PMH C MEDICATION TEST EXAM 2024-
2025 ACTUAL EXAM COMPLETE
ACCURATE EXAM QUESTIONS WITH
100% DETAILED VERIFIED AND
CORRECT ANSWERS ACTUAL BRAND-
NEW EXAM ALREADY GRADED A+
Risk of congenital abnormalities -
....ANSWER...SSRIs -> no consistent fetal malformations
General population risk is 3% - SSRIs don't increase this
SSRIs/SNRIs are not teratogenic
Contraindicated medications -
....ANSWER...VALPROIC ACID (Epival, Depakene,
Depakote) in pregnancy
(Commonly used for Bipolar + epilepsy/migraine)
LITHIUM in breastfeeding
(Commonly used for Bipolar and MDD)
Paxil was thought to produce a risk of cardiac
malformation but this has been refuted
1
,Preterm/Low birth weight - ....ANSWER...Slight
increased risk - same as untreated depression
~average = 5-7 early
- less than 97grams below average
NAS - ....ANSWER...10-30% incidence
sx: jitters, irritability, hypertonia, feeding difficulties,
tremor, GI/Sleep disturbance, high pitched cry, tachypnea
sx are transient/self-limited, last ≤2 wks BFing
may be protective
Not dose dependent
*No benefit in changing does or discontinuing meds in
3T
PPHN - ....ANSWER...Very low increased risk
Other risk factors for PPHN:
prematurity
Maternal DM
C/S
2
, Smoking, NSAIDs Obesity
Black race
Cardiac malformations
Lung abnormalities
*Untreated maternal depression*
Long-term neurobehavioral fx/Autism/ADHD -
....ANSWER...Not a true risk
SSRIs not correlated with cognitive/behavioural outcomes
at age 3-6, 7 yrs
No evidence that SSRIs are neurotoxic
**But maternal depression can be neurotoxic and
developmentally damaging**
Most common perinatal issues requiring meds -
....ANSWER...Depression, anxiety, insomnia
Medication Considerations - ....ANSWER...Have you
maximized non-pharmacologic interventions?
Which med to choose?
- what has worked in the past?
3
2025 ACTUAL EXAM COMPLETE
ACCURATE EXAM QUESTIONS WITH
100% DETAILED VERIFIED AND
CORRECT ANSWERS ACTUAL BRAND-
NEW EXAM ALREADY GRADED A+
Risk of congenital abnormalities -
....ANSWER...SSRIs -> no consistent fetal malformations
General population risk is 3% - SSRIs don't increase this
SSRIs/SNRIs are not teratogenic
Contraindicated medications -
....ANSWER...VALPROIC ACID (Epival, Depakene,
Depakote) in pregnancy
(Commonly used for Bipolar + epilepsy/migraine)
LITHIUM in breastfeeding
(Commonly used for Bipolar and MDD)
Paxil was thought to produce a risk of cardiac
malformation but this has been refuted
1
,Preterm/Low birth weight - ....ANSWER...Slight
increased risk - same as untreated depression
~average = 5-7 early
- less than 97grams below average
NAS - ....ANSWER...10-30% incidence
sx: jitters, irritability, hypertonia, feeding difficulties,
tremor, GI/Sleep disturbance, high pitched cry, tachypnea
sx are transient/self-limited, last ≤2 wks BFing
may be protective
Not dose dependent
*No benefit in changing does or discontinuing meds in
3T
PPHN - ....ANSWER...Very low increased risk
Other risk factors for PPHN:
prematurity
Maternal DM
C/S
2
, Smoking, NSAIDs Obesity
Black race
Cardiac malformations
Lung abnormalities
*Untreated maternal depression*
Long-term neurobehavioral fx/Autism/ADHD -
....ANSWER...Not a true risk
SSRIs not correlated with cognitive/behavioural outcomes
at age 3-6, 7 yrs
No evidence that SSRIs are neurotoxic
**But maternal depression can be neurotoxic and
developmentally damaging**
Most common perinatal issues requiring meds -
....ANSWER...Depression, anxiety, insomnia
Medication Considerations - ....ANSWER...Have you
maximized non-pharmacologic interventions?
Which med to choose?
- what has worked in the past?
3
