Q&A Hero

Medicine

Q: Kava may be associated with liver damage in long-term usage.
Q: A typical dose of Sonata is 100 mg qhs.
Q: Benedryl can be used to induce sleep in intermittent cases.
Q: Since Ambien has a shorter half life than Restoril, it is more likely to wear-off by morning.
Q: Benzos are safe to use and may be used for months without any real concerns for tolerance.
Q: Patients with only terminal insomnia are more likely to have an affective disorder, as opposed to an anxiety disorder.
Q: Serotonin is necessary to help maintain sleep.
Q: About 50% of our time is spent in stages 1 and 2.
Q: There are three distinct stages of sleep.
Q: In a study of more than 1,000 people, 56% reported problems with initial insomnia.
Q: Depressed AD patients would benefit most from ________ type antidepressants. a. SSRIs b. SNRIs c. MAOIs d. None of these
Q: Agitated AD patients who also present with psychotic symptoms are often placed on ____: a. tranquilizers b. antidepressants c. benzodiazepines d. atypical antipsychotics
Q: Which of the following is a selective inhibitor of MAO? a. tacrine b. galantamine c. rivastigmine d. none of these
Q: Which of the following has been associated with liver toxicity? a. tacrine b. donepezil c. galantamine d. memantine
Q: Common side-effects with AD drugs include all of the following except: a. nausea b. diarrhea c. blurred vision d. vomiting
Q: Which of the following belongs to a newer class of AD drug that is known as an N-methyl-D-asparate receptor antagonist? a. Reminyl b. Aricept c. Namenda d. none of these
Q: Which of the following medications may be more helpful for patients with Lewy Bodies dementia? a. Cognex b. Aricept c. Namenda d. Exelon
Q: The typical dose for a patient taking Aricept is ____ mg. a. 5-10 b. 10-20 c. 75-100 d. none of these
Q: Researchers place the approximate annual cost of AD in the US to be about __. a. 65 billion b. 67 billion c. 69 billion d. 76 billion
Q: Research suggests that all of the following neurotransmitters have been implicated in AD dementia except: a. norepinephrine b. serotonin c. dopamine d. acetylcholine
Q: AD accounts for about ____ of all irreversible dementias. a. 50% b. 60% c. 70% d. none of these
Q: AD affects approximately _____ Americans. a. 1 in 5 b. 1 in 10 c. 1 in 45 d. 1 in 50
Q: Most medications used to treat dementia and AD fall into the cholinesterase inhibitor classification.
Q: Most medications for AD and dementia are major tranquilizers that reduce dopamine.
Q: Providing a controlled/monitored environment for AD patients may help to reduce confusion and agitation.
Q: Form of dementia may be caused by vitamin deficiencies.
Q: Beta-amyloid can be detected on scans and removed surgically.
Q: AD may have a genetic/familial pattern.
Q: AD cannot be detected on most scans, but autopsy reveals a deficit in brain presynaptic cholinergic systems.
Q: Vascular dementia accounts for about 20% of all dementias.
Q: Alzheimer's accounts for approximately 75% of all irreversible dementias
Q: Alzheimer's Disease or AD is the most common type of dementia
Q: For patients who cannot tolerate stimulants, Alpha-2 agonists such as ______ may be helpful. a. Concerta b. Daytrana c. Intuniv d. All of these
Q: Which drug for ADHD is less likely to be abused due to the nature in which it is metabolized? a. Ritalin b. Vyvanse c. Focalin d. None of these
Q: Insomnia, a common side-effect of stimulants, may be reduced by: a. Using stimulants with shorter half-lives. b. Using stimulants with longer half-lives. c. Combining stimulants with sedatives. d. None of the above.
Q: A typical dose of Adderall for a child is in the range of: a. 5-10 mg per day b. 5-15 mg per day c. 5-30 mg per day d. 30-60 mg per day
Q: Which of the following is not a stimulant per se, but rather an antidepressant with stimulant qualities? a. Cylert b. Ritalin c. Stratera d. Adderal
Q: Which stimulant uses a polymer, multi-particulate bead system? a. Stratera b. Ritalin SR c. Tenex d. none of these
Q: Which of the following stimulants offers once per day dosing? a. Concerta b. Ritalin c. Cylert d. Ritalin SR
Q: Irregularities of which neurotransmitter(s) has been implicated in ADHD? a. Serotonin b. Norepinephrine c. Dopamine d. both b and c
Q: What percentage of ADHD youth will go on to demonstrate adult ADHD? a. 40% b. 50% c. 60% d. 70%
Q: Approximately ____% of school aged children demonstrate an attention deficit? a. 1-2% b. 3-5 % c. 3-7% d. 8-10%
Q: ADHD remains one of the most treatable conditions in the DSM-IV.
