1 | Page
NSG533|NSG 533 ADVANCED
PHARMACOLOGY TEST 1 WEEK 4
QUESTIONS WITH 100% CORRECT
SOLUTIONS | GUARANTEED SUCCESS.
Which of the following SSRIs requires up to a 5-week washout
period because of the
long half-life of its potent active metabolite?
A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
D. Sertraline - correct answer- C
Which of the following symptoms is most likely to improve
within approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep - correct answer- D
Of the following combinations of medications, which one would
you want to avoid?
,2 | Page
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole - correct answer- B
A 26-year-old man with a history of depression has been taking
sertraline 200 mg/day for 12 weeks with no response. The
patient has no other complications. The physician asks for your
recommendation. The most reasonable recommendation would
be to:
A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine
E. Decrease sertraline - correct answer- D
Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone - correct answer- C
, 3 | Page
A 23-year-old married white woman comes to the outpatient
psychiatric clinic
complaining of decreased sleep, decreased appetite,
decreased concentration, depressed
mood, thoughts of death, and lack of interest in activities for 6
weeks' duration. She has
no history of psychiatric illness and takes no medications
except for Ortho-Tri Cyclen Lo
daily. Based upon the patients symptoms, choose the best
medication to treat this patient.
A. Nefazodone 100 mg po twice daily
B. Paroxetine 20 mg po daily
C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime - correct answer- B
A 36-year-old man is admitted to the hospital for a severe
methicillin-resistant Staphylococcus aureus diabetic foot
infection and is started on linezolid 600 mg IV every 12 hours.
His medication profile includes paroxetine 40 mg every
morning, trazodone 100 mg at bedtime as needed for sleep,
and metformin 1000 mg po twice daily. After 3
days on these medications, the patient becomes agitated,
confused, and diaphoretic and develops myoclonic jerks. Which
of the following is the most likely diagnosis?
A. Overdose of metformin
B. Bacterial meningitis
C. Neuroleptic malignant syndrome
NSG533|NSG 533 ADVANCED
PHARMACOLOGY TEST 1 WEEK 4
QUESTIONS WITH 100% CORRECT
SOLUTIONS | GUARANTEED SUCCESS.
Which of the following SSRIs requires up to a 5-week washout
period because of the
long half-life of its potent active metabolite?
A. Escitalopram
B. Fluvoxamine
C. Fluoxetine
D. Sertraline - correct answer- C
Which of the following symptoms is most likely to improve
within approximately 1 week
of starting treatment?
A. Depressed mood
B. Suicidal thoughts
C. Anhedonia
D. Sleep - correct answer- D
Of the following combinations of medications, which one would
you want to avoid?
,2 | Page
A. Fluoxetine-lithium
B. Fluoxetine-phenelzine
C. Citalopram-valproic acid
D. Citalopram-aripiprazole - correct answer- B
A 26-year-old man with a history of depression has been taking
sertraline 200 mg/day for 12 weeks with no response. The
patient has no other complications. The physician asks for your
recommendation. The most reasonable recommendation would
be to:
A. Increase sertraline
B. Add fluoxetine
C. Switch to amitriptyline
D. Change to venlafaxine
E. Decrease sertraline - correct answer- D
Which of the following is a dangerous combination?
A. MAOI-lorazepam
B. MAOI-acetaminophen
C. MAOI-meperidine
D. MAOI-ziprasidone - correct answer- C
, 3 | Page
A 23-year-old married white woman comes to the outpatient
psychiatric clinic
complaining of decreased sleep, decreased appetite,
decreased concentration, depressed
mood, thoughts of death, and lack of interest in activities for 6
weeks' duration. She has
no history of psychiatric illness and takes no medications
except for Ortho-Tri Cyclen Lo
daily. Based upon the patients symptoms, choose the best
medication to treat this patient.
A. Nefazodone 100 mg po twice daily
B. Paroxetine 20 mg po daily
C. St. John's wort 300 mg po three times daily
D. Amitriptyline 25 mg at bedtime - correct answer- B
A 36-year-old man is admitted to the hospital for a severe
methicillin-resistant Staphylococcus aureus diabetic foot
infection and is started on linezolid 600 mg IV every 12 hours.
His medication profile includes paroxetine 40 mg every
morning, trazodone 100 mg at bedtime as needed for sleep,
and metformin 1000 mg po twice daily. After 3
days on these medications, the patient becomes agitated,
confused, and diaphoretic and develops myoclonic jerks. Which
of the following is the most likely diagnosis?
A. Overdose of metformin
B. Bacterial meningitis
C. Neuroleptic malignant syndrome
