Quiz 1 (Mandatory) (3.34 points) Which of

Quiz 1 (Mandatory) (3.34 points) Which of the following are positive symptoms associated with schizophrenia? (SELECT ALL THAT APPLY) 1 options: Hallucinations Disorganized speech Anhedonia Delusions 2 (Mandatory) (3.34 points) Which of the following are negative symptoms associated with schizophrenia? (SELECT ALL THAT APPLY) 2 options: Auditory hallucinations Alogia Ahnedonia Avolition 3 (Mandatory) (3.34 points) Which of the following are part of the criteria for bipolar 1 disorder? (SELECT ALL THAT APPLY) 3 options: Alternations between major depressive episodes and hypomanic episodes Alternations between full manic episodes and major depressive episodes Requires 1 manic episode No history of full manic episode 4 (Mandatory) (3.34 points) A patient diagnosed of major depressive disorder is concurrently diagnosed with generalized anxiety disorder and panic disorder. Which of the following antidepressant would you avoid giving to this patient since it can exacerbate anxiety? 4 options: sertraline escitalopram mirtazapine bupropion 5 (Mandatory) (3.34 points) A 49-year-old male diagnosed of Bipolar I disorder is prescribed lithium. The patient told you that he has hypertension and that his primary care physician prescribed him a new medication. Which of the following antihypertensive medication, if prescribed to the patient, may cause lithium toxicity? 5 options: metoprolol amlodipine lisinopril propanolol 6 (Mandatory) (3.34 points) A 19-year-old male patient diagnosed of schizophrenia reported that his positive symptoms of auditory hallucinations has been controlled. However, the patient reported that he is still having no motivation, still socially isolating self, and still unable to experience pleasure with his hobbies that he used to enjoy. Which of the following antipsychotic medications may unlikely help with the patient’s negative symptoms? 6 options: haloperidol (Haldol) risperidone (Risperdal) olanzapine (Zyprexa) quetiapine (Seroquel) 7 (Mandatory) (3.34 points) You are called to consult on an agitated patient in the medical unit. The patient is elderly and confused and is pulling out her lines. You decided that she must be tranquilized for her own safety. Which one of the following drugs would be the best choice? 7 options: Diazepam Lithium Haloperidol Lorazepam 8 (Mandatory) (3.34 points) A 21-year-old male patient who has been diagnosed of schizophrenia two years ago has been prescribed risperidone. The patient complained that he has noticed his breast expressing milk (galactorrhea) for the past two months, which has been bothering him. You are aware that this is related to dopamine blockage in which dopamine pathway? 8 options: Nigrostriatal pathway Mesolimbic pathway Tuberoinfundibular pathway Mesocortical pathway 9 (Mandatory) (3.34 points) A 29-year old male patient with a history of major depressive disorder endorsed worsening of symptoms. The patient reported decreased energy, decreased motivation, and increased sleep. The patient rrequested to be treated with an SSRI. Given the patient’s symptoms, which SSRI would you choose because of its activating property secondary its additional action of 5HT2c antagonism? 9 options: fluoxetine Mirtazapine Trazodone Paroxetine 10 (Mandatory) (3.34 points) A patient with major depressive disorder is prescribed venlafaxine (Effexor). Which one of the following side effect is associated with this SNRI secondary to increase norepinephrine? 10 options: Hypertension anhedonia anorexia seizure 11 (Mandatory) (3.34 points) Which one of the following is the classic mood stabilizer, antimanic medication? 11 options: Lithium lamotrigine valproic acid oxcarbazepine 12 (Mandatory) (3.34 points) Tricyclic antidepressants (TCAs) have equal efficiency with serotonin reuptake inhibitors (SSRIs). However, TCAs are not used nowadays as frequently as SSRIs because: 12 options: TCAs can exacerbate migraine headaches Cigarette smoking decreases TCA levels TCAs can trigger diarrhea TCAs can be fatal if patient overodses on them 13 (Mandatory) (3.34 points) Which one of the antidepressants has the longest half-life? 13 options: Sertraline Citalopram Paroxetine Fluvoxamine Fluoxetine 14 (Mandatory) (3.34 points) Atypical antipsychotic agents can treat both positive symptoms and negative symptoms of schizophrenia. Theoretically, it treats positive symptoms through dopamine (D2) receptor blockade and negative symptoms by altering this neurotransmitter: 14 options: acetylcholine serotonin histamine norepinephrine 15 (Mandatory) (3.34 points) Chlorpromazine (Thorazine), a traditional antipsychotic agent that is clinically classified as a low potency antipsychotic agent, can have a side effect of orthostatic hypotension due to its binding of this receptor: 15 options: histamine receptor alpha-1 receptor serotonin receptor dopamine receptor 16 (Mandatory) (3.34 points) Which of the following is not a tricyclic antidepressant? 