NSG 552 PSYCHOPHARMACOLOGY EXAM 3 LATEST
ACTUAL EXAM
What is the mechanism of action of Naloxone? - ANSWER: Pure opioid antagonist
that competes and displaces opioids receptor sites.
What medications treat opioid disorder? - ANSWER: Methadone;
Buprenorphine, buprenorphine + Naloxone
What medication for opioid use disorder is used with comorbid pain? - ANSWER:
Buprenorphine + Naloxone
Inappropriate use of what substance may be due to uncontrolled pain? - ANSWER:
Opioids
What are the Naltrexone delivery methods? - ANSWER: Tablet;
Injectable;
Implant
What is one form of Naltrexone delivery method limited to inpatient use? - ANSWER:
Implant
What is the mechanism of action buprenorphine? - ANSWER: Mu receptor partial
agonist for opioid withdrawal
What medication taken too soon after last opioid use increases the chances of
intense withdrawal that comes on very quickly (precipitated withdrawal)? - ANSWER:
Buprenorphine
What are symptoms of opioid intoxication? - ANSWER: Nausea and vomiting;
Respiratory depression;
Constipation;
Itching;
Mioisis (small pupil);
Euphoria; and
Sedation
What withdrawal symptoms of opioids? - ANSWER: Nausea and vomiting;
Diarrhea;
Dehydration;
Irritability;
Restlessness;
Yawning;
Twitching;
, Increased heart rate and blood pressure;
Chills;
Increased temperature;
Rhinorrhea;
Lacrimation;
Dilated pupils
What medication is given for opioid intoxication during cardiac or respiratory
depression is a concern? - ANSWER: Naloxone
What are symptoms of cocaine intoxication? - ANSWER: Dilated pupils;
Headache;
Tremor;
Hyper-reflexia;
Twitching;
MI;
Nausea and vomiting;
Incontinence/ARF;
Rhabdomyolysis
What is the treatment for cocaine intoxication? - ANSWER: Benzodiazepines;
Antipsychotics;
Management of medical problems that include hypertension, stroke, cardiac
arrhythmias, hyperthermia, and seizures
What would not be the treatment for chest pain and MI from cocaine? - ANSWER:
Beta blockers are to be avoided due to unopposed a-adrenergic stimulation.
What are the symptoms for alcohol intoxication? - ANSWER: Blood levels;
Decreased reaction time;
Muscle incoordination;
Ataxia;
Dysarthria;
Respiratory failure;
Coma
What are the treatments for severe alcohol intoxication? - ANSWER:
Cardiopulmonary function maintenance;
Thiamine;
Haloperidol PRN for agitation
What medication is given to prevent Wernicke's encephalopathy? - ANSWER:
Thiamine given intramuscular or intravenously along with intravenous fluids and a
banana bag
What class of drugs are to be avoided for acute alcohol intoxication? - ANSWER:
Benzodiazepines
ACTUAL EXAM
What is the mechanism of action of Naloxone? - ANSWER: Pure opioid antagonist
that competes and displaces opioids receptor sites.
What medications treat opioid disorder? - ANSWER: Methadone;
Buprenorphine, buprenorphine + Naloxone
What medication for opioid use disorder is used with comorbid pain? - ANSWER:
Buprenorphine + Naloxone
Inappropriate use of what substance may be due to uncontrolled pain? - ANSWER:
Opioids
What are the Naltrexone delivery methods? - ANSWER: Tablet;
Injectable;
Implant
What is one form of Naltrexone delivery method limited to inpatient use? - ANSWER:
Implant
What is the mechanism of action buprenorphine? - ANSWER: Mu receptor partial
agonist for opioid withdrawal
What medication taken too soon after last opioid use increases the chances of
intense withdrawal that comes on very quickly (precipitated withdrawal)? - ANSWER:
Buprenorphine
What are symptoms of opioid intoxication? - ANSWER: Nausea and vomiting;
Respiratory depression;
Constipation;
Itching;
Mioisis (small pupil);
Euphoria; and
Sedation
What withdrawal symptoms of opioids? - ANSWER: Nausea and vomiting;
Diarrhea;
Dehydration;
Irritability;
Restlessness;
Yawning;
Twitching;
, Increased heart rate and blood pressure;
Chills;
Increased temperature;
Rhinorrhea;
Lacrimation;
Dilated pupils
What medication is given for opioid intoxication during cardiac or respiratory
depression is a concern? - ANSWER: Naloxone
What are symptoms of cocaine intoxication? - ANSWER: Dilated pupils;
Headache;
Tremor;
Hyper-reflexia;
Twitching;
MI;
Nausea and vomiting;
Incontinence/ARF;
Rhabdomyolysis
What is the treatment for cocaine intoxication? - ANSWER: Benzodiazepines;
Antipsychotics;
Management of medical problems that include hypertension, stroke, cardiac
arrhythmias, hyperthermia, and seizures
What would not be the treatment for chest pain and MI from cocaine? - ANSWER:
Beta blockers are to be avoided due to unopposed a-adrenergic stimulation.
What are the symptoms for alcohol intoxication? - ANSWER: Blood levels;
Decreased reaction time;
Muscle incoordination;
Ataxia;
Dysarthria;
Respiratory failure;
Coma
What are the treatments for severe alcohol intoxication? - ANSWER:
Cardiopulmonary function maintenance;
Thiamine;
Haloperidol PRN for agitation
What medication is given to prevent Wernicke's encephalopathy? - ANSWER:
Thiamine given intramuscular or intravenously along with intravenous fluids and a
banana bag
What class of drugs are to be avoided for acute alcohol intoxication? - ANSWER:
Benzodiazepines
