psychopharm Flashcards
What medication causes your skin to fall off?
Lamictal
Information is conducted within the neurons through which of the following methods?
a. chemical neurotransmission
b. electrical neurotransmission
c. protein binding carriers
d. synaptic cleft
b. electrical neurotransmission
Within the neuron, neurotransmission leaves the cell body and travels along which one of the following parts of the neuron?
a. synaptic button
b. cell membrane
c. dendrite
d. axon
d. axon
Which one of the following statements is true?
a. neuron transmission is received only at the synaptic cleft
b. neuron transmission is received at the synaptic cleft, along the axon, and at the cell body
c. presynaptic and postsynaptic neurons must touch for neurotransmission to occur
d. endogenous and exogeneous neurotransmitters use different receptor sites
b. neuron transmission is received at the synaptic cleft, along the axon, and at the cell body
Which one of the following statements is false?
a. the human brain contains over 100 billion neurons
b. there are approximately 100 trillion synapses in the human brain
c. most neurons are present at birth
d. most of the original neurons are lost by age 70
d. most of the original neurons are lost by age 70
Neurotrasmission between neurons occurs by which means?
a. electrical neurotransmission
b. binding to plasma proteins
c. chemical neurotrasmission
d. via the enzymatic transport system
c. chemical neurotrasmission
absorbtion means:
a. the movement of drug from the blood to the rest of the body
b. the alternation of drugs through enzymes in the body
c. the movement of drug from administration site to the blood stream
d. the movement of drug through the hepatic system
c. the movement of drug from administration site to the blood stream
A therapy patient taking an antidepressant for depression announces during his therapy visit that he is going to stop taking the medication and started taking a natural remedy (st johns wort) because he did not like the side effects and he did not want to take synthetic drugs. THe antidepressant medication the client was taking has a long half-life. In addition to instructing him to communicate his plan to his prescribing health care provider, which one of the following is most important to include in patient education at this time?
a. You medication has a long half-life and any new treatment should begin after the drug has cleared your system because you might experience dangerous drug-drug interactions
b. natural remedies also have side effects and if you begin in the natural remedy too soon it will be difficult to tell which drug is causing you distress
c. sometimes it takes about a month or so for your body to adjust to the medication and after that time, the side effects will diminish significantly
d. the problem with natural remedies is that there are no controls to ensure consistent change
a. You medication has a long half-life and any new treatment should begin after the drug has cleared your system because you might experience dangerous drug-drug interactions
Which of the following neurotransmitters are implicated in depression?
a. dopamine
b. serotonin
c. norepinephrine
d. all of the above
e. none of the above
d. all of the above
Dirty drugs refres to:
a. street drugs
b. drugs that are excreted via the feces
c. drugs that resist with several receptors in addition to the intended receptor
d. drugs that have numerous drug-drug interaction
e. drugs that have many side effects
f. a and d
g. c andd e
h. c and e
g. c and e
Which of the following statements is false concerning SSRI’s?
a. they are effective for a braod range of depressions
b. many of them cause weight gain
d. the client must avoid foods containing tyramine
e. they are often the first line of treatment for depression
d. the client must avoid foods containing tyramine
thats MAOIs
Neurotrasmitters are destroyed via:
a. enzymes
b. receptors
c. transporters
d. neurotranmitters are not destroyed
a. enzymes
Clients may be noncompliant with taking a drug like depakote because of the need for frequent blood draws. The purpose of this intervention is to
a. monitor liver function for signs of impairment
b. check blood levels of the drug because fo the narrow therapeutic window
c. check on weight gain
d. a and c
a. monitor liver function for signs of impairment
Which one of the following choices most accurately describes the effect of drug metabolites on therapeutic treatment?
a. active metabolites may potentiate the effect of a drug
b. metabolites are always inactive by products of drug metabolites
c. metabolites are harmless and need not be considered when evaluating the clinical efficacy of drugs
d. non of the above
a. active metabolites may potentiate the effect of a drug
When trying to minimize side effects and treatment complications, which one of the following would be the best selection rank (least to greatest side effects) for the pharmacological management of depression?
a. MAOI’s, SSRIs, Tricyclics
b. SSRIs, MAOI’s, Tricyclics
c. Tricyclics, SSRIs, and MAOIs
d. SSRIs, Tricyclics, MAOIs
d. SSRIs, Tricyclics, MAOIs
