1
NR
NR 547/ NR547 FINAL EXAM: (NEW 2025/ 2026 UPDAT
M M M M MM M M M
E) DIFFERENTIAL DIAGNOSIS IN PSYCHIATRIC -
M M M M
MENTAL HEALTH GUIDE| QUESTIONS & ANSWERS| GRADE A
M M M M M M M
| 100% CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
M M M M M
1. Medications for depression: SSRIs m m m
SNRIs
SDRIs
TCAs
MAOIs
2. SSRIs: -Action: inhibit 5-HT reuptake
m m m m
-
Examples: citalopram, escitalopram, fluoxetine, paroxetine, se
m m m m m
rtraline -Adverse effects:
m m
• nausea
• agitation
• diarrhea
• headache
• weight gain
m
• sexual side effects
m m
3. SNRIs: -inhibit 5-HT reuptake
m m m m
-inhibit NE reuptake (‘ energy, focus)
m m m m m
NR 547mmmmmmmmmmm1m/m127
m
, 2
NR
-increase DA in prefrontal cortex (‘ cognition)
m m m m m m
-
Examples: desvenlafaxine, duloxetine, levomilnacipran, venl
m m m m
afaxine -Adverse effects:
m m
• elevated blood pressure m m
• nausea
• sweating
• tremors
• anxiety
• insomnia
• constipation
• anorexia
• sexual dysfunctionm
4. SDRIs: -
m m
inhibit DA reuptake (‘alertness, motiv
m m m m
ation) -inhibit NE reuptake (‘energy) -
m m m m m
Adverse effects: m
• agitation
• headache
• dry mouth
m
• constipation• weight loss m m
5. TCAs: -
m m
Action: inhibits the reuptake of serotonin and norepinephrine;
m m m m m m m m
NR 547mmmmmmmmmmm2m/m127
m
, 3
NR
blocks norepinephrine, histamine, and acetylcholine receptors
m m m m m
m -
Examples: amitriptyline, clomipramine, desipramine, doxepin
m m m m
-Common Side Effects: m m m
• dry mouth m
• constipation
• blurred vision m
• urinary retention m
• sedation
• weight gain m
• hypotension
• tachycardia
• sexual dysfunction m
6. MAOIs: -
m m
Action: increases norepinephrine and serotonin by inhibiting the e
m m m m m m m m
nzyme that inactivates it
m m m
-
Examples: isocarboxazid, phenelzine, tranylcypr
m m m
omine -Common Side Effects:
m m m m
• sedation
• dizziness
• sexual dysfunction m
• hypertensive crisis m
NR 547mmmmmmmmmmm3m/m127
m
, 4
NR
7. Prescribing pearls: citalopram (Celexa): mild antihistamine e
m m m m m m
ffects
8. Prescribing pearls: escitalopram (Lexapro): no known drug i
m m m m m m m
nteractions
9. Prescribing pearls: fluoxetine (Prozac): longest half-life
m m m m m
10. Prescribing pearls: paroxetine (Paxil): also treats social a
m m m m m m m
nxiety and insomnia 11. Prescribing pearls: fluvoxamine (Lu
m m m m m m m
vox): treats anxious depression smokers require increased dos
m m m m m m m
e
12. Prescribing pearls: sertraline (Zoloft): also treats social an
m m m m m m m
xiety and hypersomnolence
m m
13. Prescribing pearls: bupropion (Wellbutrin): NDRI may im m m m m m m
prove energy, alertness, and motivation; not first line treatment for
m m m m m m m m m
m anxiety; contraindicated in clients with a history of seizures
m m m m m m m m
14. Prescribing pearls: duloxetine (Cymbalta): effective for at
m m m m m m
ypical pain at higher doses; appropriate for clients who present wit
m m m m m m m m m m
h somatic symptoms of depression; effective for atypical pain, suc
m m m m m m m m m
h as fibromyalgia and diabetic neuropathy
m m m m m
15. Prescribing pearls: venlafaxine (Effexor): treats both depr
m m m m m m
ession and anxiety disorders, ensure trial of higher dose before s
m m m m m m m m m m
witching to a different medication 16. Prescribing pearls: desven
m m m m m m m m
lafaxine (Pristiq): effective for perimenopausal vasomotor sympt
m m m m m m
oms
NR 547mmmmmmmmmmm4m/m127
