2
MH701 Review Final FNU – 3 Exam with accurate detailed
|| || || || || || || || || ||
solutions
compulsive drug craving and use, despite adverse consequences - ✔✔Addiction
|| || || || || || || || ||
A maladaptive pattern of substance use with tolerance, withdrawal, and persistent desire to
|| || || || || || || || || || || || ||
obtain? - ✔✔Substance dependence
|| || ||
Educating patient on low-risk drinking - ✔✔men no more than 4 drinks on one occasion or
|| || || || || || || || || || || || || || || ||
14 drinks per week
|| || ||
women no more than 3 drinks on one occasion or 7 drinks/week
|| || || || || || || || || || ||
Deficiency leading to decrease mental functioning, weakness, ataxia, and nystagmus? -
|| || || || || || || || || || ||
✔✔Thiamine B1 - Wernickle encephalopathy || || || ||
Pt. presents restless, increased HR, BP, and dilated pupils. Intoxication of what substance? -
|| || || || || || || || || || || || || ||
✔✔Stimulants
Most often cause of death with use of ecstasy (MDMA)? - ✔✔Dehydration & Hyperthermia
|| || || || || || || || || || || || ||
Insomnia, running nose, diaphoresis, muscle aches, nausea, chills, fever are S/S of
|| || || || || || || || || || || ||
withdrawal from what? - ✔✔Opioids - Heroin || || || || || ||
Mu opioid receptor that blocks the effects of opioids while suppressing withdrawal
|| || || || || || || || || || || ||
symptoms? - ✔✔Methadone || ||
,2
Does NOT stimulant mu receptors, it just blocks them from being capable of stimulation? -
|| || || || || || || || || || || || || || ||
✔✔Naltrexone
Aversion therapy medication that treats chronic alcoholism? - ✔✔Disulfiram
|| || || || || || || ||
Inhibits the reuptake of dopamine and norephinephrine to treat ADHD? -
|| || || || || || || || || || ||
✔✔Methlyphenidate
A prodrug activated by lysine portion of molecule by enzymes resulting in gradual release of
|| || || || || || || || || || || || || ||
drug? - ✔✔Lisdexamphetamine
|| || ||
Approved for ADHD and binge eating, also good for those with a history of drug abuse who
|| || || || || || || || || || || || || || || || ||
are adults with ADHD? - ✔✔Lisdexamphetamine
|| || || || ||
Norepinephrine reuptake inhibitor - first non-stimulant approved by FDA for ADHD tx. || || || || || || || || || || || ||
(inhibits presynaptic norepinephrine transport) - ✔✔Atomoxetine
|| || || || ||
reduced hyperactivity and/or impulsivity, also used for Tic disorder and Tourette's? -
|| || || || || || || || || || || ||
✔✔Alfa-adrenergic agonists || ||
eg. Clonidine, Guanfacine
|| ||
Child on Adderall seems more irritable and emotional in afternoon. What is causing it?
|| || || || || || || || || || || || || ||
What could you do? - ✔✔Add additional short-acting dose in afternoon, change to long
|| || || || || || || || || || || || || ||
acting (would be first option), add adjunctive dose of alfa-adrenergic agonist
|| || || || || || || || || ||
Rapid onset, hours to weeks duration, fluctuating attention, impaired recent & immediate
|| || || || || || || || || || || ||
memory? - ✔✔Delirium || ||
, 2
Reduce inactivation acetylcholine & thus potentiate cholinergic neurotransmitter for
|| || || || || || || || ||
memory? - ✔✔Donepezil || ||
Produces effect by blockade of NMDA receptors - indicated for moderate to severe memory?
