Deck 4: Treatment of Anxiety Disorders

Question 1

Which of the following is not an MAOI?

A) Marplan
B) Nardil
C) Parnate
D) Aplenzin

Answer 1

Aplenzin

Question 2

What other medications could be added to "boost" an antidepressant?

Answer 2

True

Question 3

Explain the nature of the anti-cholinergic side effects associated with tricyclics.

Answer 3

True

Question 4

What dietary restrictions are there with MAOIs?

Question 5

Which of the following diseases/disorders has been known to cause or worsen depression?

A) Alzheimer's
B) Congestive heart failure
C) Fibromyalgia
D) All of the above

Question 6

Explain the various exogenous and endogenous factors involved in the etiology of clinical depression?

Question 7

Psychotherapy alone is a powerful tool in reducing depression. Patients typically show the greatest gains in the first:

A) 5 sessions
B) 10 sessions
C) 16 sessions
D) 28 sessions

Question 8

Which of the following SSRIs is associated with more sedation?

A) Prozac
B) Lexapro
C) Trintellix
D) Paxil

Question 9

Sweating, yawing and inhibited orgasm are common side effects with:

A) MAOIs
B) SSRIs
C) tricyclics
D) heterocyclics

Question 10

How effective is psychotherapy alone in treating some forms of depression?

Question 11

The anticholinergic side effects are more common with which type of antidepressants?

A) tricyclics
B) SSRIs
C) MAOIs
D) SPARIs

Question 12

Which non-pharmaceutics have been found to be effective?

Question 13

How do other medications play a role in the cause of depression?

Question 14

Dietary restrictions such as avoiding foods containing tyramine are associated with which class of antidepressants?

A) MAOIs
B) SSRIs
C) Unicyclics
D) None of these.

Question 15

How do the newer antidepressants compare to the older medications in terms of effectiveness and side effect profiles?

Question 16

Which of the following types of drugs has been known to cause or worsen depression?

A) Anti-inflammatory drugs like: Indocin, Vioxx, or Celebrex.
B) Blood thinners like: Coumadin or Heparin
C) Sleep aides like: Ambien, Sonata or Halcion.
D) both A and C above.

Question 17

Why is it so important to rule-out physical causes of one's depression.

Question 18

Explain how MAOIs work differently than other antidepressant medications.

Question 19

What percentage of patients with depression also have suicidal ideation?

A) Seventy percent
B) Eighty percent
C) Ninety percent
D) None of the above

Question 20

Which of the following drugs has been shown to affect norepinephrine levels?

A) maprotiline
B) citalopram
C) paroxetine
D) desipramine

Question 21

You are working with a patient with OCD. Which of the following medications is not considered an anti-obsessive?

A) Prozac
B) Anafranil
C) Wellbutrin
D) Luvox

Question 22

As a rule, all antidepressants take about ____ to begin working.

A) 3 days
B) 6 days
C) 1 week
D) 1-3 weeks

Question 23

You are working with a patient who has responded well to antidepressants in the past, and has had only a moderate response to SSRIs. Aside from increasing the dose, you might also suggest:

A) Adding an MAOI
B) Adding another SSRI
C) Trying a lithium boost
D) Adding a benzo

Question 24

Which of the following are not typically used for depressed/pain management patients?

A) Elavil
B) Neurontin
C) Pristiq
D) Trintellex

Question 25

You are treating another patient with depression, but after taking a thorough history, you learn that she has had an eating disorder and a seizure disorder in the past. Which medication would not be a good choice?

A) Welbutrin
B) Effexor
C) Viibryd
D) None of these

Question 26

According to Sinacola, Peters-Strickland, and Wyner, which of the following "holistic/herbal" remedies shows the greatest efficacy in reducing depression, cleansing the liver, and helping with joint pain?

A) St. John's Wort
B) SAM-e
C) Ginkgo Biloba
D) DHEA

Question 27

A typical daily dose of Lexapro or Trintellix is:

A) 2-4 mg.
B) 10-20 mg.
C) 75-100 mg.
D) 200-300 mg.

Question 28

You have started working with a new patient who presents with severe depression, low energy and motivation. She is also 40 pounds overweight. Her primary care physician would like to know if you know of any medication possibilities. You might consider all of the medications below except:

A) Celexa
B) Wellbutrin
C) Remeron
D) Lexapro

Question 29

Exercise is an excellent idea for depressed patients as it increases levels of:

A) ECT
B) THC
C) substance P
D) PEA

Question 30

"Serotonin syndrome" includes all of the following symptoms except:

A) hypertension
B) fever
C) muscle rigidity
D) infection