Final Exam Part 4

Question 1

Use for agitation in elderly

Answer 1

Risperdal if SSRI is not effective

Question 2

Treatment for insomnia in dementia

Answer 2

SSRIs - mirtazapine or trazodone

Question 3

Education on Cholinesterase inhibitors

Answer 3

Does not cure - provides about 6 months of delay

Question 4

used for moderate to severe dementia

Answer 4

Namenda (memantine)

Question 5

used for mild to moderate dementia

Answer 5

Donepezil (Aricept)
Rivastigmine (Exelon)
Galantamine (Reminyl)
Tacrine (Cognex)

Question 6

Postpartum depression

Answer 6

Symptoms persist longer than 2 weeks

Usual onset is 12 weeks after birth

Question 7

Baby blues

Answer 7

Onset within 4-6 weeks after birth

Feelings of sadness

Question 8

postpartum psychosis

Answer 8

Onset with 2-3 days up to 8 weeks after delivery

starts with fatigue, insomnia, restlessness

Question 9

Antidepressant safest for pregnancy

Answer 9

Fluoxetine (Prozac)

Question 10

Antianxiety safest for pregnancy

Answer 10

SSRIs (Prozac) - NOT paxil

Benzos safe short term

Question 11

mood stabilizer in pregnancy

Answer 11

Lithium or Lamotrigine

NOT valproate or carbamazapine

Question 12

St. John’s Wort

Answer 12

Affects serotonin, dopamine, and norepinephrine
Lots of D2D interactions
Sun sensitivity - risk of rash
Not safe in pregnancy

Question 13

Gingko Biloba

Answer 13

Anxieyt/dementia/schizophrenia
Moderate drug interactions
Possible cardiac arrhythmias
GI upset
Spontaneous bleeding

Question 14

Ginseng

Answer 14

Cognitive function
Not for children or pregnant women
Common SE is insomnia
watch for allergic reaction

Question 15

Melatonin

Answer 15

Used to treat Insomnia
Not for pregnancy
Okay for children
SE include dizziness, headache, nausea

Question 16

N-acytylcysteine

Answer 16

Used for Autism
Increases glutathione
GI and headaches complaints common

Question 17

SAM-E

Answer 17

Used for depression
May cause rash, hair loss, sweating
headache, insomnia
safe in pregnancy

Question 18

Dopamine pathway responsible for negative symptoms

Answer 18

mesocortical

Question 19

Dopamine pathway responsible for positive symptoms

Answer 19

mesolimbic

Question 20

dopamine pathway responsible for EPS symptoms

Answer 20

nigrostriatal

Question 21

dopamine pathway responsible for prolactin

Answer 21

tuberoinfundibular