In several sentences, describe one or two important concepts, skills, or insights you learned in this course or studied that were asked on this exam. Why do you think these ideas will be valuable in your future clinical practice?

A 75-year-old patient taking memantine, a NMDA receptor antagonist, for Alzheimer’s disease develops mild headaches and dizziness. Which of the following is the most appropriate next step?  

A 10-year-old with ADHD and significant difficulty falling asleep is started on guanfacine extended-release (Intuniv), an alpha 2A-adrenergic receptor agonist. Which of the following monitoring parameters and potential side effects should the PMHNP discuss with the family?

A 37-year-old woman with schizophrenia reports hearing voices commanding her to run into traffic. She is agitated but vital signs are stable. Why might an antipsychotic be preferred over a benzodiazepine?

A 30-year-old man with schizophrenia becomes acutely agitated after missing medication for several days. The ED team chooses IM olanzapine (Zyprexa). Why is this medication frequently used?

A 29-year-old with bipolar I disorder has been stable on a mood stabilizer for the past 18 months. They have a history of one prior healthy pregnancy and is now planning to conceive again. They are concerned about the teratogenic risks of their current medication. Their physical exam and routine labs are unremarkable. Which mood stabilizer is most strongly associated with neural tube defects and should generally be avoided in persons of childbearing potential when possible?

A 78-year-old woman with insomnia and anxiety has been taking lorazepam nightly for several months. Which of the following statements is most accurate regarding benzodiazepine use in older adults?

There are four (4) parts to this question. Please take your time as you will use your result from Part A as the input to Part B, etc. Please note the following: Your answers must be integers. You must provide the exact answer All answers are whole numbers – no fractions or decimals larger numbers may be submitted with or without commas (e.g. either 123,456,789 or 123456789) GB is equivalent to 230 and not “1 billion” (i.e. – 1,073,741,824 bytes) MB is equivalent to 220 and not “1 billion” (i.e. – 1,048,576 bytes) KB is equivalent to 210 and not “1 billion” (i.e. – 1,024 bytes) You may assume a 4KB block size You may assume 4-byte addresses Answer these questions: How many data blocks are utilized for a file with 131.05 GB of data? How many blocks of direct pointers are necessary to reference the data blocks in part (A)? How many blocks of indirect pointers are necessary to reference the direct pointer blocks in part (B)? How many blocks of double indirect pointers are necessary to reference the indirect pointer blocks in part (C)?

You may use the following exam summary as open notes during the exam. Final Exam Summary.

Suppose a researcher is interested in whether Iowa drivers support stricter penalties for drunk driving.  A random sample of 400 Iowa drivers was polled and asked their opinions using a 5-point scale of -2 to 2 { -2 , -1 , 0 , 1 , 2 }.  Negative values indicate opposition to stricter penalties, and positive values mean support of stricter penalties.  Which of the following would be a suitable null hypothesis?