6675 Midterm Exam Prep Tutorial (Q & A)
Already Graded A+
1). Discrepancy between anatomical sex and gender is known as?
Ans: B) Gender Discordance
2). Which of the following are risk factors for neuroleptic malignant syndrome? select all that
apply
Ans: Rapid dose escalation; parental route of administration; higher potency typical
antipsychotics
3). Antipsychotic medication provides d2 blockage in the meso-coritcal pathway causing
which of the following effects?
Ans: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
4). Phencyclidine (pcp) and ketamine exert their unique behavioral effects by blocking which
of the following receptors?
Ans: D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"
5). The diagnosis used to describe a syndrome characterized by specific s/s resulting from
recent ingestion or exposure to a substance is known as which of the folllowing?
Ans: C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above
6). Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue
jaw is known as which of the following?
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, Ans: C) Tardive dyskinesia
Incorrect: akathisia, dystonia, EPS
7). A deeply held belief despite evidence to the contrary, lasting at least 1 month, without
prominent hallucinations, with functional impairment that relates to the delusional system
disorder called?
Ans: Delusional disorder
8). Which of the following is true about preoccupation with castration?
Ans: A) This can be serious and life threatening if castration is carried out without
medical supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or
sexual machochism disorder
9). Which of the following is a system that provides a uniform language for describing
medical and surgical procedures and diagnostics services rendered by clinicians?
Ans: CPT
Incorrect: HIPPA, DSM5-, DRG
10). A patient on chlorpromazine states his orgasm is dry and afterwards he will commonly
have milky urine. the aprn realizes this is which of the following?
Ans: A) This is likely a harmless response to the Chlorpromazine
"Thorazine"
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, 11). 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?
Ans: B) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for women when they decide to have a
baby
12). Which of the following would be characterized as a negative s/s of schizophrenia?
Ans: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
13). Which of the following are keys to distinguishing ocd from psychosis?
Ans: Patients with OCD can almost always acknowledge the unreasonable nature of
their symptoms
14). A federal program administered nationally and locally which covers enrolled individuals
65+ who pays premiums and disabled individuals
Ans: Both A& B (Medicare and Medicaid)
15). Having an adequate legal description of nurse practitioner (np) scope of practice
according to state law is important for which of the following reasons?
Ans: All of the above (to avoid any charges of practicing medicine without a license,
to place accountability for both benefits and harm to patients squarely on the NP, to get
reimbursed for physician services when provided by a NP
16). Which of the following is the most widely consumed psychoactive substance?
Ans: B) Caffeine
Incorrect: alcohol, heroin, cannabis
17). Which of the following is used to tx td?
PaperStoc.com Page 3 of 65
, Ans: None of the above
(cogentin, artane, catapress)
18). The aprn consensus model did which of the following?
Ans: B & C
B) adult and gerontology were merged and identified as PCP or acute care
C) psychiatric mental health foci were stipulated as across the lifespan
19). Which of the following behaviors are associated with an alcohol blood level of 0.05%?
Ans: B) Thought judgement and restraints are impaired
20). According to hippa, which of the following must the np share their npi with? check all the
above
Ans: A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
21). A patient presents with delusions, disorganized thoughts, and speech with poor self care
all of which has persisted for the past 7 months. the aprn knowns this presentation means
what diagnosis?
Ans: Schizophrenia
22). Major neurotransmitters possibly involved in developing substance abuse and substance
dependence are which of the following?
Ans: A) Dopamine
Incorrect: GABA, serotonin, A& B only
23). The dopamine hypothesis of schizophrenia, which of the following?
Ans: A) Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine
PaperStoc.com Page 4 of 65
Already Graded A+
1). Discrepancy between anatomical sex and gender is known as?
Ans: B) Gender Discordance
2). Which of the following are risk factors for neuroleptic malignant syndrome? select all that
apply
Ans: Rapid dose escalation; parental route of administration; higher potency typical
antipsychotics
3). Antipsychotic medication provides d2 blockage in the meso-coritcal pathway causing
which of the following effects?
Ans: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
4). Phencyclidine (pcp) and ketamine exert their unique behavioral effects by blocking which
of the following receptors?
Ans: D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"
5). The diagnosis used to describe a syndrome characterized by specific s/s resulting from
recent ingestion or exposure to a substance is known as which of the folllowing?
Ans: C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above
6). Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue
jaw is known as which of the following?
PaperStoc.com Page 1 of 65
, Ans: C) Tardive dyskinesia
Incorrect: akathisia, dystonia, EPS
7). A deeply held belief despite evidence to the contrary, lasting at least 1 month, without
prominent hallucinations, with functional impairment that relates to the delusional system
disorder called?
Ans: Delusional disorder
8). Which of the following is true about preoccupation with castration?
Ans: A) This can be serious and life threatening if castration is carried out without
medical supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or
sexual machochism disorder
9). Which of the following is a system that provides a uniform language for describing
medical and surgical procedures and diagnostics services rendered by clinicians?
Ans: CPT
Incorrect: HIPPA, DSM5-, DRG
10). A patient on chlorpromazine states his orgasm is dry and afterwards he will commonly
have milky urine. the aprn realizes this is which of the following?
Ans: A) This is likely a harmless response to the Chlorpromazine
"Thorazine"
PaperStoc.com Page 2 of 65
, 11). 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?
Ans: B) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for women when they decide to have a
baby
12). Which of the following would be characterized as a negative s/s of schizophrenia?
Ans: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
13). Which of the following are keys to distinguishing ocd from psychosis?
Ans: Patients with OCD can almost always acknowledge the unreasonable nature of
their symptoms
14). A federal program administered nationally and locally which covers enrolled individuals
65+ who pays premiums and disabled individuals
Ans: Both A& B (Medicare and Medicaid)
15). Having an adequate legal description of nurse practitioner (np) scope of practice
according to state law is important for which of the following reasons?
Ans: All of the above (to avoid any charges of practicing medicine without a license,
to place accountability for both benefits and harm to patients squarely on the NP, to get
reimbursed for physician services when provided by a NP
16). Which of the following is the most widely consumed psychoactive substance?
Ans: B) Caffeine
Incorrect: alcohol, heroin, cannabis
17). Which of the following is used to tx td?
PaperStoc.com Page 3 of 65
, Ans: None of the above
(cogentin, artane, catapress)
18). The aprn consensus model did which of the following?
Ans: B & C
B) adult and gerontology were merged and identified as PCP or acute care
C) psychiatric mental health foci were stipulated as across the lifespan
19). Which of the following behaviors are associated with an alcohol blood level of 0.05%?
Ans: B) Thought judgement and restraints are impaired
20). According to hippa, which of the following must the np share their npi with? check all the
above
Ans: A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
21). A patient presents with delusions, disorganized thoughts, and speech with poor self care
all of which has persisted for the past 7 months. the aprn knowns this presentation means
what diagnosis?
Ans: Schizophrenia
22). Major neurotransmitters possibly involved in developing substance abuse and substance
dependence are which of the following?
Ans: A) Dopamine
Incorrect: GABA, serotonin, A& B only
23). The dopamine hypothesis of schizophrenia, which of the following?
Ans: A) Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine
PaperStoc.com Page 4 of 65
