Download MH701 Safety Exam 1 Review Questions With 100% Correct Answers 2024 and more Exams Advanced Education in PDF only on Docsity! MH701 Safety Exam 1 Review Questions With 100% Correct Answers 2024 Which neurotransmitters are most theorized when decreased lead to depression and anxiety? - Correct Answer- Norepinephrine and Serotonin The difference in the daignosis of dysthymia vs. MDD is dysthymia must present for how long? - Correct Answer-2 years-Someone with dysthymia has that "everything is just ok", nothings great everyday mood. Struggle with when last happy. MDD patient has a 2 week period of depression with symptoms of trouble sleeping, appetite, insight, guilt, concetration, pleasure, suicidal thoughts. MDD they remember being happy, not always sad and angry. A non-addictive and non habit forming alternative for the use in treating anxiety? - Correct Answer-Buspirone or Buspar- Take everyday, 2 times/day to see the most effect 4-6 weeks. Good add-on to antidepressant and also good for children. Substance to avoid when taking MAOIs and why? - Correct Answer-Tyramine and hypertensive crisis-Hardly seen in practice and used for last resort. Causes very high pressure. Tyramine items such as hotdogs, processed meat, sausage, pepperoni, chocolate, avocodoes, guac, raisins, bananas, yeasts, swiss cheese, blue cheese, wine, beer, alcohol, aged cheese. What SSRI has a shorter half-life and most often need to be weened to prevent issues with discontinuation? - Correct Answer-Paroxetine of Paxil-Pt. needs to be monitored due to days they will feel great or a low drop in their mood because of the half-life. Have a hard time discontinuing, have more anxiety, dizzy feeling. Paxil causes weight gain and sexual S/E. What class of antidepressants is more lethal in an overdose? - Correct Answer-TCAs-MOre lethal, SSRIs are safer. TCAs conducton of heart issues such as EKG changes and more drying. What is a patient likely to exhibit if they suddenly stop taking Venlafaxine (Effexor)? - Correct Answer-Discontinuation Syndrome-A rebound effect, feel worse than before starting the drug. Dizziness, blurry, nausea, cloudy feeling. Can feel a difference in 2-3 days. Educate patient on this if they are non- compliant. Must slowly ween off medication, so they do not have the effects. Patient on Lithium reveals she was recently started on Naproxen for pain daily. Your response? - Correct Answer- Naproxen can increase Lithium levels. Which of the following is considered a short-acting Benzodiazepine? - Correct Answer-Lorazepam (Ativan) Beta-blocker used for anxiety, restlessness, and agitation? - Correct Answer-Propranolol or Inderol-5 mg-10 mg used 2-3 times/day as needed for anxiety. Wonderful for social anxiety, used for anticipatory anxiety situation, stage presentations. Can be given 20-30 minutes before. Anxiety about being in places or situation from which escape might be difficult? - Correct Answer-Agoraphobia-May be afraind to leave home. Can have panic with or without. Panic- 1 month of worrying. Anxious patient struggles with weight, which of following meds more likely to worsen this issue? - Correct Answer- Valproic Acid or Depakote. Bruproprion (Wellbutrin) and Fluoetine (Prozac) can aid in weight loss Exposure to trauma, negative mood, irritability, sleep issues, flashbacks lasting 3 days to 1 month. - Correct Answer-Acute Stress Disorder-Will be within 1 month, happened recently, will be PTSD. If severe case, will be getting worse after 1 month. Medication believed to block effects of adrenaline and suppress nightmares? - Correct Answer-Prazosin or minipress- 1 mg-2 mg starting dose. Old BP medication. Monitor BP. Guafacine and Mirtazepine can also be used for nightmares. Patient who is stable complains of decreased sex drive from Sertraline, possible solution? - Correct Answer-add-on Buproprion (Wellbutrin)-Hits the Dopamine, pleasure chemical. Can help with orgasm issues, drive, erectile issues. Tetracyclic antidepressant that can help with sleep, appetite stimulation, and nightmares? - Correct Answer-Mirtazepine- Montor weight for heavier child. A patient with schizophrenia complains of constant auditory hallucinations, what neurotransmitter is associated with this? - Correct Answer-Dopamine-Too much dopamine or overstimulation of the brain. Heightens positive symptoms that we do not want. ie. hallucinations, delusions. ADHD is too little Dopamine.
