Deck 11: Drugs for Psychoses and Degenerative Diseases

Question 1

The pharmacist is caring for a patient with psychosis-like symptoms. Which explanation of these symptoms to the family is the most appropriate?

A) The only causes for psychosis are schizophrenia and schizoaffective disorder.
B) Psychotic symptoms are only seen in patients with schizoaffective disorder.
C) Psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.
D) Psychotic symptoms are only seen in patients with schizophrenia.

Answer 1

Psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.

Question 2

A schizophrenic patient is being assessed by the pharmacist. The patient is demonstrating positive symptoms. Which symptoms would be considered positive? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Hallucinations
B) Lack of interest
C) Disorganized thoughts
D) Lack of responsiveness
E) Disorganized speech

Answer 2

Hallucinations
Disorganized thoughts
Disorganized speech

Question 3

One theory for the cause of schizophrenia suggests that the disorder is caused by over activity of this neurotransmitter in specific areas of the brain.

A) Serotonin
B) Dopamine
C) Acetylcholine
D) Norepinephrine

Answer 3

Dopamine

Question 4

What are the primary goals of pharmacotherapy for patients diagnosed with schizophrenia?
(Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Cure schizophrenia.
B) Reduce psychotic symptoms to a level that allows the patient to maintain normal social relationships.
C) Increase delusional symptoms.
D) Reduce psychotic symptoms to a level that allows the patient to perform self-care.
E) Reduce psychotic symptoms to a level that allows the patient to maintain employment.

Question 5

Which of the following would be why a patient may not be compliant with their antipsychotic medication? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Experiencing side effects like ejaculation problems and orgasm delay
B) High income jobs
C) Homelessness
D) Physical dependence

Question 6

Which statements are true regarding antipsychotic drugs? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Almost all patients are compliant with medications.
B) Antipsychotic drugs do not cure mental illness.
C) Many symptoms of psychosis can be controlled with medication.
D) Antipsychotic drugs cure mental illness.
E) Many patients are noncompliant with medications.

Question 7

The pharmacist instructs the patient receiving a dopamine system stabilizer that which side effects are possible? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Headache
B) Diarrhea
C) Constipation
D) Nausea
E) Vomiting

Question 8

This degenerative disease is an autoimmune disease.

A) Alzheimer's
B) Parkinson's
C) Multiple Sclerosis
D) Psychoses

Question 9

Symptoms of Parkinson's would include: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Tremors
B) Muscle rigidity
C) Tachykinesia
D) Postural stability

Question 10

Patients with Alzheimer's disease experience a dramatic loss of ability to perform tasks that require this CNS neurotransmitter.

A) Dopamine
B) Norepinephrine
C) Acetylcholine
D) Serotonin

Question 11

The patient receives levodopa. Which foods can the pharmacist include in the dietary teaching for this patient? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Banana
B) Green, leafy vegetables
C) Citrus fruit
D) Chocolate
E) Red meat

Question 12

Drugs used to treat Alzeheimer's would include this class of drugs:

A) Dopamine agonists
B) Cholinesterase inhibitors
C) Immune system-modulating drugs
D) Phenothiazines

Question 13

Classes of drugs used to treat Parkinson's include: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Anticholinergics
B) Dopamine agonists
C) Cholinesterase inhibitors
D) MAO-B inhibitors

Question 14

Patients with psychoses often are unable to distinguish between reality and illusion.

Question 15

Negative symptoms of schizophrenia would include hallucinations, delusions, and disorganized thoughts or speech.

Question 16

There appears to be a genetic component to schizophrenia.

Question 17

Management of severe mental illness is difficult as many patients do not see their behavior as abnormal and have difficulty understanding the need for medication.

Question 18

EPSs include acute dystonia, akathisia, loss of memory, and tardive dyskinesia.

Question 19

By blocking AChE, antipsychotic drugs reduce the symptoms of schizophrenia.

Question 20

Donepezil is a cholinesterase inhibitor and is used to treat Parkinson's.

Question 21

Alzheimer's disease is responsible for most cases of dementia.

Question 22

The course of MS is predictable, and each patient will experience the same set of symptoms.

Question 23

Parkinson's disease is due to an imbalance between dopamine and acetylcholine.

Question 24

Levodopa cannot cross the blood-brain barrier to make dopamine so carbidopa is typically added to it.

Question 25

If AChE is inhibited, ACh is not broken down as quickly and produces a more dramatic effect.

Question 26

Explain why anticholinergics and dopamine agonists are successful in treating Parkinson's disease.

Question 27

How do cholinesterase inhibitors help with the treatment of Alzheimer's disease?

Question 28

How is multiple sclerosis treated?