NRNP 6675 MIDTERM EXAM (100-100 POINTS)

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
 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.



13. A federal program administered nationally and locally which covers enrolled
individuals 65 years and older who pay premiums and disabled individuals....

 Medicare
 Medicaid
 Both A and B
 None of the above