Psychopharmacologic
Walden University NURS 6630 Midterm Exam Practice Test
Psychopharmacologic Approaches to Treatment of Psychopathology
180 Practice Questions with Answers and Rationales
SECTION 1: NEUROBIOLOGY & NEUROTRANSMISSION (Questions 1-25)
Question 1
During gene expression, what must occur prior to a gene being expressed?
A) The DNA molecule must unwind completely
B) A transcription factor must bind to the regulatory region within the cell's
nucleus
C) The mRNA must be translated into protein
D) The cell must divide
Correct Answer: B
Rationale: Before a gene can be expressed, a transcription factor must bind to the
regulatory region within the cell's nucleus. This initiates transcription, where DNA
is converted to mRNA, which is then translated into protein .
,Question 2
Which neurotransmitter is considered the major excitatory neurotransmitter in
the brain?
A) Glycine
B) GABA
C) Glutamate
D) Serotonin
Correct Answer: C
Rationale: Glutamate is the primary excitatory neurotransmitter in the brain,
involved in most aspects of normal brain function including cognition, memory,
and learning. GABA is the primary inhibitory neurotransmitter .
Question 3
What is the primary inhibitory neurotransmitter in the brain?
A) Glutamate
,B) GABA (Gamma-aminobutyric acid)
C) Dopamine
D) Norepinephrine
Correct Answer: B
Rationale: GABA is the primary inhibitory neurotransmitter in the brain, reducing
neuronal excitability throughout the nervous system. It is the target of
benzodiazepines and barbiturates .
Question 4
Serotonin regulates which of the following functions?
A) Motor control only
B) Mood, emotion, feeding, and reproductive behavior
C) Fight or flight response
D) Memory and learning only
Correct Answer: B
, Rationale: Serotonin (5-hydroxytryptamine) regulates mood, emotion, feeding,
and reproductive behavior. It is a monoamine neurotransmitter that plays a
crucial role in various psychiatric conditions .
Question 5
Dopamine is primarily associated with which pathway that mediates the positive
symptoms of schizophrenia?
A) Mesocortical pathway
B) Nigrostriatal pathway
C) Mesolimbic pathway
D) Tuberoinfundibular pathway
Correct Answer: C
Rationale: Hyperactivity in the mesolimbic dopamine pathway mediates the
positive symptoms of schizophrenia, such as hallucinations and delusions. This
pathway projects from the ventral tegmental area to the nucleus accumbens .
Question 6