Chapter 4 BNF (Sleep Disorders)

Question 1

What type of benzodiazepine should be offered in transient insomnia and how many doses?

Answer 1

Short acting

One or two doses

Question 2

How is chronic insomnia treated

Answer 2

Treat underlying condition

Question 3

Which z-drug is associated with taste disturbance?

Answer 3

Zopiclone

Question 4

Which z-drug is associated with GI disturbance?

Answer 4

Zolpidem

Question 5

Which z-drug is shortest acting, how long should it be given for?

Answer 5

Zaleplon: 2 weeks

Question 6

What’s first choice for sleep onset insomnia?

Answer 6

Z drugs

TOLLL Benzos

Question 7

What’s first choice in sleep maintaininance insomnia with day time anxiety?

Answer 7

Diazepam
Nitrazepam
Flurazepam

Question 8

What’s the risk with benzodiazepines in the elderly?

Answer 8

Ataxia and confusion

Question 9

What are the side effects of z-drugs ?

Answer 9

Paradoxical effects: aggression

Daytime sleepiness

Dependence and withdrawal?

Question 10

What are the withdrawal symptoms of z drugs?

Answer 10

Rebound insomnia

Vivid dreams

Question 11

How long does tolerance take to develop with z-drugs ?

Answer 11

3 to 14 days

Question 12

What is narcolepsy?

Answer 12

Sleep at inappropriate times

Question 13

What are the treatments of narcolepsy ?

Answer 13

Modafinil
Methylphenidate
Dexamfetamine