NURS 6630 PSYCHOPHARMACOLOGY CORRECT
EXAMS QUESTIONS AND ANSWERS SET A+
✔✔Another region of the CNS that is rich in Dopamine receptors and is responsible for
initiating the vomiting reflex: - ✔✔Chemoreceptor trigger zone
✔✔Another pathway of the CNS that is rich in Dopamine receptors and is responsible
for eating behavior: - ✔✔Medullary Periventricular
✔✔In this brain region, high levels of Dopamine cause positive symptoms of psychosis
(delusions, hallucinations, disorganized thought): - ✔✔Mesolimbic
✔✔In this brain region, low levels of Dopamine cause negative symptoms of psychosis
(lack of motivation, social withdrawal, flat affect): - ✔✔Mesocortical
✔✔These three Typical Antipsychotics have high potency: - ✔✔haloperidol,
trifluoperazine , and fluphenazine
✔✔These three Typical Antipsychotics have low potency: - ✔✔thioridazine,
chlorpromazine, and thiothixene
✔✔In conditions such as Schizophrenia, these medications alleviate positive symptoms
of psychosis (delusions, hallucinations, disorganized thought) by blocking Dopamine D2
receptors in the Mesolimbic pathway, but also block Dopamine receptors in the
Mesocortical pathway which might worsen negative symptoms (lack of motivation,
social withdrawal, flat affect): - ✔✔First Generation (Typical) Antipsychotics
✔✔Six psychiatric indications for First Generation (Typical) Antipsychotics: -
✔✔Psychosis, Delirium, Bipolar Disorder, OCD, Tourette Syndrome, Huntington
Disease
, ✔✔Three side effects of Typical Antipsychotics associated with the Tuberoinfundibular
pathways include: - ✔✔Oligomennorhea, Galactorrhea, Gynecomastia
✔✔Side effects of Typical Antipsychotics associated with the Nigrostriatal pathway can
cause extrapyramidal symptoms such as: - ✔✔acute dyskinesias and dystonic
reactions, tardive dyskinesia, pseudoparkinsonism, akinesia, akathisia, and neuroleptic
malignant syndrome
✔✔One possible extrapyramidal symptom of typical antipsychotics, that can occur
within a few hours or days of treatment, that involves uncontrollable muscle spasms,
frequently of the tongue, face, neck, back, or extraocular muscles (olygogyric crisis): -
✔✔Dystonia
✔✔A spasm of the extraocular muscles causing an upward and outward position of the
eyes (possible extrapyramidal symptom associated with typical antipscyhotics can occur
within hours to days of treatment): - ✔✔Oculogyric Crisis
✔✔This extrapyramidal symptom involves a feeling of restlessness and an urge to
move the limbs. It can occur within a few days to a month of Typical Antipsychotic use: -
✔✔Akathisia
✔✔This extrapyramidal symptom is characterized by muscle rigidity (usually in the facial
muscles, giving the face a wooden mask-like appearance), bradykinesia, and tremors. It
can occur within a few days to a month of Typical Antipsychotic use: -
✔✔Pseudoparkinsonism
✔✔This extrapyramidal symptom is characterized by constant, involuntary, rhythmic
movements. usually of the perioral muscles, causing a person to involuntarily smack or
purse their lips. It can occur within a few months to years of Typical Antipsychotic use: -
✔✔Tardive Dyskinesia
✔✔Unlike more acute extrapyramidal symptoms, this one can be irreversible and so the
antipscyhotic should be discontinued at the first sign: - ✔✔Tardive Dyskinesia
✔✔The most dangerous and severe extrapyramidal symptom that typically occurs
within days or weeks of starting a Typical Antipsychotic: - ✔✔Neuroleptic Malignant
Syndrome
✔✔Seven symptoms associated with Neuroleptic Malignant Syndrome: - ✔✔confusion,
coma, agitation, muscle rigidity, seizures, hyperthermia, and hyporeflexia
