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NRNP 6675-15 Week 6 Midterm Exam 2022/23

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NRNP 6675-15 Week 6 Midterm Exam 2022/23

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NRNP 6675-15 Week 6 Midterm Exam 2022/23


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NRNP 6675-15 Week 6 Midterm Exam 2022/23
1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply

Age

Rapid dose escalation

Parental route of administration

Higher potency typical antipsychotics




2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the
following effects?

Reduces negative symptoms

Increases extra pyramidal symptoms (EPS)

Causes prolactinemia

Reduces positive symptoms




3. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of the
following receptors?

GABA type receptors

Serotonin receptors

Dopamine receptors

NMDA type receptors

,4. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting
from recent ingestion or exposure to a substance is known as which of the following?

Substance intoxication

Substance withdrawal

Substance use disorder

Any of the above


5. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known
as which of the following?

Akathisia

Dystonia

Tardive dyskinesia

Extrapyramidal side effects


6. A deeply held belief despite evidence to the contrary, lasting at least one month, without prominent
hallucinations, with functional impairment that relates to the delusional syste.....

Schizophrenia

Delusional disorder

Brief psychotic disorder

Schizophreniform disorder


7. Which of the following is true about preoccupation with castration?

This can be serious and life-threatening if castration is carried out without medical supervision.

This is consistent with Transvestic Disorder

This is consistent with other specified paraphilic disorder

This is consistent with sexual masochism disorder


8. Which of the following is a system that provides a uniform language for describing medical and
surgical procedures and diagnostic services rendered by clinicians?

HIPPA

DSM-5

, CPT

DRG


9. A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milky
urine. The ARNP realizes which of the following?

This is likely a harmless response to the Chlorpromazine

This is abnormal and needs to be evaluated by a specialist

It is critical to stop the Chlorpromazine immediately

This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up


10. A condition which results from absence of second female sex Chromosome (XO) and is associated
with web neck, dwarfism, cubitus valgus, and infertility is known as which of the following?

Hermaphroditism
Turner's syndrome

Adrenogenital syndrome

Androgen insensitivity syndrome


11. Which of the following would be characterized as a negative symptom of schizophrenia?

Hallucinations and delusions

Impaired social and occupational functioning

Isolation and impaired self-care

B and C only


Which of the following are keys to distinguishing OCD from psychosis?

Patients with OCD can almost always acknowledge the unreasonable nature of

their symptoms


Patients with OCD are better able to control their compulsions.

Patients with psychosis will have more obsessive thoughts.

Patients with OCD have less bizarre obsessions.

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