Deck 5: Treatment of Anxiety

Question 1

Which drug is a benzodiazepine?

A)Alprazolam
B)Sertraline
C)Buspirone
D)Hydroxyzine

Answer 1

Alprazolam

Question 2

Why may buspirone be prescribed instead of a benzodiazepine for management of anxiety disorders?

A)When patients take buspirone,only tolerance needs to be watched,whereas with benzodiazepines,tolerance and dependence should be closely monitored.
B)Patients can develop a tolerance to either of these drugs,but buspirone has fewer side effects.
C)Buspirone and benzodiazepines are equally effective without a narrow therapeutic index.
D)Buspirone is just as effective as a benzodiazepine without patients developing tolerance or dependence.

Answer 2

Buspirone is just as effective as a benzodiazepine without patients developing tolerance or dependence.

Question 3

_____ is indicated to treat the inability to control or stop repeated unwanted thoughts or behaviors.

A)Duloxetine
B)Escitalopram
C)Fluoxetine
D)Clonazepam

Answer 3

Fluoxetine

Question 4

Signs and symptoms of panic disorder include all of the following except _____.

A)sudden onset of terror
B)shortness of breath
C)increased heart rate
D)inability to stop or control unwanted behavior

Question 5

The mechanism of action for most anxiolytics is to enhance binding of the _____ neurotransmitter.

A)adenosine
B)NE
C)GABA
D)DA

Question 6

Hydroxyzine HCl and hydroxyzine pamoate are contraindicated in _____.

A)men with prostate disease
B)women with breast cancer
C)women with liver disease
D)people with ulcers

Question 7

MATCHING
Match the terms with the correct description.
a.Phobia
b.Anxiolytic
c.Clomipramine
d.Buspirone
e.Hydroxyzine
Drug in the drug class azapirone

Question 8

Even though not approved by the U.S.Food and Drug Administration (FDA)for the treatment of anxiety,why would propranolol be prescribed when anxiety is present?

A)It decreases the symptoms associated with anxiety by increasing the effects of "fight or flight."
B)It reduces rapid heart rate sometimes associated with anxiety by increasing the effects of the sympathetic system.
C)It helps prevent stage fright by blocking natural effects of the sympathetic system.
D)It reduces symptoms of anxiety by reducing the effects of the parasympathetic system.

Question 9

Which of the following auxiliary labels should be placed on a prescription of hydroxyzine to not potentiate central nervous system (CNS)effects?

A)Do not take with alcohol.
B)Do not take with caffeine.
C)Do not take with stimulants.
D)Do not take with grapefruit juice.

Question 10

All benzodiazepines produce some degree of _____.

A)excitation
B)confusion
C)lucidity
D)insomnia

Question 11

Which of the following antidepressants is additionally indicated to treat social phobia,but at an increased dose?

A)Clomipramine
B)Fluoxetine
C)Doxepin
D)Sertraline

Question 12

MATCHING
Match the terms with the correct description.
a.Phobia
b.Anxiolytic
c.Clomipramine
d.Buspirone
e.Hydroxyzine
Antihistamine used for anxiety

Question 13

Which of the following drugs used to treat anxiety is a Schedule IV drug?

A)Hydroxyzine HCl
B)Buspirone
C)Clorazepate
D)Duloxetine

Question 14

MATCHING
Match the terms with the correct description.
a.Phobia
b.Anxiolytic
c.Clomipramine
d.Buspirone
e.Hydroxyzine
Antidepressant used for OCD

Question 15

If food decreases first-pass metabolism of the azapirone class,which of the following auxiliary labels should be placed on a prescription for a drug in this class?

A)Take two hours after a meal.
B)Take on an empty stomach.
C)Take with a meal.
D)Take one hour before a meal.

Question 16

Why would taking diazepam be beneficial before a dental procedure?

A)It increases the effect of local anesthetic allowing for increased numbness and less anxiety.
B)It can produce a type of amnesia to forget the procedure in addition to reducing anxiety about the procedure.
C)It acts as a prophylactic against reactions to local anesthesia used for dental procedures.
D)When combined with the other drugs used for a dental procedure,it allows the procedure to be forgotten.

Question 17

_____ is potentially fatal and produces symptoms of confusion,agitation,diarrhea,tremors,increased blood pressure,and seizures.

A)Neuroleptic malignant syndrome
B)Serotonin syndrome
C)GABA inhibition syndrome
D)NE overload

Question 18

Pharmaceutical treatment of anxiety is achieved by administering drugs that affect the following neurotransmitters except _____.

A)serotonin (5-hydroxytryptamine [5-HT])
B)dopamine (DA)
C)g-aminobutyric acid receptor (GABA)
D)norepinephrine (NE)

Question 19

Excessive worrying that is experienced daily for more than _____ is an indication of generalized anxiety disorder.

A)3 weeks
B)3 months
C)6 months
D)9 months

Question 20

Some people have developed _____ after natural disasters like earthquakes and floods or human disasters like airplane crashes.

A)post-traumatic stress disorder (PTSD)
B)generalized anxiety disorder (GAD)
C)obsessive-compulsive disorder (OCD)
D)panic disorder

Question 21

Match the following trade and generic drug names.
a.Xanax
b.Valium
c.BuSpar
d.Atarax
e.Anafranil
hydroxyzine HCl

Question 22

MATCHING
Match the terms with the correct description.
a.Phobia
b.Anxiolytic
c.Clomipramine
d.Buspirone
e.Hydroxyzine
Drug used to treat anxiety

Question 23

Match the following trade and generic drug names.
a.Xanax
b.Valium
c.BuSpar
d.Atarax
e.Anafranil
diazepam

Question 24

Match the following trade and generic drug names.
a.Xanax
b.Valium
c.BuSpar
d.Atarax
e.Anafranil
clomipramine

Question 25

Match the following trade and generic drug names.
a.Xanax
b.Valium
c.BuSpar
d.Atarax
e.Anafranil
buspirone

Question 26

Match the following trade and generic drug names.
a.Xanax
b.Valium
c.BuSpar
d.Atarax
e.Anafranil
alprazolam

Question 27

MATCHING
Match the terms with the correct description.
a.Phobia
b.Anxiolytic
c.Clomipramine
d.Buspirone
e.Hydroxyzine
An irrational fear of things that bring on anxiety