NURS 660 EXAM 3 QUESTIONS AND
ANSWERS 2026 VERIFIED.
What is the medication that is the antidote for alprazolam? - ANS flumazenil
What is the MOA of pregabalin that makes it alleviate pain for people with fibromyalgia or
chronic fatigue? - ANS binds to the alpha 2 delta sub-units of voltage sensitive calcium
channels
What is an antagonist of caffeine - ANS adenosine
Diagnose this pt: Patient comes in with a CC of anxiety. She has been excessively worrying,
increased arousal, increased tiredness and irritability. What is the primary and least likely
diagnosis? - ANS GAD; Panic Disorder
Somebody w/ anxiety worries about having a panic attack, in addition has mood changes to
avoid things in order to not have a panic attack. - ANS Panic disorder
A woman was raped, and continues to have fear of opposite sex on her way to parking garage.
Which two areas of the brain are involved? - ANS amygdala and hippocampus
MOA of modafinil (Provigil). How does it promote normal wakefulness - ANS histamine, NE at
alpha adrenergic receptor sites, dopamine at D2 receptors
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 5
, What is the MOA of eszopiclone? What receptors does it act on? - ANS Binds to GABA
receptors to increase GABA to increase sleepiness
Which would be the first line appropriate pharmacological agent for PTSD? - ANS Paroxetine
What mediation is used to alleviate to help cognitive pain and physical symptoms in
fibromyalgia? - ANS Milnacepran (Savella)
With the difficulty breathing is related hypothetically to the activation of what area of the brain?
- ANS parabrachial nucleous
What medications are good for falling asleep "sleep induction" and are not addictive? -
ANS Suvorexant (Belsmora)
Know the MOA of buspirone. Which receptor does it primarily act upon? - ANS serotonin 1a
5HT1A partial agonist
How does melatonin improve sleep? What receptors does it act on? Agonist or antatonist? -
ANS Secreted by the pineal glad to attach to receptors in the suprachiasmic nucleus to
regulate the circadian rhythm; agonist
Current dx of generalized anxiety disorder (GAD), difficulty concentrating as well as problems
falling asleep. She gets very angry over basic things and is very moody in general, excessive
stressful reactions, concentrate, irritability. What is going on in her brain? - ANS a.
Dysfunction of amygdale and CTSC (serotonin/nor-einephrine)
Pt is coming in for detox with a long hx of alcohol abuse, HTN, and cirrhosis. He reports 12 beers
daily for weeks. Has w/d seizures when he tries to stop drinking on his own. So he has elevated
AST, LFT....what agent would you choose to detox him? - ANS lorazepam
Someone comes in with chronic hepatitis, also has chronic neuropathic pain. What medication
would you AVOID prescribing to this patient and why? - ANS Cymbalta; elevates LFTs
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 5
ANSWERS 2026 VERIFIED.
What is the medication that is the antidote for alprazolam? - ANS flumazenil
What is the MOA of pregabalin that makes it alleviate pain for people with fibromyalgia or
chronic fatigue? - ANS binds to the alpha 2 delta sub-units of voltage sensitive calcium
channels
What is an antagonist of caffeine - ANS adenosine
Diagnose this pt: Patient comes in with a CC of anxiety. She has been excessively worrying,
increased arousal, increased tiredness and irritability. What is the primary and least likely
diagnosis? - ANS GAD; Panic Disorder
Somebody w/ anxiety worries about having a panic attack, in addition has mood changes to
avoid things in order to not have a panic attack. - ANS Panic disorder
A woman was raped, and continues to have fear of opposite sex on her way to parking garage.
Which two areas of the brain are involved? - ANS amygdala and hippocampus
MOA of modafinil (Provigil). How does it promote normal wakefulness - ANS histamine, NE at
alpha adrenergic receptor sites, dopamine at D2 receptors
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 5
, What is the MOA of eszopiclone? What receptors does it act on? - ANS Binds to GABA
receptors to increase GABA to increase sleepiness
Which would be the first line appropriate pharmacological agent for PTSD? - ANS Paroxetine
What mediation is used to alleviate to help cognitive pain and physical symptoms in
fibromyalgia? - ANS Milnacepran (Savella)
With the difficulty breathing is related hypothetically to the activation of what area of the brain?
- ANS parabrachial nucleous
What medications are good for falling asleep "sleep induction" and are not addictive? -
ANS Suvorexant (Belsmora)
Know the MOA of buspirone. Which receptor does it primarily act upon? - ANS serotonin 1a
5HT1A partial agonist
How does melatonin improve sleep? What receptors does it act on? Agonist or antatonist? -
ANS Secreted by the pineal glad to attach to receptors in the suprachiasmic nucleus to
regulate the circadian rhythm; agonist
Current dx of generalized anxiety disorder (GAD), difficulty concentrating as well as problems
falling asleep. She gets very angry over basic things and is very moody in general, excessive
stressful reactions, concentrate, irritability. What is going on in her brain? - ANS a.
Dysfunction of amygdale and CTSC (serotonin/nor-einephrine)
Pt is coming in for detox with a long hx of alcohol abuse, HTN, and cirrhosis. He reports 12 beers
daily for weeks. Has w/d seizures when he tries to stop drinking on his own. So he has elevated
AST, LFT....what agent would you choose to detox him? - ANS lorazepam
Someone comes in with chronic hepatitis, also has chronic neuropathic pain. What medication
would you AVOID prescribing to this patient and why? - ANS Cymbalta; elevates LFTs
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 5
