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CEA PSYCHOPHARMACOLOGY EXAM NEWEST 2025/2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |A+ GRADED
Kyle is a 36-year-old male who has schizophrenia and recently stopped
smoking. Kyle previously smoked 2.5 packs per day for several years. Kyle
has been clinically stable on Haloperidol for last 10 years. Given the above
scenario, what is likely to happen to Kyle?
He may become hypoglycemic.
He may become acutely psychotic.
He may become increasingly tired.
He may become suicidal. - ANSWER-He may become increasingly tired.
A 65 year old male has a history of MDD, CAD, CKD IV, CVA, HTN and
arrhythmia. Which of the following is the safest medication to treat MDD?
Sertraline
Venlafaxine
Fluvoxamine
Amitriptyline - ANSWER-Sertraline
A 45-year-old man who takes olanzapine 5 mg twice daily for psychosis
reports a perpetual sense of restlessness and an inability to sit still. He says,
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"sometimes it gets so bad I want to jump out of my own skin." Which of the
following is the most likely explanation?
Tardive dyskinesia
Akinesia
Dystonia
Akathisia - ANSWER-Akathisia
A condition characterized by abnormal involuntary movements in a rhythmic
pattern often affecting the mouth, tongue, and jaw that is potentially
irreversible is known as?
Tardive dyskinesia
Pseudo-Parkinson's
Dystonia
Neuroleptic malignant syndrome - ANSWER-Tardive dyskinesia
Which is the key laboratory parameter for monitoring patients for clozapine-
induced neutropenia?
PVC
WBC
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ANC
RBC - ANSWER-The ANC or Absolute Neutrophil count is the key laboratory
parameter for monitoring patients for clozapine-induced neutropenia.
A patient who has been stable on quetiapine (Seroquel XR) for 3 months has
decided to start to drink grapefruit juice twice daily because she has heard it
helps with weight loss. She calls to report that since her new diet she has
been feeling fatigue and difficulty waking up in the morning. What is the best
response by the PMHNP?
"I will put in a new prescription for a lower dose of your medication."
"You should make an appointment with your primary care provider for
evaluation."
"I will prescribe you a stimulant, and see you in 2 weeks."
"Stop drinking the grapefruit juice, and schedule an appointment to discuss
the matter further." - ANSWER-"Stop drinking the grapefruit juice, and
schedule an appointment to discuss the matter further."
Karina has been of paroxetine for several years with marginal effect. Her
psychiatrist would like to start phenelzine. How may weeks should pass from
the discontinuation of paroxetine before the initiation of phenelzine?
2 weeks after discontinuing the Fluoxetine
CEA PSYCHOPHARMACOLOGY EXAM NEWEST 2025/2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |A+ GRADED
Kyle is a 36-year-old male who has schizophrenia and recently stopped
smoking. Kyle previously smoked 2.5 packs per day for several years. Kyle
has been clinically stable on Haloperidol for last 10 years. Given the above
scenario, what is likely to happen to Kyle?
He may become hypoglycemic.
He may become acutely psychotic.
He may become increasingly tired.
He may become suicidal. - ANSWER-He may become increasingly tired.
A 65 year old male has a history of MDD, CAD, CKD IV, CVA, HTN and
arrhythmia. Which of the following is the safest medication to treat MDD?
Sertraline
Venlafaxine
Fluvoxamine
Amitriptyline - ANSWER-Sertraline
A 45-year-old man who takes olanzapine 5 mg twice daily for psychosis
reports a perpetual sense of restlessness and an inability to sit still. He says,
,2|Page
"sometimes it gets so bad I want to jump out of my own skin." Which of the
following is the most likely explanation?
Tardive dyskinesia
Akinesia
Dystonia
Akathisia - ANSWER-Akathisia
A condition characterized by abnormal involuntary movements in a rhythmic
pattern often affecting the mouth, tongue, and jaw that is potentially
irreversible is known as?
Tardive dyskinesia
Pseudo-Parkinson's
Dystonia
Neuroleptic malignant syndrome - ANSWER-Tardive dyskinesia
Which is the key laboratory parameter for monitoring patients for clozapine-
induced neutropenia?
PVC
WBC
, 3|Page
ANC
RBC - ANSWER-The ANC or Absolute Neutrophil count is the key laboratory
parameter for monitoring patients for clozapine-induced neutropenia.
A patient who has been stable on quetiapine (Seroquel XR) for 3 months has
decided to start to drink grapefruit juice twice daily because she has heard it
helps with weight loss. She calls to report that since her new diet she has
been feeling fatigue and difficulty waking up in the morning. What is the best
response by the PMHNP?
"I will put in a new prescription for a lower dose of your medication."
"You should make an appointment with your primary care provider for
evaluation."
"I will prescribe you a stimulant, and see you in 2 weeks."
"Stop drinking the grapefruit juice, and schedule an appointment to discuss
the matter further." - ANSWER-"Stop drinking the grapefruit juice, and
schedule an appointment to discuss the matter further."
Karina has been of paroxetine for several years with marginal effect. Her
psychiatrist would like to start phenelzine. How may weeks should pass from
the discontinuation of paroxetine before the initiation of phenelzine?
2 weeks after discontinuing the Fluoxetine
