Order Psychopharmacology Essay Assignment

Order Psychopharmacology Essay Assignment
Order Psychopharmacology Essay Assignment
1. A 20-year-old Caucasian female diagnosed with paranoid schizophrenia
was started on an atypical antipsychotic. She is concerned that the antipsychotic medication will cause weight gain. Which of the following is
the most accurate statement regarding weight gain and antipsychotics?
A. No significant weight gain is observed with atypical antipsychotics.
B. Weight gain occurs mainly in the first 2 weeks.
C. Weight gain is related to the pretreatment body mass index (BMI).
D. All antipsychotics cause the same amount of weight gain.
E. Weight gain is associated with clinical improvement.
2. Benzodiazepine withdrawal symptoms include all of the following except:
A. depersonalization and derealization
B. perceptual disturbances
C. anxiety
D. constipation
E. rhinorrhea
3. Which of the following antipsychotics also has an antidepressant effect?
A. Flupentixol
B. Chlorpromazine
C. Haloperidol
D. Trifluoperazine
E. Fluphenazine
Order Psychopharmacology Essay Assignment
4. A 46-year-old male is referred to a neurologist for tingling and burning
sensations in his feet. He also has a history of depression and has been
on many antidepressant medications. The neurologist diagnoses him to
have peripheral neuropathy after a detailed history and physical examination. Which of the following classes of antidepressants can cause
peripheral neuropathy?
A. Selective serotonin reuptake inhibitors (SSRIs)
B. Tricyclic antidepressants
C. Serotonin and norepinephrine reuptake inhibitors
D. Monoamine oxidase inhibitors (MAOIs)
E. Norepinephrine reuptake inhibitors
5. A 48-year-old male patient with treatment-resistant depression has tried
all the antidepressants except for MAOIs. He is currently on an SSRI. You
would like to get the patient off the SSRI before starting MAOIs because
of the risk of serotonin syndrome. Which of the following SSRIs needs
the longest washout period before switching over to MAOIs?
A. Paroxetine
B. Fluoxetine
C. Citalopram
D. Sertraline
E. Escitalopram
6. A neurologist is consulted by a psychiatrist to assess a 42-year-old depressed female with recent onset of “muscle twitches.” She was taking
citalopram 80 mg, and duloxetine 40 mg was recently added because of
suboptimal response to citalopram alone; she denies any alcohol or substance abuse. On examination, the neurologist notes that the patient is
slightly disoriented and also has mild tremors and hyperreflexia. What is
the most likely cause of the “muscle twitches” in this patient?
A. Serotonin syndrome
B. Alcohol withdrawal syndrome
C. Neuroleptic malignant syndrome
D. Malingering
E. Encephalitis
338 Section II • Psychiatry
7. Serotonin syndrome is characterized by a spectrum of signs and symptoms. According to Hunter criteria for serotonin syndrome, the patient
must have taken a serotonergic agent and should have at least one symptom. All of the following are listed in Hunter criteria except:
A. tremor and hyperreflexia
B. spontaneous clonus
C. inducible clonus plus agitation or diaphoresis
D. ocular clonus plus agitation or diaphoresis
E. temperature above 32°C plus ocular clonus or inducible clonus
F. hypertonia
Order Psychopharmacology Essay Assignment
8. Which of the following tricyclic antidepressants has a strong serotonin
reuptake inhibition effect?
A. Amitriptyline
B. Nortriptyline
C. Imipramine
D. Clomipramine
E. Doxepin
9. Which of the following antidepressants blocks reuptake of dopamine?
A. Venlafaxine
B. Bupropion
C. Buspirone
D. Mirtazapine
E. Fluoxetine
10. Which of the following medications is associated with depression?
A. Methyldopa
B. Procyclidine
C. Tryptophan
D. Flupentixol
E. Testosterone
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