Review Test Submission:
Midterm Exam - Week 6
User Smiles Smiler Smillest
Course NURS-6630N,Approaches to Treatment.2020 Winter Qtr
11/30-02/21
Test Midterm Exam - Week 6
Started 1/8/21
Submitted 1/9/21
Due Date 1/11/21
Status Completed
Attempt 64 out of 100 points
Score
Time Elapsed 2 hours, 29 minutes out of 2 hours and 30 minutes
Results Displayed Feedback
• Question 1
What is the strongest established risk factor for bipolar disorder? Family History
Response Feedback: “The strongest established risk factor for BPD is a family history of
BPD.”
• Question 2
Which of the following medications are known as selective serotonin re-uptake
inhibitors (SSRIs)? i. Nortriptyline
ii.
Citalopram
iii. Duloxetine
iv. Fluoxetine
v. Venlafaxine
• Question 3
Which disease state of a non-adherent patient is at greater risk for substance use,
violence, and
victimization as well as worse overall quality of life? Schizophrenia
Review Test Submission Midterm Exam - Week 6
, Response “Moreover, non-adherent patients with schizophrenia are at greater risk
for substance Feedback: use, violence, and victimization as well as worse
overall quality of life.”
• Question 4
Patient is a 72-year-old male with a past medical history significant for atrial fibrillation
and COPD with a new diagnosis of major depression disorder. Based on his comorbid
conditions, what antidepressant would you recommend as first-line? Atomoxetine
Response (Options C & D are both TCA antidepressants and, based on the
Feedback: patient’s age and comorbid conditions, a TCA would likely result in
more side effects, such as increased fall risk due to potential for
orthostatic hypotension and anticholinergic-related side effects. In
addition, patient has a history for cardiac abnormalities due to A. fib
diagnosis - TCAs result in electrocardiographic changes in susceptible
individuals, therefore, would likely
avoid. Choice B is used more for ADHD purposes than as an
antidepressant)
Page numbers used: Page 39 for TCA side-effect profile
• Question 5
Which of the following is an appropriate strategy for managing treatment-resistant
depression?
Use both SSRI and SNRI
• Question 6
Which of the following medications is best to AVOID in maintenance treatment of bipolar
disorder and why?
Response “As noted previously, antidepressants may contribute to an increase in
mood Feedback: episode frequency.”
• Question 7
With second-generation antipsychotics, what is the main side effect that requires frequent
monitoring?
Response table 7-6 & page 80, table 7-7; Page 78: “However, attention over the past
decade has
Review Test Submission Midterm Exam - Week 6
, Feedback: focused on effect of second-generation antipsychotics on glucose
metabolism and lipids and associated metabolic syndrome.”
• Question 8
Which amino acid is involved in the synthesis of both norepinephrine and dopamine?
• Question 9
An 81-year-old male comes to your clinic today complaining of dry mouth, blurred
vision, and constipation. He has a past medical history significant for hypertension,
heart failure, and depression. Of the following medications, which one is likely
contributing to these side effects?
Only TCA is listed with most anticholinergic effects; Page 39 for TCA
Response side effect profile: “dry mouth, blurred vision, constipation, urinary
Feedback: hesitancy, tachycardia, memory difficulties, and ejaculatory
difficulties”
• Question 10
Which medication has been studied and recommended in patients with a social anxiety
disorder who also suffer from an alcohol use disorder?
Response “Suggested that treatment with the SSRI paroxetine decreased the anxiety
and may Feedback: have reduced the alcohol use as well”
• Question 11
M. B. was just diagnosed with Generalized Anxiety Disorder and pharmacotherapy is
needed. Which of the following would be a first-line treatment option for M. B.?
I. Duloxetine
II. Quetiapine
III. Diazepam
IV. Escitalopram
Response “As is true for panic and the other anxiety disorders, the SSRIs and SNRIS are
generally
Feedback: considered first-line agents for the treatment of GAD because of their
favorable side
effect profile….”
