NU 664 EXAM 2 STUDY GUIDE
2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. 5HT2A - ANSWER ✔ anxiety
2. 5HT2B - ANSWER ✔ mood
3. Norepinephrine - ANSWER ✔ alertness, arousal, energy, focus
4. dopamine (D2) - ANSWER ✔ motivation, anhedonia, pleasure
5. serotonin subtypes related to fear - ANSWER ✔
6. trichotillomania - ANSWER ✔ a disorder characterized by the repeated
pulling out of one's own hair
7. suicide risk factors - ANSWER ✔ Suicide in the family
Preexisting psychological disorder
Alcohol use and abuse
Past suicidal behavior
, Experience of a shameful / humiliating stressor
Communicating suicidal ideation
Giving belongings away
8. suicide risk assessment - ANSWER ✔ Three elements:
-is there a specific plan with details
-how lethal is the proposed method.
-does the client have access to the proposed method.
When the proposed method is available, the situation is more serious.
9. serotonin receptors - ANSWER ✔ 5HT1A- anxiolytic
5HT2a/ 5HT2C- anxiety, fear activation
10.Trichtotillomania - ANSWER ✔ compulsively pulling at the hair from the
scalp, eyebrows, and other body areas. OCD related, dopamine and
serotonin involvement. treated with CBT and SSRI
11.persistent depressive disorder - ANSWER ✔ deprssed mood for greater than
2 years,, no symptom free period greater than 2 months
12.postpartum depression - ANSWER ✔ within 4 weeks usually (but can
happen any time in the first year). Hormonal wiwthdrawal )estrogen/
progesterone drop) Higher risk of pre-existing depression
13.depression in children - ANSWER ✔ irritability, somatic complaints, school
decline, social withdrwal
,14.depression in adults - ANSWER ✔ sadness, guilt, anhedonia, sleep/ appetite
changes
15.side effects of SSRIs - ANSWER ✔ GI upset, sexual dysfunction, insomnia,
serotonin syndrome
16.when should you avoid wellbutrin - ANSWER ✔ eating disorders
17.clinical manifestations of primary amenorrhea - ANSWER ✔ absence of
menarche by age 15
18.differential diagnoses for primary amenorrhea - ANSWER ✔ pregnancy,
turner syndrome, mullerian agenesis, delay of puberty, PCOS, weight loss,
excessive exercise, anorexia
19.diagnostic workup for primary amenorrhea - ANSWER ✔ pelvic US, HCG,
FSH, TSH, prolactin
20.clinical manifestations of secondary amenorrhea - ANSWER ✔ absence of
menses for more than 3 cycle intervals or 6 months in women who were
previously menstruating
21.what is the provera challenge? - ANSWER ✔ start with progestin for 10
days and then stop. if bleeding starts again, she has estrogen but is not
ovulating. If she does not start bleeding again, she is ovulating but has
outflow tract problem like scarring or adhesions.
bleed = not ovulating
, no bleed = ovulating, scarring adhesions
22.when is the provera challenge used? - ANSWER ✔ for diagnostic of
secondary amenorrhea with normal labs and history of uterine
instrumentation
23.turner's syndrome clinical manifestations - ANSWER ✔ 1. hypogonadism
-absent/non functioning sex chromosome (45X0) -> gonadal dysgenesis ->
rudimentary, fibrosed ovaries -> primary amenorrhea in 80% (menopause
before menarche) or early ovarian failure with secondary amenorrhea (20%),
delayed secondary sex characteristics (absence of breasts), infertility in a
majority of patients
2. physical exam
-short stature, webbed neck, prominent ears, posterior hairline, broad chest
with hypoplastic widely spaced nipples, (congenital lymphedema seen in
neonates), short 4th metacarpals, high arched palate, nail dysplasia, may
have hearing loss
3. cardiovascular
-coarctation of the aorta
-MVP
-bicuspid aortic valves
-aortic dissection
-HTN
4. renal
-congenital abnormalities (horseshoe kidney)
-hydronephrosis
2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. 5HT2A - ANSWER ✔ anxiety
2. 5HT2B - ANSWER ✔ mood
3. Norepinephrine - ANSWER ✔ alertness, arousal, energy, focus
4. dopamine (D2) - ANSWER ✔ motivation, anhedonia, pleasure
5. serotonin subtypes related to fear - ANSWER ✔
6. trichotillomania - ANSWER ✔ a disorder characterized by the repeated
pulling out of one's own hair
7. suicide risk factors - ANSWER ✔ Suicide in the family
Preexisting psychological disorder
Alcohol use and abuse
Past suicidal behavior
, Experience of a shameful / humiliating stressor
Communicating suicidal ideation
Giving belongings away
8. suicide risk assessment - ANSWER ✔ Three elements:
-is there a specific plan with details
-how lethal is the proposed method.
