Practice Q Flashcards

1
Q

A patient is being switched from an SSRI/SNRI to a MOAi. which SSRI/SNRI must have a 5 week washout period before switching
A. Paroxetine
B. Sertraline
C. Venlafaxine
D. Fluoxetine

A

D

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2
Q

Which MAOi DOES NOT require tyramine diet
A. Amitryptaline oral
B. Selegiline Patch
C. Safonamide oral
D. clomipramine oral

A

B. Selegiline

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3
Q

MR is a 29 year old male that presented to the ER after a motor vehicle accident (MVA). He is complaining of 8/10 pain. His allergies include amoxicillin and codeine. Which pain medication would you recommend for this patient?

A. Hydromorphone
B. Morphine
C. Oxycodone
D. Tramadol

A

D. Tramadol
the rest are semi synthetic or natural opiates which have allergic cross reactions

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4
Q

Unlike opioids, overdose deaths to psychostimulants have been decreasing in recent years.
a. True b. False

A

False

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5
Q

Cocaine primarily acts as
a. An inhibitor of monoamine oxidase
b. An inhibitor of dopamine receptors
c. An inhibitor of the dopamine transporter
d. An activator of acetylcholine receptors
e. A mimetic of serotonin

A

C

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6
Q

The mesolimbic system is the pathway by which projections from the nucleus accumbens transports dopamine to the ventral tegmental area.
a. True
b. False

A

B

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7
Q

Which of the following is readily converted to methamphetamine?
a. Cocaine
b. Methylphenidate
c. Mephedrone
d. Methylone
e. Pseudoephedrine

A

E

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8
Q

Synthetic cannabinoids are generally created to mimic the effects of CBD.
a. True b. False

A

B

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9
Q

Hemp is primarily differentiated from marijuana based upon its content of
a. Δ8-THC
b. Δ9-THC
c. CBD
d. a&b
e. Alloftheabove

A

B

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10
Q

Cannabis ingestion does not result in respiratory depression for which of the following reasons?
a. Δ9-THC is not a CNS depressant.
b. CB1 is present in low levels in the regions of the brain stem regulating
respiration
c. Δ9-THC does not cross the blood-brain barrier.
d. It is impossible to ingest a large enough dose of induce respiratory depression.
e. None of the above

A

B

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11
Q

Which of the following cannabinoids is approved by the FDA for treatment of rare forms of seizures?
a. Δ9-THC
b. Δ8-THC
c. CBD
d. CBN
e. None of the above

A

C

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12
Q

LSD is a classical psychedelic derived from phenethylamine.
a. True b. False

A

B

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13
Q

Joe is a 50 to 60 year-old man that I have frequently encountered while serving at the local homeless shelter. On most occasions, he insists that he arrived in an Army Blackhawk helicopter that landed in the parking lot and he is taking a break from a secret mission specifically directed by the President of the United States. Joe is experiencing a(n)
a. delusion
b. hallucination
c. illusion
d. oceanic boundlessness
e. anxiousego-dissolution

A

A

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14
Q

Which of the following agents is most likely to produce bizarre behavior that includes self-harm in the absence of distress about that harm?
a. LSD
b. Amylnitrite
c. PCP
d. Mescaline e. Cannabis

A

C

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15
Q

Acute use of which of the following agents is most likely to result in sudden death?
a. DMT
b. psilocibin
c. dextromethorphan
d. toluene
e. amyl nitrite

A

D

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16
Q

What Bipolar mood stabalizing drug is only beneficial in Depressive episodes and NOT manic episodes
A. Carbamazepine
B. topiramate
C. lamotragine
D. Valproate

A

C

17
Q

What would be treatment for a patient diagnosed with Cannabinoid hyperemesis syndrome

A

Cannabis cessation
Benzodiazepines for anxiety
Haloperidol for nausea
Capsaicin cream for nausea