NURS 663 Exam 1 Study Sheet 2026/2027 |
Comprehensive Study Guide | Practice
Questions & Answers
Bipolar one disorder DSM five criteria - correct answer-Manic episode: 1+ week of
a colon elevated, expansive or irritable mood and increase energy. 3+ symptoms
from B: distractibility, indiscretion, irresponsible, grandiosity, flight of ideas,
activity(Increase goal-orient), decreased need for sleep, talkativeness or
pressured speech.
Bipolar two DSM five criteria - correct answer-Hypo mania and major depressive
disorder: hypo mania same as mania with decreased severity and duration and no
functional impairment for episode of four or more days and no psychosis
Mixed episodes (bipolar) - correct answer-Manic and depressive symptoms time
by side usually with comorbid substance abuse increased risk of suicide and
psychosis
rapid cycling - correct answer-Four or more cycles per year no greater than a
week well period
Cyclothymia DSM-V Criteria - correct answer-Two or more years of mood cycling
with dysthymia and hypo mania decreased intensity than bipolar disorder meets
criteria for hypo mania but does not meet criteria for major depressive disorder
,Dysthymia DSM five criteria - correct answer-HE'S 2 SAD depressive symptoms
lasting two or more years that is subsydromal characterized by hopelessness
decreased energy, decrease self-esteem for two years, abnormal sleep, abnormal
appetite impaired decision-making.
MAOÍ Mechanism of action generally - correct answer-Catalyzes the deamination
of monoamines intracellularly and MAO transport Reuptake extracellular
monoamines
MAO-A Mechanism of action - correct answer-MAO-A Oxidizes serotonin
norepinephrine and epinephrine
MAO-B Mechanism of action - correct answer-Oxidizes phenylalanine
MAO-A and MAO-B mechanism of action - correct answer-Oxidizes dopamine
non-preferentially
MAOs Neumonic -2 - correct answer-Date with Tyra banks with wine and cheese
in Maui— can cause hypertensive crisis related to tyramine from aged food.
MAWIs= my arms weight increased= effective for atypical depression
MAOs adverse effects-6 - correct answer-Hypertensive crisis, diet restriction,
avoid meds, five week after Prozac, two week after other antidepressants, no
other medications for two weeks after discontinuing
, MAOs diet restriction-4 compounds - correct answer-Tyrosine, high tyramine,
tryptophan, phenylalanine
Tyrosine foods-10 - correct answer-Aged cheese, aged wine, fava or broad bean
pods, sauerkraut, soy sauce, tap or draft beer, overripe fruit, cured meat, spoiled
food
MAOs drugs to avoid- 6 - correct answer-Antidepressants, Dextromethorphan,
stimulants, sympathomimetics, meperidine, disulfiram
MAOs side effects 11 - correct answer-Increased weight, drowsy, dizzy,
orthostatic hypotension, tremor, headache, dry mouth, constipation, change in
sexual drive, peripheral Edema, sweating
Tricyclic mechanism of action - correct answer-Inhibit 5HT2, norepinephrine,
dopamine and reuptake slows. Amino group interferes with ASP - 98 in HSERT.
Causing down regulation of receptors.
Tricyclic side effects - correct answer-Anticholinergic effects (dry mouth, blurred
vision, constipation, urine retention, impotence). Histamine effects (sedation,
increased weight). Adrenergic alpha receptor (postural hypotension). Direct
membrane effects (decrease seizure threshold and arrhythmias). 5HT2 receptor
(increase weight and decrease anxiety).
Amitriptyline dosing/Class - correct answer-Start at 25 to 50 mg per day, titrate
25 to 50 mg per day per week, Max dose is 300 mg per day/TCA
Comprehensive Study Guide | Practice
Questions & Answers
Bipolar one disorder DSM five criteria - correct answer-Manic episode: 1+ week of
a colon elevated, expansive or irritable mood and increase energy. 3+ symptoms
from B: distractibility, indiscretion, irresponsible, grandiosity, flight of ideas,
activity(Increase goal-orient), decreased need for sleep, talkativeness or
pressured speech.
Bipolar two DSM five criteria - correct answer-Hypo mania and major depressive
disorder: hypo mania same as mania with decreased severity and duration and no
functional impairment for episode of four or more days and no psychosis
Mixed episodes (bipolar) - correct answer-Manic and depressive symptoms time
by side usually with comorbid substance abuse increased risk of suicide and
psychosis
rapid cycling - correct answer-Four or more cycles per year no greater than a
week well period
Cyclothymia DSM-V Criteria - correct answer-Two or more years of mood cycling
with dysthymia and hypo mania decreased intensity than bipolar disorder meets
criteria for hypo mania but does not meet criteria for major depressive disorder
,Dysthymia DSM five criteria - correct answer-HE'S 2 SAD depressive symptoms
lasting two or more years that is subsydromal characterized by hopelessness
decreased energy, decrease self-esteem for two years, abnormal sleep, abnormal
appetite impaired decision-making.
MAOÍ Mechanism of action generally - correct answer-Catalyzes the deamination
of monoamines intracellularly and MAO transport Reuptake extracellular
monoamines
MAO-A Mechanism of action - correct answer-MAO-A Oxidizes serotonin
norepinephrine and epinephrine
MAO-B Mechanism of action - correct answer-Oxidizes phenylalanine
MAO-A and MAO-B mechanism of action - correct answer-Oxidizes dopamine
non-preferentially
MAOs Neumonic -2 - correct answer-Date with Tyra banks with wine and cheese
in Maui— can cause hypertensive crisis related to tyramine from aged food.
MAWIs= my arms weight increased= effective for atypical depression
MAOs adverse effects-6 - correct answer-Hypertensive crisis, diet restriction,
avoid meds, five week after Prozac, two week after other antidepressants, no
other medications for two weeks after discontinuing
, MAOs diet restriction-4 compounds - correct answer-Tyrosine, high tyramine,
tryptophan, phenylalanine
Tyrosine foods-10 - correct answer-Aged cheese, aged wine, fava or broad bean
pods, sauerkraut, soy sauce, tap or draft beer, overripe fruit, cured meat, spoiled
food
MAOs drugs to avoid- 6 - correct answer-Antidepressants, Dextromethorphan,
stimulants, sympathomimetics, meperidine, disulfiram
MAOs side effects 11 - correct answer-Increased weight, drowsy, dizzy,
orthostatic hypotension, tremor, headache, dry mouth, constipation, change in
sexual drive, peripheral Edema, sweating
Tricyclic mechanism of action - correct answer-Inhibit 5HT2, norepinephrine,
dopamine and reuptake slows. Amino group interferes with ASP - 98 in HSERT.
Causing down regulation of receptors.
Tricyclic side effects - correct answer-Anticholinergic effects (dry mouth, blurred
vision, constipation, urine retention, impotence). Histamine effects (sedation,
increased weight). Adrenergic alpha receptor (postural hypotension). Direct
membrane effects (decrease seizure threshold and arrhythmias). 5HT2 receptor
(increase weight and decrease anxiety).
Amitriptyline dosing/Class - correct answer-Start at 25 to 50 mg per day, titrate
25 to 50 mg per day per week, Max dose is 300 mg per day/TCA