Q: ADHD is diagnosed much more often in boys than in girls.
Q: Buproprion and disipramine are common antidepressants used in the treatment of ADHD.
Q: Concerta, Metadate ER and Ritalin SR are longer-acting, sustained release formulated stimulants.
Q: Stratera along with other stimulants may be habit forming.
Q: Typical side effects of stimulants include hypertension, insomnia, weight loss, and headaches.
Q: The Conner's Rating Scales Revised is often used in the assessment of ADHD.
Q: MRI and other scans have shown that neurotransmitter irregularities in the frontal striatal networks and in the cingulated gyrus may result in attention and learning disorders.
Q: The neurotransmitter serotonin has been implicated in the etiology of ADHD.
Q: As many as 50% of youth treated for substance abuse meet criteria for ADHD.
Q: As many as 70% of children with ADHD go on to demonstrate symptoms into their adult years.
Q: Approximately 2-4% of all school aged children have an attention deficit.
Q: Which of the following is most associated with weight gain? a. Geodon b. Zyprexa c. Clozaril d. Saphris
Q: Which medication does not belong with the others? a. Artane b. Benadryl c. Cogentin d. Stelazine
Q: The best medication for treatment refractory schizophrenia is: a. Seroquel b. Abilify c. Clozaril d. Orap
Q: The advantages of the newer atypicals include: a. Minimal EPS b. Efficacy for reducing the positive symptoms. c. Improving patient cognition. d. All of the above.
Q: The treatment of choice for the first episode psychotic patient is: a. Risperdal b. Abilify c. Haldol d. None of these
Q: All of the following are atypical antipsychotics except: a. Zyprexa b. Fanapt c. Abilify d. Navane
Q: Seroquel has been studied to determine if it is a popular drug of abuse.
Q: For patients with multiple-episodes, Risperdol or Invega are the drugs of choice.
Q: Schizophrenia can be detected on brain scans.
Q: Schizophrenia affects nearly 3% of the general population.
Q: Symbyax is a new medication that consists of both Zyprexa and Prozac.
Q: Expert consensus suggests that a prescriber wait at least three weeks before switching from one anti-psychotic medication to another.
Q: Resperidone requires weekly blood monitoring.
Q: Clozaril is the only atypical antipsychotic medication with no real extra-pyramidal risk.
Q: The "social drift" phenomenon refers to where most schizophrenics end up living as a result of occupational/financial loss.
Q: Concordance rates for monozygotic twins is about 40-50%.
Q: Schizophrenia is typically caused by environmental trauma.
Q: All of the following except _______ would be appropriate for a patient with GAD symptoms. a. Effexor b. Pristiq c. Buspar d. Wellbutrin
Q: Which of the following sleep medications has not been shown to be habit-forming? a. Ambien b. Sonata c. Restoril d. Rozerem
Q: A panic patient feels relaxed when the chloride ion channels ________. a. Hypopolarize b. Dipolarize c. Hyperpolarize d. All of the above
Q: For OCD patients with severe agitation or racing thoughts _______ may be added to their other medications (SSRIs). a. Antipsychotics b. MAOIs c. Another SSRI d. none of these
Q: For patients with mild and occasional insomnia, who prefer a quick "home remedy," which of the following could be used safely? a. Klonopin b. Buspar c. barbiturates d. benadryl
Q: The four "Bs" in treating anxiety disorders stand for: a. benzos, booze, Buspar and bupropion. b. Bipolars, benzos, barbiturates and bennies. c. benzos, barbiturates, Buspar and Beta-blockers. d. benzos, booze, babes, and Bipolars.
Q: Which longer acting benzo is less likely to be abused by clients with anxiety? a. Ativan b. Xanax c. Klonopin d. Tranxene
Q: All of the following EXCEPT ______ are typically used to treat PTSD symptoms. a. SSRIs b. Effexor c. Mood stabilizers d. Stimulants
Q: When treating OCD, we typically consider ________ doses of SSRIs. a. Lower b. Same as depression c. Higher d. Not used in OCD
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