ANCC PMHNP Exam Questions and Answers 100% Verified
mesocortical pathway Ans-executive function: attention, focus, depression
nigrostriatal pathway Ans-from substantia nigra (brainstem) to striatum (muscles):
Parkinson's
mesolimbic pathway Ans-projects to nucleus accumbens (part of limbic system). Pleasure,
reward, positive symptoms of schizophrenia: Addiction, gambling
Tuberoinfundibular pathway Ans-regulation of prolactin (acts on pituitary). Hypersexuality
in mania
Dopamine Ans-produced in substania nigra and VTA. D2 & D4 receptors most important.
Elevated in the mesolimbic pathway associated with pleasure and psychosis. Antispychotics
block dopamine. travels through mesocoritcal, mesolimbic, nigrostriatal, and tuberinfundibular
pathways
Serotonin Ans-5-HT. produced in raphe nucleus. emotion, impulses, dreams. 5HT2A
receptors = atypical antipsychotics.
Norepinephrine Ans-produced in locus coeruleus. arousal and vigilance
GABA Ans-inhibitory. produces calm in conjunction with benzodiazepines.
ACTH Ans-motor control, learning, memory, sleep, and dreams. Helps with balance.
Decrease in Alzheimer's disease
, hypothalamus-pituitary-adrenal axis (HPA) Ans-CRH, ACTH, then cortisol. Worsens with
stress and depression
hypothalamus-pituitary-thyroid (HPT) Ans-TRH, TSH, T4. Hypothyroid causes depression,
weight gain, slow metabolism. Hyperthyroid is opposite.
hypothalamus-pituitary-gonadal (HPG) Ans-GnRH, FSH, LH. Malfunctions cause infertility
problems.
gray matter Ans-neurons are found
frontal lobe Ans-executive function, voluntary movement, speech (Broca's area)
Temporal lobe Ans-memory, cognition, speech, emotions (aka limbic area)
parietal lobe Ans-receive and process sensory input
Wernicke's area Ans-temporal and parietal lobes; speech
amygdala Ans-fear response.
hippocampus Ans-memory. Make up limbic system with amydgala
HIPAA Ans-1. education about privacy protection, 2. access to own medical records, 3.
request amendment to health information to which they object, 4. require permission for
disclosure of medical issues
mesocortical pathway Ans-executive function: attention, focus, depression
nigrostriatal pathway Ans-from substantia nigra (brainstem) to striatum (muscles):
Parkinson's
mesolimbic pathway Ans-projects to nucleus accumbens (part of limbic system). Pleasure,
reward, positive symptoms of schizophrenia: Addiction, gambling
Tuberoinfundibular pathway Ans-regulation of prolactin (acts on pituitary). Hypersexuality
in mania
Dopamine Ans-produced in substania nigra and VTA. D2 & D4 receptors most important.
Elevated in the mesolimbic pathway associated with pleasure and psychosis. Antispychotics
block dopamine. travels through mesocoritcal, mesolimbic, nigrostriatal, and tuberinfundibular
pathways
Serotonin Ans-5-HT. produced in raphe nucleus. emotion, impulses, dreams. 5HT2A
receptors = atypical antipsychotics.
Norepinephrine Ans-produced in locus coeruleus. arousal and vigilance
GABA Ans-inhibitory. produces calm in conjunction with benzodiazepines.
ACTH Ans-motor control, learning, memory, sleep, and dreams. Helps with balance.
Decrease in Alzheimer's disease
, hypothalamus-pituitary-adrenal axis (HPA) Ans-CRH, ACTH, then cortisol. Worsens with
stress and depression
hypothalamus-pituitary-thyroid (HPT) Ans-TRH, TSH, T4. Hypothyroid causes depression,
weight gain, slow metabolism. Hyperthyroid is opposite.
hypothalamus-pituitary-gonadal (HPG) Ans-GnRH, FSH, LH. Malfunctions cause infertility
problems.
gray matter Ans-neurons are found
frontal lobe Ans-executive function, voluntary movement, speech (Broca's area)
Temporal lobe Ans-memory, cognition, speech, emotions (aka limbic area)
parietal lobe Ans-receive and process sensory input
Wernicke's area Ans-temporal and parietal lobes; speech
amygdala Ans-fear response.
hippocampus Ans-memory. Make up limbic system with amydgala
HIPAA Ans-1. education about privacy protection, 2. access to own medical records, 3.
request amendment to health information to which they object, 4. require permission for
disclosure of medical issues