EXAMS QUESTIONS AND ANSWERS SET A+
✔✔Another region of the CNS that is rich in Dopamine receptors and is responsible for
initiating the vomiting reflex: - ✔✔Chemoreceptor trigger zone
✔✔Another pathway of the CNS that is rich in Dopamine receptors and is responsible
for eating behavior: - ✔✔Medullary Periventricular
✔✔In this brain region, high levels of Dopamine cause positive symptoms of psychosis
(delusions, hallucinations, disorganized thought): - ✔✔Mesolimbic
✔✔In this brain region, low levels of Dopamine cause negative symptoms of psychosis
(lack of motivation, social withdrawal, flat affect): - ✔✔Mesocortical
✔✔These three Typical Antipsychotics have high potency: - ✔✔haloperidol,
trifluoperazine , and fluphenazine
✔✔These three Typical Antipsychotics have low potency: - ✔✔thioridazine,
chlorpromazine, and thiothixene
✔✔In conditions such as Schizophrenia, these medications alleviate positive symptoms
of psychosis (delusions, hallucinations, disorganized thought) by blocking Dopamine D2
receptors in the Mesolimbic pathway, but also block Dopamine receptors in the
Mesocortical pathway which might worsen negative symptoms (lack of motivation,
social withdrawal, flat affect): - ✔✔First Generation (Typical) Antipsychotics
✔✔Six psychiatric indications for First Generation (Typical) Antipsychotics: -
✔✔Psychosis, Delirium, Bipolar Disorder, OCD, Tourette Syndrome, Huntington
Disease
, ✔✔Three side effects of Typical Antipsychotics associated with the Tuberoinfundibular
pathways include: - ✔✔Oligomennorhea, Galactorrhea, Gynecomastia
✔✔Side effects of Typical Antipsychotics associated with the Nigrostriatal pathway can
cause extrapyramidal symptoms such as: - ✔✔acute dyskinesias and dystonic
reactions, tardive dyskinesia, pseudoparkinsonism, akinesia, akathisia, and neuroleptic
malignant syndrome
✔✔One possible extrapyramidal symptom of typical antipsychotics, that can occur
within a few hours or days of treatment, that involves uncontrollable muscle spasms,
frequently of the tongue, face, neck, back, or extraocular muscles (olygogyric crisis): -
✔✔Dystonia
✔✔A spasm of the extraocular muscles causing an upward and outward position of the
eyes (possible extrapyramidal symptom associated with typical antipscyhotics can occur
within hours to days of treatment): - ✔✔Oculogyric Crisis
✔✔This extrapyramidal symptom involves a feeling of restlessness and an urge to
move the limbs. It can occur within a few days to a month of Typical Antipsychotic use: -
✔✔Akathisia
✔✔This extrapyramidal symptom is characterized by muscle rigidity (usually in the facial
muscles, giving the face a wooden mask-like appearance), bradykinesia, and tremors. It
can occur within a few days to a month of Typical Antipsychotic use: -
✔✔Pseudoparkinsonism
✔✔This extrapyramidal symptom is characterized by constant, involuntary, rhythmic
movements. usually of the perioral muscles, causing a person to involuntarily smack or
purse their lips. It can occur within a few months to years of Typical Antipsychotic use: -
✔✔Tardive Dyskinesia
✔✔Unlike more acute extrapyramidal symptoms, this one can be irreversible and so the
antipscyhotic should be discontinued at the first sign: - ✔✔Tardive Dyskinesia
✔✔The most dangerous and severe extrapyramidal symptom that typically occurs
within days or weeks of starting a Typical Antipsychotic: - ✔✔Neuroleptic Malignant
Syndrome
✔✔Seven symptoms associated with Neuroleptic Malignant Syndrome: - ✔✔confusion,
coma, agitation, muscle rigidity, seizures, hyperthermia, and hyporeflexia
