TB, dep, psych quiz Flashcards
Which of the following medications cause significant weight gain and low rates of sexual dysfunction?
a. Trazodone (Desyrel)
b. Mirtazepine (Remeron)
c. Bupropion (Wellbutrin)
d. Desvenlafaxine (Pristiq)
b
Atypical antidepressant
B M T
Which antidepressant would you have to monitor the intake of foods high in tyramine?
a. Desipramine (Norpramin)
b. Paroxetine (Paxil)
c. Tranylcypromine (Parnate)
d. Venlafaxine (Effexor)
c
MAOI:aged cheese, cured meats, beer
A patient in your psychiatric unit has been prescribed a new medication that requires his blood to be monitored weekly for 6 months. Which medication would you most likely find in his chart?
a. Haloperidol (Haldol®)
b. Fluphenazine (Prolixin®)
c. Clozapine (Clozaril®)
d. Olanzapine (Zyprexa®)
c
** If a patient is taking oral contraceptives, which medication do they need to be cautious with taking?**
a. Rifampin
b. Isoniazid
c. Pyrazinamide
d. Ethambutol
a
anticonvulsants and antiretrovirals
Which TB drugs can cause hepatotoxicity? (SATA)
a. Rifampin
b. Isoniazid
c. Pyrazinamide
d. Ethambutol
a,b,c,d
Ethambutol
less hepatotoxic
Which of the following medications should be taken 1 hour before or 2 hours after meals to maximize absorption?
a. Rifampin
b. Isoniazid
c. Pyrazinamide
d. Ethambuto
a
food decreases absorption/efficacy
Which of the following are the side effects of rifampin? (SATA)
a. Rash
b. GI discomfort
c. Orange discoloration of urine
d. Hepatotoxicity
e. Hyperglycemia
f. Peripheral neuropathy
g. Retrobulbar neuritis
a, b, c, d
Hyperglycemia - Isoniazid
Peripheral neuropathy - Isoniazid
Retrobulbar neuritis -ethambutol (optic nerve)
. Which of the following are considered Serotonergic side effects? SATA
a. Nausea
b. Diarrhea
c. Increased blood pressure
d. Sleep disturbances
e. Sexual side effects
a,d,e
No b,c
The medication that is approved for treating depression as well as neuropathic pain associated with
diabetes is:
a. Venlafaxine (Effexor)
b. Paroxetine (Paxil®)
c. Duloxetine (Cymbalta)
d. Desvenlafaxine (Pristiq)
e. Mirtazapine(Remeron®)
c
Which of the following medications is lethal in an overdose?
a. Desipramine
b. Venlafaxine
c. Paroxetine
d. Selegiline
a
Tricyclic antidepressant
pramin!
Tyline!
What is true regarding Phenelzine?
a. Lethal in overdoses
b. The patient should avoid old cheese
c. Anticholinergic side effects
d. Sedating
e. Causes weight gain
f. Used for resistant depression
b
MAOIs
resistant depression
Bupropion
action?
ADRs?
Inhibition of DA and NE reuptake
smoking cessation
Lowers seizure threshold
Lower incidence of sexual side effects
Mirtazapine
a) action
b) ADRs
Enhances NE and 5HT activity
Sedating antihistaminic effect
Taken at bedtime
Low rate of sexual dysfunction
More side effect at lower doses!!!
Significant weight gain
Trazodone
a) action
b) characteristic
a) enhances 5HT activity
b)Very sedating – used to treat insomnia
Doses <300 mg used for insomnia
Trazodone
ADRs
Sedation,
Nausea, GI upset
Priapism
