Mindful Continuing Education

Psychotherapeutic Medications

Important Notes Across Medication Types

1. The generic name of a medication is the actual name of the medication and never changes, although the medication may be made by many different manufacturers.

A. True B. False

Antipsychotics/Neurolepties

2. Traditional antipsychotics include each of the following EXCEPT:

A. Fluphenazine B. Loxapine C. Thloridazine D. Lloperidone

3. The FDA has recently approved low doses of risperadal and abilify to treat anxiety.

A. True B. False

4. Each of the following is a true statement about the use of novel or a typical antipsychotics EXCEPT:

A. They are effective in treatment-resistant schizophrenia but may also be used with severe depression or other psychiatric illness B. They are less likely than traditional antipsychotics to produce serious side effects C. Approximately 4 to 5 percent of people who take clozapine develop a condition in which their white blood cell count drops drastically D. There is some evidence that use of atypical antipsychotics may lead to the development of diabetes mellitus

Potential Side Effects

5. Tardive Dyskinesia, which is characterized by involuntary movements of the face and limbs, is most often seen in men.

A. True B. False

Potential For Abuse Or Dependence

6. The potential for abuse for antipsychotics as a class is relatively low.

A. True B. False

Special Considerations for Pregnant Women

7. For pregnant women, tapering and discontinuation of antipsychotics medication _________________ before delivery is generally advised.

A. 3 days to 1 week B. 10 days to 2 weeks C. 18 days to 3 weeks D. 20 days to 4 weeks

Antiparkinsonian Medications-Potential For Abuse Or Dependence

8. Research has found that abusers of antiparkinsonians used these medications "to get high, to increase pleasure, to decrease depression, to increase energy, and to relax."

A. True B. False

Antimanic Medications

9. Lithium products include Eskallth, Eskallth CR, and:

A. Lithobid B. Lamictal C. Saphris D. Gabitril

Purpose

10. Which of the following is NOT one of the positive treatment responses attributed to antimanic medications?

A. Decreased hyperactivity B. Improved sleep and concentration C. Less illogical thought D. Fewer incidences of light-headedness and dizziness

Usual Dose, Frequency & Side Effects

11. Dosage for antimanic medications is determined by the active amount of medication found in the person's blood after taking the medication and by his or her response to the medication.

A. True B. False

12. The most common side effects for lithium products are diarrhea, rash or skin changes, and fatigue.

A. True B. False

13. The anticonvulsant, __________________ may cause mood changes, especially depression and anger.

A. Gabepentin B. Topiramate C. Levetiracetam D. Oxcarbazepine

Potential For Abuse Or Dependence

14. Abrupt discontinuation of anticonvulsants may result in seizures, so slow tapering off periods of two to four weeks are generally recommended.

A. True B. False

Cautions

15. Blood tests for medication levels need to be checked every 3 to 4 months.

A. True B. False

Antidepressant Medications

16. Antidepressants are the first line medications for certain anxiety disorders such as panic disorders, social phobia, and obsessive-compulsive disorders.

A. True B. False

17. Antidepressant medication treatment for a single episode of major depression should be continued for _________ before discontinuing.

A. 6 months B. 1 year C. 18 months D. 2 years

Type Of Antidepressants

18. Venlafaxine is an antidepressant that has more effect on norepinephrine and dopamine levels than on serotonin levels in the brain.

A. True B. False

Potential Side Effects

19. Potential side effects for tricyclics and quatracyclics include:

A. Allergic reactions B. Change in appetite C. Confusion D. Shakiness

Emergency Conditions

20. The potential for a fatal outcome from an overdose with the SSRIs is much less than with other classes of antidepressants.

A. True B. False

Cautions

21. People taking MAO inhibitors must avoid all foods with high levels of tryptophan or tyramine as well as high levels of caffeine.

A. True B. False

Special Consideration For Pregnant Woman

22. Using tricyclic medications is safer for a pregnant mother and the fetus than using SSRIs.

A. True B. False

Antianxiety Medications

23. Each of the following correctly describes the use of benzodiazepines EXCEPT:

A. Positive treatment response to benzodiazpines occurs rapidly, within days B. Tiagabine is a benzodiazepine that is occasionally prescribed for performance anxiety C. Most physicians only use them for a short time as alcohol withdrawal medicines, or as sedatives in acute psychotic or manic episodes. D. Benzodiazepines are cross tolerant with alcohol and have a market as street drugs

24. Buspirone is an antihistamine that uses the drowsiness side effect of the antihistamine group to calm and relax.

A. True B. False

25. Gabapentin and pregabalin have been used to treat anxiety, especially in those persons with a substance use disorder history and for whom antidepressants have been effective.

A. True B. False

Usual Dose, Frequency & Side Effects

26. People taking benzodiazepines for longer than _________ may develop physical tolerance to the medication.

A. 2 to 6 weeks B. 4 to 8 weeks C. 6 to 10 weeks D. 8 to 12 weeks

Potential For Abuse Or Dependence

27. Between 6 and 10 percent of people in the United States take a form of antianxiety medication at least once each year.

