Deck 20: Psychotropic Medications, Alcohol, and Drug Abuse

Question 1

Match each item with the correct statement below.
When despite problems with normal functioning, drugs or alcohol control an individual's life.

A)Chemical dependency
B)Extrapyramidal
C)Tardive dsykinesia
D)Addiction
E)Dependence

Answer 1

Chemical dependency

Question 2

Potentiation of norepinephrine and serotonin activity by blocking reuptake of these

A)MAOIs
B)SSRIs
C)Heterocyclics
D)Tricyclic antidepressants
E)SNRIs

Answer 2

Tricyclic antidepressants

Question 3

Match each item with the correct statement below.
FDA requires all antidepressants to include this regarding suicidal tendencies in young people.

A)Abuse
B)Bipolar disorder
C)Neurotransmitter
D)Psychotropic
E)Black box warning

Answer 3

Black box warning

Question 4

Match each item with the correct statement below.
Constellation of physical motor side effects due to unbalanced cholinergic activity, side effect of antipsychotics.

A)Chemical dependency
B)Extrapyramidal
C)Tardive dsykinesia
D)Addiction
E)Dependence

Question 5

Match the following medication classifications with their description.
Promote CNS function and treat narcolepsy, methylphenidate (Ritalin)

A)Antidepressant
B)Antipsychotic/major tranquilizers
C)CNS stimulant
D)Anxiolytic
E)Antimanic

Question 6

Match the following medication classifications with their description.
Treat various types of depression, fluoxetine (Prozac)

A)Antidepressant
B)Antipsychotic/major tranquilizers
C)CNS stimulant
D)Anxiolytic
E)Antimanic

Question 7

Match the following medication classifications with their description.
Agents to treat bipolar disorder, lithium.

A)Antidepressant
B)Antipsychotic/major tranquilizers
C)CNS stimulant
D)Anxiolytic
E)Antimanic

Question 8

Match each item with the correct statement below.
Use of a drug for other than therapeutic purposes.

A)Abuse
B)Bipolar disorder
C)Neurotransmitter
D)Psychotropic
E)Black box warning

Question 9

Match each item with the correct statement below.
Purposeless body movements, an extrapyramidal side effect associated with antipsychotics

A)Chemical dependency
B)Extrapyramidal
C)Tardive dsykinesia
D)Addiction
E)Dependence

Question 10

Dopamine receptor blockade

A)MAOIs
B)SSRIs
C)Heterocyclics
D)Tricyclic antidepressants
E)SNRIs

Question 11

Match each item with the correct statement below.
Characterized by mood swings and manic and depressive phases.

A)Abuse
B)Bipolar disorder
C)Neurotransmitter
D)Psychotropic
E)Black box warning

Question 12

Inhibit reuptake of serotonin and norepinephrine; only nonstimulant drug approved for treating ADHD atomoxetine (Strattera).

A)MAOIs
B)SSRIs
C)Heterocyclics
D)Tricyclic antidepressants
E)SNRIs

Question 13

Match the following medication classifications with their description.
Treat anxiety, often used for minor procedures, benzodiazepines are in this category, lorazepam (Ativan)

A)Antidepressant
B)Antipsychotic/major tranquilizers
C)CNS stimulant
D)Anxiolytic
E)Antimanic

Question 14

Match each item with the correct statement below.
Chemicals such as epinephrine, norepinephrine, serotonin, and dopamine.

A)Abuse
B)Bipolar disorder
C)Neurotransmitter
D)Psychotropic
E)Black box warning

Question 15

Selective blockade of serotonin reabsorption first-line therapy for depression.

A)MAOIs
B)SSRIs
C)Heterocyclics
D)Tricyclic antidepressants
E)SNRIs

Question 16

Match each item with the correct statement below.
Drugs that can exert a therapeutic effect on a person's mental processes, emotions, or behavior.

A)Abuse
B)Bipolar disorder
C)Neurotransmitter
D)Psychotropic
E)Black box warning

Question 17

Match each item with the correct statement below.
Includes tolerance, physical and psychological dependence, and withdrawal if discontinued.

A)Chemical dependency
B)Extrapyramidal
C)Tardive dsykinesia
D)Addiction
E)Dependence

Question 18

Match the following medication classifications with their description.
Also called neuroleptics; typical and atypical agents, olanzapine and aripiprazole.

