Deck 12: Psychotherapeutic Medications

Question 1

What is now well accepted to be the initial effect of antipsychotic drugs?

A)block D2 dopamine receptors
B)block serotonin reuptake
C)increase brain levels of norepinephrine
D)stimulate acetylcholine receptors

Answer 1

A

Question 2

If psychotherapeutic mediation is the true definer of psychopharmacology,then in what year was psychopharmacology's birth realized?

A)1931
B)1941
C)1951
D)1961

Answer 2

C

Question 3

Gail committed suicide.As a Canadian,what was the likelihood that she also had a diagnosed mental illness?

A)30 percent
B)50 percent
C)70 percent
D)90 percent

Answer 3

D

Question 4

Who was NOT involved in the development of a classification system of mental illnesses in the 1800s?

A)J.E.Esquirol
B)John Cade
C)Emil Kraepelin
D)Phillip Pinel

Question 5

Which term is used to describe those drugs which have a special or unique effect on the mind or mental functioning?

A)hallucinogenic
B)psychotronic
C)psychopharmacological
D)psychotherapeutic

Question 6

Joseph has been diagnosed as having a mental illness.According to Canadian statistics,what is the likelihood that he could also be diagnosed with a substance abuse problem?

A)10 percent
B)20 percent
C)30 percent
D)40 percent

Question 7

What drug would be administered if you were a patient in the Val-de-Grace military hospital and the therapeutic goal was to alleviate your agitation and help you become peaceful?

A)clozaril
B)chlorpromazine
C)LSD
D)reserpine

Question 8

Who is the most likely user of psychotherapeutic drugs?

A)a female with a low income
B)a male with a low income
C)a female who lives alone
D)a male who lives alone

Question 9

After finishing a class in psychopharmacology,you decide this is going to be your profession.Later you are asked,if you could take a time machine back in time,where would you travel to.Your answer would be to the century when the roots of your chosen profession began.Which century is it?

A)17th century
B)18th century
C)19th century
D)20th century

Question 10

Mary has been presenting with a number of symptoms that might lead one to think she is suffering from depression.If she does not seek help,according to Canadian statistics she represents what percentage of people who would respond similarly?

A)10 percent
B)30 percent
C)60 percent
D)90 percent

Question 11

What was an early treatment for severe depression that is still used today?

A)insulin shock
B)psychosurgery
C)antihistamine treatment
D)electroshock therapy

Question 12

What profession did David Macht belong to when in 1920 his name was connected to the term psychopharmacology?

A)psychiatry
B)dentistry
C)pharmacy
D)medicine

Question 13

Which drug was used by researchers in the 1950s to create a "model psychosis" to study possible etiological factors contributing to mental illness?

A)marijuana
B)LSD
C)lithium
D)cocaine

Question 14

How many countries account for 75 percent of the world's pharmaceutical sales?

A)less than 12 countries
B)between 15 and 25 countries
C)between 30 and 50 countries
D)between 50 and 65 countries

Question 15

What was Dr.Heinz Lehmann's professional achievement high point?

A)his establishment of the first professional journal dedicated to psychiatric medications
B)his position focusing on ending the use of electroshock therapy
C)his work with chlorpromazine
D)his establishment of the first standalone psychiatric hospital in Canada

Question 16

Which drug was synthesized in 1950 by Paul Charpentier and initially used as an anesthesia in surgery?

A)chlorpromazine
B)LSD
C)clozaril
D)reserpine

Question 17

Which prestigious award did Canadian Dr.Heinz Lehmann win in 1957?

A)Canadian College of Physicians Award
B)American Albert Lasker Award
C)Nobel Peace Prize
D)Rural Psychiatric Physician of the Year Award

Question 18

If you live in Canada,what is the probability of you personally being affected by mental illness?

A)one in three
B)one in five
C)one in ten
D)one in twenty

Question 19

According to Canadian statistics,what percentage of adults with one mental disorder also meet the criteria for at least one other disorder?

A)15 percent
B)25 percent
C)45 percent
D)55 percent

Question 20

At any given time,what percentage of Canadians are suffering from a mental illness?

