Psychopharmacology Quiz Flashcards

1
Q

The sympathetic nervous system is mediated primarily by which neurotransmitter?

a. Glutamate
b. Norepinephrine
c. Adrenaline
d. Dopamine

A

b. Norepinephrine

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2
Q

Which of the following brain structures is dysfunctional in ADHD?

a. Thalamus
b. Diencephalon
c. Prefrontal cortex
d. Hippocampus

A

c. Prefrontal cortex

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3
Q

All of the following neurotransmitters have been implicated in the pathophysiology of depression, EXCEPT:

a. Acetylcholine
b. Dopamine
c. Norepinephrine
d. Serotonin

A

a. Acetylcholine

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4
Q

Which of the following may suggest that a major depressive episode is a part of bipolar disorder?

a. Marked anhedonia
b. Suicidal ideations
c. Hypersomnia
d. Low self-esteem

A

c. Hypersomnia

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5
Q

In the treatment of major depression with antidepressants once the patient is asymptomatic, which of the following is the most prudent action to take:

a. Gradually discontinue the antidepressant
b. “Cold-turkey” discontinuation
c. Six months of additional treatment before discontinuation
d. Indefinite treatment in order to prevent relapse

A

c. Six months of additional treatment before discontinuation

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6
Q

Which of the following mostly strongly suggests bipolar II disorder?

a. Recurrent depressive and manic episodes
b. Depressive episodes, but an absence of severe mania
c. Rapid cycling
d. High rates of suicide

A

b. Depressive episodes, but an absence of severe mania

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7
Q

Severe panic attacks typically last _____________:

a. Two to three hours
b. Two to three days
c. Up to ten minutes
d. Only a few seconds

A

c. Up to ten minutes

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8
Q

Which one of the following antidepressants is not recommended in the treatment of anxiety disorders?

a. Wellbutrin
b. Prozac
c. Zoloft
d. Lexapro

A

a. Wellbutrin

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9
Q

Which of the following psychotherapies has the best outcomes in the treatment of OCD?

a. Psychodynamic
b. Exposure based cognitive therapy
c. Gestalt therapy
d. Interpersonal therapy

A

b. Exposure based cognitive therapy

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10
Q

If intrusive symptoms seen in PTSD are successfully treated with psychiatric medications, often there is a corresponding decrease in which of the following?

a. Psychosomatic symptoms
b. Dissociative symptoms (e.g. numbing)
c. Substance abuse
d. Hypotension

A

b. Dissociative symptoms (e.g. numbing)

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11
Q

Which of the following antidepressants selectively targets dopamine?

a. Phenelzine
b. Imipramine
c. Bupropion
d. Fluoxetine

A

c. Bupropion

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12
Q

Which of the drugs listed below is known to have significant, adverse drug-drug interactions:

a. St. John’s Wort
b. Omega-3 fatty acids
c. SAM-e
d. Folic acid

A

a. St. John’s Wort

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13
Q

Which of the following is the most lethal in a suicide attempt by overdose?

a. SSRIs
b. Xanax
c. Lithium
d. BuSpar

A

Lithium

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14
Q

Which of the following has been shown to be ineffective in the treatment of mania?

a. Tegretol
b. Trileptal
c. Haldol
d. Neurontin

A

d. Neurontin

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15
Q

Which of the following is least problematic in the treatment of people who have comorbid anxiety and substance abuse?

a. Librium
b. Klonopin
c. Restoril
d. BuSpar

A

d. BuSpar

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16
Q

Which of the following antipsychotics is best for treating severe, treatment-resistant schizophrenia?

a. Haldol
b. Zyprexa
c. Clozaril
d. Seroquel

A

c. Clozaril

17
Q

Which of the following EPS may be permanent even after the medication is stopped?

a. Tardive dyskinesia
b. Dystonias
c. Parkinsonian tremor
d. Akathisia

A

a. Tardive dyskinesia

18
Q

Progressively severe mood episodes that often become harder and harder to treat suggest this theory:

a. Dysregulation theory
b. Chaotic attractor theory
c. Catecholamine theory
d. Kindling theory

A

d. Kindling theory

19
Q

High levels of this element are a possible cause of bipolar disorder:

a. Sodium
b. Calcium
c. Potassium
d. Lithium

A

b. Calcium

20
Q

Which of the following brain structures engages in threat appraisal?

a. Amygdala
b. Locus coeruleus
c. Hippocampus
d. Hypothalamus

A

a. Amygdala