Dr. O review - Exam 3

Question 1

Treatment for initial insomnia

Answer 1

Melatonin

Ramelteon, antidepressants, short acting benzos

Question 2

Middle/terminal insomnia tx

Answer 2

Z drugs: zolpidem, lunesta, sonata

Question 3

Tx for Narcolepsy

Answer 3

modafinil

Question 4

What causes narcolepsy

Answer 4

not enough orexin

Question 5

Difference between primary and secondary narcolepsy

Answer 5

secondary narcolepsy - cognitive impairment

Question 6

How does caffeine work

Answer 6

Caffeine antagonizes adenosine receptors

Question 7

What kind of neurons are pain fibers?

Answer 7

nociceptors

Question 8

Important about Z drugs and food

Answer 8

Don’t take with food - at least 3 hrs apart

Question 9

When NOT to prescribe benzos

Answer 9

elderly - falls

prego/breast feeding
substance use disorder (opiates/ETOH)
using opiates - respiratory distress

check with drug monitoring website

Question 10

beta fibers vs delta fibers vs C fibers

Answer 10

Beta = non noxious

Delta = noxious

C fibers = chemical (heat/hot)