REGIS NU643 2021 January All Quizzes Latest (100% Graded)

Week 3 Quiz

Question 1Matching:

Dendrite             

Pharmacokinetics           

Excitation-secretion coupling     

Pharmacodynamics        

Axon    

Ionic filter           

Question 2A neurotransmitter binds to a receptor, causing electrical impulses to travel the neuron's axon; it eventually releases the neurotransmitter and repeats the process with a postsynaptic neuron. Which type of neurotransmission does this describe?

a.Classic synaptic neurotransmission

 b.Retrograde neurotransmission

 c.Volume neurotransmission

 d.Signal transduction cascade

Question 3Carbamazepine has a half-life of approximately 12 hours. The clinical implications of this are:

 a.carbamazepine will be 50% less effective 6 hours after taking the medication.

 b.carbamazepine requires once daily dosing.

 c.therapeutic blood monitoring of carbamazepine should not occur before 2 ½ days of starting the medication.

 d.one-half of the dose of carbamazepine will be excreted from the kidneys in 12 hours.

Question 4Elimination of a drug can be impacted by all of the following scenarios except:

 a.a Mediterranean diet.

b.metabolic acidosis, in which plasma pH is lowered.

 c.concurrent use of loop diuretics.

 d.dehydration.

Question 5Enzyme inhibition as a target of drug therapies is:

 a.a common mechanism of action of psychotropic medications.

 b.always irreversible.

 c.a means of preventing the degradation of neurotransmitters.

 d.activates voltage-sensitive calcium channels.

 

 

 

Week 4 Quiz

Question 1 Match receptor activity to its clinical side effect:

Alpha-1 adreneric receptor blockade     

Muscarinic cholinergic receptor blockade               

Histamine H1 receptor blockade                              

Question 2A 28-year-old man has been diagnosed with schizophrenia at age 19. He has a body mass index of 30, fasting triglycerides of 220 mg/dL, and fasting glucose of 114 mg/dL. Which of the following is most likely to worsen his metabolic profile?

a.Clozapine

 b.Lurasidone

 c.Aripiprazole

 d.Ziprasidone

Question 3 A patient on aripiprazole complains that they cannot sit still. They fidget throughout their appointment and state that they feel like they are crawling out of their skin. Assessment is consistent with akathisia.

a.These symptoms are likely due to undertreated psychosis.

 b.These symptoms may become chronic if not treated.

 c.These symptoms would best respond to a beta blocker.

 d.These symptoms would best respond to a conventional antipsychotic.

Question 4Atypical antipsychotics, also known as second-generation antipsychotics, are referred to as atypical because:

a.They have the clinical profile of equal positive symptom antipsychotic actions but low extrapyramidal symptoms and less hyperprolactinemia compared to conventional antipsychotics.

 b.They are low-potency versus high-potency.

 c.They are not approved for the treatment of bipolar disorder or treatment-resistant depression.

 d.They cause more extrapyramidal symptoms than typical antipsychotics.

Question 5Failure to give with about a 500 calorie meal can result in lowering oral absorption by half and inconsistent efficacy for which medication?

a.Ziprasidone

 b.Risperidone

 c.Sertraline

 d.Quetiapine

 

 

Week 6 Quiz

Question 1Match the following classes of antidepressant to their unique characteristics.

Selective Serotonin Reuptake Inhibitors                Answer 1 

Tricyclic Antidepressants (TCAs)                Answer 2 

Monoamine Oxidase Inhibitors Answer 3 

Question 2Match the following SSRIs to their unique clinical profile.

Paroxetine         

Fluvoxamine     

Citalopram         

Sertraline           

Escitalopram     

Fluoxetine         

Question 3Dry mouth from antidepressants:

 a.will likely resolve with time.

 b.can lead to increased risk of dental caries.

 c.is best treated with a beta blocker.

 d.is best treated with an anticholinergic medication.

Question 4Independent of antidepressant use, depression is thought to cause which symptom of sexual dysfunction?

 a.Low libido

 b.Anorgasmia

 c.Delayed ejaculation

 d.None of the above

Question 5The monoamine transporters SERT (serotonin), NET (norepinephrine) and DAT (dopamine) are key targets for most of the known:

 a.Anxiolytics

 b.Antidepressants

 c.Anticonvulsants

 d.Antipsychotics

Question 6When a patient achieves remission of depression, what is the recommended length of time that treatment should continue?

 a.The recommended length of treatment depends on the number of depressive episodes that a patient has had.

 b.A patient should continue treatment for a minimum of 6 months.

 c.A patient should continue treatment for a minimum of 1 year.

 d.A patient should continue treatment indefinitely.

 

 

Week 8 Quiz

Question 1Match the following mood stabilizer to its recommended lab monitoring.

Carbamazepine                 

Quetiapine          

Lithium                   

Valproic acid      

  Question 2All of the following are important aspects of sleep hygiene practices except:

 a.Limit exposure to blue light 90 minutes prior to bedtime.

 b.Avoid caffeine, nicotine, and large meals prior to bedtime.

 c.Set a regular rising time.

 d.If unable to fall asleep, stay in bed.

Question 3An important noradrenergic pathway in the brain which may be overactive in anxious subjects originates in the:

 a.limbic cortex.

 b.basal ganglia.

 c.locus coeruleus.

d.cerebellum.

