NURS 660 EXAM 2 Questions and Correct
Answers
Which medication has the SE of losing hair Ans: Lithium
The pt is bipolar, and had a partial response to depakote and now
is going to be augmented with an atypical antipsychotic, the
effects of atypical antipsychotics in non-psychotic mania may be
due to what Ans: indirect effect on glutamate release via 5H2A
antagonism
A pt has had some success with his current antidepression
medication, has tried many different antidepressants, so you
decide to augment with L-methyl-folate. What is the hypothesis
behind L methyl Folate boosting the therapeutic efficacy of
antidepressants...what is the MOA? Ans: boosts monamine
neurotransmitter function in bipolar disorder
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You have a pt that has been very depressed and has insomnia
problems with concentrations, weight loss and SI. You start them
on an AD and his symptoms have abated, however which of the
following symptoms is the most likely to be residual following the
successful tx of other symptoms? Ans: insomnia
Which class of antidepressant have a lower incidence of sexual SE?
What medication is used in the tx of BP/mania and is used in
prophylaxis as well as antidepressant augmentation? Which
medication is this? Ans: Wellbutrin
What medication is a very potent CYP450 inhibitor and can
dangerously elevate lamotrigine? Ans: Valproate
Which class of antidepressant has the worst discontinuation
syndrome? Ans: Cymbalta
You have a female pt complaining of lactating and is not pregnant
w/ no children. She has been taking risperidone. Which medication
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