Deck 13: Psychotherapeutic Medications

Question 1

The action of antipsychotics on the produces some profound side effects.

A)limbic system
B)hypothalamus
C)reticular activating system
D)basal ganglia

Answer 1

D

Question 2

was synthesized in 1950 by Paul Charpentier, was initially used as an anesthesia in surgery, and was later widely used for its calming effects on agitated psychotic patients.

A)Chlorpromazine
B)LSD
C)Clozaril
D)Reserpine

Answer 2

A

Question 3

was an early treatment for severe depression and is still used today.

A)Insulin shock
B)Psychosurgery
C)Antihistamine treatment
D)Electroshock therapy

Answer 3

D

Question 4

The most common method of drug classification in psychiatry is by .

A)chemical structure
B)therapeutic usage
C)clinical actions
D)sites of action

Question 5

Research has demonstrated a link between depression and atrophy and cell loss in the .

A)hippocampus
B)medulla oblongata
C)hypothalamus
D)pons

Question 6

The effects of antipsychotic medications on the generally moderate spontaneous activity and decrease reactivity to stimuli.

A)hypothalamus
B)limbic system
C)reticular activating system
D)cerebellum

Question 7

According to research, what percentage of U.S.adults with one mental disorder also met criteria for at least one other disorder?

A)10%
B)25%
C)45%
D)70%

Question 8

Tardive dyskinesia is most characterized by .

A)repetitive involuntary movements of the mouth and tongue
B)impaired sexual functioning
C)tremor
D)blank rigidity

Question 9

According to the predominant theory regarding the action of antipsychotics, psychosis is induced by increased levels of activity.

A)dopaminergic
B)serotonergic
C)acetylcholinergic
D)norepinephrinergic

Question 10

Users of must avoid most cheeses and some alcoholic beverages in their diets.

A)MAOIs
B)cyclics
C)anxiolytics
D)chlorpromazine

Question 11

Researchers noted that MAOIs produced an antidepressive effect during their earlier use to treat .

A)diphtheria
B)tuberculosis
C)schizophrenia
D)polio

Question 12

The term is used to describe those drugs which have a special or unique effect on the mind or mental functioning.

A)hallucinogenic
B)psychotronic
C)psychopharmacological
D)psychotherapeutic

Question 13

Distortions of reality, profoundly blunted mood, and hallucinations are all symptoms of .

A)depression
B)bipolar disorder
C)schizophrenia
D)None of these are correct.

Question 14

The effects of antipsychotic medications on the serve to moderate or blunt emotional arousal.

A)hypothalamus
B)limbic system
C)reticular activating system
D)cerebellum

Question 15

Approximately of the U.S.population experience some form of mental disorder in any given year.

A)1%
B)5%
C)25%
D)35%

Question 16

The roots of psychopharmacology began in the century.

A)17th
B)18th
C)19th
D)20th

Question 17

Which gas was used as a treatment for psychoses and neuroses before psychotherapeutic drugs were developed?

A)nitrous oxide
B)helium
C)argon
D)carbon dioxide

Question 18

drugs account for a small fraction of psychotherapeutic prescriptions.

A)Antianxiety
B)Antidepressant
C)Antipsychotic
D)Antimanic

Question 19

National surveys suggest that approximately of patients receiving medication report symptomatic relief with psychotherapeutic drugs.

A)10%
B)25%
C)50%
D)75%

Question 20

According to the hypothesis, tricyclic antidepressants are believed to block the uptake of norepinephrine from the synaptic cleft.

A)serotonin
B)dopamine
C)catecholamine
D)None of these are correct.

Question 21

A drug that reduces anxiety is called a(n) drug.

A)anxiolytic
B)sedative-hypnotic
C)stimulant
D)anorectic

Question 22

Which of the following barbiturates has the longest duration of action?

A)secobarbital
B)amobarbital
C)phenobarbital
D)pentobarbital

Question 23

The man who discovered that nitrous oxide could be used in anesthesia was .

A)Timothy Leary
B)William Halstead
C)Horace Wells
D)Lefty Driesell

Question 24

Reduction of pain by rendering the patient unconscious is called .

A)local anesthesia
B)general anesthesia
C)analgesia
D)anxiolytic action

Question 25

Which of the following benzodiazepines has the longest half-life?

A)Ativan
B)Dalmane
C)Valium
D)Versed

Question 26

The effects of barbiturates are similar to those of .

A)cocaine
B)caffeine
C)alcohol
D)amphetamines

Question 27

Benzodiazepines are thought to act through .

A)the GABA/benzodiazepine receptor complex
B)the serotonin system
C)the dopamine system
D)None of these are correct.

Question 28

Although barbiturates induce sleep, they also .

A)suppress REM sleep
B)cause tachycardia
C)increase heart rate
D)produce paranoid symptoms

Question 29

Which of the following pairs indicate the lowest and highest effects of depressant drugs as dosage increases?

A)sedation; general anesthesia
B)intoxication; mood elevation
C)mania; sleep
D)anxiety relief; death

Question 30

Which of the following are symptoms of withdrawal from barbiturates?

A)rebound insomnia
B)tremors
C)convulsions
D)All of these are correct.

Question 31

Which of the following are effects of barbiturates?

A)respiratory depression
B)loss of motor coordination
C)sleep
D)All of these are correct.

Question 32

A person who has difficulty sleeping after they stop taking barbiturates for a short time is experiencing insomnia.