• Question 12
Review Test Submission Midterm Exam - Week 6
Midterm Exam - Week 6
User Smiles Smiler Smillest
Course NURS-6630N,Approaches to Treatment.2020 Winter Qtr
11/30-02/21
Test Midterm Exam - Week 6
Started 1/8/21
Submitted 1/9/21
Due Date 1/11/21
Status Completed
Attempt 64 out of 100 points
Score
Time Elapsed 2 hours, 29 minutes out of 2 hours and 30 minutes
Results Displayed Feedback
• Question 1
What is the strongest established risk factor for bipolar disorder? Family History
Response Feedback: “The strongest established risk factor for BPD is a family history of
BPD.”
• Question 2
Which of the following medications are known as selective serotonin re-uptake
inhibitors (SSRIs)? i. Nortriptyline
ii.
Citalopram
iii. Duloxetine
iv. Fluoxetine
v. Venlafaxine
• Question 3
Which disease state of a non-adherent patient is at greater risk for substance use,
violence, and
victimization as well as worse overall quality of life? Schizophrenia
Review Test Submission Midterm Exam - Week 6
, Response “Moreover, non-adherent patients with schizophrenia are at greater risk
for substance Feedback: use, violence, and victimization as well as worse
overall quality of life.”
• Question 4
Patient is a 72-year-old male with a past medical history significant for atrial fibrillation
and COPD with a new diagnosis of major depression disorder. Based on his comorbid
conditions, what antidepressant would you recommend as first-line? Atomoxetine
Response (Options C & D are both TCA antidepressants and, based on the
Feedback: patient’s age and comorbid conditions, a TCA would likely result in
more side effects, such as increased fall risk due to potential for
orthostatic hypotension and anticholinergic-related side effects. In
addition, patient has a history for cardiac abnormalities due to A. fib
diagnosis - TCAs result in electrocardiographic changes in susceptible
individuals, therefore, would likely
avoid. Choice B is used more for ADHD purposes than as an
antidepressant)
Page numbers used: Page 39 for TCA side-effect profile
• Question 5
Which of the following is an appropriate strategy for managing treatment-resistant
depression?
Use both SSRI and SNRI
• Question 6
Which of the following medications is best to AVOID in maintenance treatment of bipolar
disorder and why?
Response “As noted previously, antidepressants may contribute to an increase in
mood Feedback: episode frequency.”
• Question 7
With second-generation antipsychotics, what is the main side effect that requires frequent
monitoring?
Response table 7-6 & page 80, table 7-7; Page 78: “However, attention over the past
decade has
Review Test Submission Midterm Exam - Week 6
, Feedback: focused on effect of second-generation antipsychotics on glucose
metabolism and lipids and associated metabolic syndrome.”
• Question 8
Which amino acid is involved in the synthesis of both norepinephrine and dopamine?
• Question 9
An 81-year-old male comes to your clinic today complaining of dry mouth, blurred
vision, and constipation. He has a past medical history significant for hypertension,
heart failure, and depression. Of the following medications, which one is likely
contributing to these side effects?
Only TCA is listed with most anticholinergic effects; Page 39 for TCA
Response side effect profile: “dry mouth, blurred vision, constipation, urinary
Feedback: hesitancy, tachycardia, memory difficulties, and ejaculatory
difficulties”
• Question 10
Which medication has been studied and recommended in patients with a social anxiety
disorder who also suffer from an alcohol use disorder?
Response “Suggested that treatment with the SSRI paroxetine decreased the anxiety
and may Feedback: have reduced the alcohol use as well”
• Question 11
M. B. was just diagnosed with Generalized Anxiety Disorder and pharmacotherapy is
needed. Which of the following would be a first-line treatment option for M. B.?
I. Duloxetine
II. Quetiapine
III. Diazepam
IV. Escitalopram
Response “As is true for panic and the other anxiety disorders, the SSRIs and SNRIS are
generally
Feedback: considered first-line agents for the treatment of GAD because of their
favorable side
effect profile….”
• Question 12
Review Test Submission Midterm Exam - Week 6
