Maryville University Of St. Louis

NURS 660 EXAM 3 REVIEW QUESTIONS AND ANSWERS 2023 ADHD. A 15-year-old patient with ADHD has a rare mutation in the gene for the dopamine transporter (DAT). In deciding which treatment to initiate for this patient's ADHD, you know it will be important to avoid treatments that depend on normally functioning DAT. Which of the following drugs are transported into neurons via the dopamine transporter? Peer Answers Your Answer A. Amphetamine 53% B. Atomoxetine 10% C. Methylphenidate 11% D. A ...

NURS 660 Exam 1 Study Guide 2023. The mesocortical dopamine pathway also projects from the midbrain ventral tegmental area but sends its axons to areas of the prefrontal cortex, where they may have a role in mediating cognitive symptoms (dorsolateral prefrontal cortex, DLPFC) and affective symptoms (ventromedial prefrontal cortex, VMPFC) of schizophrenia. Expression of these symptoms is thought to be associated with hypoactivity of this pathway.  The tuberoinfundibular dopamine pathway p...

NURS 660 Exam 4 Review (Study Guide) 2023 - Chapter 13: ADHD. Substance abuse and ADHD address substance abuse first before the ADHD symptoms, don’t automatically put them on a stimulant, treat SA then go back and treat ADHD sx 7) Inattentive symptoms of ADHD are noticeable at 5-6 years old 8) Grow out of ADHD?? In 50% of patients, adult ADHD may occur because frontal lobe doesn’t catch up, demonstrates impulsiveness and hyperactive sx 9) Which stimulant transports into the neurons via...

NR 660 Exam 2 Study Guide 2023. Citalopram (Celexa) Side effects Sexual dysfx (dose dependent), decreased appetite, nausea, diarrhea, constipation, dry mouth, insomnia, sedation, agitation, tremors, sweating, bruising, bleeding, hyponatremia (rare, mostly in elderly), SIADH Adverse effects RARE seizures, mania induction, activation of suicidal ideation Drug interactions Tramadol (seizures), Increase TCA, Serotonin syndrome when added with MAOIs (Don’t start MAOIs until 5-7 days after ...

NURS 660 Painful Exam 4 Review 2023. ADHD presents to the office with hx of etoh and marijuana abuse which neurotransmitters/MOA can lead to euphoria and abuse? a. **NEI:Pulsatile delivery of stimulants can cause a frequent and rapid increase in NE and DA, and this amplifies phasic firing. Phasic firing is hypothetically associated with reward, feelings of euphoria, and abuse. 17. Diagnosed as a child with ADHD how does it progress into adulthood? Does symptomology change? Which 2 symptoms...

NURS 660 Psychopharmacology Exam 1 Review 2023. Know the positive and negative symptoms of schizophrenia, where they originate from, and what medications treat these symptoms. Positive symptoms:  psychosis, hallucinations, delusions  Mesolimbic origin  Medications: D2 antagonists Negative symptoms:  more related to mood disturbance, apathy, anhedonia, neuroleptic dysphoria, cognitive blunting  Mesocortical/prefrontal cortex, nucleus accumbens, reward circuit origins ...

NURS 660 Painful Exam 4 Review 2023. ADHD Medication contraindicated with liver impairment? A. Strattera 2. What is one of the birth defects associated with Lithium? a. ebstein's anomaly – cardiac anomaly 3. Review category A, B, C, D-What is the category, not enough human studies risk can’t be ruled out in pregnancy a. very few recommended b. relatively safe sertraline, latuda c. no data for harm but in animal studies issues occurred d. D cannot be ruled out 4. SSRI cardiovascula...

NURS 660 Exam 2 Study Guide 2023. Know how to switch patients from one class of antidepressants to another STANDARD APPROACH Generally switching from one antidepressant to another is a 1-2 week cross taper. Goal is to prevent withdrawal symptoms, exacerbation of psychiatric illness or drug-drug interaction. At times one drug may be stopped abruptly and the next started the following day at equivalent dose if pharmacodynamic properties are similar—typically within the same drug class. SSR...

NURS 660 Exam 4 Review (Study Guide) 2023 - Chapter 13: ADHD. Methylphenidate and amphetamine work by increasing the intrasynaptic levels of both norepinephrine and dopamine 2) Monitor for palpitations, chest pain and syncope; vital signs who are on ADHD meds 3) Where do hyperactive symptoms of ADHD originate from? Pre-frontal motor cortex (p. 472, several questions on the origin of sx so then you can match the medication) 4) Where do impulsive symptoms of ADHD originate? Orbital frontal co...

NURS 660 Exam 1 Study Guide 2023. Suicide Assessment DIM - Suicide appears to occur when a mental Disorder is present, Intent develops, and Means become available When Should Suicide Assessment be Conducted?  First assessment on any patient with a mental illness or substance abuse diagnosis.  When a patient experiences sadness, low mood, recent loss or hopelessness, and at each subsequent session as long as the patient remains at risk.  Any time a patient has any other identified...