Psychopharmacology Revision Test

Description

Quiz on Psychopharmacology Revision Test, created by Keryn Mitchell on 10/10/2020.
Keryn Mitchell
Quiz by Keryn Mitchell, updated more than 1 year ago
Keryn Mitchell
Created by Keryn Mitchell about 4 years ago
70
1

Resource summary

Question 1

Question
The use of atypical antipsychotic or second-generation antipsychotic medications in children, adolescents and adults is associated with a number of side effect issues. Which of the following is of most concern for the physical well-being of those so treated
Answer
  • Sweatiness
  • Sleepiness
  • Constipation
  • Dry mouth and blurred vision
  • Significant weight gain

Question 2

Question
: In the treatment of major depression in adolescents many of the drugs come with a so-called “black box” warning. What does this mean in practical terms?
Answer
  • The drugs are ineffective in children
  • The drugs have been associated with an increase in suicidal ideation
  • The side effects are more severe in adolescents than in adults
  • The drugs cause sleep disturbance

Question 3

Question
: In treating bipolar disorder which of the following classes of agents is most likely to be prescribed?
Answer
  • Anticonvulsant agents
  • Stimulants
  • Benzodiazepines
  • Atomoxetine
  • Antidepressants

Question 4

Question
Among the various classes of medication used to treat major depression in adolescents and adults agents from which general class are most likely to be used as a drug of first choice?
Answer
  • Tricyclic antidepressants (for example imipramine)
  • SNRIs (venlafaxine for example)
  • SSRIs (e.g., Fluoxetine)
  • Atypical antipsychotic (olanzapine for example)
  • Benzodiazepine (diazepam for example)

Question 5

Question
Most textbooks would suggest that antidepressant drugs exert their therapeutic effects when?
Answer
  • Immediately
  • After two to three days
  • Only at the recommended doses
  • Provided there are no co-morbid somatic illnesses
  • Within two to four weeks with optimal benefits after six to eight weeks

Question 6

Question
In the treatment of Bipolar Disorder there are several alternatives to the use of lithium as a prophylactic agent. From among the following which agents have been used in clinical practice?
Answer
  • Antidepressants
  • Some atypical antipsychotics
  • Some anticonvulsant medications
  • Antidepressants and some atypical antipsychotics
  • Some atypical antipsychotics and Some anticonvulsant medications

Question 7

Question
In the treatment of bipolar disorder lithium salts are frequently used. It is described as having a narrow therapeutic index. What does this mean?
Answer
  • Lithium is not safe for use
  • There is a wide gap between toxic and therapeutic doses of the drug
  • Blood levels need monitoring to check that concentrations are within the therapeutic range
  • The drug should only be administered to men
  • Lithium is not useful in any other disorder

Question 8

Question
The use of anticonvulsant drugs to treat bipolar disorder is associated with a number of side effects. The most serious, indeed life threatening, of these is:
Answer
  • Alopecia
  • Leukopenia
  • Rash
  • Stevens –Johnson syndrome
  • Blurred vision.

Question 9

Question
In recent years the so called “atypical” or second generation antipsychotic drugs have been introduced for the treatment of schizophrenia. Which statement best characterises the difference between typical or first generation and atypical antipsychotic medications?
Answer
  • Atypicals are characterised by less EPS symptoms and little or no tardive dyskinseia
  • Atypical antipsychotic drugs are not as effective as typicals
  • Typical antipsychotic drugs never cause Parkinson like symptoms
  • Typical antipsychotic drugs do not affect the secretion of prolactin
  • Atypical antipsychotic drugs do not affect dopamine D2 receptors

Question 10

Question
Venlafaxine, duloxetine and desvenlafaxine are all antidepressant medications from the same general class of agents. To which class of agent are they usually considered to belong?
Answer
  • Monoamine oxidase inhibitors
  • Dual acting agents or SNRIs
  • Weak antidepressants
  • Herbs and antioxidants
  • Tricyclic antidepressants

Question 11

Question
Selective serotonin reuptake inhibitors such as fluoxetine are effective treatments for major depression. When first administered they can cause a number of side effects. Which of the following effects may cause the drug to be stopped due to an association with increased suicidal ideation, especially in adolescents?
Answer
  • Orthostatic hypotension
  • Lower toxicity in overdose
  • Fewer sexual side effects than tricyclic antidepressants
  • Transient increase in agitation and anxiety (akathisia)
  • Haematological disorders

