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 antipsychotics2.Antipsychotic medications provide D2 blockade in the mesocortical pathwaycausing which of the following effects?Reduces negative symptomsIncreases extra pyramidal symptoms (EPS)Causes prolactinemiaReduces positive symptoms3.Phencyclidine (PCP) and Ketamine exert their unique behavioral effects byblocking which of the following receptors?GABA type receptorsSerotonin receptorsDopamine receptorsNMDA type receptors4.The diagnosis used to describe a syndrome characterized by specific signsand symptoms resulting from recent ingestion or exposure to a substance isknown as which of the following?Substance intoxicationSubstance withdrawalSubstance use disorderAny of the above5.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 effects6.A deeply held belief despite evidence to the contrary, lasting at least onemonth, without prominent hallucinations, with functional impairment thatrelates to the delusional systemSchizophreniaDelusional disorderBrief psychotic disorderSchizophreniform disorder7.Which of the following is true about preoccupation with castration?This can be serious and life-threatening if castration is carried out withoutmedical supervision.This is consistent with Transvestic DisorderThis is consistent with other specified paraphilic disorderThis is consistent with sexual masochism disorder8.Which of the following is a system that provides a uniform language fordescribing medical and surgical procedures and diagnostic services renderedby clinicians?HIPPADSM-5CPTDRG9.A patient on Chlorpromazine states that his orgasm is dry and afterward hewill 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 PCPfor follow-up10. A condition which results from absence of second female sex Chromosome(XO) and is associated with web neck, dwarfism, cubitus valgus, and infertilityis known as which of the following?HermaphroditismTurner's syndromeAdrenogenital syndromeAndrogen insensitivity syndrome11. Which of the following would be characterized as a negative symptom ofschizophrenia?Hallucinations and delusionsImpaired social and occupational functioningIsolation and impaired self-careB and C only12. Which of the following are keys to distinguishing OCD from psychosis?Patients with OCD can almost always acknowledge the unreasonable nature oftheir 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 enrolledindividuals 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 ofpractice according to state law is important for which of the followingreasons?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 above15. Which of the following is the most widely consumed psychoactive substance?AlcoholCaffeineHeroineCannabis16. Which of the following is used to treat Tardive Dyskinesia?Cogentin (benztropine)Artane (trihexyphenidyl)Catapress (Clonidine)None of the above17. The APRN consensus model did which of the following?Merged adult, gerontology and pediatric foci so that all NPs could truly workacross 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 C18. Which of the following behaviors are associated with an alcohol blood level of0.05 percent?Voluntary motor actions usually become perceptibly clumsyThought judgment, and restraint are impairedConfusion, stupor

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None of the above19. 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 only20. A patient presents with delusions, disorganized thoughts, and speech withpoor self care all of which have persisted for the past 7 months. The APRN thispresentation is.......with which of the following diagnosis?SchizophreniaSchizophreniform disorderBrief psychotic disorderDelusional disorder21. Major neurotransmitters possibly involved in developing substance abuse andsubstance dependence..... which of the following?DopamineGABASerotoninA and B only22. 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 thenhas avoided using elevators. This patient meets criteria for which of thefollowing?Social phobiaSpecific phobiaGeneral anxiety disorder unspecifiedObsessive-compulsive disorder24. A patient with a substance abuse disorder who does not meet the clinicalcriteria for hospitalization but who lacks sufficient social and vocational skillsand lack substance-free social supports is apResidential treatmentPartial hospitalizationsOutpatient treatmentAll of the above25. Obscene phone calling to an unsuspecting partner for sexual arousal is knownas which of the following?TelephiliaPartialismTelephone scatologiaNormal adolescent prank26. The main psychological difference between fear and anxiety is best describedby 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 signals27. A diffuse, unpleasant, vague sense of apprehension often accompanied byautonomic symptoms which varies among persons is commonly known aswhich of the following?

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