Exam V: CNS III

Question 1

Increase in what can cause seasonal affective disorder?

Answer 1

Melatonin

Question 2

Which is an SSRI?

Buproprion
Duloxetine
Paroxetine
Trazodone
Venlafaxine

Answer 2

Paroxetine

Question 3

Which is a sign of a major depressive disorder?

Elevated mood
Feelings of worthlessness
Delusions
Increased talking
Racing thoughts

Answer 3

Feelings of worthlessness

Question 4

Patient diagnosed with hyperthyroidism, hypertension, type II diabetes with depression. Which is the safest medication that won’t react with other medications?

Answer 4

Citalopram

SSRI

Question 5

Which mechanism of action requires patients to avoid tyramine containing foods?

Answer 5

MAOI

Question 6

How long should someone wait until they are switched from fluoxetine to MAOI?

Answer 6

5 weeks

Question 7

What is common side effect of a SSRI?

Answer 7

Sexual dysfunction

Question 8

Patient is depressed and prescribed an anti-depressant causing them to be unable to sleep, have no interest in anything pleasurable, elevated mood, racing thoughts. Which drug is it?

Answer 8

Fluoxetine

Question 9

Lithium given to patient, which lab should you check?

Answer 9

TSH

Question 10

Female on valproic acid and given what to help decrease risk of birth defects?

Answer 10

Folic acid

Question 11

Patient with a bipolar disease, and currently is in manic state, what would be observed?

Answer 11

Inflated self esteem

Others:
Elevated mood
Increased talking
Racing thoughts (flight of ideas)
Increased social or work activity and decreased need for sleep
Manic patients can become hostile and uncooperative
As the disease intensifies some patients experience psychotic symptoms such as delusions