Question 12

Question
For antidepressants of the monoamine oxidase inhibitor type which of the following statements is true?
Answer
  • Are associated with a so called ‘cheese effect
  • Are not as effective as other antidepressant medications
  • Are not associated with an effect on blood pressure
  • Work more rapidly than tricyclic antidepressants
  • Accelerate the breakdown of monoamines in the brain

Question 13

Question
Dry mouth, blurred vision, constipation, urinary retention are frequently observed in patients receiving tricyclic antidepressants. This constellation of symptoms is referred to as:
Answer
  • Adrenergic syndrome
  • Antihistamine effects
  • Beta blockade
  • “Cheese effect”
  • Anticholinergic symptoms

Question 14

Question
Bipolar disorder is often treated with atypical antipsychotics or second-generation antipsychotic medications. Associated with their use are a number of side effects. Which of the following is of most concern for the physical well-being of those so treated?
Answer
  • Sweatiness
  • Sleepiness
  • Constipation
  • Dry mouth and blurred vision
  • Significant weight gain

Question 15

Question
Sexual dysfunction in men and women is increasingly recognised as a side effect of the administration of which of the following classes of antidepressants?
Answer
  • All classes have been implicated.
  • SNRIS
  • Tricyclic antidepressants
  • MAOIS
  • SSRIS

Question 16

Question
Bipolar disorder is conceptualised as having three separate phases each often requiring different pharmacological management strategies. In an acute manic phase which medication is most likely to be chosen as a first option?
Answer
  • Dexamphetamine.
  • Antidepressant.
  • Atypical antipsychotic.
  • Zopiclone.
  • Beta-blocker.

Question 17

Question
A goal of maintenance treatment in bipolar disorder is to stabilise mood. For this purpose a prophylactic agent is likely to be chosen. Which of the following medications has mood stabilizing properties?
Answer
  • Amphetamine.
  • Diazepam.
  • Sertraline.
  • Lithium.
  • Tetrahydrocannabinol.

Question 18

Question
What is regarded as the main pathological feature leading to the development of Alzheimer’s dementia?
Answer
  • Presence of plaques and tangles in the cells of the brain
  • Changes in brain volume
  • Structural changes in synapses of the brain
  • Loss of brain connectivity
  • Changes in the olfactory system

Question 19

Question
Many drugs have effects on the central nervous system resulting in the alleviation of anxiety. Which of the following drugs is used predominantly as an antianxiety agent?
Answer
  • Amphetamine
  • Cocaine
  • Diazepam
  • Haloperidol
  • L-DOPA

Question 20

Question
: In the cannabis plant (cannabis sativa) the flowering tops contain the highest concentration of the active ingredient. What is the active ingredient responsible for its psychological effects?
Answer
  • morphine
  • nicotine
  • Δ-9 tetra-hydrocannabinol
  • mescaline
  • adrenaline

Question 21

Question
Stimulant medications are most likely to be prescribed to children with Attention Deficit Hyperactivity Disorders (ADHD) to control their symptoms. Which of the following medications would be classified as stimulants?
Answer
  • Clonidine
  • Fluoxetine
  • Atomoxetine
  • Dexamphetamine
  • Clozapine

Question 22

Question
The use of stimulants in the treatment of children with ADHD is associated with the emergence of some side effects. Which of the following are side effects of typical stimulant agents?
Answer
  • Weight loss
  • Sleep disturbances
  • Jitteriness
  • All are potential side effects of stimulants
  • None of these

Question 23

Question
Benzodiazepines are a group of medications usually used in the treatment of anxiety disorders or insomnia. They are less likely to be used clinically nowadays because they are associated with some potentially significant effects. Which of the following choices is best describes the concerns with benzodiazepines?
Answer
  • Psycho-motor performance impairment
  • Withdrawal syndrome on abrupt discontinuation
  • Cognitive impairment
  • All listed

Question 24

Question
The condition of ADHD is associated with some abnormal findings in brain circuits on neuroimaging. The circuits identified use certain neurotransmitters for communication between neurons. The involvement of these neurotransmitters has been used as the basis for prescribing medications. Which of the following neurotransmitters has most closely been associated with ADHD?
Answer
  • Acetylcholine
  • Dopamine
  • Glutamate
  • Gamma-amino butyric acid (GABA)
  • Serotonin

Question 25

Question
Alzheimer disease is a progressive neurodegenerative disorder involving the loss of neurones within the brain. One strategy for the restoration of cognitive performance has been to use drugs affecting which specific neurotransmitter?
Answer
  • Serotonin
  • Acetylcholine
  • Glycine
  • GABA
  • Dopamine
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