A)reverse
B)rebound
C)REM
D)retrograde

Question 33

Which of the following is a benzodiazepine?

A)Librium (chlordiazepoxide)
B)Valium (diazepam)
C)Xanax (alprazolam)
D)All of these are correct.

Question 34

Which of the following is most likely to cause a lethal overdose?

A)benzodiazepines
B)buspirone
C)barbiturates
D)caffeine

Question 35

Which of the following is true of depressant drugs?

A)They show cross-tolerance.
B)They show cross-dependence.
C)They potentiate one another.
D)All of these are correct.

Question 36

is a herb that has been used extensively in Europe for mild to moderate depression.

A)Milk thistle
B)Saw palmetto
C)Yerba mate
D)St.John's wort

Question 37

Which of the following is a barbiturate?

A)Nembutal
B)Ambien
C)Diprivan
D)Restoril

Question 38

Depressant drugs like barbiturates and benzodiazepines influence which neurotransmitter system?

A)endorphin
B)dopamine
C)GABA
D)serotonin

Question 39

A person who has vivid dreams after they stop taking barbiturates to help them sleep is likely experiencing which of the following?

A)nocturnal mania
B)hypnotic response
C)retrograde delusions
D)REM rebound

Question 40

Warning labels and restrictions have been put in place for administering antidepressants to children due to an increased risk of .

A)mania
B)coma
C)suicide
D)bone loss

Question 41

Greater use of psychotherapeutics is found in those with more education and higher income levels.

Question 42

Symptoms of benzodiazepine withdrawal include .

A)anxiety
B)rebound insomnia
C)tremors
D)All of these are correct.

Question 43

A common name for flunitrazepam is .

A)crack
B)horse
C)lady
D)roofies

Question 44

One unusual feature of the withdrawal symptoms from benzodiazepines is that .

A)they include heavy sleeping
B)they may not appear for several days after quitting
C)they can be suppressed by caffeine
D)they enable users to function with little sleep

Question 45

Manic patients are most commonly prescribed to stabilize their moods.

A)lithium
B)prozac
C)librium
D)thorazine

Question 46

Emil Kraepelin believed that in order to effectively treat mental illnesses they first needed to be classified.

Question 47

is the only drug in psychiatry for which there is effective prophylaxis against disease recurrence.

A)Prozac
B)Chlorpromazine
C)Lithium
D)Haldol

Question 48

The psychotherapeutic use of stimulants is particularly effective with severely depressed patients.

Question 49

Buspirone is thought to act through the system.

A)GABA
B)endorphin
C)dopamine
D)serotonin

Question 50

Over 90% of the patients receiving antipsychotic medication experience extrapyramidal side effects.

Question 51

The most promising aspect of the new antipsychotic, Clozaril, is the absence of reported side effects.

Question 52

Based on half-life duration, which of the following benzodiazepines is most suitable to treat insomnia?

A)Xanax
B)Valium
C)Versed
D)Ativan

Question 53

One side effect of benzodiazepine use is .

A)increased blood pressure
B)anterograde amnesia
C)depression
D)None of these are correct.

Question 54

Which of the following is a nonbenzodiazepine antianxiety drug?

A)Halcion
B)BuSpar
C)Valium
D)Librium

Question 55

Which of the following drug(s) can be used in the treatment of mania by patients who cannot tolerate lithium or do not respond to its effects?

A)Wellbutrin
B)Tegretol
C)Clozaril
D)all of these
E)none of these

Question 56

The prevalence of psychotherapeutic medication use is twice as high among men as among women.

Question 57

Of the people who have a mental illness, over three-quarters of them get treatment.

Question 58

In endogenous depression, the symptoms are thought to be in reaction to a particular situation or event.

Question 59

The therapeutic effects of cyclics and MAOIs usually occur within hours of administration.

Question 60

The symptoms of tardive dyskinesia are all reversible upon cessation of the medication.

Question 61

Describe the catecholamine and serotonin hypotheses of antidepressant action.

Question 62

Describe the side effects that may be encountered with the use of antipsychotics.How may these side effects be controlled?

Question 63

Cyclic antidepressants are generally more effective in the treatment of depression than are MAOIs.

Question 64

Some people with depression demonstrate signs of hyperactivity such as restlessness or hand wringing.

Question 65

Discuss the advantages and disadvantages of barbiturate use.Why has their use declined in recent years?

Question 66

Research has shown that lithium and the benzodiazepines are safe to take during pregnancy.

Question 67

One flaw in the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 is that it does not require a patient to meet with a physician face-to-face in order to obtain a prescription.

Question 68

Identify the three key epidemiological trends among people who use psychotherapeutic medications.

Question 69

Having an Italian dinner with cheese-filled ravioli and Chianti wine would present a health risk for a person using a tricyclic antidepressant.

Question 70

Among the side effects encountered with MAOI use are impaired sexual functioning and dizziness.

Question 71

Most drug overdose deaths are due to the combined effects of taking more than one drug.

Question 72

Benzodiazepines are not associated with tolerance.

Question 73

Compare and contrast the effects and uses of barbiturates and benzodiazepines.In what ways are they similar? Why are benzodiazepines most widely used today?

Question 74

What are the effects of psychotherapeutic drugs on pregnancy?

Question 75

Although overdosing on cyclics is a very real concern, overdosing on MAOIs is not common.

Question 76

Barbiturates decrease heart rate and blood pressure at higher doses.