Question 4Based on your Carlat Psychiatry Report reading, what is a good recommendation for patients experiencing poor sleep quality?

 a.Temazepam

 b.Zolpidem

 c.Regular exercise

 d.A glass of warm milk at bedtime

Question 5Buspirone is indicated for which anxiety disorder?

 a.Generalized anxiety disorder

b.Panic disorder

 c.Posttraumatic stress disorder

 d.Social phobia

Question 6When choosing a PRN/AS NEEDED medication for a patient with alcohol dependence and an anxiety disorder, which of the following medications would be most appropriate choice?

 a.Alprazolam

 b.Hydroxyzine

c.Buspirone

 d.Lorazepam

 

 

Week 10

Question 1Problems with selective attention associated with ADHD are hypothetically regulated by the:

 a.anterior cingulate cortex.

 b.orbital frontal cortex.

 c.prefrontal motor cortex.

d.dorsolateral prefrontal cortex.

Question 2When considering the neuroscience of addiction, which of the following statements is true?

 a.Most addiction is the result of stimulation of serotonergic pathways in the brain.

 b.Compulsive behaviors in the dorsal regions of the brain often precede impulsivity in the ventral regions of the brain.

c.Dopamine pathways are implicated in all substances of abuse.

 d.Glutamate pathways are associated with the reward aspects of substance abuse.

Question 3When considering tonic and phasic firing of dopamine and norepinephrine neurons and ADHD, which of the following statements is true?

 a.Tonic firing of norepinephrine neurons reinforces learning and reward.

 b.Tonic firing of dopamine and norepinephrine neurons is believed to be excessive in ADHD.

c.Stress activates excessive phasic norepinephrine and dopamine firing, possibly leading to the development of impulsivity and inattention.

 d.Phasic firing is not a consideration in the development of ADHD.

Question 4When prescribing guanfacine, the clinician should consider which of the following?

 a.Guanfacine can worsen motor tics.

 b.Rebound hypertension can occur when abruptly stopping guanfacine.

c.If a patient forgets to take their medication for a few days, they should resume their prior dose.

 d.Patients should be advised to take the guanfacine in the morning, as it may contribute to insomnia with qHS dosing.

Question 5When treating ADHD symptoms in the presence of comorbid disorders, which of the following statements is true?

 a.Substance abuse disorders should be treated concurrently with ADHD as ADHD symptoms are likely contributing to use.

 b.ADHD symptoms are more impairing than anxiety and should be prioritized.

 c.Nicotine abstinence will often resolve ADHD symptoms and should be a priority.

 d.Order of treatment should be individualized for the patient.

 

 

 

Week 13 Quiz

Question 1First line treatment for persistent aggression is:

 a.SSRIs

b.Anticonvulsants

 c.Atypical Antipsychotics

 d.Benzodiazepines

Question 2For which patient profile is a beta blocker a good choice the treatment of aggression?

 a.Persistent aggression in the presence of substance abuse

b.Acute aggression in the presence of personality disorder

 c.Persistent aggression in the presence of neurocognitive deficits

 d.Acute aggression in the presence of psychosis

Question 3The medication side effect mostly to result in aggression or violence is:

 a.Akathisia

b.Tardive Dyskinesia

 c.Hyperreflexia

 d.Insomnia

Question 4The psychiatric disorder(s) most likely to result in aggression or violence is:

 a.Psychotic Disorders

 b.Substance Use Disorders

c.Personality Disorders

 d.Bipolar Disorder

Question 5When prescribing for preschool aged children which of the following statements is true?

 a.Research on the very young has led to several FDA approved medications for psychiatric disorders.

 b.SSRIs are first line treatment for depression in very young children

 c.SSRIs are first line treatment for anxiety disorders in very young children.

 d.Behavioral and psychotherapeutic interventions are first line treatment for all psychiatric disorders in preschool aged children.

 

 

Week 15 Final Quiz

Question 1Which of the following statements about metabolic syndrome is TRUE?

 a.Diagnosis of metabolic syndrome is determined by change in BMI.

 b.Elevated fasting blood glucose is rarely an indicator of the development of metabolic syndrome.

 c.Thyroid (TSH/T4) monitoring should occur at baseline and every six months.

 d.Diet and lifestyle education should be included as a strategy for reducing risk of metabolic syndrome.

Question 2Which of the following BEST describes history of presenting illness?

 a.Current symptoms and the environment in which they present

 b.A quote from the patient describing the reason for seeking treatment

 c.A comprehensive review of the patient’s psychiatric history

 d.Current laboratory and diagnostic findings

Question 3Which of the following is NOT considered relevant to choosing a psychiatric medication?

 a.The patient's medication preference

 b.Past psychiatric medications

 c.The insurance formulary

 d.The patient's marital status

Question 4Which of the following BEST describes the mental status exam?

 a.The mental status exam is a clinical snapshot of the patient's presentation at the time of assessment.

 b.The mental status exam is a formalized cognition test.

 c.The mental status exam is only recorded on initial assessments.

 d.The mental status exam assesses fixed features of a patient's personality and behaviors.

Question 5Which of the following is NOT a red flag for prescription drug misuse?

 a.The Prescription Monitoring Program shows a patient has prescriptions filled at multiple pharmacies.

 b.A patient requests to decrease the dose of his controlled substance.

 c.A patient reports that her prescription has been stolen and requests an early refill.

 d.A patient requesting a controlled substance reports having two previous providers in the past year.