A. True B. False

Risk Factors Related To Developing Dependency On Antianxiety Medication

28. Risk factors related to developing dependency or anxiety medications include:

A. Approximately 4% of persons who do not have a current substance abuse problem or a history of substance will become dependent on antianxiety medications B. People with a prior history of substance abuse or dependence who are in recovery are at high risk of becoming dependent on antianxiety medications C. Some studies indicate there is a moderately higher risk for alcohol dependent persons to become dependent on antianxiety medications. D. None of the above

Special Considerations For Pregant Woman

29. Current knowledge suggests that in general short term use of benzodiazepines does not pose as much risk of producing a deformed baby compared to anticonvulsants.

A. True B. False

Stimulant Medications Purpose

30. Bupropion is an FDA approved non-stimulant medication used to treat AD/HD.

A. True B. False

Usual Dose, Frequency & Side Effects

31. The most common side effects of stimulant medications are sleeplessness, loss of appetite and:

A. Nervousness B. Excitability C. Irritability D. Increased Pulse Rate

Potential For Abuse Or Dependence

32. People with AD/HD or narcolepsy rarely abuse or become dependent on stimulant medications unless they have other problems with substances.

A. True B. False

33. Psychiatric symptoms including paranoid delusions, thought disorders, and hallucinations have been reported when stimulants are used for long periods or taken at high dosages.

A. True B. False

Narcotic And Opioid Analgesics

34. Combination medications that contain an opioid or narcotic along with an opioid antagonist may be used to relieve pain but also prevent opioid abuse.

A. True B. False

Purpose

35. Opiates that are most frequently prescribed to manage chronic cancer pain include oxycodone, ___________ and methadone.

A. Tramadol B. Propoxyphene C. Percodan D. Fentanyl

Emergency Conditions

36. Overdose may increase pulse rate, and result in ________________ followed by coma or death.

A. Supressed breathing B. High blood pressure crisis C. Convulsions D. Stroke

Hypnotics-Purpose

37. Zalepion is is a non habit forming medication that works with melatonin pathways in the brain to induce sleep.

A. True B. False

Potential Side Effects

38. Breathing difficulty is a potential side effect of which hypnotic?

A. Restoril B. Seconal C. Valium D. Halcion

Alcohol-Purpose

39. Though usually only treated for __________, signs and symptoms of alcohol withdrawal go on for weeks or months.

A. 1 to 5 days B. 3 to 7 days C. 5 to 9 days D. 7 to 11 days

Alcohol Relapse Prevention

40. Which of the following accurately describes medication use for alcohol relapse prevention?

A. The oldest medication used in alcohol relapse prevention is naltrexone B. Topiramate blocks the breakdown of alcohol, resulting in toxic acetaldehyde 28 levels in the body C. Outcome studies indicate that acamprosate is best at increasing complete abstinence from alcohol, or increasing the time before relapse. D. Clinical observation of persons taking disulfiram showed that those who also used alcohol seemed to drink less and reported that alcohol use affected them less

Opioid Withdrawal

41. Mild opioid withdrawal can be accomplished with clonidine, a medication for treatment of high blood pressure.

A. True B. False

Tobacco

42. Nortripyline is a recently FDA-approved smoking cessation medication and the first in its class that specifically targets the neurobiology of nicotine use disorder.

A. True B. False

Marijuana

43. Some clinicians have used moderate doses of the older tricyclic antidepressants such as amitriptyline or imipramine to treat withdrawal from marijuana, as they also have anticholinergic and sedating qualities but do not cause a high.

A. True B. False

Usual Dose and Frequency

44. Disulfiram should never be given until the person has abstained from alcohol for at least:

A. 24 hours B. 20 hours C. 16 hours D. 12 hours

45. Bupropion, which may help with anxiety and depression associated with tobacco withdrawal, should be started 14-21 days before a targeted smoking cessation date.

A. True B. False

46. Specific combinations of first line medications shown to be effective for smoking cessation include each of the following EXCEPT:

A. The nicotine patch and bupropion SR B. Varenicline and the nicotine lozenge C. The nicotine patch and the inhaler D. The long-term nicotine patch and ad libitum NRT use

Potential side effects for bupropion include dry mouth, insomnia, and:

47. Potential side effects for bupropion include dry mouth, insomnia, and:

A. Increased risk for seizure B. Body aches lasting 5-7 days C. Swelling of face, ankles, or hands D. Muscle twitching

Cautions

48. Although varenicline is well tolerated in most individuals, recent case reports describe exacerbations of existing psychiatric illness in clients who took the medication.

A. True B. False

Special Considerations for Pregnant Women

49. According to the The American Academy of Pediatrics (AAP) Committee on Drugs, women who are on methadone maintenance should not breastfeed their infants.

A. True B. False

Tips for Communicating with Physicians about Clients and Medications

50. When providing information to a physician about a client's medication use or abuse, it is important to avoid making recomendations and to allow the physician to draw his or her own conclusions.

A. True B. False


Copyright © 2024 Mindful Continuing Education

Visit us at https://www.mindfulceus.com