EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
NU 643 Final SG Exam Study Guide
with Complete Solutions
Common side effects of SSRIs - Answer✔✔-Sexual dysfunction, weight gain, nausea, insomnia or
somnolence, agitation
management of behavioral & psychological symptoms dementia - Answer✔✔-habilitation
therapy, generate positive emotions, sleep hygiene, consistency, avoid triggers
dietary recommendations mental health - Answer✔✔-B vitamins, B12, B6, B2, fruits and
vegetables
slowest drug route - Answer✔✔-IM depot, topical patch
Lithium side effects - Answer✔✔-dizziness; impaired vision;fine hand tremors; reversible
leukocytosis; signs of intoxication: V, diarrhea, drowsiness, muscular weakness, ataxia,
hypothyroidism
Clonidine, Propranolol - Answer✔✔-used for physiological panic symptoms of anxiety, lower HR
and BP
psychotropic medication in pregnancy - Answer✔✔-benefit must outweigh risk, with depression
if new onset and mild attempt psychotherapy, if previous episode and currently on medication,
remain on medication
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Quetiapine Labs - Answer✔✔-metabolic, a1c, CBC, thyroid
VPA labs - Answer✔✔-LFTS, CBC, ammonia, serum valproate
Lithium Labs - Answer✔✔--SCr and BUN (for kidneys)
-Urine specific gravity (for diabetes insipidus)
-Electrolytes (for sodium)
-EKG (for arrhythmia)
-CBC (for leukocytes)
-Thyroid function (for hypothyroidism)
-Glucose
-Pregnancy test
-Lithium level
mental status exam - Answer✔✔-appearance and behavior, thought processes, mood and
affect, intellectual functioning, sensorium
symptoms of hyponatremia - Answer✔✔-...headache, muscle weakness, fatigue, apathy,
confusion, abd. cramps, & orthostatic hypotension, caused by oxcarbmazepine (trileptal).
tardive dyskinesia - Answer✔✔-A side effect of long-term use of traditional antipsychotic drugs
causing the person to have uncontrollable facial tics, grimaces, and other involuntary
movements of the lips, jaw, and tongue. caused by chronic blockade of D2. FGA>SGA
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extrapyramidal symptoms - Answer✔✔-side effects such as restlessness, involuntary
movements, and muscular tension produced by antipsychotic medications
Akathesia - Answer✔✔-inability to remain still; motor restlessness and anxiety, most common
cause of aggression due to a drug side effect (occurs within days)
Dystonia - Answer✔✔-a condition of abnormal muscle tone that causes the impairment of
voluntary muscle movement (acute can occur in hours)
Akinesia - Answer✔✔-complete or partial loss of muscle movement, shuffled slowed gait
(occurs within weeks)
dopamine reward system - Answer✔✔-the system of neurons, primarily in the nucleus
accumbens and ventral tegmental area, that relies on dopamine and gives rise to pleasant
feelings
Safety Assessment - Answer✔✔-symptoms, at each visit, drug initiation and dose change
greatest risk period during pregnancy - Answer✔✔-first 8 weeks
BZO taper - Answer✔✔-change to longer acting such as clonazepam or valium, add Inderal or
vistaril
St. John's Wort - Answer✔✔-depression, contraindicated with SSRI, risk of serotonin syndrome
hypertensive crisis - Answer✔✔-Hypertension with Angina, Pulmonary Edema, Pregnancy or
signs of cerebral edema (such as usually severe headache blurred vision/visual disturbances,
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