CMN 548 FINAL EXAM STUDY QUESTIONS
AND ANSWERS 2025 2026 UPDATE 100
PERCENT CORRECT UNIVERSITY OF
SOUTH ALABAMA CERTIFICATION TEST
SCRIPT 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
⩥Why is it important to titrate TCAs slowly in pts with panic & anxiety
disorder? Answer: Can cause increased anxiety and panic reactions
-b/c of the potential initial anxiogenic effects of the TCAs, starting
dosages should be small, the dosage should be titrated upward slowly
⩥Which TCA is commonly used in the management of pain and in
prophylaxis of migraine HA? Answer: Amitriptyline
⩥Indications for use of TCAs in children? Answer: indications: enuresis,
insomnia, ADHD, MDD, obsessional d/o, panic d/o, school phobia,
separation anxiety d/o, bulimia and Tourette's syndrome
⩥What are the prudent labs for TCAs recommended prior to tx, during
tx, and at dosage changes for children?. Answer: Prior tx: baseline ECG
During tx: steady state serum level & ECG
Dosage changes: Follow up ECGs
,⩥Anticholinergic effects of TCAs at plasma levels > 300mg/ml can
cause what?. Answer: Confusion
disorientation
delirium
delusion
hallucinations (more commonly in elderly)
⩥What s/s would a pt present with who was experiencing
anticholinergic SE?. Answer: Dry mouth
constipation
blurred vision
delirium
urinary retention
aggravation of narrow angle glaucoma
CNS effects-confusion + delirium
⩥What is one of the most common SE in young persons that causes
discontinuation of TCAs?. Answer: Tachycardia
⩥The most common cardiac autonomic AE of TCAs that causes
discontinuation is?. Answer: Tachycardia
, ⩥Nicotine as well as oral contraceptives, may have what effect on TCA
plasma concentrations?. Answer: Nicotine may reduce TCA
concentrations
⩥List THREE benefits of using TCAs over SSRIs?. Answer: less prone
to:
1. cause sexual dysfunction
2. cause significant long term weight gain
3. cause sleep disturbances
⩥What are the s/s of OD for TCAs?. Answer: -Arrhythomgenic (R
ventricular cardiomyopathy)
-Agitation
-Delirium
-Convulsions
-Hyperactive deep tendon reflexes
-Bowel/bladder paralysis
-Dysregulation of BP + Temp
-Mydriasis (dilated pupils)
-Coma
-Respiratory depression
AND ANSWERS 2025 2026 UPDATE 100
PERCENT CORRECT UNIVERSITY OF
SOUTH ALABAMA CERTIFICATION TEST
SCRIPT 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
⩥Why is it important to titrate TCAs slowly in pts with panic & anxiety
disorder? Answer: Can cause increased anxiety and panic reactions
-b/c of the potential initial anxiogenic effects of the TCAs, starting
dosages should be small, the dosage should be titrated upward slowly
⩥Which TCA is commonly used in the management of pain and in
prophylaxis of migraine HA? Answer: Amitriptyline
⩥Indications for use of TCAs in children? Answer: indications: enuresis,
insomnia, ADHD, MDD, obsessional d/o, panic d/o, school phobia,
separation anxiety d/o, bulimia and Tourette's syndrome
⩥What are the prudent labs for TCAs recommended prior to tx, during
tx, and at dosage changes for children?. Answer: Prior tx: baseline ECG
During tx: steady state serum level & ECG
Dosage changes: Follow up ECGs
,⩥Anticholinergic effects of TCAs at plasma levels > 300mg/ml can
cause what?. Answer: Confusion
disorientation
delirium
delusion
hallucinations (more commonly in elderly)
⩥What s/s would a pt present with who was experiencing
anticholinergic SE?. Answer: Dry mouth
constipation
blurred vision
delirium
urinary retention
aggravation of narrow angle glaucoma
CNS effects-confusion + delirium
⩥What is one of the most common SE in young persons that causes
discontinuation of TCAs?. Answer: Tachycardia
⩥The most common cardiac autonomic AE of TCAs that causes
discontinuation is?. Answer: Tachycardia
, ⩥Nicotine as well as oral contraceptives, may have what effect on TCA
plasma concentrations?. Answer: Nicotine may reduce TCA
concentrations
⩥List THREE benefits of using TCAs over SSRIs?. Answer: less prone
to:
1. cause sexual dysfunction
2. cause significant long term weight gain
3. cause sleep disturbances
⩥What are the s/s of OD for TCAs?. Answer: -Arrhythomgenic (R
ventricular cardiomyopathy)
-Agitation
-Delirium
-Convulsions
-Hyperactive deep tendon reflexes
-Bowel/bladder paralysis
-Dysregulation of BP + Temp
-Mydriasis (dilated pupils)
-Coma
-Respiratory depression
