APEA PSYCH PHARM NEWEST ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED ANSWERS
(DETAILED ANSWERS) ALREADY GRADED A+ 100%
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If methylphenidate is contraindicated, which of the following medications is
recommended for treatment of ADHD in an adult?
Bupropion (Wellbutrin)
Clonazepam (Klonopin)
Fluoxetine (Prozac)
Phenelzine (Nardil) - ANSWER-Bupropion (Wellbutrin)
Therapeutic drug levels and predictability of clinical response are difficult to
determine in first-generation antipsychotics (e.g., haloperidol [Haldol]) because
they:
are poorly absorbed in the intestines, hydrophilic and highly protein bound.
are highly bioavailable and poorly protein bound.
have a decreased first pass effect, are hydrophilic and poorly protein bound.
have variable bioavailability, are lipophilic and highly protein bound. - ANSWER-
have variable bioavailability, are lipophilic and highly protein bound.
Guanfacine (Intuniv), used in the treatment of attention deficit disorder, is
classified as a(n):
alpha-2-adrenergic agonist.
Suvorexant (Belsomra), used in the treatment of insomnia, induces sleep by:
activating melatonin receptors.
blocking the signals of orexin chemicals in the hypothalamus.
increasing the catabolism of tryptophan.
raising the levels of gamma-aminobutyric acid (GABA). - ANSWER-blocking the
signals of orexin chemicals in the hypothalamus.
Bupropion (Wellbutrin), used in the treatment of depression, should NOT be
administered to a patient with:
alcoholism.
attention deficit disorder.
hypertension.
seizure disorder. - ANSWER-seizure disorder.
First-generation antipsychotics (e.g., haloperidol [Haldol]) are associated with
side effects including:
sedation.
tardive dyskinesia.
weight gain.
weight loss. - ANSWER-tardive dyskinesia.
The mechanism of action of second-generation antipsychotic medications such
as aripiprazole (Abilify) does NOT include:
5-HT2A receptor blockade.
After initiation or increase in dose of a selective serotonin receptor inhibitor
(SSRI) such as escitalopram (Lexapro), the patient should be monitored for:
agitation, hypersalivation and decreased bowel sounds.
hypothermia, dilated pupils and diaphoresis.
hyperthermia, akathisia and clonus.
lead pipe rigidity, hyporeflexia and tachypnea. - ANSWER-hyperthermia,
akathisia and clonus.
Which statement about naltrexone (Vivitrol) is correct?
The patient may develop tolerance to naltrexone.
Naltrexone should be tapered once desired results are achieved.
The patient should be aware that a possible "rebound" effect may occur after
discontinuation.
Naltrexone does not cause physical dependence. - ANSWER-Naltrexone does
not cause physical dependence.
The generic name for Intuniv, used in the treatment of attention deficit
disorder, is:
atomoxetine.
guaifenesin.
guanfacine.
dextroamphetamine. - ANSWER-guanfacine.
A side effect NOT associated with the use of suvorexant (Belsomra) is:
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