-does the client have access to the proposed method.
When the proposed method is available, the situation is more serious.
9. serotonin receptors - ANSWER ✔ 5HT1A- anxiolytic
5HT2a/ 5HT2C- anxiety, fear activation
10.Trichtotillomania - ANSWER ✔ compulsively pulling at the hair from the
scalp, eyebrows, and other body areas. OCD related, dopamine and
serotonin involvement. treated with CBT and SSRI
11.persistent depressive disorder - ANSWER ✔ deprssed mood for greater than
2 years,, no symptom free period greater than 2 months
12.postpartum depression - ANSWER ✔ within 4 weeks usually (but can
happen any time in the first year). Hormonal wiwthdrawal )estrogen/
progesterone drop) Higher risk of pre-existing depression
13.depression in children - ANSWER ✔ irritability, somatic complaints, school
decline, social withdrwal
,14.depression in adults - ANSWER ✔ sadness, guilt, anhedonia, sleep/ appetite
changes
15.side effects of SSRIs - ANSWER ✔ GI upset, sexual dysfunction, insomnia,
serotonin syndrome
16.when should you avoid wellbutrin - ANSWER ✔ eating disorders
17.clinical manifestations of primary amenorrhea - ANSWER ✔ absence of
menarche by age 15
18.differential diagnoses for primary amenorrhea - ANSWER ✔ pregnancy,
turner syndrome, mullerian agenesis, delay of puberty, PCOS, weight loss,
excessive exercise, anorexia
19.diagnostic workup for primary amenorrhea - ANSWER ✔ pelvic US, HCG,
FSH, TSH, prolactin
20.clinical manifestations of secondary amenorrhea - ANSWER ✔ absence of
menses for more than 3 cycle intervals or 6 months in women who were
previously menstruating
21.what is the provera challenge? - ANSWER ✔ start with progestin for 10
days and then stop. if bleeding starts again, she has estrogen but is not
ovulating. If she does not start bleeding again, she is ovulating but has
outflow tract problem like scarring or adhesions.
bleed = not ovulating
, no bleed = ovulating, scarring adhesions
22.when is the provera challenge used? - ANSWER ✔ for diagnostic of
secondary amenorrhea with normal labs and history of uterine
instrumentation
23.turner's syndrome clinical manifestations - ANSWER ✔ 1. hypogonadism
-absent/non functioning sex chromosome (45X0) -> gonadal dysgenesis ->
rudimentary, fibrosed ovaries -> primary amenorrhea in 80% (menopause
before menarche) or early ovarian failure with secondary amenorrhea (20%),
delayed secondary sex characteristics (absence of breasts), infertility in a
majority of patients
2. physical exam
-short stature, webbed neck, prominent ears, posterior hairline, broad chest
with hypoplastic widely spaced nipples, (congenital lymphedema seen in
neonates), short 4th metacarpals, high arched palate, nail dysplasia, may
have hearing loss
3. cardiovascular
-coarctation of the aorta
-MVP
-bicuspid aortic valves
-aortic dissection
-HTN
4. renal
-congenital abnormalities (horseshoe kidney)
-hydronephrosis
