Psychopharm

Question 0

Pt abruptly stopped using her drug of abuse. Most concerned about fatal complications if she has just stopped using:

1. Heroin
2. Crack
3. Valium
4. Dexedrine

Answer 0

3. Withdrawal from benzodiazepine, Valium, can be fatal. Can cause seizures (alcohol withdrawal too).

Heroine withdrawal is flu like sx. Rarely fatal.

Question 1

A hold has OCD symptoms with unwanted thoughts and repetitive impulses. Drug of choice would be?

1. Anti anxiety
2. Antidepressant
3. Antipsychotic
4. Beta blocker

Answer 1

Although OCD is an anxiety d/o, the answer is 2. Most common antidepressant prescribed are:
Prozac or fluoxetine..ssri

Anafranil or clomipramine..tricyclics

Question 2

Beta blockers, inderal or propranolol, used for bld pressure and heart problems. Common side effects except:

1. Nightmares
2. Loss of apetite
3. Tiredness
4. Impotence

Answer 2

2.

Side effects…sexual dysfx, 10 percent impotent males

Dizzy, drowsiest, short of breath, angina, cold hands/feet, difficult sleeping and nightmares. Lesser so…depression, anxiety, thought disturbance.

Question 3

What are the side effects of lithium?

Answer 3

Tremors, gastric distress, weight gain, tremor, fatigue, and mild cognitive impairment.

Li toxicity…extreme form of these sx

Question 4

What are the side effects of tricyclics, such as amitryptyline (elavil) ?

Answer 4

Anticholenergic effects…
Dry mouth, constipation, blurred vision, urinary retention

Also sedation, orthostatic hypotension, and weight gain

Question 5

What are the side effects of SSRI’s, such as Prozac and Paxil ?

Answer 5

Agitation, insomnia, and weight gain.

Question 6

Amphetamine withdrawal is characterized by?

Answer 6

Dysphoria, psychomotor retardation and increased appetite.

Question 8

What meds are contraindicated for people with heart concerns?

With kidney problems?

Answer 8

Heart…tricyclics are contraindicated.

Kidney…lithium

Question 12

Pt stops using drug of choice abruptly. Most concerned about fatal complications if:

1. Heroine
2. Crack
3. Valium
4. Dexedrine

Answer 12

3. Benzodiazepines withdrawal is serious and can be fatal. If includes alcohol too can have seizures.

Heroine…flu like rarely fatal
Crack…rarely fatal

Question 13

Dopamine is implicated in:
A.  Depression
B.  schizophrenia 
C.  Anxiety
D. Substance abuse

Answer 13

2. Excess dopamine. Mixed results

Depression…ne and SE
Anxiety…low GABA

Question 14

Eating disorder may have imbalance in what neurotransmitter?
Acetylcholine 
GABA 
Dopamine
Serotonin

Answer 14

Deficiency in SE

SE and ne involved in appetite, mood and sleep

Low Ach is Alzheimer’s
Low GABA is anxiety
Low d is Parkinson’s

Question 15

Withdrawal from what causes hallucinations?
LSD
Amphetamines 
Heroin
Phenobarbital

Answer 15

D. As well as alcohol, sedatives? Hypnotics, anxiolytics .
Phenobarbital is a hypnotic. Often for seizures. Withdrawal can be fatal.

Amphetamines withdraw is dysphoric, fatigue, bad dreams, increase appetite, psychomotor agitation or retardation.

Opiod withdrawal is flu like.

Question 16

Meds for anxiety disorder is:
Buspar
Prozac
Lithium carbonate
Haloperidol

Answer 16

1.
Prozac for depression
Lithium, tegretol, buspar for bipolar
Haloperidol for schizophrenia and tics

Question 17

What class of meds treat the following disorders?
A. Bipolar I
B. MDD, panic, OCD
C. Sleep problems
D. Adult ADHD, tx resistant depression, tx resistant obesity, narcolepsy, chronically medically disabling conditions.

Answer 17

Lithium, anticonvulsants (carbamazepine / tegretol; divaloprex/ depakote; valproic acid/
Depakene)

B. Antidepressants
C. Antianxiety. Not for long term use
D. Stimulant

Question 18

Opiod withdrawal includes:
A.  Hallucination 
B.  dysphoric mood, fatigue
C.  Unpleasant dreams, increased appetite, psychomotor agitation or slowing
D.  Flu like sx

Answer 18

A. Phenobarbital, alcohol, or other sedatives, hypnotic, or anxiolytics
B, C. Amphetamines
D. Opiod…correct!