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NURS6630 ///NURS 6630 PSYCHOPHARMACOLOGY MIDTERM EXAM 2 VERSIONS ACTUAL MIDTERM EXAM Questions and Answers (100% Correct Answers) Already Graded A+

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NURS6630 ///NURS 6630 PSYCHOPHARMACOLOGY MIDTERM EXAM 2 VERSIONS ACTUAL MIDTERM EXAM Questions and Answers (100% Correct Answers) Already Graded A+

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NURS6630 ///NURS 6630
PSYCHOPHARMACOLOGY MIDTERM EXAM
2 VERSIONS ACTUAL MIDTERM EXAM
Questions and Answers (100% Correct
Answers) Already Graded A+
Serotonin regulates [ ANS: ] Mood, emotion, feeding, and
reproductive behavior
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This class of antidepressants binds to presynaptic SERT and inhibits
them from reuptake of serotonin to increase levels in the synaptic
cleft to bind with postsysnaptic 5HT2 receptors [ ANS: ] SSRIs

First line therapy for MDD due to milder side effect profiles [ ANS: ]
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SSRIs

Six Common SSRIs [ ANS: ] citalopram, escitalopram, fluoxetine,
fluvoxamine, sertraline, paroxetine

Onset of therapeutic benefit from SSRIs [ ANS: ] 4-6 weeks

In addition to MDD, SSRIs also treat [ ANS: ] Chronic Anxiety, PTSD,
OCD, and eating disorders (bulimia)

Five Common side effects of SSRIs include [ ANS: ] Anxiety,
insomnia, GI distress, sexual dysfunction (ED), SIADH

Severe side effect of SSRIs in children/adolescents under age 25
years old [ ANS: ] suicidal ideation

Life threatening adverse effect of SSRIs, especially when used in
combination with other serotonergic drugs (SNRIs, TCAs, MAOIs,
etc.) [ ANS: ] Serotonin Syndrome

Excess accumulation of serotonin resulting in overstimulation of the
nervous system [ ANS: ] Serotonin Syndrome

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Seven symptoms of Serotonin Syndrome [ ANS: ] Flushing,
hyperthermia, agitation, muscle rigidity, seizure, coma,
HYPERreflexia

The treatment for serotonin syndrome [ ANS: ] Cyproheptadine (5-
HT2 receptor antagonist)

Cyproheptadine treats serotonin syndrome by [ ANS: ] blocking 5-
HT2 receptors (serotonin antagonist)

When SSRIs or SNRIs are stopped abruptly, common symptoms of
withdrawal include [ ANS: ] Irritability, headaches, and insomnia
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Medicine specific side effect of citalopram [ ANS: ] Prolonged QT
interval (normal=0.4.-0.44 seconds)

This SSRI is pregnancy category D due to associations with
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congenital heart defects [ ANS: ] Paroxetine

All SSRIs but paroxetine (D) are pregnancy category [ ANS: ] C

Three SSRIs that are inhibitors of Cytochrome P450 enzymes [ ANS: ]
fluoxetine, fluvoxamine, and paroxetine

Five common SNRIs include [ ANS: ] duloxetine, venlafaxine,
desvenlafaxine, milnacipran, levomilnacipran

This antidepressant class of medications works by binding to
presynaptic SERT and NET to inhibit them from reuptake of
serotonin and norepinephrine to increase their levels in the
synaptic cleft [ ANS: ] SNRIs

In addition to MDD SNRIs treat [ ANS: ] Anxiety and neuropathic
pain (peripheral neuropathy)

Medication specific indications of duloxetine: [ ANS: ] urinary
incontinence and Fibromyalgia

Medication specific indications of venlafaxine: [ ANS: ] social
anxiety, panic disorders, PTSD, OCD, postmenopausal hot flashes

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Six common side effects of SNRIs include: [ ANS: ] Insomnia,
nausea, sexual dysfunction, hypertension, sweating, headaches

Severe side effect of SNRIs in children/adolescents under age 25
years old: [ ANS: ] suicidal ideation

Life threatening adverse effect of SNRIs, especially when used in
combination with other serotonergic drugs: [ ANS: ] Serotonin
Syndrome

This SNRI is an inhibitor of Cytochrome P450 enzymes: [ ANS: ]
venlafaxine
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This SNRI is hepatotoxic: [ ANS: ] duloxetine

MAOIs increase the levels of: [ ANS: ] Serotonin, Norepinephrine,
and Dopamine
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Norepinephrine regulates: [ ANS: ] alertness and focus

Dopamine regulates: [ ANS: ] cognitive function, motivation, and
awakeness

In the synaptic cleft, Monoamine Oxidase A breaks down: [ ANS: ]
Serotonin, Norepinephrine, and Dopamine

In the synaptic cleft, Monoamine Oxidase B breaks down: [ ANS: ]
Dopamine

MAOIs are especially effective in: [ ANS: ] Atypical depression
(mood responds to positive events and symptoms include
increased appetite, weight gain, sleepiness, and fatigue)

Non-selective MAOIs inhibit enzymes: [ ANS: ] MAO-A and MAO-B

Selective MAOIs only inhibit the enzyme: [ ANS: ] MAO-B

Three non-selective MAOIs: [ ANS: ] isocarboxazid, phenelzine,
tranylcypromine

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