ANCC IQ Domains Exam
Questions with Complete
Solutions
Oxcarbazepine (Trileptal) - Correct Answers: The following are adverse effects of which medication?
-Blood sugar: 114
-A1C: 5.6
-Excess urination and thirst
Citalopram (Celexa) - Correct Answers: Which SSRI has dose-related cardiovascular adverse effects (NTE
40 mg/day)?
Meperidine (Demerol) - Correct Answers: Which medication is CONTRAINDICATED with Selegeline
(MAOI) due to risk of hypertensive crisis and death?
Locus Ceruleus and Medullary Reticular Formation - Correct Answers: Which two areas of the brain
produce norepinephrine neurons?
Wellbutrin - Correct Answers: *Which medication is unique in that it's both a dopamine AND
norepinephrine reuptake inhibitor (increases both)?
Manic episode - Correct Answers: A bipolar patient is on corticosteroids for shingles, what is the
concern?
Cerebral Cortex - Correct Answers: Negative symptoms of Schizophrenia are related to dopamine
DEFICIT in which area of the brain?
Mesolimbic System and Nucleus Accumbens - Correct Answers: *Positive symptoms of Schizophrenia
are related to dopamine EXCESS in which areas of the brain? (2)
, Tuberoinfundibular Pathway - Correct Answers: In Schizophrenia, dopamine blockade/antagonism in
what pathway may result with breast discharge (galacorrhea?)
CYP1A2 - Correct Answers: *Which cytochrome enzyme is implicated as a tobacco INDUCER while
patient is on Clozapine?
Fragile X Syndrome - Correct Answers: The following features raise concern for genetic evaluation for
what syndrome? Long head and ears, short stature, hyperextensible joints
Prefrontal Cortex - Correct Answers: Which area of the brain is implicated to module pain? Loss of gray
matter is a/c chronic pain, predisposition to chronic medication use is toxic to gray matter
Right Hemisphere (recognition of facial expressions, music, visual images) - Correct Answers: *If the
patient is unable to draw a face on the block for MMSE, what area of the brain is compromised?
1. ENLARGED cerebral ventricles
2. Decreased electrical activity in frontal lobs
3. Decreased glutamate and GABA release
4. Decreased total brain volune - Correct Answers: *What would you see on MRI/PET scan for someone
with Schizophrenia? (4)
Serial 7s (substracting 7s from 100) - Correct Answers: *Which component of the MMSE assesses for
CONCENTRATION (cognitive abilities)?
MMSE: Thought Content - Correct Answers: *SI (plan, method, intent, access) is documented in which
part of the psychiatric evaluation?
Edinburgh Postnatal Depression Scale (EPDS) - Correct Answers: ACOG recommends which screening
tool for women with postpartum depression?
Capgras Syndrome - Correct Answers: *The delusional belief that people have been replaced by
imposters
Questions with Complete
Solutions
Oxcarbazepine (Trileptal) - Correct Answers: The following are adverse effects of which medication?
-Blood sugar: 114
-A1C: 5.6
-Excess urination and thirst
Citalopram (Celexa) - Correct Answers: Which SSRI has dose-related cardiovascular adverse effects (NTE
40 mg/day)?
Meperidine (Demerol) - Correct Answers: Which medication is CONTRAINDICATED with Selegeline
(MAOI) due to risk of hypertensive crisis and death?
Locus Ceruleus and Medullary Reticular Formation - Correct Answers: Which two areas of the brain
produce norepinephrine neurons?
Wellbutrin - Correct Answers: *Which medication is unique in that it's both a dopamine AND
norepinephrine reuptake inhibitor (increases both)?
Manic episode - Correct Answers: A bipolar patient is on corticosteroids for shingles, what is the
concern?
Cerebral Cortex - Correct Answers: Negative symptoms of Schizophrenia are related to dopamine
DEFICIT in which area of the brain?
Mesolimbic System and Nucleus Accumbens - Correct Answers: *Positive symptoms of Schizophrenia
are related to dopamine EXCESS in which areas of the brain? (2)
, Tuberoinfundibular Pathway - Correct Answers: In Schizophrenia, dopamine blockade/antagonism in
what pathway may result with breast discharge (galacorrhea?)
CYP1A2 - Correct Answers: *Which cytochrome enzyme is implicated as a tobacco INDUCER while
patient is on Clozapine?
Fragile X Syndrome - Correct Answers: The following features raise concern for genetic evaluation for
what syndrome? Long head and ears, short stature, hyperextensible joints
Prefrontal Cortex - Correct Answers: Which area of the brain is implicated to module pain? Loss of gray
matter is a/c chronic pain, predisposition to chronic medication use is toxic to gray matter
Right Hemisphere (recognition of facial expressions, music, visual images) - Correct Answers: *If the
patient is unable to draw a face on the block for MMSE, what area of the brain is compromised?
1. ENLARGED cerebral ventricles
2. Decreased electrical activity in frontal lobs
3. Decreased glutamate and GABA release
4. Decreased total brain volune - Correct Answers: *What would you see on MRI/PET scan for someone
with Schizophrenia? (4)
Serial 7s (substracting 7s from 100) - Correct Answers: *Which component of the MMSE assesses for
CONCENTRATION (cognitive abilities)?
MMSE: Thought Content - Correct Answers: *SI (plan, method, intent, access) is documented in which
part of the psychiatric evaluation?
Edinburgh Postnatal Depression Scale (EPDS) - Correct Answers: ACOG recommends which screening
tool for women with postpartum depression?
Capgras Syndrome - Correct Answers: *The delusional belief that people have been replaced by
imposters
