(10) Sedative to Antipsychotics SLO Flashcards
1
Q
ALL sedative hypnotics cause \_\_?\_\_, some more so than others. Think alcohol intoxication. A. Renal failure B. Steven Johnson‘s Syndrome C. Bad breath D. Blindness E. Drug-induced amnestic state
A
Drug-induced amnestic state
2
Q
Antidepressants and anti epileptic drugs (AEDs) are associated with an increased risk of \_\_?\_\_. A. Suicide B. Early onset Parkinson’s disease C. EPS D. Antimuscarinic symptoms E. Stroke
A
Suicide
3
Q
Antipsychotics are associated with an increased risk of \_\_?\_\_. A. Alopecia B. A withdrawal syndrome in neonates C. Weight loss D. Enhanced alertness E. Bone cancer
A
Withdrawal syndrome in neonates
4
Q
Benzodiazepines, non-benzodiazepine sedative hypnotics and barbiturates all cause \_\_?\_\_. A. Tolerance B. Dependence C. Withdrawal Syndrome D. Some degree of amnesia E. All the above
A
All of the above
5
Q
Benzodiazepines, non-benzodiazepine sedative hypnotics and barbiturates all have \_\_?\_\_. A. Antimuscarinic symptoms B. A risk of EPS C. Control schedule I listing D. A Withdrawal syndrome. E. A Narrow therapeutic margin
A
A withdrawal syndrome
6
Q
Beta blockers have \_\_?\_\_. A. A Narrow therapeutic margin B. A Withdrawal syndrome C. A risk of EPS D. Antimuscarinic symptoms E. Control schedule I listing
A
A withdrawal syndrome
7
Q
Don’t take zolpidem __?__
A. With water
B. At bedtime
C. With food or immediately after a meal
D. None of the answers listed is correct.
E. After bathing
A
With food or immediately after a meal
8
Q
Elderly patients with dementia-related psychosis are more likely to \_\_?\_\_ when given antipsychotics - hence the boxed warning on all antipsychotics. A. Have kidney problems B. Have liver problems C. Have cardiovascular problems D. Die E. Improve
A
Die
9
Q
Having the HLA-B 1502 allele (a variant of the HLA-B gene) predisposes patients on carbamazepine to \_\_?\_\_ A. Blood dyscrasias B. Steven Johnson’s Syndrome C. Epilepsy D. Heart disease E. Psychosis
A
Steven Johnson’s Syndrome
10
Q
Lithium causes goiter because it \_\_?\_\_. A. Has antimuscarinic symptoms B. Has a Narrow therapeutic margin C. Causes weight gain D. Has a Withdrawal syndrome. E. Inhibits the release of thyroid hormone
A
Inhibits the release of thyroid hormone
11
Q
Lithium causes \_\_?\_\_. A. Tremor B. Hair loss C. Weight gain D. Memory loss E. All the above
A
All the above
12
Q
Lithium has \_\_?\_\_. A. None of the listed answers is correct. B. Anticholinergic effects C. A lifetime maximum dose D. A Narrow therapeutic margin E. A Control Schedule 1 listing
A
A Narrow therapeutic margin
13
Q
MAOIs are associated with \_\_?\_\_. A. Neuroleptic malignant syndrome B. Tolerance C. Malignant hyperthermia D. Serotonin syndrome E. Dependence
A
Serotonin Syndrome
14
Q
Phenobarbital has a long t ½ and is often associated with \_\_?\_\_. A. Insomnia B. Angina C. Seizures D. Hang-over E. Arrhythmias
A
Hang-over
15
Q
Phenobarbital is a potent \_\_?\_\_ A. P450 inducer B. Benzodiazepine C. TCA D. SNRI E. SSRI
A
P450 inducer
16
Q
SSRIs have \_\_?\_\_. A. A Withdrawal syndrome. B. A risk of EPS C. A Narrow therapeutic margin D. Control schedule I listing E. Analgesic effects
A
A withdrawal syndrome
17
Q
TCAs are contraindicated with \_\_?\_\_ because the combination may cause hyperpyretic crises, convulsions and fatalities. A. MAOIs B. Non-BZD hypnotics C. BZDs D. Antihistamines E. Barbiturates
A
MAOIs
18
Q
The most commonly prescribed antidepressants, including SNRIs and SSRIs, are associated with \_\_?\_\_ A. Weight gain B. Delayed onset (oftentimes weeks) C. All the above D. Sexual dysfunction E. Potential effects on clotting
A
All the above
19
Q
The onset of action for Eszopiclone is so rapid, it must be taken immediately before \_\_?\_\_. A. Bathing B. Drinking water C. Going to bed D. Eating E. Getting up in the morning
A
Going to bed
20
Q
Typical antipsychotics are associated with a greater risk of \_\_?\_\_ than atypicals. A. Sedation B. Anticholinergic effects C. EPS D. Sympathetic effects E. All the above
A
All the above
21
Q
When neonates have been exposed to antipsychotics during the 3rd trimerster of pregnancy, they are at increased risk of \_\_?\_\_. A. Goiter B. Hair loss C. Weight gain D. A Withdrawal syndrome. E. Cataracts
A
A withdrawal syndrome
22
Q
Which of the following is a 1st generation antihistamine used as a sedative, hypnotic, and to treat all allergic reactions and motion sickness as well as Parkinson’s movement disorders and EPS. A. Divalproex B. Diphenhydramine C. Lamotrigine D. Lithium E. Carbamazepine
A
Diphenhydramine
23
Q
Which of the following is a 1st generation antihistamine with anti cholinergic effects indicated to treat all allergic reactions, as a sedative/hypnotic and to treat PD/EPS? A. Buspirone B. Artane C. Benztropine D. Bupropion E. Benadryl
A
Benadryl
24
Q
Which of the following is Desyrel, a 5HT antagonist and Reuptake Inhibitor (SARI) used PO to treat MDD? A. Benztropine B. Bupropion C. Trazodone D. Buspirone E. Selegiline
A
Trazadone
25
Q
Which of the following is a 5HT1a agonist and a D2 antagonist, non-sedating anxiolytic? A. Buspirone B. Zolpidem C. Eszopiclone D. Phenobarbital E. Propranolol
A
Buspirone
26
Q
Which of the following is a Beta blocker and non-sedating anxiolytic indicated for HT, angina, performance anxiety, migraine, etc. A. Propranolol B. Carbamazepine C. Lamotrigine D. Lithium E. Doxepin
A
Propranolol