NSG 533 TOTAL STUDY PACK 2023 ALL
EXAMS QUESTIONS AND ANSWERS EXPERT
VERIFIED FULL SOLUTION
◉ Which of the following symptoms is most likely to improve within
approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep. Answer: D
◉ Of the following combinations of medications, which one would you
want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole. Answer: B
◉ A 26-year-old man with a history of depression has been taking
sertraline 200 mg/day for 12 weeks with no response. The patient has no
other complications. The physician asks for your recommendation. The
most reasonable recommendation would be to:
A. Increase sertraline
,B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine
E. Decrease sertraline. Answer: D
◉ Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone. Answer: C
◉ A 23-year-old married white woman comes to the outpatient
psychiatric clinic
complaining of decreased sleep, decreased appetite, decreased
concentration, depressed
mood, thoughts of death, and lack of interest in activities for 6 weeks'
duration. She has
no history of psychiatric illness and takes no medications except for
Ortho-Tri Cyclen Lo
daily. Based upon the patients symptoms, choose the best medication to
treat this patient.
A. Nefazodone 100 mg po twice daily
B. Paroxetine 20 mg po daily
, C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime. Answer: B
◉ A 36-year-old man is admitted to the hospital for a severe methicillin-
resistant Staphylococcus aureus diabetic foot infection and is started on
linezolid 600 mg IV every 12 hours. His medication profile includes
paroxetine 40 mg every morning, trazodone 100 mg at bedtime as
needed for sleep, and metformin 1000 mg po twice daily. After 3
days on these medications, the patient becomes agitated, confused, and
diaphoretic and develops myoclonic jerks. Which of the following is the
most likely diagnosis?
A. Overdose of metformin
B. Bacterial meningitis
C. Neuroleptic malignant syndrome
D. Serotonin syndrome. Answer: D
◉ A 46-year-old woman presents to the psychiatric outpatient clinic for
follow-up treatment of major depression. She is currently on paroxetine
10 mg at bedtime, which she started taking 2 months ago when admitted
to the psychiatric hospital for suicidal ideation. During the interview, she
says that she does not think the medication is working because she is just
as depressed as she was before taking the medication and has recently
started drinking eight to 10 beers daily to alleviate the depression.
Before this episode, she was
sober for 4 years. Which of the following treatment strategies would be
the appropriate choice for this patient?
EXAMS QUESTIONS AND ANSWERS EXPERT
VERIFIED FULL SOLUTION
◉ Which of the following symptoms is most likely to improve within
approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep. Answer: D
◉ Of the following combinations of medications, which one would you
want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole. Answer: B
◉ A 26-year-old man with a history of depression has been taking
sertraline 200 mg/day for 12 weeks with no response. The patient has no
other complications. The physician asks for your recommendation. The
most reasonable recommendation would be to:
A. Increase sertraline
,B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine
E. Decrease sertraline. Answer: D
◉ Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone. Answer: C
◉ A 23-year-old married white woman comes to the outpatient
psychiatric clinic
complaining of decreased sleep, decreased appetite, decreased
concentration, depressed
mood, thoughts of death, and lack of interest in activities for 6 weeks'
duration. She has
no history of psychiatric illness and takes no medications except for
Ortho-Tri Cyclen Lo
daily. Based upon the patients symptoms, choose the best medication to
treat this patient.
A. Nefazodone 100 mg po twice daily
B. Paroxetine 20 mg po daily
, C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime. Answer: B
◉ A 36-year-old man is admitted to the hospital for a severe methicillin-
resistant Staphylococcus aureus diabetic foot infection and is started on
linezolid 600 mg IV every 12 hours. His medication profile includes
paroxetine 40 mg every morning, trazodone 100 mg at bedtime as
needed for sleep, and metformin 1000 mg po twice daily. After 3
days on these medications, the patient becomes agitated, confused, and
diaphoretic and develops myoclonic jerks. Which of the following is the
most likely diagnosis?
A. Overdose of metformin
B. Bacterial meningitis
C. Neuroleptic malignant syndrome
D. Serotonin syndrome. Answer: D
◉ A 46-year-old woman presents to the psychiatric outpatient clinic for
follow-up treatment of major depression. She is currently on paroxetine
10 mg at bedtime, which she started taking 2 months ago when admitted
to the psychiatric hospital for suicidal ideation. During the interview, she
says that she does not think the medication is working because she is just
as depressed as she was before taking the medication and has recently
started drinking eight to 10 beers daily to alleviate the depression.
Before this episode, she was
sober for 4 years. Which of the following treatment strategies would be
the appropriate choice for this patient?
