Psych 10

Question 1

What psychotic disorders can Carbamazepine be used for

Answer 1

Mania with mixed features

Rapid cycling bipolar disorder

Question 2

MOA of Carbamazepine

Answer 2

Blocks sodium channels, inhibiting action potentials

Question 3

What psychotic disorders can Valproic acid treat?

Answer 3

Acute mania, mania with mixed features, rapid cycling bipolar

Question 4

What is Valium

Answer 4

Diazepam

Question 5

What is Klonopin

Answer 5

Clonazepam

Question 6

What is Xanax

Answer 6

Alprazolam

Question 7

What is Ativan

Answer 7

Lorazepam

Question 8

What are the 3 non-benzo hypnotics

Answer 8

Zolpidem/Ambien
Zaleplon/Sonata
Eszoplicone/Lunesta

Question 9

Rank the non-benzo hypnotics based on half-life, shortest to longest

Answer 9

Zaleplon < Zolpidem < Eszoplicone

Question 10

What are the other non-benzo sedatives

Answer 10

♣ Diphenhydramine/Benadryl = Antihistamine with anticholinergic effects

♣ Ramelteon/Rozerem = Selective melatonin agonist

Question 11

MOA and uses of Buspirone

Answer 11

Non-benzo anxiolytic
• Partial agonist at 5HT receptor
• Slower onset and not as effective
• Low potential for abuse/addiction

Question 12

MOA and uses of Hydroxyzine

Answer 12

Non-benzo anxiolytic

Antihistamine

Question 13

What psych issues is Propranolol used for

Answer 13

Non-selective beta antagonist
• Useful in treating the autonomic effects of panic attacks or social phobia, such as palpitations, sweating, and tachycardia

Question 14

3 drugs used for ADHD

Answer 14

♣	Dextroamphetamine and Amphetemine
•	Drug = Adderall
♣	Methylphenidate 
•	Drug = Ritalin, Concerta 
♣	Atomoxetine

Question 15

Drug used for narcolepsy

Answer 15

Modafinil

Question 16

Drugs used for cognitive enhancement (e.g. dementia)

Answer 16

♣ Donepezil
♣ Galantamine
♣ Rivastigmine

Question 17

Tx for sleep walking

Answer 17

No cure. Maintain safe environment and monitory patient’s symptoms

Question 18

What medication may be used to treat hypersexuality

Answer 18

SSRI because they decrease libido

Question 19

What is transvestic disorder

Answer 19

Patient’s experience recurrent and intense sexual arousal when cross-dressing

Question 20

What drug is effexor?

Answer 20

Venlafaxine

Question 21

Clinical features of fetal alcohol syndrome

Answer 21

Growth retardation, microphthalmia (small eyes), short palpebral fissures, midface hypoplasia, thin upper lip, microcephaly

Question 22

Describe opiate intoxication

Answer 22

Slurred speech, drowsiness, impaired memory or attention, constricted pupils, respiratory depression, stupor, coma

Question 23

Tx of hallucinogen (acid) intoxication for:

• Mild sx
• Severe sx

Answer 23

Mild = reassurance and quite environment

Severe = Benzos

Question 24

Blood alcohol levels that show first signs of intoxication in a non-tolerant person (e.g. decrease in fine motor control)

Answer 24

20-30 mg/dL can start to shoe behavioral changes, slowing of motor performance, and decrease in the ability to think clearly

Question 25

Blood alcohol level with significant impairment of motor and mental performance

Answer 25

100-200 mg/dl

Question 26

BAL with memory impairment (blackout and amnesia)

Answer 26

200-300 mg/dl

Question 27

BAL that can lead to coma and death in a non-tolerant person

Answer 27

400 mg/dl

Question 28

How many days does marijuana stay in your system

Answer 28

2-7 days after single use | 4 weeks in chronic user

Question 29

How many days does alcohol stay in your system

Answer 29

Few hours

Question 30

How many days does cocaine stay in your system

Answer 30

2-4 days urine screen

Question 31

How many days do Amphetamines stay in your system

Answer 31

1-3 days urine screen

Question 32

How many days does PCP stay in your system

Answer 32

4-7 days urine screen

Question 33

How many days do benzos in your system

Answer 33

Short acting = 5 days | Long acting = 30 days

Question 34

How many days do barbs stay in your system

Answer 34

Short acting = 24 hours | Long acting = 3 weeks

Question 35

How long do opioids stay in your system

Answer 35

1-3 days urine

Question 36

MOA of cocaine

Answer 36

Inhibits NET and DAT, allowing catecholamines to remain in the synapse

Question 37

What can be used for tx of heroin withdrawal sx

Answer 37

Clonidine (a2 agonist) to treat autonomic signs and symptoms of withdrawal Methadone or Buprenoprhine to cause detox

Question 38

Is it appropriate to give antipsychotics to a patient in delirium tremens

Answer 38

No - they lower seizure threshold

Question 39

MOA of amphetamines

Answer 39

Release of stored monamines in the synaptic cleft

Question 40

MOA of PCP

Answer 40

activation of NMDA receptors

Question 41

More severe presentation of cocaine intoxication

Answer 41

Cocaine-induced delrium; visual and tactile hallucinations, coronary spasm, MI, intracranial hemorrhage, seizure

Question 42

MOA of Methadone

Answer 42

Long acting opioid agonist used for withdrawal and opioid addiction

Question 43

MOA of Buprenorphine

Answer 43

Long acting partial opiod agonist used for withdrawal symptoms

Question 44

What drugs can be used to treat nicotine dependence

Answer 44

Varenicline Bupropion Nicotine replacement therapy

Question 45

MOA of Varenicline

Answer 45

Nicotinic receptor partial agonist that mimics the action of nicotine, reducing the reward aspects and preventing withdrawal symptoms

Question 46

Presentation of inhalant intoxication

Answer 46

Perceptual disturbances, paranoia, lethargy, dizziness, N/V, HA nystagmus, tremor, muscle weakness, ataxia, slurred speech

Question 47

What makes something classify as a substance use disorder

Answer 47

Exhibition of maladaptive behavioral pattern characterized by recurrent use in spite of academic, social, or work problems; use in situations in which changes in mental status may be dangerous (driving); recurrent substance-related legal problems

Question 48

What is potentiation

Answer 48

E.g. giving 2 drugs that enhance the effects of each other