Deck 10: Treatment of Chemical Dependency and Co-Occurring Conditions

Question 1

Patients with only terminal insomnia are more likely to have an affective disorder, as opposed to an anxiety disorder.

Answer 1

True

Question 2

Benzos are safe to use and may be used for months without any real concerns for tolerance.

Answer 2

False

Question 3

A typical dose of Restoril would be about:

A) 2 mg.
B) 7.5 mg.
C) 15-30 mg.
D) 50mg.

Answer 3

15-30 mg.

Question 4

A typical dose of Sonata is 80 mg qhs.

Question 5

We spend about ____% of our sleep time in stages three and four.

A) 10
B) 15
C) 40
D) None of these

Question 6

Suvorexant is an orexin antagonist.

Question 7

In the study mentioned in the text, what percentage of the patients with middle of the night insomnia also reported daytime fatigue?

A) 34%
B) 39%
C) 43%
D) 67%

Question 8

Exposure to excessive light in the sleeping area, especially blue light from devices, may interfere with healthy sleep.

Question 9

Kava may be associated with liver damage in long-term usage.

Question 10

GHB or Xyrem has been shown to improve Stage 3-4 sleep cycles.

Question 11

Since Ambien has a shorter half life than Restoril, it is more likely to wear-off by morning.

Question 12

About 50% of our time is spent in stages 1 and 2.

Question 13

For patients with only occasional problems with sleep, they should consider:

A) warm milk
B) an OTC sleep aide like Tylenol PM or Sominex
C) Benedryl
D) any of the above

Question 14

A mask-like devise is used by patients with OSA. It is called a ______ machine.

A) splint
B) CPAP
C) EEG
D) None of these

Question 15

Benedryl can be used to induce sleep in intermittent cases.

Question 16

Long-term usage of melatonin may worsen a patient's depression.

Question 17

There are three distinct stages of sleep.

Question 18

In a study of more than 1,000 people, 43% reported problems with initial insomnia.

Question 19

Serotonin is necessary to help maintain sleep.

Question 20

Which of the following is not considered a benzodiazepine:

A) Doral
B) Klonopin
C) ProSom
D) Sonata

Question 21

Sleepwalking and night terror are typically seen in approximately what percentage of the child population.

A) 10%
B) 15%
C) 18%
D) 22%

Question 22

Which of the following is actually an orexin receptor antagonist?

A) Belsomra
B) Intermezzo
C) Requip
D) None of these

Question 23

For patients who would rather not use a benzo or BRA to improve their sleep, which of the following may be a good alternative for initial insomnia?

A) Zolpimist
B) trazodone
C) modafinil
D) Any of these

Question 24

Narcolepsy is typically treated with stimulants and often ________.

A) Prozac
B) Ambien
C) Provigil/ Nuvigil
D) Intermezzo

Question 25

Which does not belong with the others:

A) Halcion
B) ProSom
C) Restoril
D) Ambien

Question 26

Which of the following, while sedating, may actually interfere with sleep cycles in the short run?

A) antidepressants
B) benzodiazepines
C) Imidazopyridine
D) barbiturates