Deck 15: Drugs for Treating Schizophrenia and Mood Disorders

Question 1

7 Discuss the common medications for bipolar disorder

Answer 1

no answer

Question 2

12 Tardive dyskinesia often appears in the behavior of medicated schizophrenics within a day or so.

Answer 2

False

Question 3

4 Schizophrenic patients frequently have multiple or split personalities.

Answer 3

False

Question 4

4 What is the major problem in the administration of clozapine (brand name: Clozaril)in the treatment of schizophrenia? How does clozapine work in the brain?

Question 5

2 Another name for psychiatric drugs is psychotropic medication.

Question 6

6 Beginning in the mid-1950s,many schizophrenic patients began to be treated on an outpatient basis.

Question 7

7 Antipsychotic drugs have a high potential for abuse.

Question 8

10 Chlorpromazine (brand name: Thorazine)is an example of a typical antipsychotic drug.

Question 9

5 Schizophrenia is more common in men than women.

Question 10

5 Describe the mechanism behind the therapeutic effects of fluoxetine (brand name: Prozac)and other SSRI medications?

Question 11

1 Define the biomedical model and give three reasons why the biomedical model is a valid perspective on the causes of schizophrenia.

Question 12

9 The first generation of drugs for schizophrenia was introduced in the 1960s.

Question 13

2 Discuss the behavioral and medical differences between first-generation,second-generation,and third-generation antipsychotic drugs.

Question 14

13 Those exposed to long-term treatment with antipsychotic drugs have more than a 10 percent risk of developing tardive dyskinesia.

Question 15

6 Discuss the behavioral and medical differences between first-generation,second-generation,and third-generation antidepressant drugs.

Question 16

1 Depression is a mood disorder.

Question 17

3 What are the implications for the fact that the side effects of typical antipsychotic drugs are markedly similar to the symptoms of Parkinson's disease?

Question 18

3 The concordance rate for schizophrenia is higher in identical twins than it is in fraternal twins.

Question 19

8 There is a low risk that large doses of antipsychotic drugs will lead to overdose.

Question 20

11 While first-generation antipsychotic drugs are effective in treating delusional behavior,they are less effective in treating social withdrawal.

Question 21

26 An inclination toward depression increases the risk of an attempted suicide.

Question 22

31 Treatment with MAO inhibitors for depression is risky unless the diet is carefully monitored and restricted.

Question 23

20 The incidence of Parkinson's-like symptoms as a side effect of typical antipsychotic drugs implies a dopamine connection in schizophrenia.

Question 24

14 Generally speaking,men and younger patients show a higher incidence of tardive dyskinesia.

Question 25

22 Taking too much L-dopa (anti-Parkinson's drug)can result in symptoms of schizophrenia in Parkinson's patients.

Question 26

16 Risperidone (brand name: Risperdal)unfortunately increases the risk of a potentially lethal blood disorder called agranulocytosis.

Question 27

32 Tricyclic antidepressants work in the brain by inhibiting monoamine oxidase (MAO).

Question 28

19 Abilify is a "third-generation" antipsychotic drug.

Question 29

28 First-generation antidepressants include MAO inhibitors.

Question 30

24 Clozapine (brand name: Clozaril)is believed to act in the same way as chlorpromazine (brand name: Thorazine)in the brain.

Question 31

25 Third-generation antipsychotic drugs do nothing but block D₂ receptors.

Question 32

29 President Abraham Lincoln suffered severe depression throughout his presidency.

Question 33

15 Clozaril is a second-generation (atypical)antipsychotic drug.

Question 34

27 After a deep period of depression,the likelihood of a suicide attempt is increased during the initial phase of an upswing in mood.

Question 35

18 Weight gain is a side effect of Zyprexa,but not of Risperdal.

Question 36

17 Treatment using medications such as Clozaril is generally expensive due to the required monitoring of blood.

Question 37

30 MAO inhibitors inhibit MAO in the brain only;MAO elsewhere in the body is unaffected.

Question 38

33 Paxil was the first available SSRI for the treatment of depression.

Question 39

21 Schizophrenia is considered to be related to a low level of dopamine activity in the brain.

Question 40

23 Drugs that are weak blockers of dopamine are most effective in treating schizophrenia.

Question 41

40 Serotonin-norepinephrine reuptake inhibitors (SNRIs)are known actually to be MAO-inhibitors,now that we know the neurotransmitter involved.

Question 42

49 The third-generation antipsychotic drug Abilify is approved for use in controlling aggressive behavior in the autistic patients aged 6-17.

Question 43

46 Lithium carbonate has potential toxic effects to the thyroid gland and kidneys.

Question 44

53 According to the text,the number of patients with severe mental illness who are in prison is a major social concern.

Question 45

50 Off-label usage is an illegal practice.

Question 46

39 Third-generation antidepressant drugs act upon both serotonin and norepinephrine in the brain.

Question 47

41 The overall risk of suicide among children and adolescents taking SSRI antidepressants is low.

Question 48

47 Some second-generation antipsychotic drugs have been shown to be useful in treating bipolar disorder.

Question 49

34 Fluoxetine (brand name: Prozac)is an example of an antidepressant drug that works in the brain by reducing the activity level of norepinephrine.