16 options: Amitriptyline Doxepin Nortriptyline Desipramine Selegiline 17 (Mandatory) (3.34 points) The following factors can lead to lithium toxicity, except for: 17 options: inadequate sodium intake proper hydration —this one concurrent prescription of an ACE inhibotor such as lisinopril concurrent prescription of diuretic hydrochlorothiazide 18 (Mandatory) (3.34 points) A man diagnosed of schizophrenia on an inpatient psychiatric unit develops a fever of 102.3F, a high white blood cell count, unstable pulse and blood pressure, and rigidity in the arms and legs. The most likely diagnosis is: 18 options: Phencyclidine (PCP) use Neuroleptic malignant syndrome ———–this one Serotonin-specific reuptake inhibitor withdrawal Lithium toxicity Meningitis 19 (Mandatory) (3.34 points) The following antipsychotic agents are long acting injection (LAI) preparation, except: 19 options: paliperidone (Invega) sustenna haloperidol (Haldol) decanoate risperidone (Risperdal) consta Thiothixene (Navane) ——this one 20 (Mandatory) (3.34 points) A patient comes to the clinic with complaints of pill rolling and shuffling gait, and you determined that this is pseudoparkinsonism. You are aware that this is due to imbalance of dopamine and this neurotransmitter in the nigrostriatal pathway: 20 options: norepinephrine serotonin Aacetylcholine this one histamine 21 (Mandatory) (3.34 points) A patient states that he was given an antidepressant in the past but does not remember the name. He does remember having his blood pressure checked regularly by the psychiatrist because of the antidepressant. Which one of the following was the patient most likely taking? 21 options: Venlafaxine Mirtazapine Citalopram Fluoxetine Paroxetine 22 (Mandatory) (3.34 points) Trazodone is associated with which of the following side effects? 22 options: Priapism Hematuria Delayed orgasm Hypospadias Retrograde ejaculation 23 (Mandatory) (3.34 points) Which of the following classes of psychotropic medication has the best documented treatment for agitation for a patient with dementia? 23 options: Tricyclic antidepressants Antipsychotics Mood stabilizers SSRI Benzodiazepines 24 (Mandatory) (3.34 points) A patient diagnosed with bipolar disorder is prescribed lithium. The patient has not been drinking fluids well, has been recently prescribed hydrochlorothiazide, and has not been taking adequate sodium. You will suspect early lithium toxicity if the following signs and symptoms are noted, EXCEPT: 24 options: nausea priapism diarrhea vomiting 25 (Mandatory) (3.34 points) Which of the following is not a high potency traditional antipsychotic/ neuroleptic? 25 options: Thiothixene (Navane) Chlorpromazine (Thorazine) Haloperidol (Haldol) Fluphenazine (Prolixin) 26 (Mandatory) (3.34 points) which of the following terms refers to spastic contraction of discrete muscle groups such as the neck, tongue, eyes, or back? 26 options: Blepharospasm Tardive dystonia Akathisia Acute dystonia Tardive dyskinesia 27 (Mandatory) Which of the following statements is correct concerning clozapine? 27 options: Smoking will not affect clozapine levels Risk of agranulocytosis is dose-related Doses of clozapine greater than 600mg/day carry a much higher risk of seizures than lower doses Adding lithium to clozapine lowers the chances of NMS Clozapine carries a high risk of prolactin elevation 28 (Mandatory) A 35-year-old woman with bipolar disorder gives birth to a child with a neural tube defect. Which of the following medications was she most likely taking? 28 options: Valproic acid Lithium Lamotrigine Carbamazepine 29 (Mandatory) ( Lithium has been associated with which of the following? 29 options: Pancreatitis Hypothyroidism Hepatic failure Neutropenia 30 (Mandatory) (3.34 points) Which of the following mood stabilizers should you monitor for rashes and the possibility of Steven Johnson Syndrome (SJS)? 30 options: Lithium carbamazepine Lamotrigine valproic acid SCIENCE HEALTH SCIENCE NURSING MNP 643

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