Chapter 3 Flashcards
Define antipsychotics
A) Medications believed to explicitly combat the symptoms of psychosis
B) A form of randomized control trial that involves two stages. In stage one, all participants receive active medication. In stage two, participants who have responded to the treatment are randomized and some begin to receive placebos
C) Medications that are psychoactive (meaning they impact mood, thoughts, or behaviour); they are prescribed for psychiatric reasons
D) A type of drug, often prescribed as an antidepressant, designed on the assumption that depression results from low levels of the neurotransmitter serotonin
A
Define direct-to-consumer advertising
A) A practice formally legal in only two countries, whereby advertisements are aimed at those who will ultimately consume medications, rather than at the physicians who prescribe them
B) A form of randomized control trial that involves two stages. In stage one, all participants receive active medication. In stage two, participants who have responded to the treatment are randomized and some begin to receive placebos
C) Medications that are psychoactive (meaning they impact mood, thoughts, or behaviour); they are prescribed for psychiatric reasons
D) A type of drug, often prescribed as an antidepressant, designed on the assumption that depression results from low levels of the neurotransmitter serotonin
A
Define discontinuation trial
A) A practice formally legal in only two countries, whereby advertisements are aimed at those who will ultimately consume medications, rather than at the physicians who prescribe them
B) A form of randomized control trial that involves two stages. In stage one, all participants receive active medication. In stage two, participants who have responded to the treatment are randomized and some begin to receive placebos
C) Medications that are psychoactive (meaning they impact mood, thoughts, or behaviour); they are prescribed for psychiatric reasons
D) A type of drug, often prescribed as an antidepressant, designed on the assumption that depression results from low levels of the neurotransmitter serotonin
B
Define disease mongering
A) A practice formally legal in only two countries, whereby advertisements are aimed at those who will ultimately consume medications, rather than at the physicians who prescribe them
B) The practice of prescribing drugs for reasons not officially approved by drug regulators
C) Medications that are psychoactive (meaning they impact mood, thoughts, or behaviour); they are prescribed for psychiatric reasons
D) The process by which pharmaceutical companies “sell disease” by promoting awareness of a particular condition, stressing its dramatic impact on sufferers, and then offering a solution in the form of a drug
D
Define “off-label” prescribing
A) A practice formally legal in only two countries, whereby advertisements are aimed at those who will ultimately consume medications, rather than at the physicians who prescribe them
B) The practice of prescribing drugs for reasons not officially approved by drug regulators
C) Medications that are psychoactive (meaning they impact mood, thoughts, or behaviour); they are prescribed for psychiatric reasons
D) The process by which pharmaceutical companies “sell disease” by promoting awareness of a particular condition, stressing its dramatic impact on sufferers, and then offering a solution in the form of a drug
B
Define psychopharmaceuticals
A) Medications believed to explicitly combat the symptoms of psychosis
B) The practice of prescribing drugs for reasons not officially approved by drug regulators
C) Medications that are psychoactive (meaning they impact mood, thoughts, or behaviour); they are prescribed for psychiatric reasons
D) Medications that generally impact a person by sedating or calming them, including both major and minor tranquilizers
C
Define selective serotonin reuptake inhibitor (SSRI)
A) Medications believed to explicitly combat the symptoms of psychosis
B) The practice of prescribing drugs for reasons not officially approved by drug regulators
C) A type of drug, often prescribed as an antidepressant, designed on the assumption that depression results from low levels of the neurotransmitter serotonin
D) Medications that generally impact a person by sedating or calming them, including both major and minor tranquilizers
C
Define tranquilizers
A) Medications believed to explicitly combat the symptoms of psychosis
B) The practice of prescribing drugs for reasons not officially approved by drug regulators
C) A type of drug, often prescribed as an antidepressant, designed on the assumption that depression results from low levels of the neurotransmitter serotonin
D) Medications that generally impact a person by sedating or calming them, including both major and minor tranquilizers
D
Antidepressants treat: A) anxiety B) bipolar disorder C) mania D) depression
D
Anxiolytics treat: A) anxiety B) bipolar disorder C) mania D) depression
A
Mood stabilizers treat: A) anxiety B) bipolar disorder C) mania D) depression
B
What was the first (and for more than a century dominant) psychoactive drug in America? A) Heroin B) Cocaine C) Alcohol D) Marijuana
C
Which two psychoactive drugs succeeded (came after) alcohol? A) Morphine and heroin B) Morphine and cocaine C) Morphine and marijuana D) Cocaine and heroin
B
Which psychoactive drug was considered to be “applicable in all cases where the object is to relieve pain, quiet restlessness, promote sleep, or allay nervous irritation in any shape”? A) Cocaine B) Heroin C) Fentanyl D) Morphine
D
Which psychoactive drug was widely adopted as a “brain tonic” and stimulant? A) Cocaine B) Heroin C) Fentanyl D) Morphine
A
True or False?
Unregulated markets for psychoactive substances proved dangerous, producing, for example, a widespread epidemic of addiction to opiates and cocaine
True
What did the 1906 Food and Drug Act require?
A) It required all drugs being sold to be non-expired
B) It required a psychologist’s prescription for the sale of opiates and cocaine
C) It required that psychoactive substances be listed on the label
D) It required a physician’s prescription for the sale of opiates and cocaine
C
What did the 1914 Harrison Anti-Narcotic Act require?
