Friday, November 21, 2008

Pre 12 psych/seizure/abuse

If a depressed patient starts taking an antidepressant drug, effectiveness should be seen:

A. within about 30 minutes
B. after 2-4 hours, depending on the drug
C. within 24-48 hours
D. after a few weeks



Anticholinergic side effects from the antipsychotics occur because:

A. There are dopaminergic receptors in the autonomic nervous system
B. The drugs stimulate atropine release from the adrenals
C. MAO inhibitors potentiate release of norepinephrine
D. Tyramine metabolism is blocked



The drug zolpidem is useful in treating:

A. bipolar disease
B. anxiety
C. depression
D. insomnia



Diazepam (VALIUM) is used to treat:

A. Anxiety
B. Psychotic behavior
C. Depression
D. Postoperative pain



Under which of the following conditions should you hold (not administer) risperidone?

A. The patient admits to hallucinations.
B. The respiratory rate is high at 24.
C. The ordered dose is 100 mg orally.
D. The patient has a sulfa allergy.



If an anxious patient starts taking a benzodiazepine orally, effectiveness should be seen:

A. within about 10 minutes
B. within about 1 hour
C. within 2-3 weeks
D. within 6-8 weeks



Which of the following should patients and/or their caregivers be told when they start taking antidepressant drugs?

A. Drugs often deplete potassium. Keep diet high in potassium rich food.
B. The drugs may stimulate sexual appetite.
C. Dry mouth should be managed with ice chips or sugarless gum.
D. It is safe to use herbal supplements such as St. John's wort to enhance the antidepressant effect of the drugs.



Thanks Jose Rodriguez, we appreciate it!!!



Haloperidol (HALDOL) is used to treat:
A.Anxiety
B.Psychotic behavior
C.Postoperative pain
D.Depression



Valproate sodium (DEPAKENE) stimulates GABA receptors and is useful for treating:
A. Depression
B. Psychosis
C. Seizures
D. Obsessive Compulsive Disorder



Thanks Lily (added 12/8)


Under what conditions would you hold (not administer) Dilantin?

A.The lab tells you the phenytoin blood level is 25 mcg/ml. (Normal 0; Therapeutic 10-20 mcg/ml)
B.The patient has a history of seizures after trauma to the head.
C.The blood pressure is high at 150/88.
D.The patient has a mild renal impairment.

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