Psychopharmacology-A16 Final Exam


PSY 87700:


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1) Which of the following medical conditions is not typically associated with depression?


b. Diabetes

c. Gout

d. Cushing’s Disease

2) A symptom which is found in clinical depression but not in grief is:

a. Intense sadness

b. Sleep disturbance

c. Crying

d. Loss of self-esteem

3) Uncomplicated bereavement is best reduced by

a. Antidepressant medication

b. Psychoanalytic psychotherapy

c. Mourning and the passage of time

d. Antianxiety medication

4) Some symptoms are common to all depressions, whereas others indicate a biochemical dysfunction which may be responsive to antidepressants. Which one of the following symptoms is not uniquely associated with biochemical depression?

a. Appetite Disturbance

b. Sleep disturbance

c. Reduced Libido

d. Suicidal Ideas

5) A patient on an antidepressant complains of dry mouth, blurred vision, constipation, and trouble urinating. These symptoms are most likely:

a. Symptoms of depression

b. Anticholinergic side effects

c. Hypochondriacal complaints

d. Due to inactivity

6) When under treatment with an MAO inhibitor, one should avoid:

a. Red meat

b. Pea Soup

c. Aged cheese

d. Jello

7) A patient is taking Prozac for depression and is not responding. His physician asks you if you think augmentation with Parnate would be a good idea. You should tell the physician:

a. This is a sensible treatment approach

b. No — this combination could be fatal

c. The combination is harmless, but probably won’t reduce depression

d. Combining these two medications will probably increase depression

8) A depressed patient has a history of sexual dysfunction, and fears that anti-depressants will make his problem worse. You would prescribe:

a. buproprion

b. desipramine

c. imipramine

d. doxepin

9) Which one of the following is not likely to be a cause of depression?

a. Antihypertensives

b. Antibiotics

c. Antiparkinson drugs

d. Birth control pills

10) A depressed patient has been taking adequate doses of an SSRI for ten days and complains to you that she has felt no improvement. You would advise this patient:

a. That she needs to stay on the medication longer before she feels Improvement

b. To ask her physician to try a new medication

c. To discontinue her medication

d. To take St. John’s Wort along with her medication

11) Medications which should be initially considered for Generalized Anxiety Disorder include:

a. benzodiazepines and SSRIs

b. buspirone and lithium

c. buspirone, Effexor, and SSRIs

d. Valium, Librium, and Xanax

12) Classes of medications typically used for treating anxiety disorders include:

a. SSRIs

b. Benzodiazepines

c. MAO inhibitors

d. All of the above

13) Stress induced insomnia is typically treated with short-term:

a. SSRIs

b. Benzodiazepines

c. MAO inhibitors

d. Neuroleptics

14) Beta blockers control which anxiety-related symptoms?

a. Sense of dread

b. Anxiety-evoking cognitions

c. Rapid heartbeat

d. Concentration difficulties

15) The two phases of treating panic disorder are:

a. Reducing panic intensity with medication or relaxation; exposure to feared situations

b. Benzodiazepine treatment; SSRI treatment

c. Immobilization; Reactivation

d. Antidepressant medication; antianxiety medication

16) Medication used for social phobia is usually:

a. MAOIs or beta blockers

b. Benzodiazepines

c. Haldol

d. Amphetamines in low doses

17) Which of the following is probably not a biochemical cause of anxiety?

a. High levels of caffeine consumption

b. Heavy use of aspirin

c. Alcohol withdrawal

d. Steroid use

18) A patient has a history of frequently engaging in risky and self-defeating behaviors which produce anxiety. The treatment of choice would be:

a. Long-term benzodiazepines

b. Xanax

c. Psychotherapy

d. PRN benzodiazepines

19) Serotonin levels are increased by:

a. SSRIs

b. Benzodiazepines

c. Antipsychotic drugs

d. Desipramine

20) Medical causes of anxiety symptoms include:

a. Hyperthyroidism

b. Adrenal tumor

c. Hypoglycemia

d. Any of the above

21) A schizophrenic patient taking antipsychotic medication is extremely restless, unable to sit still. This probably is:

a. An attention deficit disorder

b. A medication side effect

c. A reaction to delusional thoughts

d. A primary symptom of psychosis

22) A patient has been on antipsychotic medication for the past ten years. He shows odd lip, tongue, and extremity movement. This is probably:

a. Tardive dyskinesia

b. A response to hallucinations

c. A compulsive ritual

d. Seizure activity

23) A patient on antipsychotic medication presents with her head twisted to one side. The likely treatment would be:

a. Hypnosis and relaxation

b. An IM anticholinergic agent

c. Antispasmodic drugs

d. Discontinuing all medication

24) If a sedating effect is desired when treating a psychotic patient with antipsychotic drugs, one would most likely use:

a. A high potency antipsychotic

b. A low potency antipsychotic

c. Augmentation with a benzodiazepine

d. Q.i.d. dosing

25) An advantage of newer antipsychotic drugs such as clozapine over traditional antipsychotics is:

a. Reduced risk of agranulocytosis

b. Better control of positive psychotic symptoms

c. Better control of negative psychotic symptoms

d. Antidepressant effects

26) Which of the following antipsychotic medications is least likely to cause weight gain?

a. Abilify

b. Haldol

c. Risperdal

d. Stelazine

27) Dementias can be differentiated from schizophrenia in the following way:

a. In schizophrenia, orientation and short-term memory is relatively intact

b. In dementias, orientation and short-term memory is relatively intact

c. Early morning awakening is more likely to be seen in schizophrenic patients

d. Late evening confusion is more likely to be seen in schizophrenic patients

28) A dose of 1000 mg. of Thorazine has the equivalent antipsychotic effect as what dose of Zyprexa?

a. 3 mg.

b. 20 mg.

c. 500 mg

d. 1000 mg

29) The first schizophrenic symptoms to respond to antipsychotic medication are:

a. Hallucinations


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