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MH 701 Psychopharmacology Final Exam With 100% Correct And Verified Answers, Exams of Advanced Education

Bradykinesia - Correct Answer-slow movement Akathisia - Correct Answer-restlessness & urge to move the limbs Dystonia - Correct Answer-muscle spasms of the tongue, face, eyes, neck, and back Oculogyric crisis - Correct Answer-fixation of the eyeballs in an upward position due to extraocular muscle spasm Extrapyramidal symptoms - Correct Answer-Dystonia, Akathisia, & Parkinsonism How is the amygdala involved in production of anxiety or threatening situations - Correct Answer-The amygdala attaches emotional significance to information and mediates both defensive and aggressive behavior.

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2023/2024

Available from 06/27/2024

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Download MH 701 Psychopharmacology Final Exam With 100% Correct And Verified Answers and more Exams Advanced Education in PDF only on Docsity!

MH 701 Psychopharmacology Final

Exam With 100% Correct And Verified

Answers

Bradykinesia - Correct Answer-slow movement Akathisia - Correct Answer-restlessness & urge to move the limbs Dystonia - Correct Answer-muscle spasms of the tongue, face, eyes, neck, and back Oculogyric crisis - Correct Answer-fixation of the eyeballs in an upward position due to extraocular muscle spasm Extrapyramidal symptoms - Correct Answer-Dystonia, Akathisia, & Parkinsonism How is the amygdala involved in production of anxiety or threatening situations - Correct Answer-The amygdala attaches emotional significance to information and mediates both defensive and aggressive behavior. Neurotransmitters associated with depression - Correct Answer-serotonin, norepinephrine, dopamine Key neurotransmitter associated with anxiety - Correct Answer-GABA Neurotransmitters associated with antipsychotic medications - Correct Answer- Dopamine Serotonin - Correct Answer-Affects mood, hunger, sleep, and arousal Also obsessions & compulsions (OCD) Norepinephrine - Correct Answer-A neurotransmitter involved in arousal or ALERTNESS, as well as in learning and mood regulation Dopamine - Correct Answer-A neurotransmitter associated with movement, attention, motivation, and learning and the brain's pleasure and reward system. MDD treatment - Correct Answer-Best is combination of psychotherapy and pharmacological treatment Tertiary TCA's - Correct Answer-imipramine, amitriptyline, and clomipramine (OCD) Non-selective TCA's - Correct Answer-Tertiary TCA's amitriptyline

imipramine clomipramine that inhibit SEROTONIN and NOREPINEPHRINE. TCA's with most anti-cholinergic side effects - Correct Answer-Tertiary TCA's amitriptyline imipramine clomipramine TCA's with greatest fall risk and sedation - Correct Answer-Tertiary TCA's amitriptyline imipramine clomipramine Have more orthostatic hypotension and more anti-cholinergic side effects Selective TCA's - Correct Answer-Desipramine Nortriptyline Inhibits ONLY NOREPINEPHRINE transporters Safest TCA's for the eldery - Correct Answer-Secondary TCA's (selective TCA's) Desipramine Nortriptyline MOA of TCA's - Correct Answer-Prevents reuptake of serotonin and/or norepinephrine at the synaptic cleft Typical Antipyschotics - Correct Answer-block Dopamine D2 receptors in both pathways (mesocortical and mesolimbic) reducing positive symptoms but worsening negative symptoms. Haloperidol - Correct Answer-Typical antipsychotic (FGA) Fluphenazine - Correct Answer-Typical antipsychotic (FGA) FGA - Correct Answer-First generation antipsychotic aka "typical" SGA - Correct Answer-Second generation antipsychotic aka "atypcials" Typical antipsychotics - Correct Answer-Have a high potency T/F Extrapyramidal effects are temporary - Correct Answer-True, they usually stop when the medication is discontinued.

Discontinuation syndrome is most associated with - Correct Answer-Paroxetine(Paxil, SSRI) and venlafaxine (Effexor, SNRI) because of the short half life. Others can cause it too. Serotonin is produced - Correct Answer-Everywhere, in the brain, GI SSRI's with highest D2D interactions - Correct Answer-Paroxetine Fluoxetine Fluvoxamine Typical antipsychotics work on which neurotransmitters - Correct Answer-Only dopamine! They only help with positive symptoms Atypical antipsychotics work on which neurotransmitters - Correct Answer-Dopamine and Serotonin, helping both positive and negative symptoms Common lab work and monitoring for atypical antipsychotics - Correct Answer-Lipid panel, fasting glucose, BMI Which of the antipsychotics are more likely to have EPS and TD - Correct Answer- Typicals (FGA) Benzodiazepines most commonly used for alcohol withdrawal - Correct Answer- Lorazepam (ativan), diazepam (valium), or chlordiazepoxide (librium). In pt's with liver damage lorazepam is best because it is short acting. Adjunct to prescribe for sexual side effects of SSRI's (decreased libido)- - Correct Answer-Bupropion (wellbutrin) Seroquel - Correct Answer-Quetiapine Remeron - Correct Answer-Mirtazapine Mirtazepine (Remeron) - Correct Answer-Sedating Weight gain Low sexual side effects Medication choices to assist with insomnia in dementia patients with behavioral disturbances - Correct Answer-Mirtazapine (Remeron), Risperdal, Quetiapine (Seroquel) Goal of treatment with cholinesterase inhibitors - Correct Answer-Slow down disease progression/decline (memory loss, cognitive dysfunction), allow independence longer for Alzheimer patients

MOA of cholinesterase inhibitors - Correct Answer-Reduces inactivation of acetylcholine by cholinesterase in Alzheimer's process Cholinesterase inhibitors - Correct Answer-For Alzheimer's treatment A REVERSIBLE, long-acting, selective inhibitor of acetylcholinesterase (AChE) without inhibition of butyrylcholinesterase (BuChE).