A)Antidepressant
B)Antipsychotic/major tranquilizers
C)CNS stimulant
D)Anxiolytic
E)Antimanic

Question 19

Match each item with the correct statement below.
Emotional reliance on a substance

A)Chemical dependency
B)Extrapyramidal
C)Tardive dsykinesia
D)Addiction
E)Dependence

Question 20

Increases concentrations of serotonin, norepinephrine, and dopamine by monoamine oxidase enzyme inhibition

A)MAOIs
B)SSRIs
C)Heterocyclics
D)Tricyclic antidepressants
E)SNRIs

Question 21

Cautions for the use of lithium include _________.

A) patients with seizure disorders, cardiac or liver disorders, or who are more prone to suicide
B) patients with seizure disorders, Parkinson's disease, and thyroid disease
C) patients who are depressed, who exhibit suicidal tendencies, who have depressed vital signs, and who operate machinery
D) patients with renal and hepatic impairment

Question 22

Side effects of the SSRIs may include _________.

A) dilated pupils with photophobia, nervousness, tachycardia, and cardiac arrhythmia
B) increased appetite and weight gain, cardiac arrhythmia, and palpitation
C) headache, stiff neck, hypertension, or hypertensive crisis
D) sexual dysfunction, anorexia, diarrhea, sweating, insomnia, anxiety, and dizziness

Question 23

Side effects of lithium therapy may include __________.

A) drowsiness, insomnia, restlessness, agitation, anxiety, impotence, and weight gain.
B) cardiac arrhythmia, hypotension, thirst and polyuria, tremors, and thyroid problems.
C) depression, hallucination, agitation, bizarre behavior, and extrapyramidal reactions.
D) dizziness, drowsiness, headache, and GI effects.

Question 24

Anxiolytics are used to treat ____________.

A) central nervous system dysfunction
B) various types of depression
C) bipolar disorders
D) anxiety disorders, neurosis, some psychosomatic disorders, and insomnia

Question 25

Benzodiazepines should be used with extreme caution in persons who have _______.

A) seizure disorders
B) Parkinson's disease and thyroid disease
C) mental depression, suicidal tendencies, and those who are older or debilitated
D) All of the above.

Question 26

Side effects of the anxiolytic buspirone (Buspar) may include _________.

A) drowsiness, insomnia, dry mouth, nausea, dizziness, impotence, and weight gain
B) cardiac arrhythmia, hypotension, thirst and polyuria, tremors, and thyroid problems
C) depression, hallucinations, agitation, bizarre behavior, and extrapyramidal reactions
D) dizziness, drowsiness, headache, and GI effects

Question 27

Antidepressant medications are used primarily to treat _______.

A) central nervous system function
B) various types of depression
C) bipolar disorders
D) anxiety disorders, neurosis, some psychosomatic disorders, and insomnia

Question 28

Side effects of tricyclics may include _________.

A) dilated pupils with photophobia, nervousness, and tachycardia
B) increased appetite and weight gain, postural hypotension, and cardiac arrhythmia
C) headache, stiff neck, hypertension, or hypertensive crisis
D) sexual dysfunction, anorexia, diarrhea, insomnia, anxiety, nervousness, and fatigue

Question 29

Lithium salts are used to treat _________.

A) central nervous system dysfunction
B) various types of depression
C) bipolar disorders
D) anxiety disorders

Question 30

Which list describes relative contraindications or cautions to be observed with CNS stimulants?

A) Hyperthyroidism, history of drug dependence, alcoholism, or eating disorders
B) Renal and GI disorders
C) Cerebrovascular disease
D) Patients who are prone to suicide, diabetics, and those with bipolar disorders

Question 31

Side effects of anxiolytic benzodiazepines may include ________.

A) drowsiness, insomnia, restlessness, agitation, dizziness, impotence, and weight gain
B) cardiac arrhythmia, hypotension, thirst and polyuria, tremors, and thyroid problems
C) depression, hallucination, bizarre behavior, amnesia, ataxia, and extrapyramidal reactions
D) dizziness, drowsiness, headache, and GI effects

Question 32

Which list describes relative contraindications or cautions to be observed with tricyclics?

