EPPP EEND OF COURSE EXAM 2026 QUESTIONS AND
SOLUTIONS RATED A+
✔✔atypical antipsychotics - ✔✔clozapine, resperidone, olanzapine, quetiapine
positive and negative sx
motor disorders too
act on d4 (dopamine), serotonin, glutamate
side effects; anticholinergic, sedation, lowered seizure threshold,
extrapyrmidal side effects are lower, except akathesia
aranulocytosis; low wbc.
still can cause neuroleptic malignant syndrome, lower chance of tardive dyskensia
✔✔bipolar meds - ✔✔valproic acid and lithium
✔✔tricyclics - ✔✔imipramine, clomipramine, amitryptaline, notryptline, doxepin
best for depression w/low appetite, sleep problem, anhedonia, vegetative/somatic sx
also for ocd, bulimia, panic disorder
block reuptake of norepinephrine, serotonin, dopamine. support catecholamine
hypothesis
*cardiotoxic. can be fatal w/overdose
✔✔tricyclics side effects - ✔✔cardiotoxic, anticholinergic side effects, fine hand tremor
✔✔ssri side effects - ✔✔gastro sx, insomnia, anxiety, sexual dysfunction
✔✔maoi's - ✔✔anticholinergic side effects, weight gain, hypertensive crisis
✔✔ssri - ✔✔fluoxetine, fluvoxamine, paroxetine, setraline
best for melancholic depression
faster effect than tricyclics
,serotonin syndrome; when combined w/another maoi or serotergnic agent; may lead to
coma/death
✔✔maois - ✔✔isocarboxazid, phenelzine, tranylcypromine
best for atypical depression
*hypertensive crisis (avoid tyramine foods) give fluids for tx
✔✔mood stabilizer - ✔✔lithium. carbamazepine, valproic acid, clonazepam
(anticonvulsants)
lithium- bipolar (fine hand tremor), monitor blood levels. avoid salts
3 anticonvulsant drug; good for rapid cyclers.
✔✔sedative-hypnotics (barbituates, anxiolytics, alcohol) - ✔✔cns depressants
causes dependence (cross-tolerance), w/drawal is dangerous
benzos (end in -pam/-lam) = anxiety drugs (gaba)
*buspirone = no sedation, but takes longer to work
✔✔beta-blocker - ✔✔*propranolol (for high bp)
not good for asthma and needs to be slowly tapered off
✔✔opiod w/drawal - ✔✔bad flu-like
✔✔adhd meds - ✔✔methylphenidate (for narcolepsy too)
prolonged use= paranoid schizo
drug holidays
✔✔anti-alcohol drugs - ✔✔disulfiram and naltrexone
✔✔bronfenbenner - ✔✔mi- face to face relationships
me- interactions like family n school
exo- broad env to childs env
ma-culture, politic
chro-lifetime stuff like ses, familyy structure change
✔✔rutter's indicators - ✔✔6 factors
, ✔✔prenatal dev - ✔✔germinal 2 weeks'zygote
embryonic 8th week (teratogens)
fetal birth
✔✔klinefelter - ✔✔males only
✔✔turner - ✔✔females only
✔✔babinski - ✔✔tows fan out
✔✔rooting - ✔✔touch cheek and turns head
✔✔moro - ✔✔startle response flings arms and legs outward
✔✔stepping - ✔✔makes walking movements
✔✔infant, which sense is worst - ✔✔vision; close to adult level at 6 months
✔✔alzeheimer's most loss of cells - ✔✔medial temporal lobe
✔✔alcohol dependence - ✔✔ppl acknowledge they have a problem
✔✔jungian archetype - ✔✔collective unconscious
✔✔groupthink - ✔✔pressure for uniformity limits effectiveness
✔✔type 1 error - ✔✔rejects a true hypothesis
✔✔side effects of propranol (inderal) - ✔✔bradycardia and depression
✔✔sex reassignment surgery - ✔✔no more dysphoria
✔✔ocd and adhd - ✔✔both develop repetitive routines
✔✔hallucinations after cocaine/amphetamines - ✔✔may persist for weeks after stopping
drug
✔✔before age 5 sleep - ✔✔different slow wave stages are not discernable on eeg
✔✔postdivorce mother behavior - ✔✔harsher and inconsistent punishment
✔✔delirium - ✔✔aloc and inability focus, shift attn
SOLUTIONS RATED A+
✔✔atypical antipsychotics - ✔✔clozapine, resperidone, olanzapine, quetiapine
positive and negative sx
motor disorders too
act on d4 (dopamine), serotonin, glutamate
side effects; anticholinergic, sedation, lowered seizure threshold,
extrapyrmidal side effects are lower, except akathesia
aranulocytosis; low wbc.
