Low levels of cerebral spinal fluid 5HIAA (CSF 5-HIAA) can be an indicator of which of the following?
Depression
Impulsive aggression
Chronic fatigue syndrome
Bipolar disorder
The Correct Answer is B
Choice A reason: Low CSF 5HIAA has been studied in relation to mood disorders, but the association with depression is inconsistent and not considered a primary biomarker.
Choice B reason: This is correct. CSF 5HIAA is a metabolite of serotonin, and low levels are strongly associated with impulsive and aggressive behaviors. Serotonin dysregulation can impair inhibitory control and emotional regulation, leading to increased risk of impulsive aggression and violent behavior.
Choice C reason: Chronic fatigue syndrome is not linked to CSF 5HIAA levels; its etiology involves multifactorial immunologic and neurologic factors.
Choice D reason: Bipolar disorder involves mood dysregulation with episodes of mania and depression. CSF 5HIAA levels are not reliably predictive of bipolar disorder or its clinical course.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Oral antibiotics are not effective for intrapartum prophylaxis because they do not achieve adequate levels in the maternal bloodstream during delivery to prevent neonatal infection.
Choice B reason: Administering antibiotics prior to labor may reduce maternal colonization but does not provide reliable protection for the neonate at the time of delivery.
Choice C reason: Birth canal washes with chlorhexidine have been studied but are not considered effective or standard for preventing neonatal Group B Streptococcus transmission.
Choice D reason: This is correct. Intrapartum IV antibiotic prophylaxis, typically with penicillin or ampicillin, is the recommended method to prevent vertical transmission of Group B Streptococcus to the newborn. Administering antibiotics during labor achieves adequate maternal and fetal concentrations at the time of birth.
Correct Answer is A
Explanation
Choice A reason: This is correct. The STAI score range indicates that 20 reflects minimal anxiety symptoms, representing low-level or mild anxiety.
Choice B reason: Minor anxiety is not a standardized interpretation within the STAI scoring system; “low-level” is more accurate.
Choice C reason: Moderate anxiety is associated with higher STAI scores, typically above 30.
Choice D reason: Severe anxiety corresponds to even higher STAI scores, usually well above 40, indicating significant distress.
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