A) Hyperthyroidism, history of drug dependence, or eating disorders
B) Cardiac, renal, GI, and liver disorders
C) Cerebrovascular disease
D) Patients who are prone to suicide, diabetics, and those with bipolar disorders

Question 33

Heterocyclics should be used cautiously in which patient populations?

A) Those who exhibit suicidal tendencies, patients with seizure disorders, and those with cardiac problems
B) Persons with Parkinson's disease, kidney disorders, and thyroid disease
C) Patients with depression, depressed vital signs, and those who operate machinery
D) Renal or hepatic impairment

Question 34

Contraindications for MAOIs include which of the following?

A) Hyperthyroidism, cardiovascular disorders, history of drug dependence, or eating disorders
B) Cardiac, renal, and GI problems
C) Cerebrovascular, heart, and renal disease
D) Patients who are prone to suicide, people with diabetes, and those with bipolar disorders

Question 35

SSRIs should be used with caution in which patients?

A) Those with hyperthyroidism, cardiovascular disorders, or a history of drug dependence and/or alcoholism
B) Patients with cardiac, renal, GI, or liver disorders
C) Persons with cerebrovascular and renal disease
D) Those who are more prone to suicide, people with diabetes, and patients with bipolar disorders

Question 36

Drugs that can exert a therapeutic effect on a person's mental processes, emotions, or behavior are ________.

A) addictive
B) dependent
C) psychotropic
D) tricyclics

Question 37

Side effects of controlled CNS stimulants can include _______.

A) dilated pupils with photophobia, nervousness
B) increased appetite and weight gain, constipation, and urinary retention
C) headache, stiff neck, hypertension, or hypertensive crisis
D) sexual dysfunction, nausea, anorexia, dizziness, and headache

Question 38

Side effects of MAOIs may include _________.

A) dilated pupils with photophobia, nervousness, insomnia, and irritability
B) increased appetite and weight gain, postural hypotension, cardiac arrhythmia, and palpitation
C) headache, stiff neck, hypertension, or hypertensive crisis
D) sexual dysfunction, nausea, anorexia, diarrhea, insomnia, anxiety, and drowsiness

Question 39

Side effects of heterocyclic antidepressants may include ________.

A) drowsiness, insomnia, restlessness, anxiety, dry mouth, impotence, and weight gain
B) cardiac arrhythmia, hypotension, thirst and polyuria, tremors, and thyroid problems
C) depression, hallucination, bizarre behavior, amnesia, and extrapyramidal reactions
D) drowsiness, headache, and GI effects

Question 40

CNS stimulants are used to treat _________.

A) central nervous system dysfunction
B) types of depression
C) bipolar disorders
D) anxiety disorders, neuroses, some psychosomatic disorders, and insomnia

Question 41

Which of the following statements is true regarding Rohypnol?

A) It is not approved for use in the United States.
B) It is used to counteract effects of cocaine withdrawal.
C) It is used as a date-rape drug.
D) All of the above are true.

Question 42

Prolongation of the QT interval caused by the use of certain drugs may result in ________.

A) nausea and vomiting
B) an increased risk of life-threatening cardiac arrhythmias
C) gastrointestinal ulcers
D) tardive dyskinesia

Question 43

The mechanism of action of phenothiazine antipsychotics involves ___________.

A) potentiation of norepinephrine and serotonin activity by blocking their reuptake
B) increasing the concentrations of serotonin, norepinephrine, and dopamine by monoamine oxidase enzyme inhibition
C) selective blockade of serotonin reabsorption
D) dopamine receptor blockade

Question 44

Which of the following statements is true of Naltrexone?

A) It blocks pleasurable sensations associated with alcohol and opiates.
B) It can be used as an aid to therapy in opiate-addicted patients.
C) It is more effective than disulfiram (Antabuse) in alcoholics who are still drinking.
D) All of the above are true.

Question 45

Drugs that interact with antipsychotics by prolonging the QT interval fall into which categories?

A) Antiarrhythmic agents
B) Quinolones
C) Phenothiazines
D) All of the above.

Question 46

Drug habituation refers to ___________.

A) the use of a drug for other than therapeutic purposes
B) tolerance, psychological dependence, physical dependence, and withdrawal reaction with physiological effects
C) psychological dependence
D) a problem with the moral character

Question 47

Caution should be used when buspirone (Buspar) is administered to patients with _________.

