pg. 1 NR546 Psychopharmacology Week 5 Practice Exam 2024 Complete 150 Actual Questions with Correct Detailed Answers/ Graded A+
What diagnostic symptoms in MDD present when prefrontal cortex is involved - Correct Answer - Concentration Mental Fatigue Mood
What diagnostic symptoms in MDD present when PFC and Amygdala are involved - Correct Answer - Guilt Suicidality Worthlessness
What diagnostic symptoms in MDD present when the striatum is involved - Correct Answer - Physical Fatigue
What diagnostic symptoms in MDD present when the nucleus accumbent is involved - Correct Answer - Pleasure interests
What diagnostic symptoms in MDD present when the hypothalamus is involved - Correct Answer - Sleep Appetite changes
What diagnostic symptoms in mania present when the thalamus and hypothalamus are involved - Correct Answer - decreased sleep/arousal
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pg. 2 What diagnostic symptoms in mania present when the striatum is involved - Correct Answer - motor/agitation
A patient and a family member present to the PMHNP. The client stats they do not understanding why they had to come here today but after further imploration, the family member tells the practitioner that the client has been extremely irritable lately, has not slept in 3 days, can't seem to think straight, and stats he stole a bike from the store. The PMHNP suspects bipolar disorder. Which type dose the patient most likely has?
- Cyclothymia
- Bipolar Type 1
- Chronic Mania
- Bipolar Type 2 - Correct Answer - B. Bipolar Type 1.
The PMHNP is seeing a new patient who reports feeling very depressed, irritable, and distracted. Which of the following questions is most important for the PMHNP to ask prior to prescribing the patient a medication?
- Have you ever thought about participating in psychotherapy?
- Did these symptoms occur when you lost your job?
- Does anybody in your family have depression or anxiety?
- Have you ever experienced symptoms such as increased self-esteem, increased
activity, or a decreased need for sleep? - Correct Answer - D. Prior to prescribing medication, the PMHNP must differentiate between symptoms of MDD and symptoms of bipolar 1 disorder. MDD does not include symptoms of mania, however, bipolar 1 does. Many patients are reluctant to report mania or hypomania. Therefore, the PMHNP needs to directly ask if the patient has ever experienced these symptoms to help differentiate between MDD and Bipolar 1 disorder to effectively guide treatment. If mistaken for MDD, prescribing antidepressants to a patient with bipolar depression can precipitate a manic episode or induce rapid cycling bipolar depression. This can lead to increased incidence of death by suicide.
Which brain region is affected when a patient is experiencing racing thoughts and grandiosity?
- Striatum
- Amygdala 2 / 3
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- Nucleus Accumbent
- Broca's Area - Correct Answer - C. Nucleus Accumbent
What diagnostic symptoms present in mania when the prefrontal cortex is involved - Correct Answer - Risk taking Talkative/pressured speech
What diagnostic symptoms present in mania when the nucleus accumbent and PFC are involved - Correct Answer - Racing thoughts Grandiosity
What diagnostic symptoms are present in mania when the PFC and amygdala are involved - Correct Answer - mood
First line pharmacologic agents for management of depression - Correct Answer - Selective Serotonin Reuptake Inhibitors (SSRIs) Serotonin Norepinephrine Reuptake Inhibitors (SNRIs) Norepinephrine Dopamine Reuptake Inhibitor (NDRI) Serotonin Antagonist and Reuptake Inhibitors (SARIs)
Mechanism of Action: SSRI - Correct Answer - Inhibit serotonin reuptake
Mechanism of Action: SNRIs - Correct Answer - Inhibit serotonin reuptake
Inhibit NE reuptake (increase energy, focus) Increase DA in prefrontal cortex (increase cognition)
Mechanism of Action: NDRI - Correct Answer - Inhibit DA reuptake (increase alertness, motivation) Inhibit NE reuptake (increase energy)
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