A patient is being treated for schizophrenia with olanzapine. Which of the
following is the most common side effect of olanzapine?
a. Increase waist
... [Show More] circumference
b. Extrapyramidal side effects (5HT2A)
c. Increase lipids
d. Metabolic Syndrome
D
Your patient with bipolar disorder is admitted to a medical hospital. The internist
contacts your office and asks whether the lithium you prescribed him is affecting
his EKG. How do you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his EKG
C. Lithium can invert the T-waves
D. Lithium can shorten the PR-interval
C
Mary a 45-year-old African American female who has been treated on
Isocarboxazid (Marplan) for over 6 years. Mary is going in for a surgical
procedure. Which medication is strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDs
C. Methylphenidate
D. Acetaminophen
C
You are treating a client with Schizophrenia who takes clozapine. What laboratory
values will indicate the client needs to discontinue treatment?
a. White blood cell count of less than 1,800/mm3 and absolute neutrophil count of
less than 1,200/mm3
b. Absolute neutrophil count of less than 1,000/uL
c. White blood cell count of less than 1,200/mm3
d. Absolute neutrophil count of less than 2,000/uL
B
If given during pregnancy, sodium valproate can cause which of the following
medical problems in the baby?
a. Stevens-Johnson syndrome
b. Epstein's anomaly
c. Spina bifida
d. Cleft palateC
Which mood stabilizer is associated with potential life-threatening rash in the
Asian population?
a. Carbamazepine
b. Depakote
c. Lithium
d. Lamictal
A
The PMHNP would expect to see which of the following during the physical exam
for a patient with anorexia nervosa?
a. Russell sign
b. Low body mass index
c. Erosion of dental enamel
d. Hypertrophy of salivary glands
B
Which of the following medication has a unique mechanism that is both a
norepinephrine and dopamine reuptake inhibitor?
a. Bupropion (Wellbutrin)
b. Sertraline (Zoloft)
c. Clomipramine (Anafranil)
d. Duloxetine (Cymbalta)
A
Which cytochrome (CYP) enzyme is implicated as a tobacco inducer when an
individual is treated with clozapine?
a. 2D6
b. 1A2
c. 2C19
d. 2C9
B
When treating older adults, you should keep in mind that they are more sensitive to
issues of drug toxicity because of which of the following reasons?
a. Decreased body fat
b. Increased liver capacity
c. Decreased protein binding
d. Increased muscle concentration
C
For 12 years, a 65-year-old patient with bipolar affective disorder has been treated
with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5
mg daily is added for hypertension, the patient develops nausea, vomiting, ataxia,
and muscle weakness and the patient's serum lithium level is 2.0 mEq/L. Theinteraction of the lithium and the thiazide diuretic has induced:
a. Hypokalemia
b. Hyponatremia
c. Increased renal clearance of lithium
d. Reduced renal clearance of lithium
D
Serotonin is a neurotransmitter that is implicated in sleep and mood. What area of
the brain has a large majority of serotonin neurons?
a. Raphe nuclei
b. Nucleus Accumbens
c. Locus Coeruleus
d. Amygdala
A
A client who is experiencing difficulties with working memory, planning and
prioritizing, insight into his problems, and impulse control presents for assessment.
In planning his care, the PMHNP should apply his or her knowledge that these
symptoms represent problems with the
a. Frontal lobe
b. Temporal lobe
c. Parietal lobe
d. Occipital lobe
A
A 65-year-old Caucasian male presents for an evaluation. The PMHNP has the
patient complete the mini mental status examination (MMSE) and clock drawing.
The patient is unable to correctly draw the face of the clock. Which area of the
brain is likely to have compromised function?
a. Cerebrum
b. Cerebellum
c. Wernicke's area
d. Corpus Callosum
A [Show Less]