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If your patient is a smoker you will need ___________doses of their medication. -
ANSWER higher
Inhibitors - ANSWER inhibit metabolism and therefore increase levels of the drug.
SICKFACES.com for Inhibitors - ANSWER Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Alcohol
Chloramphenicol
Erythromycin
Sulfonamine
Cipro
Omeprazole
Metronidazole
Which cytochrome enzyme is implicated as a tobacco inducer when an individual is
treated with clozapine
a. 2D6
b. 1A2
c. 2C19
d. 2C9 - ANSWER 1A2
(want A 2 cigarette break)
When treating older adults, you should keep in mind that they are more sensitive to
issues of drug toxicity because of which of the following reasons?
A. Decreased body fat
B. Increased liver capacity
C. Decreased protein binding
D. Increased muscle concentration - ANSWER Decreased protein binding
For 12 years, a 65 year old patient with bipolar affective disorder has been treated with
lithium 900 mg daily. When oral HCTC 12.5 daily is added for hypertension, the patient
develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum
lithium level is 2.0. The interaction of the lithium and the thiazide diuretic has induced:
A. hypokalemia
B. hyponatremia
C. Increased renal clearance of lithium
,D. Decreased renal clearance of lithium - ANSWER A. decreased renal clearance of
lithium
Where is norepinephrine produced - ANSWER locus coeruleus and medullary reticular
formation
Norepinephrine is associated with - ANSWER mood disorders
Serotonin is made where in the brain - ANSWER raphe nuclei of the brainsteam
Serotonin is associated with - ANSWER sleep and mood disorder
Dopamine is made in - ANSWER substantia nigra, central tegmental area, ventral
tegmental area,
Dopamine is associated with - ANSWER addiction and psychosis
Acetylcholine is made - ANSWER basal nucleus of Meynert
Most abundant inhibitory neurotransmitter in the brain - ANSWER GABA
I don't have enough GABA, my anxiety is high
Med used to increase GABA - ANSWER benzos Fred
flinstone needs a Zanny, Gabba dabba do.
Most excitatory neutransmitter - ANSWER glutamate
Increased level of corticotropin releasing hormone in the amygdala, hippocampus and
locus coeruleus - ANSWER increases symptoms of anxiety.
Autism - ANSWER deficits in social communication and social interaction across
multiple settings
Parents of kids with autism may report - ANSWER No response when called by name
Little or no eye contact
Children with autism often like to line up, stack, or organize objects and toys.
Screenings for autism - ANSWER ADOS
M-CHAT
ASQ
Pharm management for autism - ANSWER antipsychotics are effective for symptoms
such as tantrums, aggressive behaviors, self-injurious behaviors
,Serotonin is a neurotransmitter that is implicated in sleep and mood. What area of the
brain has a large majority of serotonin neurons?
A. raphe nuclei
B. Nucleus acumbuns
C. Locus coeruleus
D. Amygdala - ANSWER raphe nuclei
Executive functioning, thinking, planning, organizing, and problem solving, emotions,
and behavioral control, personality - ANSWER frontal lobe
memory, understanding, language - ANSWER temporal lobe
Both hemispheres of the brain are connected by the - ANSWER corpus callosum
Area of sensorimotor information exchange between two hemispheres - ANSWER
corpus callosum
When there is disturbances in clock drawing test, which hemisphere is compromised -
ANSWER right hemisphere/right parietal lobe
Area for expressive speech - ANSWER frontal lobe
Broca's Area
Problems in the frontal lobe can lead to - ANSWER personality changes, emotional
changes, and intellectual changes, social skills problems, and behavior changes
Area for receptive speech and language comprehension - ANSWER Temporal lobe
Wernicke's area
Problems in the temporal lobe can lead to - ANSWER auditory hallucinations, aphasia,
and amnesia
Occipital lobe - ANSWER primary visual area
problems in the occipital lobe can lead to - ANSWER Visual field deficits, blindness and
visual hallucinations.
primary sensory area of the brain - ANSWER parietal lobe
problems in the parietal lobe can lead to - ANSWER Sensory-perceptual disturbances
and agnosia(inability to perceive objects)
, R-L confusion
Difficulty writing (agraphia)
Aphasia(difficulty of language)
Cerebellum is responsible for - ANSWER gross motor skills
fine motor skills
balance
A client experiencing difficulties with working memory, planning, and prioritizing, insight
into his problems, and impulse control presents for assessment. In planning his care,
the PMHNP should apply his knowledge that these symptoms represent problems with
the
A. frontal lobe
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe - ANSWER frontal lobe
Impairments in the clock drawing test can be associated with - ANSWER damage to
the right parietal lobe
What part of the brain is responsible for regulating emotions?
A. Wernicke's area
B. Occipital lobe
C. Hippocampus
D. Parietal lobe - ANSWER Hippocampus
Limbic system responsible for - ANSWER emotions and memory
Hypothalamus - ANSWER appetite, hunger, water balance, circadian rhythms, libido,
hormonal regulation
thalamus - ANSWER sensory relay for smell
emotions, memory, and regulated affective behaviors
amygdala - ANSWER regulated emotion
mediates mood
emotional memories/meanings, fear, anxiety, stress emotion, aggression
substantia nigra - ANSWER motor movements
amygdala= - ANSWER emotional memory
Which of these brain structures puts emotional meaning on a stimulus, forms, emotional