NU 643 (Psychiatry) PHARMACOLOGY II MULTIPLE CHOICE QUESTIONS AND
ANSWERS REGIS COLLEGE.
1. Which of the following may the patient develop due to a. Metabolic syn-
Second Generation Antipsychotics? drome
a. Metabolic syndrome
b. Tardive dyskinesia
c. MI
d. Increased suicidality
2. Which of the following is a First-Generation Antipsy- b. Haloperidol
chotic? (Haldol)
a. Olanzapine (Zyprexa)
b. Haloperidol (Haldol)
c. Paliperidone (Invega)
d. Sertraline (Zoloft)
3. What is the first line treatment for Major Depressive b. SSRIs
Disorder?
a. SNRIs
b. SSRIs
c. Tricyclic antidepressants
d. MAOIs
4. Which of the following is an SNRI? b. Venlafaxine (Ef-
a. Sertraline (Zoloft) fexor)
b. Venlafaxine (Effexor)
c. Fluoxetine (Prozac)
d. Doxepin (Sinequan)
5. What is the first line treatment for Bipolar Disorder c. Lithium (Litho-
a. Sertraline (Zoloft) bid)
b. Venlafaxine (Effexor)
c. Lithium (Lithobid)
d. Haloperidol (Haldol)
6. True or False: Duloxetine (Cymbalta) can cause b. False
dose-related hypertension, like Venlafaxine (Effexor)
does.
a. True
b. False
,NU 643 (Psychiatry) PHARMACOLOGY II MULTIPLE CHOICE QUESTIONS AND
ANSWERS REGIS COLLEGE.
7. A 6 year old male is brought in today by his parents. c.
They say that since the spring, they have noticed Methylphenidate
trends of hyperactivity, including excessive fidgeting (Ritalin)
and talking, and running or climbing whenever they
are in public. His teachers also report similar trends
in the classroom, along with blurting out and inter-
rupting, not following instructions, and being easily
distracted. Based on the patient's history and presen-
tation, what is the most appropriate treatment?
a. Phenytoin (Dilantin)
b. Sertraline (Zoloft)
c. Methylphenidate (Ritalin)
d. Haloperidol (Haldol)
8. Lithium is a mood stabilizer, often used in treatment a. "floppy" infant
for bipolar I disorder. When considering lithium use syndrome
in pregnant patients,
a. "floppy" infant syndrome
b. Neural tube defect
c. Fetal hydrops
d. Neonatal respiratory distress
9. Phenobarbital (Luminal) is a schedule IV controlled d. Cl- (chloride)
substance used for the treatment of seizures. It works
by increasing the GABA-mediated influx of what ion?
a. Ns+ (sodium)
b. K+ (potassium)
c. Ca2+ (calcium)
d. Cl- (chloride)
10. Antipsychotics are considered first line treatment for b. Older adults
schizophrenia. However, as an entire class, they carry with dementia.
a black box warning against use in which population?
a. Any patient who has suicidal thoughts or ideations.
b. Older adults with dementia.
c. Males with hypertension.
d. Females with a history of cardiovascular issues.
11. When prescribing Sildenafil (Viagra) to a patient, all c. Moderate hy-
of the following are contraindications except? pertension with
,NU 643 (Psychiatry) PHARMACOLOGY II MULTIPLE CHOICE QUESTIONS AND
ANSWERS REGIS COLLEGE.
a. Use of any type of nitrate a blood pres-
b. End-stage renal disease requiring dialysis sure higher than
c. Moderate hypertension with a blood pressure high- 160/100 mmHg
er than 160/100 mmHg
d. Hypotension with a systolic less than 90 mmHg
12. What incontinence drug should be avoided in pa- a. Oxybutynin
tients with dementia? (Ditropan)
a. Oxybutynin (Ditropan)
b. Duloxetine (Cymbalta)
c. Mirabegron (Myrbetriq)
d. Finasteride (Proscar)
13. The half-life of lithium is 18-27 hours. a. True
a. True
b. False
14. Which drug is commonly used to treat patients with c. Prazosin
PTSD with nightmares associated with re-experienc-
ing symptoms?
a. Propranolol
b. Hydroxyzine
c. Prazosin
d. Buspirone (Buspar)
15. Which of the following is a first-generation d. Phenobarbital
anti-epileptic drug (AED)? (Luminal)
a. Gabapentin (Neurontin)
b. Diazepam (Valium)
c. Fluoxetine (Prozac)
d. Phenobarbital (Luminal)
16. What is the first line treatment of ADHD? b. Simulants
a. Atomoxetine
b. Simulants
c. Clonidine
d. Bupropion
17. True or False: The mechanism of action of SSRIs is to a. True
selectively inhibit the reuptake of serotonin into the
, NU 643 (Psychiatry) PHARMACOLOGY II MULTIPLE CHOICE QUESTIONS AND
ANSWERS REGIS COLLEGE.
presynaptic neuron and desensitize the presynaptic
serotonin autoreceptor, resulting in increased sero-
tonin concentrations.
a. True
b. False
18. Which of the following is NOT an ADR for Phenytoin? c. Hepatotoxicity
a. Drowsiness
b. Cognitive Impairment
c. Hepatotoxicity
d. Nystagmus
19. What is NOT one of the black box warnings of Cloza- b. Tachycardia
pine (Clozaril)?
a. Severe neutropenia
b. Tachycardia
c. Seizures
d. Orthostatic hypertension
20. What medication has shown to reduce risks of sui- c. Lithium
cide in patients with depressive episodes in Bipolar
Disorder?
a. Valproic Acid
b. Lamotrigine
c. Lithium
d. Oxcarbazepine
21. What is a treatment for ADHD? c. Stimulant med-
a. SSRIs ications
b. SNRIs
c. Stimulant medications
d. Antipsychotics
22. You are seeing a 23 year old woman with the com- c. SSRIs
plaint of trouble sleeping, loss of interest in things,
and feeling down. Which is the best medication
choice below for this patient?
a. Stimulant medications
b. Antipsychotics
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