NSG 533 Advanced Pharmacology
Test 1 Week 4 High-Yield Exam
Notes| 2025)
Which of the following SSRIs requires up to a 5-week
washout period because of the
long half-life of its potent active metabolite?
A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
D. Sertraline - ✔✔✔ANSWER-C
,Which of the following symptoms is most likely to improve
within approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep - ✔✔✔ANSWER-D
Of the following combinations of medications, which one would
you want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole - ✔✔✔ANSWER-B
A 26-year-old man with a history of depression has been taking
sertraline 200 mg/day for 12 weeks with no response. The
patient has no other complications. The physician asks for your
recommendation. The most reasonable recommendation would
be to:
A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
, D. Change to venlafaxine
E. Decrease sertraline - ✔✔✔ANSWER-D
Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone - ✔✔✔ANSWER-C
A23-year-old married white woman comes to the
outpatient psychiatric clinic
complaining of decreased sleep, decreased appetite,
decreased concentration, depressed
mood, thoughts of death, and lack of interest in activities for
6 weeks' duration. She has
no history of psychiatric illness and takes no medications except
for Ortho-Tri Cyclen Lo
daily. Based upon the patients symptoms, choose the
best medication to treat this patient.
A. Nefazodone 100 mg po twice
daily B. Paroxetine 20 mg po daily
C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime - ✔✔✔ANSWER-B
Test 1 Week 4 High-Yield Exam
Notes| 2025)
Which of the following SSRIs requires up to a 5-week
washout period because of the
long half-life of its potent active metabolite?
A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
D. Sertraline - ✔✔✔ANSWER-C
,Which of the following symptoms is most likely to improve
within approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep - ✔✔✔ANSWER-D
Of the following combinations of medications, which one would
you want to avoid?
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole - ✔✔✔ANSWER-B
A 26-year-old man with a history of depression has been taking
sertraline 200 mg/day for 12 weeks with no response. The
patient has no other complications. The physician asks for your
recommendation. The most reasonable recommendation would
be to:
A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
, D. Change to venlafaxine
E. Decrease sertraline - ✔✔✔ANSWER-D
Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone - ✔✔✔ANSWER-C
A23-year-old married white woman comes to the
outpatient psychiatric clinic
complaining of decreased sleep, decreased appetite,
decreased concentration, depressed
mood, thoughts of death, and lack of interest in activities for
6 weeks' duration. She has
no history of psychiatric illness and takes no medications except
for Ortho-Tri Cyclen Lo
daily. Based upon the patients symptoms, choose the
best medication to treat this patient.
A. Nefazodone 100 mg po twice
daily B. Paroxetine 20 mg po daily
C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime - ✔✔✔ANSWER-B
