Maryville University Of St. Louis

Which medication is contraindicated with liver impairment? correct answer: Atomoxine (Straterra) What is one of the birth defects associated with Litihum? correct answer: Ebstein's anomaly Which SSRI drug causes cardiovascular malformations in the first trimester of pregnancy? correct answer: Paroxetine (Paxil) Mechanism of action of a stimulant for ADHD Methylphenidate and amphetamine? correct answer: increases the intrasynaptic levels of both dopamine and norepinephrine What c...

The core symptoms of ADHD are linked to what area of the brain? correct answer: prefrontal cortex Selective attention is due to what area of the PFC malfunctioning? correct answer: dorsal ACC (anterior cingulate cortex) sustained attention and problem solving linked to what area of the brain? correct answer: DLPFC hyperactivity is linked to what area of the brain? correct answer: prefrontal motor cortex what test assessing sustained attention? correct answer: N-back test wher...

What is the medication that is the antidote for alprazolam? correct answer: flumazenil What is the MOA of pregabalin that makes it alleviate pain for people with fibromyalgia or chronic fatigue? correct answer: binds to the alpha 2 delta sub-units of voltage sensitive calcium channels What is an antagonist of caffeine correct answer: adenosine Diagnose this pt: Patient comes in with a CC of anxiety. She has been excessively worrying, increased arousal, increased tiredness and irritab...

Which medication has the SE of losing hair correct answer: Lithium The pt is bipolar, and had a partial response to depakote and now is going to be augmented with an atypical antipsychotic, the effects of atypical antipsychotics in non-psychotic mania may be due to what correct answer: indirect effect on glutamate release via 5H2A antagonism A pt has had some success with his current antidepression medication, has tried many different antidepressants, so you decide to augment with L-meth...

Fluoxetine (Prozac) Major Side Effects SSRI correct answer: -Sexual dysfunction (men: delayed ejaculation, erectile dysfunction; men and women: decreased sexual desire, anorgasmia) -Gastrointestinal (decreased appetite, nausea, diarrhea, constipation, dry mouth) -Mostly CNS (insomnia but also sedation, agitation, tremors, headache, dizziness) Note: patients with diagnosed or undiagnosed bipolar or psychotic disorders may be more vulnerable to CNS-activating actions of SSRIs -Autonomic (swea...

A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The NAP states they were busy and did not have a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped even lower. In which phase of the nursing process did the nurse first make ...

Sertraline (Zoloft) Major Side Effects correct answer: insomnia, somnolence, HA, dry mouth, sex dysfunction, nausea & diarrhea Fluoxetine (Prozac) Major Side Effect correct answer: Activating (UPPER); AGITATION, INSOMNIA, nausea, vomiting, sex dysfunction, GI, serotonin syndrome Paraoxetine (Paxil) Major Side Effects correct answer: Anticholinergic (can't see, can't sleep, can't shit, can't spit), CYP2D6 inhibitor, increases TCA, phenothiazines, Type 1C antiarrhythmics, ...

mesolimbic pathway correct answer: subcortical part of the brain involved in cognition and emotion Name the dopamine pathways and the symptoms associated correct answer: 1. NIGROSTRIATAL- to basal ganglia--movements 2. MESOLIMBIC- positive symptoms (assoc w/ euphoria and drug abuse 3.MESOCORTICAL-- with C's VTA-DLPFC - cognitive sympts; VTA-VMPFC- affective symptoms 4. TUBEROINFUNDIBULAR--hypothalamus to anterior pituitary; hyperprolactemia 5. THALAMIC --involved in deep sleep/aro...

Which of the following is considered the pleasure center of the brain? A. Cortico-striatal-thalamic-cortical loop B. Mesolimbic dopamine pathway C. Mesocortical dopamine pathway D. None of the above correct answer: B. Mesolimbic dopamine pathway A 35-year-old cigarette smoker would like to quit but is nervous because she typically craves a cigarette approximately every 2 hrs. The craving and withdrawal are due to: A. Desensitization of nicotinic receptors B. Resensitization of nicotini...

Cyclothymic Disorder Diagnostic Criteria: correct answer: • Diagnostic Criteria: For at least 2 years (1 year in children and adolescents) there have been numerous periods with hypomanic symptoms that do not meet the criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet the criteria for a major depressive episode • During the above 1- or 2-year period, the hypomanic and depressive periods have been present for at least half of the time and the...