|| || || || || || || || || || || || || ||
- ✔✔Memantine
||
Benzo options - elderly that has no active metabolites, half-lives that do not increases with
|| || || || || || || || || || || || || || ||
age? - ✔✔Lorazepam
|| ||
Often avoided in elderly due to significant orthostatic hypotension and anti-cholinergic
|| || || || || || || || || || ||
effects? - ✔✔TCA's || ||
Two TCA's are more tolerable for the elderly? - ✔✔Desipramine & nortiptyline
|| || || || || || || || || || ||
Called pleasure chemical, too much schizophrenia, to little depression? - ✔✔Dopamine
|| || || || || || || || || ||
Plays tole in mood, anxiety, sleep and appetite, too little associated with depression? -
|| || || || || || || || || || || || || ||
✔✔Serotonin
What is the expected time most anti-depressants take to exert significant effect? - ✔✔4-6
|| || || || || || || || || || || || || ||
wks
Citalopram is an example of what class antidepressants? - ✔✔SSRI || || || || || || || || ||
SSRI with one of the longest half-lives? - ✔✔Fluoxetine
|| || || || || || || ||
SSRI with the shortest half life? - ✔✔Paroxetine
|| || || || || || ||
MH701 Review Final FNU – 3 Exam with accurate detailed
|| || || || || || || || || ||
solutions
compulsive drug craving and use, despite adverse consequences - ✔✔Addiction
|| || || || || || || || ||
A maladaptive pattern of substance use with tolerance, withdrawal, and persistent desire to
|| || || || || || || || || || || || ||
obtain? - ✔✔Substance dependence
|| || ||
Educating patient on low-risk drinking - ✔✔men no more than 4 drinks on one occasion or
|| || || || || || || || || || || || || || || ||
14 drinks per week
|| || ||
women no more than 3 drinks on one occasion or 7 drinks/week
|| || || || || || || || || || ||
Deficiency leading to decrease mental functioning, weakness, ataxia, and nystagmus? -
|| || || || || || || || || || ||
✔✔Thiamine B1 - Wernickle encephalopathy || || || ||
Pt. presents restless, increased HR, BP, and dilated pupils. Intoxication of what substance? -
|| || || || || || || || || || || || || ||
✔✔Stimulants
Most often cause of death with use of ecstasy (MDMA)? - ✔✔Dehydration & Hyperthermia
|| || || || || || || || || || || || ||
Insomnia, running nose, diaphoresis, muscle aches, nausea, chills, fever are S/S of
|| || || || || || || || || || || ||
withdrawal from what? - ✔✔Opioids - Heroin || || || || || ||
Mu opioid receptor that blocks the effects of opioids while suppressing withdrawal
|| || || || || || || || || || || ||
symptoms? - ✔✔Methadone || ||
,2
Does NOT stimulant mu receptors, it just blocks them from being capable of stimulation? -
|| || || || || || || || || || || || || || ||
✔✔Naltrexone
Aversion therapy medication that treats chronic alcoholism? - ✔✔Disulfiram
|| || || || || || || ||
Inhibits the reuptake of dopamine and norephinephrine to treat ADHD? -
|| || || || || || || || || || ||
✔✔Methlyphenidate
A prodrug activated by lysine portion of molecule by enzymes resulting in gradual release of
|| || || || || || || || || || || || || ||
drug? - ✔✔Lisdexamphetamine
|| || ||
Approved for ADHD and binge eating, also good for those with a history of drug abuse who
|| || || || || || || || || || || || || || || || ||
are adults with ADHD? - ✔✔Lisdexamphetamine
|| || || || ||
Norepinephrine reuptake inhibitor - first non-stimulant approved by FDA for ADHD tx. || || || || || || || || || || || ||
(inhibits presynaptic norepinephrine transport) - ✔✔Atomoxetine
|| || || || ||
reduced hyperactivity and/or impulsivity, also used for Tic disorder and Tourette's? -
|| || || || || || || || || || || ||
✔✔Alfa-adrenergic agonists || ||
eg. Clonidine, Guanfacine
|| ||
Child on Adderall seems more irritable and emotional in afternoon. What is causing it?
|| || || || || || || || || || || || || ||
What could you do? - ✔✔Add additional short-acting dose in afternoon, change to long
|| || || || || || || || || || || || || ||
acting (would be first option), add adjunctive dose of alfa-adrenergic agonist
|| || || || || || || || || ||
Rapid onset, hours to weeks duration, fluctuating attention, impaired recent & immediate
|| || || || || || || || || || || ||
memory? - ✔✔Delirium || ||
, 2
Reduce inactivation acetylcholine & thus potentiate cholinergic neurotransmitter for
|| || || || || || || || ||
memory? - ✔✔Donepezil || ||
Produces effect by blockade of NMDA receptors - indicated for moderate to severe memory?
|| || || || || || || || || || || || || ||
- ✔✔Memantine
||
Benzo options - elderly that has no active metabolites, half-lives that do not increases with
|| || || || || || || || || || || || || || ||
age? - ✔✔Lorazepam
|| ||
Often avoided in elderly due to significant orthostatic hypotension and anti-cholinergic
|| || || || || || || || || || ||
effects? - ✔✔TCA's || ||
Two TCA's are more tolerable for the elderly? - ✔✔Desipramine & nortiptyline
|| || || || || || || || || || ||
Called pleasure chemical, too much schizophrenia, to little depression? - ✔✔Dopamine
|| || || || || || || || || ||
Plays tole in mood, anxiety, sleep and appetite, too little associated with depression? -
|| || || || || || || || || || || || || ||
✔✔Serotonin
What is the expected time most anti-depressants take to exert significant effect? - ✔✔4-6
|| || || || || || || || || || || || || ||
wks
Citalopram is an example of what class antidepressants? - ✔✔SSRI || || || || || || || || ||
SSRI with one of the longest half-lives? - ✔✔Fluoxetine
|| || || || || || || ||
SSRI with the shortest half life? - ✔✔Paroxetine
|| || || || || || ||
