NRNP 6675 Midterm Exam 2021
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 system
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
12.Which of the following are keys to distinguishing OCD from psychosis?
Patients with OCD can almost always acknowledge the unreasonable nature of
their symptoms
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 system
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
12.Which of the following are keys to distinguishing OCD from psychosis?
Patients with OCD can almost always acknowledge the unreasonable nature of
their symptoms
