NURS 6630 Week 11 Final Exam (Fall Qtr)

(NURS 6630 Week 11 Final)

1. Question: What baseline levels should you perform before initiating an anti-ADHD medication?
2. Question: Which medication(s) requires a test dose to determine accurate use of the drug (i.e., how … the patient truly is on a certain drug) before beginning a titration schedule to withdrawal the patient?
3. Question: Which of the following psychiatric conditions is present in both domains (i.e., core psychopathology & pain-related psychological symptoms) of chronic pain that will likely lead to an outcome of disability, pain, and poor quality of life?
4. Question: Which medication below would you use in addition to benzodiazepine treatment if the patient is experiencing psychosis during alcohol withdrawal delirium? 
5. Question: If a patient suffers from a multitude of small strokes and later begins experiencing mood disturbances in an acute fashion that sometimes resolve, from what type of dementia would you think that patient may suffer?
6. Question: If a patient is being … for chronic pain and is not getting better after months of therapy with multiple agents (i.e., NSAIDs with opioids, muscle relaxants with NSAIDs, etc.), what should … your next step in helping the patient?
7. Question: C. is an 88-year-old male who is … at your clinic with Dementia with Lewy Bodies. He currently has some debilitating gait issues, which makes his quality of life very poor. His memory is still intact with minor deficits. Which medication would likely benefit T. C. as his initial therapy?
8. Question: Of the axons … in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling?
9. Question: B., a 55-year-old female, is a patient at your clinic today who has a past medical history significant for breast cancer, hypertension, hepatic cirrhosis, type 2 diabetes, and a recent diagnosis of alcohol use disorder. She has no known drug allergies. She states she is ready to quit drinking but fears the cravings that it may bring. Which medication would you recommend for E. B. to begin?
10. Question: Which enzyme does disulfiram inhibit leading to a build-up of the ethanol metabolite acetaldehyde?
11. Question: Which of the following drugs in the treatment of Alzheimer’s Disease helps normalize glutamate by antagonizing the NMDA receptor?
12. Question: There are many different types of dementia. Which dementia is NOT a direct result of … neurotransmitters, but a result of degeneration of different regions in the brain? Onset of the disease is typically before the age of 60, and very rare after the age of 75.
13. Question: Benzodiazepines can … withdrawn abruptly despite duration of therapy/abuse.
14. Question: What should our treatment goal … with our patients when it comes to managing chronic pain?
15. Question: K. is a 72-year-old female who has … many strokes in the past, likely due to … hypertension and hyperlipidemia. She has now been … with vascular dementia due to memory loss and motor system slowing. What is the … treatment for T. K.?
16. Question: Of the following neurotransmitters, which ones play a critical role in modulating attention in ADHD?
17. Question: SSRIs can … in alcohol use disorder and offer modest drinking reduction through an anti-craving effect.
18. Question: R. is a 35-year-old woman who presents to your clinic today complaining of ankle pain. She said she was running the trail when she saw a snake. During a quick turn to run away from the snake, she … her ankle. Which of the following medications may … a good choice in helping Y. R. with her pain?
19. Question: Of the following medications, which one is … with stimulants such as Ritalin or Adderall? (an MOA)
20. Question: Which of the following drugs in the treatment of Alzheimer’s Disease requires administration with food?
21. Question: In the pathophysiology of Alzheimer’s Disease, there are certain proteins that lead tothe plaques and tangles that result in this progressive, irreversible brain disorder. Choose the appropriate protein with its corresponding
22. Question: Which of the following drugs is often … in the management of opioid addiction due to its ceiling effect?
23. Question: J. is a 55-year-old male who … a funeral and found himself laughing during the service, but later that evening he was … with himself for what he had done. His wife said this was abnormal behavior and took him to his doctor to … After L. J.’s MRI was …, he was diagnosed with frontotemporal dementia. Which medication is … to help L. J. with his emotional outbursts? (SSRI)
24. Question: A new patient presents to your clinic today. The patient is a 13-year-old boy who complains that he has no interest in anything. The patient states, “I just want to sleep more than I normally do, and I don’t care much for playing my video games anymore.” His mother states he cannot focus on anything for more than a few minutes at a time, and that he often gets in trouble at school because he cannot sit still. What would you recommend at this time?
