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NSG 552
PSYCHOPHARMACOLOGY E XAM
2 (WILKES UNIVERSITY)
COMPREHENSIVE PRACTI CE
QUESTIONS / STUDY GUIDE
NEWEST ACTUAL QUESTI ONS &
ANSWERS (A+ GUIDE SOLUTION)
Question 1: Binge-eating disorder
CORRECT ANSWER : Disorder presenting as not
fixated on body shape/weight, recurrent episodes of binge eating, no compensatory behaviors (vomiting/laxatives/etc.), usually obese.
Question 2: Treatment for binge-eating disorder
CORRECT ANSWER : First-line: SSRIs (escitalopram); Psychotherapy; Vyvanse= FDA approved/topamax associated with weight loss/orlistat inhibits pancreatic
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lipase by decreasing the amount of fat absorbed from GI tract.
Question 3: Treatments for bulimia
CORRECT ANSWER: CBT + antidepressants/SSRIs
(first-line treatment); Fluoxetine 60-80 mg/day= only FDA approved medication.
Question 4: Characteristics of insomnia
CORRECT ANSWER : Difficulty falling or remaining
asleep/ acute insomnia <3 months, chronic insomnia > 3 months.
Question 5: Bulimia nervosa
CORRECT ANSWER : Disorder presenting as binge-
eating with behaviors to counteract weight gain (vomit, laxatives, diuretics, etc), embarrassed by binge eating,
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overly concerned about body weight, usually maintains normal body weight or may be overweight.
Question 6: Tolerance to OTC sedatives/hypnotics
CORRECT ANSWER : Yes, a tolerance to sedating
effects develops rapidly.
Question 7: Eszopiclone (Lunesta)
CORRECT ANSWER : Used for both onset and
maintenance of sleep.
Question 8: Nonrestorative sleep
CORRECT ANSWER : Waking up feeling fatigued and
unrefreshed.
Question 9: MOA of Rameltzon (Remeron)
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CORRECT ANSWER : M1 and M2 agonist (selective
melatonin).
Question 10: Non-pharmacologic treatments for sleep
apnea
CORRECT ANSWER : Weight loss, avoidance of
ETOH, CPAP, uvulopalatopharyngoplasty.
Question 11: Side effects of Zolpidem (Ambien)
CORRECT ANSWER : Antegrade amnesia,
hallucinations, parasomnias (sleep walking and eating), increased fall risk, GI effects.