A)one percent
B)five percent
C)ten percent
D)twenty percent

Question 21

What symptom does Mary continually demonstrate because she has tardive dyskinesia?

A)repetitive involuntary movements of the mouth and tongue
B)impaired sexual functioning
C)tremors
D)blank rigidity

Question 22

A psychiatrist makes the statement "to clamp the neuron." What would he have said if he was to use the Greek word from which this expression originates?

A)neuroinhibit
B)antimanic
C)antianxiety
D)neuroleptic

Question 23

What do antipsychotic medications act on to generally moderate spontaneous activity and decrease reactivity to stimuli?

A)hypothalamus
B)limbic system
C)reticular activating system
D)cerebellum

Question 24

Which drug has effects similar to those of barbiturates?

A)cocaine
B)caffeine
C)alcohol
D)amphetamines

Question 25

In which part of the brain has research demonstrated a link between depression and atrophy and cell loss?

A)hippocampus
B)medulla oblongata
C)hypothalamus
D)pons

Question 26

Your physician is now treating you for your depression and prescribes an antidepressant.How soon will you begin to feel the drug's effects?

A)12 hours
B)1 day
C)2 weeks
D)4 weeks

Question 27

If you were a patient suffering from schizophrenia,what decade would you have been living in when a major medical turning point occurred?

A)1930s
B)1950s
C)1970s
D)1990s

Question 28

Jason has been put on antipsychotic medication with the hope that it will blunt his emotional arousal.What part of his brain will it act on?

A)hypothalamus
B)limbic system
C)reticular activating system
D)cerebellum

Question 29

Martha meets her psychiatrist for the first time to discuss her antipsychotic medication.She asked her doctor how he will choose her medication.What would an informed psychiatrist say?

A)Finding the best takes both time and experimentation with each drug class.
B)Finding the best involves knowing a person's financial means and experimentation with each drug class.
C)Finding the best involves knowing a person's gender,consistent weight,and experimentation with each drug class.
D)Finding the best involves knowing both the person's lifestyle (amount of exercise,diet)and experimentation with each drug class.

Question 30

Alison read a story of a depressed psychiatric patient living during the late 1770s who was prescribed laughing gas.What precisely was the substance?

A)chlordiazepoxide
B)nitrous oxide
C)benzodiazepines
D)ethinamate

Question 31

John presents in the emergency room with mania and agitated depression.The doctor prescribes neuroleptics.By what other name are these drugs also known?

A)antidepressants
B)antipsychotics
C)antianxiety
D)antimanic

Question 32

Which of the following is a barbiturate?

A)nembutal
B)chloroform
C)amphetamine
D)diazepam

Question 33

Since she's been on her new medication,Sandra has been drowsy,constipated,experienced difficulty urinating,and has been told that she cannot eat cheese.Which drug is she using?

A)chlorpromazine
B)cyclics
C)MAOI
D)Prozac

Question 34

Who discovered that nitrous oxide could be used in anesthesia?

A)Timothy Leary
B)William Halstead
C)Horace Wells
D)Lefty Driesell

Question 35

What is the initial effect of heterocyclic antidepressants?

A)they block acetylcholine receptors
B)they block D2 dopamine receptors
C)they inhibit metabolism of GABA
D)they inhibit reuptake of serotonin

Question 36

Tricyclic antidepressants are believed to block the uptake of norepinephrine from the synaptic cleft.Which hypothesis is this a basis for?

A)serotonin
B)dopamine
C)catecholamine
D)norepinephrine

Question 37

Deficiency in which substance is believed to cause depression?

A)endorphins
B)norepinephrine
C)catecholamines
D)GABA

Question 38

Increased levels of what type of activity induces psychosis,according to the predominant theory regarding the action of antipsychotics?

A)dopaminergic
B)serotonergic
C)acetylcholinergic
D)norepinephrinergic

Question 39

What did Michael Jackson's toxicology results show that he died of an overdose of?

A)midazolam
B)propofol
C)prazepam
D)halazepam

Question 40

What are distortions of reality,profoundly blunted mood,and hallucinations all symptoms of?

A)depression
B)bipolar disorder
C)schizophrenia
D)LSD withdrawal

Question 41

The prevalence of psychotherapeutic medication use is twice as high among men as among women.