25. Question: The patient is a 16-year-old girl with a past history of substance use disorder. She has been known to abuse prescription opioids and smokes one pack of cigarettes every She has been in and out of recovery for the past year. During her last admission into a recovery center, she was … with ADHD, which may have … to her addictive personality. She presents to your clinic today to initiate pharmacotherapy for her new diagnosis. What would you recommend in this patient? Her current weight is 55 kg.
26. Question: Drug addiction includes many prescription medications and illegal substances. Of the drugs … , which ones can … withdrawn abruptly WITHOUT medical intervention to prevent withdraw seizures?(Amphetamines)
27. Question: Which of the following alcohol screening tools lack sensitivity to detect hazardous/problem drinking?
28. Question: B. is a 55-year-old male who has … with type 2 diabetes 10+ years ago. He has since had complications from the disease and is suffering from severe neuropathy. On top of that, T. B. is struggling with his mental health and was recently told he could … but he had refused treatment at that time. Besides getting his blood sugar under control, what medication(s) can we use that may … useful in helping T. B.?
29. Question: A 59-year-old male has been … to the E. D. due to a methamphetamine overdose. The patient’s friend … up to 2 grams because “he thought cops were coming to get him.” The patient’s vitals are all within normal limits, except his blood pressure is 180/110. What is the best recommendation to make at this time?
30. Question: Which medication is a selective alpha-adrenergic agonist that works by mimicking norepinephrine binding in the pre-frontal cortex, which makes it particularly useful in the treatment of ADHD?
31. Question: Choose the correct statement regarding an anti-ADHD medication and its respectful mechanism of action
32. Question: Patient is a 10-year-old female with …d ADHD who was … on Ritalin 5 mg twice a day over 2 months ago. She is still experiencing the triad of symptoms … with ADHD (impaired attention, impulsivity, and excessive motor activity). Her mother reports that she is now having difficulty in falling asleep since starting the medication. She has been on no other anti-ADHD medications and the mother reports full compliance with medication regimen. What is the appropriate recommendation to make … on this scenario?
33. Question: Patient is a 75-year-old female with a … diagnosis of Alzheimer’s Disease. She is currently on Donepezil 10 mg daily. She is … to your clinic today by her daughter, who informs you that her mother has recently had an increase in depressive symptoms. She has no history of mood disorders. She has a history of hypertension and tonic-clonic seizures, but both are controlled. Assuming this patient will … thoroughly … for the diagnosis of depression, what would you recommend as initial therapy?
34. Question: Choose the correct statement regarding medications … for alcoholism
35. Question: Daytrana is the MPH transdermal system of methylphenidate … for the treatment of ADHD in children … 6 years and What is the difference in terms of the metabolism … to the other formulations in this class?
36. Question: Which of the following drugs is structurally similar to tramadol; thus, its opioid-mediated analgesia can … by naloxone in mice?
37. Question: Of the following neurotransmitters, which one(s) are known to … in the disease Dementia with Lewy Bodies? (dopaminergic and cholinergic)(
38. Question: When can buprenorphine … in a patient who is suffering from an opioid overdose?
39. Question: Which features are consistent with delirium?
40. Question: Which medication below should … routine for all … cases of alcohol intoxication and dependence?
41. Question: Disulfiram has been proven effective in the treatment of alcoholism, but recently it has been … in the management of cocaine addiction. What is the mechanism of action that likely helps produce these aversive effects?
42. Question: This medication cannot … for more than 5 days, it is a non-steroidal, anti- inflammatory drug, and it is often … for morphine due to its rapid onset and high potency. What is this medication?
43. Question: Which club drug is structurally similar to GABA?
44. Question: What is the difference between Ritalin and Focalin?
45. Question: Which of the following is the only Black Box Warning … with the medication atomoxetine?
46. Question: Disorientation, tremor, hyperactivity, fever, hallucinations, … wakefulness, and increased autonomic tone are all features that are consistent with which part of alcohol withdrawal?
47. Question: Which neurotransmitters are likely … in the pathophysiology of withdrawal seizures?
48. Question: ___ is the main neurotransmitter behind reward systems in the brain, which usually leads to addiction when … in any
49. Question: Select the correct treatment regarding drugs … in addiction management and their corresponding mechanism of action.
50. Question: The experience of pain is ALWAYS subjective

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