A) It required all drugs being sold to be non-expired
B) It required a psychologist’s prescription for the sale of opiates and cocaine
C) It required that psychoactive substances be listed on the label
D) It required a physician’s prescription for the sale of opiates and cocaine
D
Britain’s Dangerous Drugs Act took place in \_\_\_\_\_\_\_. A) 1920 B) 1939 C) 1929 D) 1960
A
Canada’s Opium and Narcotic Drug Act took place in \_\_\_\_\_\_\_. A) 1920 B) 1939 C) 1929 D) 1960
C
True or False?
In many countries, sales not involving physicians, now legally defined as “non-medical,” were not criminalized
False
In many countries, sales not involving physicians, now legally defined as “non-medical,” were criminalized
What were the two categories of drugs introduced after morphine and cocaine required physicians for prescriptions?
A) Barbiturate sedatives and alcohol
B) Barbiturate sedatives and fentanyl
C) Alcohol and amphetamine stimulants
D) Barbiturate sedatives and amphetamine stimulants
D
By the \_\_\_\_\_\_\_\_\_\_, barbiturates and amphetamines were among the most widely used medicines in America A) 1930s B) 1950s C) 1900s D) 1970s
B
When were barbiturate sedatives first introduced? A) 1920s B) 1950s C) 1900s D) 1930s
C
When were amphetamine stimulants first introduced? A) 1920s B) 1950s C) 1900s D) 1930s
D
By the 1950s, at least \_\_\_\_\_\_\_ of all prescriptions included one or both of the barbiturate sedatives and amphetamine stimulants A) 50% B) 25% C) 5% D) 75%
B
True or False?
By the 1950s, overdose fatality rates for barbiturates alone were at epidemic levels
True
True or False?
After WWI, psychoactive drugs were reframed as psychiatric medicines, known as psychopharmaceuticals
False
After WWII, psychoactive drugs were reframed as psychiatric medicines, known as psychopharmaceuticals
Which of the following does not include the series of revolutionary drugs offered by pharmaceutical companies?
A) The “tranquilizer” Thorazine (chlorpromazine)
B) The “mood elevators”, including monoamine oxidase inhibitors (MAOIs) and tricyclics
C) the “minor tranquilizer” Miltown
D) the “significant tranquilizer” Prombate
D
What was Miltown claimed to do?
A) Claimed to have a specific effect on depression rather than being a general sedative like the barbiturates
B) Claimed to have a specific effect on anxiety rather than being a general sedative like the barbiturates
C) Claimed to have a specific effect on phobia levels rather than being a general sedative like the barbiturates.
B
In the 1960s and 1970s, what was the single most prescribed drug in the world? A) Librium B) Valium C) Magnesium D) Iron
B
In the 1970s, Valium became the single most prescribed drug in the United States, with nearly 90 million bottles consumed every year
Which of the following is not true about the Kefauver Harris Amendment?
A) It occurred during the 1960s when Senator Estes Kefauver completed a high-profiled investigation of the pharmaceutical industry
B) It was an amendment to the Federal Food, Drug, and Cosmetic Act
C) The bar of “effectiveness” for testing medications was set very high
D) It required pharmaceutical companies to demonstrate not only that their medications were safe, but also that they were “effective”
C
The bar of “effectiveness” for testing medications was set very low, and consequently, the pharmaceutical market become flooded with replicated, pre-existing treatments
In which particular segment of the American population did the blockbuster drug, Valium, arouse concerns in the 1970s? A) Black, middle-class women B) Asian, high-class women C) White, middle-class women D) Latino, low-class men
C
Among Americans between the ages of 18 and 44, antidepressants are the \_\_\_\_\_\_ most common prescription. A) 5th B) 4th C) 3rd D) 1st
C
Today, \_\_\_\_\_\_\_\_\_\_\_\_\_ are among the most commonly used prescription drugs in North America and Europe A) psychiatric medications B) opiates C) Lithium and Valium D) Librium and Valium
A
About \_\_\_\_\_ of Americans taking antidepressant medication have done so for \_\_\_\_\_\_\_\_ years or longer. A) 14%, 20 B) 14%, 10 C) 20%, 20 D) 20%, 10
B
True or False?
A consistent international trend is that women are more than twice as likely as men to use psychiatric drugs
True
True or False?
There is a broad trend toward decreasing sedative-hypnotic use with increasing age
False
There is a broad trend toward increasing sedative-hypnotic use with increasing age
According to WHO, which of the following is not true about naming standards? A) Each drug has a chemical name B) Each drug has a generic name C) Each drug has a trade name D) All drugs have a name length limit
D
What does the term “polypharmacy” refer to?
A) Referring to the simultaneous use of 2 or more prescription drugs
B) Referring to the sporadic use of 2 or more prescription drugs
C) Referring to the simultaneous use of 5 or more prescription drugs
D) Referring to the sporadic use of 5 or more prescription drugs
C
True or False?
Acute conditions are often a direct response to a personal trauma, loss, physical illness, or toxicity
True
The language of psychiatry divides the natural course of a psychiatric condition into phases:
A) mild or major
B) mild or severe
C) acute or chronic
C
True or False?
The term “maintenance” has been applied since the early 1960s to the practice of prescribing psychiatric drugs for extended durations, sometimes a lifetime
True
True or False?
“Chronic disease” has traditionally been a term describing whatever illness is curable in a short amount of time
False
“Chronic disease” has traditionally been a term describing whatever illness was not curable and not immediately fatal