FNP BOARD REVIEW - PSYCHOLOGY
(FITZGERALD) TEST
Lorazepam or oxazepam is the preferred benzodiazepine for treating alcohol withdrawal symptoms
when there is a concomitant history of:
A. seizure disorder.
B. folate deficiency anemia.
C. multiple substance abuse.
D. hepatic dysfunction. (correct answers)D
Which of the following agents offers an intervention for the control of tremor and tachycardia
associated with alcohol withdrawal?
A. phenobarbital
B. clonidine
C. verapamil
D. naltrexone (correct answers)B
13. Which of the following is most likely to be noted in a 45-year-old woman with laboratory evidence of
chronic excessive alcohol ingestion?
A. alanine aminotransferase (ALT) 202 U/L (0 to 31 U/L), mean corpuscular volume (MCV) 70 fL (80 to 96
fL)
,B. aspartate transaminase (AST) 149 U/L (0 to 31 U/L), MCV 81 fL (80 to 96 fL)
C. ALT 88 U/L (0 to 31 U/L), MCV 140 fL (80 to 96 fL)
D. AST 80 U/L (0 to 31 U/L), MCV 103 fL (80 to 96 fL) (correct answers)D
14. Which of the following is the anticipated clinical effect of acamprosate (Campral®) in the treatment
of alcohol dependence?
A. modifies intoxicating effects of alcohol
B. causes unpleasant adverse effects of alcohol
C. helps to reduce the urge to drink
D. minimizes alcohol withdrawal symptoms (correct answers)C
When discontinuing benzodiazepine treatment after prolonged use, you recommend:
A. terminating treatment immediately.
B. decreasing the dose 20% per day.
C. decreasing the dose 25% per week.
D. decreasing the dose 50% per week. (correct answers)C
When assessing a person with acute opioid withdrawal, you expect to find:
A. constipation.
, B. hypertension.
C. hypothermia.
D. somnolence. (correct answers)B
An alternative to methadone that can be used to curb opioid withdrawal symptoms is the use of:
A. gabapentin.
B. buprenorphine plus naloxone.
C. methylnaltrexone.
D. topiramate. (correct answers)B
Hyperthermia and a racing heart rate is a potentially life-threatening presentation for a person using:
A. cannabis.
B. MDMA (e.g., Molly).
C. LSD.
D. barbiturates. (correct answers)B
Use of flunitrazepam (Rohypnol®) has been associated with:
A. agitation.
B. amnesia.
C. increased appetite.
D. hallucination. (correct answers)B
(FITZGERALD) TEST
Lorazepam or oxazepam is the preferred benzodiazepine for treating alcohol withdrawal symptoms
when there is a concomitant history of:
A. seizure disorder.
B. folate deficiency anemia.
C. multiple substance abuse.
D. hepatic dysfunction. (correct answers)D
Which of the following agents offers an intervention for the control of tremor and tachycardia
associated with alcohol withdrawal?
A. phenobarbital
B. clonidine
C. verapamil
D. naltrexone (correct answers)B
13. Which of the following is most likely to be noted in a 45-year-old woman with laboratory evidence of
chronic excessive alcohol ingestion?
A. alanine aminotransferase (ALT) 202 U/L (0 to 31 U/L), mean corpuscular volume (MCV) 70 fL (80 to 96
fL)
,B. aspartate transaminase (AST) 149 U/L (0 to 31 U/L), MCV 81 fL (80 to 96 fL)
C. ALT 88 U/L (0 to 31 U/L), MCV 140 fL (80 to 96 fL)
D. AST 80 U/L (0 to 31 U/L), MCV 103 fL (80 to 96 fL) (correct answers)D
14. Which of the following is the anticipated clinical effect of acamprosate (Campral®) in the treatment
of alcohol dependence?
A. modifies intoxicating effects of alcohol
B. causes unpleasant adverse effects of alcohol
C. helps to reduce the urge to drink
D. minimizes alcohol withdrawal symptoms (correct answers)C
When discontinuing benzodiazepine treatment after prolonged use, you recommend:
A. terminating treatment immediately.
B. decreasing the dose 20% per day.
C. decreasing the dose 25% per week.
D. decreasing the dose 50% per week. (correct answers)C
When assessing a person with acute opioid withdrawal, you expect to find:
A. constipation.
, B. hypertension.
C. hypothermia.
D. somnolence. (correct answers)B
An alternative to methadone that can be used to curb opioid withdrawal symptoms is the use of:
A. gabapentin.
B. buprenorphine plus naloxone.
C. methylnaltrexone.
D. topiramate. (correct answers)B
Hyperthermia and a racing heart rate is a potentially life-threatening presentation for a person using:
A. cannabis.
B. MDMA (e.g., Molly).
C. LSD.
D. barbiturates. (correct answers)B
Use of flunitrazepam (Rohypnol®) has been associated with:
A. agitation.
B. amnesia.
C. increased appetite.
D. hallucination. (correct answers)B
