✅✅6 months
Why are SSRI favorable over TCA's? - ✅✅SSRI have less adverse side effects
citalopram, escitalopram, fluoxetine, paroxetine, sertraline - ✅✅SSRI'S
● avoid sudden discontinuation
● do not prescribe with MAOIs
● excreted via the liver so monitor LFT's
● if agitation, weakness, dizziness, headache or drowsiness is noted the need to dose in the evening
● Dose in in the morning if insomnia is noted
● SSRI induced mania
● Start low and slow and adjust slowly
● Risk for suicide especially when the patient start feeling better after about 2 weeks - ✅✅SSRI SIDE
EFFECTS TO CONSIDER
amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, nortriptyline - ✅✅TCA's
answers
Acute protatitis - ✅✅- caused by aerobic gram negative bacteria
● with abrupt onset, always asstd with UTI
● swollen, tender and warm.
SEPTICEMIA. - ✅✅● Vigorous massage and palpation of infected prostate may cause
chronic prostatitis - ✅✅- E Coli -
● gradual onset
● prostate can feel normal or slightly boggy, usually with older men
Depression First Line Therapy: - ✅✅Mild or moderate depression, medication and psychotherapy is
recommended.
Medication effective in front line MDD are the - ✅✅SSRIs, SNRI, TCA's, and DA
SSRI: - ✅✅● Escitalopram (lexapro) ages 12-17 , increased insomnia
● Paroxetine (paxil) monitor liver, kidneys Severe d/c syndrome, N,V, insomnia, tremor,
● Sertraline (zoloft) N,V,D, drowsiness, headache, Monitor LFT, TSH, weight
● Citalopram (Clexa) monitor TSH
SNRI - ✅✅● Venlafaxine (effexor) Monitor B/P and Cholesterol
● Duloxetine (Cymbalta) no for liver impairment or seizure
Anxiety First Line Therapy: - ✅✅Self Care management coping skills and focus on developing more
effective awareness and relaxation skills. Avoid simulants such as caffeine, nicotine
, can be helpful with acute management of GAD. - ✅✅• Benzodiazepine (alprazolam, Diazepam)
can worsen depression, and dependence can occur - ✅✅• Benzodiazepine
• Antidepressants, SSRI - ✅✅for long term treatment of GAD with coexisting depression Escitalopram
(Lexapro), Paroxetine (Paxil), Sertaline (Zoloft)
• SNRIs Venlafaxine (Effexor - ✅✅are effective in the acute treatment of GAD
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's
Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive
worry or apprehension must be present more days than not for at least: - ✅✅6 months
Why are SSRI favorable over TCA's? - ✅✅SSRI have less adverse side effects
citalopram, escitalopram, fluoxetine, paroxetine, sertraline - ✅✅SSRI'S
● avoid sudden discontinuation
● do not prescribe with MAOIs
● excreted via the liver so monitor LFT's
● if agitation, weakness, dizziness, headache or drowsiness is noted the need to dose in the evening
● Dose in in the morning if insomnia is noted
● SSRI induced mania
● Start low and slow and adjust slowly
● Risk for suicide especially when the patient start feeling better after about 2 weeks - ✅✅SSRI SIDE
EFFECTS TO CONSIDER
amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, nortriptyline - ✅✅TCA's