A) seizure, cardiac, or liver disorders
B) Parkinson's and thyroid disease
C) suicidal tendencies, depressed vital signs, and persons operating machinery
D) renal and hepatic impairment

Question 48

Symptoms of chronic amphetamine abuse include ___________.

A) emotional lability, anorexia, amnesia, photophobia, and paranoid syndrome
B) short-term memory loss, impaired learning, apathy, lethargy, reduced testosterone levels, and sperm count
C) euphoria, agitation and excitation, arrhythmia, or cardiac failure
D) flashbacks, panic or paranoia, and psychotic episodes

Question 49

Long-term physiological effects of alcohol use include ________.

A) excitement, sedation, and anesthesia
B) stupor, cerebral edema, and depressed respiration
C) decreased control over judgment, memory, and other intellectual and emotional functioning
D) liver damage, pancreatitis, esophageal varices, gastritis, ulceration, cardiomyopathy, and hemorrhage.

Question 50

Which of the following drugs are most often abused by medical personnel?

A) Hydrocodone
B) Benzodiazepines
C) Oxycodone
D) All of the above.

Question 51

Side effects of hallucinogens may include __________.

A) emotional lability, anorexia, amnesia, photophobia, and paranoid syndrome with hallucinations
B) short-term memory loss, impaired learning, apathy, lethargy, reduced testosterone levels, and sperm count
C) euphoria, agitation and excitation, arrhythmia, or cardiac failure
D) flashbacks, panic, and psychotic episodes

Question 52

Drug addiction is defined as __________.

A) the use of a drug for other than therapeutic purposes
B) physical dependence and withdrawal reaction with physiological effects
C) illegal behavior
D) a problem with the moral character

Question 53

Treatment of acute alcohol poisoning is ___________.

A) vitamin B (thiamine), multiple vitamins, and folic acid
B) Close monitoring for respiratory status, prevent aspiration, IV electrolytes, fluids and benzodiazepines if needed
C) low-carbohydrate and high-protein diet
D) elimination of caffeine

Question 54

Side effects of marijuana include _______.

A) emotional lability, anorexia, amnesia, photophobia, and paranoid syndrome with hallucinations
B) short-term memory loss, impaired learning, apathy, lethargy, reduced testosterone level, and sperm count
C) euphoria, agitation and excitation, arrhythmia, or cardiac failure
D) flashbacks, panic or paranoia, and psychotic episodes

Question 55

Side effects of cocaine can include _________.

A) emotional lability, anorexia, amnesia, photophobia, and paranoid syndrome with hallucinations
B) short-term memory loss, impaired learning, apathy, lethargy, reduced testosterone levels, and sperm count
C) euphoria, agitation and excitation, arrhythmia, stroke, and cardiac failure
D) flashbacks, panic or paranoia, and psychotic episodes

Question 56

Crystal, crank, and ice are all street names for which?

A) Methamphetamines
B) Cocaine
C) Marijuana
D) Benzodiazepines

Question 57

Treatment of chronic alcoholism frequently includes ___________.

A) elimination of caffeine, and a low-carbohydrate and high-protein diet
B) IV "banana bag"
C) establishing and maintaining an airway
D) preventing aspiration

Question 58

Identify the primary mechanism of action of tricyclic antidepressants _______.

A) potentiation of norepinephrine and serotonin activity by blocking their reuptake
B) increase concentrations of serotonin, norepinephrine, and dopamine by inhibition of the monoamine oxidase enzyme
C) selective blockade of serotonin reabsorption, helping to restore the brain's chemical balance
D) dopamine receptor blockade

Question 59

Which mechanism of action is descriptive of SSRIs?

A) Potentiation of norepinephrine and serotonin activity by blocking their reuptake
B) Increasing concentrations of serotonin, norepinephrine, and dopamine by monoamine oxidase enzyme inhibition
C) Selective blockade of serotonin reabsorption
D) Dopamine receptor blockade

Question 60

Identify the mechanism of action of MAOIs.

A) Potentiation of norepinephrine and serotonin activity by blocking their reuptake
B) Increasing concentrations of serotonin, norepinephrine, and dopamine by inhibition of monoamine oxidase enzyme
C) Selective blockade of serotonin reabsorption, restoring the brain's chemical balance
D) Dopamine receptor blockade