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NRNP6675 Neurology Week 6 Midterm Exam With Answers (100 Solved Questions)

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    1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply  Age  Rapid dose escalation  Parental route of administration  Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects?  Reduces negative symptoms  Increases extra pyramidal symptoms (EPS)  Causes prolactinemia  Reduces positive symptoms 3. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of the following receptors?  GABA type receptors  Serotonin receptors  Dopamine receptors  NMDA type receptors 4. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting from recent ingestion or exposure to a substance is known as which of the following?  Substance intoxication  Substance withdrawal  Substance use disorder  Any of the above 5. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known as which of the following?

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     Akathisia  Dystonia  Tardive dyskinesia  Extrapyramidal side effects 6. A deeply held belief despite evidence to the contrary, lasting at least one month, without prominent hallucinations, with functional impairment that relates to the delusional system  Schizophrenia  Delusional disorder  Brief psychotic disorder  Schizophreniform disorder 7. Which of the following is true about preoccupation with castration?  This can be serious and life-threatening if castration is carried out without medical supervision.  This is consistent with Transvestic Disorder  This is consistent with other specified paraphilic disorder  This is consistent with sexual masochism disorder 8. Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians?  HIPPA  DSM-5  CPT  DRG 9. A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milky urine. The ARNP realizes which of the following?  This is likely a harmless response to the Chlorpromazine  This is abnormal and needs to be evaluated by a specialist  It is critical to stop the Chlorpromazine immediately

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     This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up 10. A condition which results from absence of second female sex Chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility is known as which of the following?  Hermaphroditism  Turner's syndrome  Adrenogenital syndrome  Androgen insensitivity syndrome 11. Which of the following would be characterized as a negative symptom of schizophrenia?  Hallucinations and delusions  Impaired social and occupational functioning  Isolation and impaired self-care  B and C only 12. Which of the following are keys to distinguishing OCD from psychosis?  Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms  Patients with OCD are better able to control their compulsions.  Patients with psychosis will have more obsessive thoughts.  Patients with OCD have less bizarre obsessions. 13. A federal program administered nationally and locally which covers enrolled individuals 65 years and older who pay premiums and disabled individuals....  Medicare  Medicaid  Both A and B  None of the above

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    14. Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law is important for which of the following reasons?  To avoid any charges of practicing medicine without a license  To place accountability for both benefits and harm to patients squarely on the NP  To get reimbursement for physician services when provided by an NP  All of the above 15. Which of the following is the most widely consumed psychoactive substance?  Alcohol  Caffeine  Heroine  Cannabis 16. Which of the following is used to treat Tardive Dyskinesia?  Cogentin (benztropine)  Artane (trihexyphenidyl)  Catapress (Clonidine)  None of the above 17. The APRN consensus model did which of the following?  Merged adult, gerontology and pediatric foci so that all NPs could truly work across the....  Adult and gerontology were merged and identified as primary care or acute care  Psychiatric mental health foci were stipulated as across the lifespan  B and C 18. Which of the following behaviors are associated with an alcohol blood level of 0.05 percent?  Voluntary motor actions usually become perceptibly clumsy  Thought judgment, and restraint are impaired  Confusion, stupor

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     None of the above 19. According to HIPPA, which of the following must the NP share their NPI with? Check all that apply.  Health plans  Other providers  Any entity that may need it for billing purpose  A and C only 20. A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which have persisted for the past 7 months. The APRN this presentation is.......with which of the following diagnosis?  Schizophrenia  Schizophreniform disorder  Brief psychotic disorder  Delusional disorder 21. Major neurotransmitters possibly involved in developing substance abuse and substance dependence..... which of the following?  Dopamine  GABA  Serotonin  A and B only 22. The Dopamine hypothesis of schizophrenia....which of the following?  Schizophrenia results from too much dopaminergic activity  Schizophrenia results from a deprivation of dopamine.  Schizophrenia is not related to dopamine activity  None of the above

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    23. A patient reports a panic attack several years ago in an elevator and since then has avoided using elevators. This patient meets criteria for which of the following?  Social phobia  Specific phobia  General anxiety disorder unspecified  Obsessive-compulsive disorder 24. A patient with a substance abuse disorder who does not meet the clinical criteria for hospitalization but who lacks sufficient social and vocational skills and lack substance-free social supports is ap  Residential treatment  Partial hospitalizations  Outpatient treatment  All of the above 25. Obscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following?  Telephilia  Partialism  Telephone scatologia  Normal adolescent prank 26. The main psychological difference between fear and anxiety is best described by which of the following statements?  Fear is insidious; anxiety is sudden  Anxiety is insidious; fear is sudden.  There is no difference between fear and anxiety.  Both anxiety and fear are alerting signals 27. A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms which varies among persons is commonly known as which of the following?

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