Question 50

44 It may be possible that depression is expressed in different neurochemical ways in different people.

Question 51

35 Patients being treated for cardiovascular disorders should avoid taking Prozac.

Question 52

36 Patients under treatment with fluoxetine (brand name: Prozac)run an increased risk of seizures.

Question 53

42 Tricyclic antidepressant drugs act on enzymes in the synapse.

Question 54

52 Deinstitutionalization was greatly accelerated by the expansion of Medicare and Medicaid programs.

Question 55

43 MAO molecules stimulate dopamine,norepinephrine,and serotonin at the synapse where they operate.

Question 56

37 Prozac increases the risk of suicide.

Question 57

38 Prozac carries a high risk for both physical dependence and psychological dependence.

Question 58

48 Second-generation antipsychotic drugs for the treatment of bipolar should not be administered to elderly patients with dementia,on the basis of evidence showing an elevated risk of death from cardiovascular disease or infections such as pneumonia.

Question 59

45 Lithium carbonate has been a major drug for the treatment of bipolar disorder.

Question 60

51 Since the late 1960s,the severely mentally ill have been mostly treated through large-scale institutionalization.

Question 61

18 The resident population in U.S.mental hospitals decreased by 80 percent as a result of __________.

A)the introduction of antipsychotic drugs
B)neurosurgical interventions
C)deinstitutionalization
D)both A and C

Question 62

4 Antipsychotic drugs generally refer to drugs used to treat __________.

A)mental illness in general
B)schizophrenia
C)depression
D)depression and extreme anxiety

Question 63

1 The biomedical model assumes that __________.

A)schizophrenia is different from mood disorders
B)psychiatrists are not the appropriate professionals to supervise psychotropic medication
C)schizophrenia can be successfully treated
D)mental illness is a result of biochemical processes in the brain

Question 64

17 The peak in the number of hospitalized psychiatric patients in the United States was reached around __________.

A)1905
B)1938
C)1955
D)1982

Question 65

11 Some schizophrenics experience __________.

A)multiple personalities
B)dissociative disorders
C)feelings of paranoia
D)visual hallucinations

Question 66

6 The most appropriate way of viewing a schizophrenic patient is to understand him or her as having __________.

A)a split mind
B)a depressed mind
C)a severed mind
D)a strange mind

Question 67

15 Prior to the mid-1950s,the principal option for treating schizophrenia was __________.

A)to administer drugs like Thorazine or Haldol
B)to administer CNS stimulants like cocaine
C)to sedate patients with drugs like barbiturates
D)to allow schizophrenics to heal themselves

Question 68

7 A belief that is clearly not rooted in reality is referred to as a(n)__________.

A)delusion
B)hallucination
C)alliteration
D)illusion

Question 69

19 Deinstitutionalization __________.

A)refers to a policy of limited hospitalizations of mental patients
B)has resulted in an increase in the number of hospitalized schizophrenic patients
C)has helped to cure countless numbers of schizophrenic patients
D)all of the above

Question 70

12 Catatonia refers to __________.

A)a jerky movement of the lower limbs
B)a trance-like state in which the body remains immobile
C)a set of delusions characteristic of schizophrenia
D)a profound level of mental depression despite normal body movement

Question 71

3 If there is a strong genetic component to schizophrenia in families,the concordance for identical twins should be __________.

A)higher than the concordance for fraternal twins
B)lower than the concordance for fraternal twins
C)equivalent to the concordance for fraternal twins
D)about 80 percent

Question 72

2 The biomedical model takes into consideration __________.

A)adverse sociological factors
B)psychodynamic factors
C)cognitive factors
D)none of the above

Question 73

10 Schizophrenic hallucinations are most frequently __________.

A)auditory
B)visual
C)a synesthesia-type blend of auditory and visual sensations
D)somatosensory

Question 74

13 If you lived in a small town with a population of 3000,how many individuals in this population would be expected by chance alone to be schizophrenic?

A)1 or 2
B)about 3
C)about 10
D)about 30

Question 75

20 In most cases,schizophrenic patients take their medication __________.

A)orally
B)intravenously
C)intramuscularly
D)sublingually

Question 76

5 An individual who has a split personality or multiple personalities is diagnosed as having __________.

A)depression
B)schizophrenia
C)a dissociative disorder
D)bipolar disorder

Question 77

16 In 1955,about _______ of all admitted hospital patients were there for psychiatric reasons.

A)20 percent
B)35 percent
C)50 percent
D)75 percent

Question 78

8 Overall,the prevalence rate of schizophrenia is approximately ________ of the U.S.adult population.

A)1 percent
B)2 percent
C)5 percent
D)8 percent

Question 79

14 Schizophrenia __________.

A)affects more women than men
B)affects more men than women
C)appears at a younger age in men than women
D)appears at a younger age in woman than men

Question 80

9 Jake was on the unit sitting in the dayroom;however,his posture was rigid,non-flexible,and he seemed almost stuck in position.This symptom would be best described as ____________.

A)catatonia
B)melancholia
C)euphoria
D)dysphoria