Question 42

For someone to be classified as having a comorbidity,three separate mental illness clinical diagnoses must exist.

Question 43

Although benzodiazepines induce sleep,what do they also do?

A)cause depression
B)cause tachycardia
C)increase heart rate
D)produce paranoid symptoms

Question 44

Between 20 and 25 percent of homeless people suffer from mental illness.

Question 45

What is an unusual feature of the withdrawal symptoms from benzodiazepines?

A)they include heavy sleeping
B)they do not appear for several days after quitting
C)they can be suppressed by cocaine
D)they produce hallucinations

Question 46

What is one side effect of benzodiazepine use?

A)increased blood pressure
B)anterograde amnesia
C)depression
D)vomiting

Question 47

In 2008,psychotherapeutic medications were the highest class of drugs dispensed in Canada.

Question 48

Withdrawal from which substance are benzodiazepines frequently used to medically manage ?

A)alcohol
B)cocaine
C)heroine
D)methodone

Question 49

What is a common name for flunitrazepam?

A)crack
B)horse
C)lady
D)roofies

Question 50

What medication could Dr.Tang use to treat his patient who suffers from manic episodes,a symptom that is part of his depression diagnosis?

A)Wellbutrin
B)Tegretol
C)Clozaril
D)Haldol

Question 51

Dr.Heinz E.Lehmann wrote about his work with psychiatric patients and electroshock therapy while he was working in the province of Alberta.

Question 52

The majority of individuals diagnosed with mental disorders first experience the symptoms in early middle age.

Question 53

From time to time Shannon becomes excessively talkative,has flights of ideas or racing thoughts,shops excessively,often buying too many things that she cannot afford.How might her behaviour be classified?

A)manic
B)pleasantly high
C)happy-go-lucky
D)morose

Question 54

What are manic patients most commonly prescribed to stabilize their moods?

A)lithium
B)prozac
C)librium
D)thorazine

Question 55

Fifteen percent of Canadian preschoolers will have significant levels of depression.

Question 56

Greater use of psychotherapeutics is found in those with more education and higher income levels.

Question 57

Kelly woke up after having been out celebrating a friend's birthday to see the sunlight shining in through a window in a room she did not recognize,and she could not remember how she got there.What drug could Kelly have possibly been given?

A)crack
B)horse
C)lady
D)roofies

Question 58

Fifty percent of Canadians suffering from depression never seek treatment.

Question 59

What is the only drug in psychiatry for which there is effective prophylaxis against disease recurrence?

A)prozac
B)chlorpromazine
C)lithium
D)haldol

Question 60

Chlorpromazine was synthesized by Paul Charpentier in 1950.

Question 61

The effects of psychotherapeutic drugs on the fetus are well established.

Question 62

Describe the catecholamine and serotonin hypotheses of antidepressant action.

Question 63

Discuss the advantages and disadvantages of barbiturate use.Why has their use declined in recent years?

Question 64

Regardless of how they were named,the class of depressant drugs called barbiturates now includes between 500 and 750 different compounds.

Question 65

Barbiturates decrease heart rate and blood pressure at higher doses.

Question 66

Barbiturates were introduced into general medical practice in 1903,and they were marketed under the brand name Veronal.

Question 67

The symptoms of tardive dyskinesia are all reversible upon cessation of the medication.

Question 68

Describe the dopamine hypothesis of the action of antipsychotics.What findings support or fail to support this hypothesis?

Question 69

The most promising aspect of the new antipsychotic,Clozaril,is the absence of reported side effects.

Question 70

Over 90 percent of the patients receiving antipsychotic medication experience extrapyramidal side effects.

Question 71

The therapeutic effects of cyclics and MAOIs usually occur within hours of administration.

Question 72

Describe the side effects that may be encountered with the use of antipsychotics.How may these side effects be controlled?

Question 73

What are the effects of psychotherapeutic drugs on pregnancy?

Question 74

The first depressant used was the gas nitrous oxide,discovered by Joseph Priestley and synthesized by Humphry Davy in 1776.

Question 75

People with manic disorder generally experience their first episode in their 40s.