PMHNP Boards - Scientific Foundation and Advance Practice Skills

Which of the following is a contraindication to benzodiazepines? a. Acute alcohol intoxication b. Acute narrow angle glaucoma c. Psychosis d. All the above - a. Acute alcohol intoxication In the pharmacological treatment of psychosis, when antipsychotics are administered, which block dopamine, a secondary effect is blocking in another tract, which causes potential prolactin problems, such as gynecomastia in males. This tract is the: a. mesolimbic b. tuberoinfundibular c. nigrostrial dopamine tract d. mesocortical - b. tuberoinfundibular A six-year-old patient with autism spectrum disorder has not responded to six months of psychosocial interventions and continues to demonstrate aggressive tendencies toward a younger sibling. The psychiatric-mental health nurse practitioner prescribes: 1. carbamazepine (Tegretol) 200 mg once a day. 2. haloperidol (Haldol) 2 mg once a day. 3. risperidone (Risperdal) 0.25 mg once a day. 4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - 3. risperidone (Risperdal) 0.25 mg once a day. Which drug is likely to produce liver failure and hepatitis? 1. Lamotrigine 2. Gabapentin 3. Carbamazepine 4. Topiramate - 3. Carbamazepine EPS arises from: a. D2 blockade in the nigrostriatial tract b. D2 blockade in the tuberoinfundibular tract c. D2 blockade in the alpha-1 adrenergic receptor blockade d. D2 blockade in the HPA axis - a. D2 blockade in the nigrostriatial tract Which drug carries a higher risk of metabolic effects than the other second generation antipsychotics: weight gain, diabetes, dyslipidemia ? a. Clozaril b. Zyprexa c. Risperdal d. Geodon - b. Zyprexa A patient has not had any relief of symptoms with Fluoxetine, and is going to be started on an MAOI. How long before starting the MAOI should the Fluoxetine be withdrawn? a. 2 weeks b. 3 weeks c. 4 weeks d. 5 weeks - a. 2 weeks Which drug can produce serious side effect of rash in some Asians, and the FDA has mandated genetic testing before the administration of this drug? a. Dilantin b. Lamictal c. Depakote d. Tegretol - d. Tegretol Which is considered the most sedating SSRI? a. Paroxetine b. Sertraline c. Fluoxetine d. Escitalopram Oxalate - a. Paroxetine (Paxil is EVIL) Brain structure responsible for mediating mood, fear, emotion, and aggression; also responsible for connecting sensory smell information with emotions - amygdala Regulates memory and converts short-term memory into long-term memory - Plays key roles in various regulatory functions such as appetite, sensations of hunger and thirst, water balance, circadian rhythms, body temperature, libido, and hormonal regulation - Patient on lithium and cipro Cipro _____________ lithium level - Patient on psych meds and dexamethasone will complain of what? - Patient w/ schizophrenia, structural changes of the brain on CT -