still can cause neuroleptic malignant syndrome, lower chance of tardive dyskensia
✔✔bipolar meds - ✔✔valproic acid and lithium
✔✔tricyclics - ✔✔imipramine, clomipramine, amitryptaline, notryptline, doxepin
best for depression w/low appetite, sleep problem, anhedonia, vegetative/somatic sx
also for ocd, bulimia, panic disorder
block reuptake of norepinephrine, serotonin, dopamine. support catecholamine
hypothesis
*cardiotoxic. can be fatal w/overdose
✔✔tricyclics side effects - ✔✔cardiotoxic, anticholinergic side effects, fine hand tremor
✔✔ssri side effects - ✔✔gastro sx, insomnia, anxiety, sexual dysfunction
✔✔maoi's - ✔✔anticholinergic side effects, weight gain, hypertensive crisis
✔✔ssri - ✔✔fluoxetine, fluvoxamine, paroxetine, setraline
best for melancholic depression
faster effect than tricyclics
,serotonin syndrome; when combined w/another maoi or serotergnic agent; may lead to
coma/death
✔✔maois - ✔✔isocarboxazid, phenelzine, tranylcypromine
best for atypical depression
*hypertensive crisis (avoid tyramine foods) give fluids for tx
✔✔mood stabilizer - ✔✔lithium. carbamazepine, valproic acid, clonazepam
(anticonvulsants)
lithium- bipolar (fine hand tremor), monitor blood levels. avoid salts
3 anticonvulsant drug; good for rapid cyclers.
✔✔sedative-hypnotics (barbituates, anxiolytics, alcohol) - ✔✔cns depressants
causes dependence (cross-tolerance), w/drawal is dangerous
benzos (end in -pam/-lam) = anxiety drugs (gaba)
*buspirone = no sedation, but takes longer to work
✔✔beta-blocker - ✔✔*propranolol (for high bp)
not good for asthma and needs to be slowly tapered off
✔✔opiod w/drawal - ✔✔bad flu-like
✔✔adhd meds - ✔✔methylphenidate (for narcolepsy too)
prolonged use= paranoid schizo
drug holidays
✔✔anti-alcohol drugs - ✔✔disulfiram and naltrexone
✔✔bronfenbenner - ✔✔mi- face to face relationships
me- interactions like family n school
exo- broad env to childs env
ma-culture, politic
chro-lifetime stuff like ses, familyy structure change
✔✔rutter's indicators - ✔✔6 factors
, ✔✔prenatal dev - ✔✔germinal 2 weeks'zygote
embryonic 8th week (teratogens)
fetal birth
✔✔klinefelter - ✔✔males only
✔✔turner - ✔✔females only
✔✔babinski - ✔✔tows fan out
✔✔rooting - ✔✔touch cheek and turns head
✔✔moro - ✔✔startle response flings arms and legs outward
✔✔stepping - ✔✔makes walking movements
✔✔infant, which sense is worst - ✔✔vision; close to adult level at 6 months
✔✔alzeheimer's most loss of cells - ✔✔medial temporal lobe
✔✔alcohol dependence - ✔✔ppl acknowledge they have a problem
✔✔jungian archetype - ✔✔collective unconscious
✔✔groupthink - ✔✔pressure for uniformity limits effectiveness
✔✔type 1 error - ✔✔rejects a true hypothesis
✔✔side effects of propranol (inderal) - ✔✔bradycardia and depression
✔✔sex reassignment surgery - ✔✔no more dysphoria
✔✔ocd and adhd - ✔✔both develop repetitive routines
✔✔hallucinations after cocaine/amphetamines - ✔✔may persist for weeks after stopping
drug
✔✔before age 5 sleep - ✔✔different slow wave stages are not discernable on eeg
✔✔postdivorce mother behavior - ✔✔harsher and inconsistent punishment
✔✔delirium - ✔✔aloc and inability focus, shift attn