m
NR
NR 547/ NR547 FINAL EXAM: (NEW 2025/ 2026 UPDAT
M M M M MM M M M
E) DIFFERENTIAL DIAGNOSIS IN PSYCHIATRIC -
M M M M
MENTAL HEALTH GUIDE| QUESTIONS & ANSWERS| GRADE A
M M M M M M M
| 100% CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
M M M M M
1. Medications for depression: SSRIs m m m
SNRIs
SDRIs
TCAs
MAOIs
2. SSRIs: -Action: inhibit 5-HT reuptake
m m m m
-
Examples: citalopram, escitalopram, fluoxetine, paroxetine, se
m m m m m
rtraline -Adverse effects:
m m
• nausea
• agitation
• diarrhea
• headache
• weight gain
m
• sexual side effects
m m
3. SNRIs: -inhibit 5-HT reuptake
m m m m
-inhibit NE reuptake (‘ energy, focus)
m m m m m
NR 547mmmmmmmmmmm1m/m127
m
, 2
NR
-increase DA in prefrontal cortex (‘ cognition)
m m m m m m
-
Examples: desvenlafaxine, duloxetine, levomilnacipran, venl
m m m m
afaxine -Adverse effects:
m m
• elevated blood pressure m m
• nausea
• sweating
• tremors
• anxiety
• insomnia
• constipation
• anorexia
• sexual dysfunctionm
4. SDRIs: -
m m
inhibit DA reuptake (‘alertness, motiv
m m m m
ation) -inhibit NE reuptake (‘energy) -
m m m m m
Adverse effects: m
• agitation
• headache
• dry mouth
m
• constipation• weight loss m m
5. TCAs: -
m m
Action: inhibits the reuptake of serotonin and norepinephrine;
m m m m m m m m
NR 547mmmmmmmmmmm2m/m127
m
, 3
NR
blocks norepinephrine, histamine, and acetylcholine receptors
m m m m m
m -
Examples: amitriptyline, clomipramine, desipramine, doxepin
m m m m
-Common Side Effects: m m m
• dry mouth m
• constipation
• blurred vision m
• urinary retention m
• sedation
• weight gain m
• hypotension
• tachycardia
• sexual dysfunction m
6. MAOIs: -
m m
Action: increases norepinephrine and serotonin by inhibiting the e
m m m m m m m m
nzyme that inactivates it
m m m
-
Examples: isocarboxazid, phenelzine, tranylcypr
m m m
omine -Common Side Effects:
m m m m
• sedation
• dizziness
• sexual dysfunction m
• hypertensive crisis m
NR 547mmmmmmmmmmm3m/m127
m
, 4
NR
7. Prescribing pearls: citalopram (Celexa): mild antihistamine e
m m m m m m
ffects
8. Prescribing pearls: escitalopram (Lexapro): no known drug i
m m m m m m m
nteractions
9. Prescribing pearls: fluoxetine (Prozac): longest half-life
m m m m m
10. Prescribing pearls: paroxetine (Paxil): also treats social a
m m m m m m m
nxiety and insomnia 11. Prescribing pearls: fluvoxamine (Lu
m m m m m m m
vox): treats anxious depression smokers require increased dos
m m m m m m m
e
12. Prescribing pearls: sertraline (Zoloft): also treats social an
m m m m m m m
xiety and hypersomnolence
m m
13. Prescribing pearls: bupropion (Wellbutrin): NDRI may im m m m m m m
prove energy, alertness, and motivation; not first line treatment for
m m m m m m m m m
m anxiety; contraindicated in clients with a history of seizures
m m m m m m m m
14. Prescribing pearls: duloxetine (Cymbalta): effective for at
m m m m m m
ypical pain at higher doses; appropriate for clients who present wit
m m m m m m m m m m
h somatic symptoms of depression; effective for atypical pain, suc
m m m m m m m m m
h as fibromyalgia and diabetic neuropathy
m m m m m
15. Prescribing pearls: venlafaxine (Effexor): treats both depr
m m m m m m
ession and anxiety disorders, ensure trial of higher dose before s
m m m m m m m m m m
witching to a different medication 16. Prescribing pearls: desven
m m m m m m m m
lafaxine (Pristiq): effective for perimenopausal vasomotor sympt
m m m m m m
oms
NR 547mmmmmmmmmmm4m/m127
m