Which of the following statements reflect the current understanding of DA pathways and clinical
symptomsin schizophrenia? -Symptoms are related to DA
... [Show More] deficit in the cerebral cortex; + are related to
DA excess in the substantia nigra and VTA
Which of the following findings would raise concern in a pre-school wellness exam for a 5 yo girl?
Height 43 in, weight 55 lbs(she is overwt)
A 24 yo mother of a 2 yo child presentsto the clinic. Which of the following facial characteristics would
lead to the PMHNP to believe child has Fetal ETOH syndrome? Small head, thin upper lip, smooth
philtrum.
Patty is a 62 yo female with BPDO I and has been stable for 2 yrs on valproate and risperidone. She
recently diagnosed with shingles, and her PCM started her on corticosteroids. Asthe PMHNP treating
Patty, you are concerned the addition of steroids may cause: Manic episode.
Which mood stabilizer is most associated with potentially life threatening rash? Lamotrigine (Lamictal)
Which of the following statements most accurately reflectsthe predominant risk factorsfor ASD?
Genetic of a first degree family member.
A 17yo female presentsreporting anhedonia, decreased energy & hopelessnessfor the past 2 yrs. She
denies ETOH, smoking or using illegal substances. Her physical exam results are WNL and she denies
SI. As her PMHNP, you decide to prescribe bupropion. Which of the following is a contraindication for
bupropion? Bulimia
You have a 17 yo female who suffers from BPDO. The pt has a hx of impulsive acting out and
promiscuity. You make a decision to add folic acid .8 mg to her medication regimen of lamotrigine 200
mg Q HS and quetiapine XR 50 mg 1 PO QHS. Why is this important? FA supports neural tube
development during the 1
st month a woman is pregnant.
Which of the following medications has a unique mechanism of action that is both DA and NE - RI?
Bupropion (Wellbutrin)
Which of the following pts with GAD is most likely to be a 2C19 poor metabolizer and have an
exaggerated response to diazepam 5 mg TID with increased sedation, CNS & cognitive SE? 40 yo Asian
male
Which of the following findings would raise concern in an annual sports exam for a 15 yo girl? Ht 67 in,
wt 102 inch (under)
You are on call for yourservice. You arrive at the ED to find a 22 yo male complaining of having trouble
with his eyes. His vitals are stable. He is 5’7”, weighs 140 lbs & hislabs are WNL. He states he has been
taking Abilify for the last 2 months for BPDO. He had the dose raised to 15 mg po QAM 4 days ago to
manage a manic episode. He states that 1 and 2 times a day for the past 2 days his eyes roll up for 10-
15 m, he is able to open his eyes but he is not able to focus his eyes on you. His eyes are rolled
upward about 2/3rds of the way towards his upper eyelid. After exam, you decide to: Discontinue the
Abilify and give Cogentin 1mg IM. Have him return to his provider for a different medication for his BPDO
the next day [Show Less]