Unit 3 - Pharmacology Quiz

Question 1

Some of the more frequent side effects seen in patients taking antiepileptic drugs that may affect physical therapy are:

Answer 1

headache, dizziness, sedation, gastric disturbances

Question 2

In a patient with Parkinson’s disease, using physical therapy interventions to maintain motor function can ___the need for anti-Parkinson’s drugs.

Answer 2

decrease

Question 3

Parkinson disease typically occurs because of the slow, progressive degeneration of specific ___-secreting neurons in the ___.

Answer 3

dopamine, basal ganglia

Question 4

The use of levodopa and several other medications has allowed many patients with Parkinson disease to remain active despite the disease’s steadily degenerative nature.

Answer 4

this statement is true, as levodopa often produces remarkable improvements in motor function

Question 5

Benzodiazepines and other drugs used to treat sleep disorders and anxiety are often associated with falls and subsequent trauma, including hip fractures, especially in older adults:

Answer 5

true

Question 6

Despite levodopa being the most effective pharmacological treatment for parkinsonism, one of the most serious problems associated with levodopa therapy is:

Answer 6

the drug becomes less effective when it is administered for prolonged periods

Question 7

Therapists can help plan and implement non-pharmacological interventions to help decrease anxiety and improve sleep.

Answer 7

-This can be accomplished by interventions such as regular exercise, massage and yoga
-This can help reduce the need for drugs and improve the patient’s quality of life by decreasing drug-related side effects
-This can be accomplished by reviewing the patient’s sleep habits and suggesting improvements in sleep “hygiene”

Question 8

Newer or “atypical” antipsychotics are often preferred because:

Answer 8

they have a reduced risk of causing motor side effects

Question 9

Patient’s who are on antipsychotic drugs should be guarded by the therapist very closely during the first few days after the drug therapy has been initiated due to:

Answer 9

orthostatic hypotension

Question 10

Antidepressant drugs that selectively affect 5-hydroxytryptamine neurotransmission may also cause “serotonin syndrome” which is characterized by:

Answer 10

sweating, shivering, movement disorders (severe restlessness, dystonia, dyskinesias)

Question 11

The classic symptoms of Parkinson’s disease include (select all that apply)

Answer 11

rigidity, resting tremor, bradykinesia, postural instability

Question 12

The rationale for use of levodopa in treating Parkinson’s disease include (select all that apply)

Answer 12

-attempt to increase dopamine content in the basal ganglia
-direct administration of dopamine ineffective because of blood brain barrier
-a precursor to dopamine must be provided

Question 13

The optimal treatment time for rehabilitation for patient’s who are taking Parkinson drugs is:

Answer 13

30-60 minutes after meds

Question 14

One of the most concerning adverse effects of sedative-hypnotic/antianxiety drugs is the significant increased risk of:

Answer 14

falls

Question 15

Rehabilitation concerns with antidepressant medications include (select all that apply):

Answer 15

-time lag before beneficial effects
-chance of increased depression during initial treatment
-need to recognize/acknowledge mood changes

Question 16

The goals of drug therapy in dementia include (select all that apply):

Answer 16

-improve cognitive and intellectual function
-improve/modify behavior

Question 17

The primary concern for all antipsychotic medications is extrapyramidal (motor) side effects including tardive dyskinesia, pseudoparkinsonism, akathisia, and other dystonias.

Answer 17

true