NSG 533 ADVANCED PHARMACOLOGY EXAM 2024 -
2025WITH 300 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+/ NSG
533 ADVANCED PHARMACOLOGY LATEST EXAM
An antidepressant that may be dangerous in overdose is
- Mirtazapine
- Amitriptyline
- Fluoxetine
- Escitalopram - ANSWER-B
A 28-year-old man with a history of depression has been taking sertraline 200 mg daily for 12 weeks with no response. The patient has no other complaints. The physician asks for your recommendation. The most reasonable recommendation
would be to:
- Increase sertraline
- Add fluoxetine
- Switch to amitriptyline
- Change to venlafaxine - ANSWER-D
AS is an 18-year-old woman hospitalized for the fourth time for major depressive disorder. On this occasion, AS was admitted for suicidal ideation. Her other symptoms include loss of appetite, insomnia, decreased energy, increased agitation, and anhedonia for the past 2 months. Although she did well her first semester of college, AS "partied: a lot and broke up with a new boyfriend. Two months ago, AS refused to go back to college after the winter holidays. She does not have any other medical problems. AS's mother and grandfather have a history of bipolar illness, and her father has a history of substance abuse. AS's symptoms meet the criteria for major depressive disorder based upon the fact that she has: 1 / 4
- A history of mania
- A history of substance abuse
- Felt suicidal and had four target symptoms for more than 10 days
- Had a loss of pleasure and four target symptoms for more than 2 weeks. -
ANSWER-D
A 38-year-old male is diagnosed with major depressive disorder by his general practitioner. His symptoms include depressed mood, insomnia, decreased appetite, and poor concentration. He denies suicidal ideation. The patient remembers that his mother and brother responded well to venlafaxine in the past, and he would like to try the same medication. Which of the following monitoring parameters would be the most important to follow on this medication?
- Blood pressure
- White blood cell count 7
- Electrocardiogram
- Potassium levels 8 - ANSWER-A
Which of the following statements regarding panic disorder is true?
- Panic attacks are expected and have an identifiable trigger
- Panic attacks usually peak in intensity in about 1 hour.
- Agoraphobia is always present.
- It is more common in men.
- Panic symptoms are self-limiting in duration. - ANSWER-E
Which of the following substances/medications would not be expected to contribute to panic anxiety?
- Albuterol
- Olanzapine 2 / 4
- Cannabis
- Phenylephrine
- Caffeine - ANSWER-B
Pregabalin is a preferred treatment for a patient with GAD and a history of which of the following?
- Comorbid depression
- Alcohol dependence
- Did not tolerate SSRIs
- Renal impairment
- Nonadherence - ANSWER-C
The following treatment would be preferred for a 12-year-old with SAD.
- Alprazolam
- Fluoxetine
- Pregabalin
- Cognitive-behavioral therapy (CBT)
- Individual supportive psychotherapy - ANSWER-D
Which of the following statements is true regarding quetiapine in the treatment of anxiety disorders?
- Is effective for treatment of panic disorder
- Is associated with weight gain, sedation, and fatigue
- Is effective in doses above 300 mg/day
- Superior efficacy to SSRIs
- Similar efficacy to CBT - ANSWER-B 3 / 4
Which of the following medications is not an appropriate initial treatment for a 23- year-old woman with GAD and no other comorbidities?
- Pregabalin
- Quetiapine
- Sertraline
- Venlafaxine
- Fluoxetine - ANSWER-B
Which of the following SSRIs requires up to a 5-week washout period because of the long half-life of its potent active metabolite?
- Escitalopram
- Fluvoxamine
- Fluoxetine
- Sertraline - ANSWER-C
Which of the following symptoms is most likely to improve within approximately
- week of starting treatment?
- Depressed mood
- Suicidal thoughts
- Anhedonia
- Sleep - ANSWER-D
Of the following combinations of medications, which one would you want to avoid?
- Fluoxetine-lithium
- Fluoxetine-phenelzine
- / 4