Pharma 5 Nervous Sytem 2
Lithium and Addiction Management Quiz
Test your knowledge on lithium levels, mood stabilizing medications, and addiction management. This quiz covers crucial aspects of pharmacology related to the nervous system, ensuring you have a solid understanding of treatment strategies.
- 50 multiple-choice and checkbox questions
- Focused on lithium, antipsychotics, and addiction therapies
- Suitable for students and professionals in the healthcare field
If lithium serum level ranges from 0.6 to 1.2 mEq/L it indicates?
Normal
Extreme polyuria of dilute urine
Toxicity
If lithium serum level ranges 2.0 to 2.5 mEq/L it indicates?
Normal
Toxicity
Extreme polyuria of dilute urine
If lithium serum level is greater than 2.5 mEq/L it indicates
Normal
Toxicity
Extreme polyuria of dilute urine
Concurrent use of NSAIDs (ibuprofen and celecoxib) will "increase" renal absorption of lithium, leading to toxicity
True
False
Lithium blood levels should be obtained in the "morning" 10-12hrs after last dose
True
False
Severe spasms of tongue, neck, face and back.
Acute dystonia
Parkinsonism
Akathisia
Tardive Dyskinesia (TD)
Bradykinesia, rigidity, shuffling gait, drooling and tremors
Acute dystonia
Parkinsonism
Akathisia
Tardive Dyskinesia (TD)
Unable to stand still or sit continually pacing and agitated
Acute dystonia
Parkinsonism
Akathisia
Tardive Dyskinesia (TD)
Late EDS that can occur months to years after the start of therapy, and can improve with following medication change or can be permanent.
Acute dystonia
Parkinsonism
Akathisia
Tardive Dyskinesia (TD)
First line treatment for schizophrenia they are more effective with fewer adverse effects
SSRIs
Antipsychotics 1st Gen
Antipsychotics 2nd and 3rd Gen
Benzodiazepine
Work mainly by blocking serotonin and to a lesser degree, dopamine receptions
Anti psychotic 1st Gen
Anti psychotic 2nd Gen
Anti psychotic 3rd Gen
It stabilizes the dopamine system as both agonist and antagonist
Anti psychotic 1st Gen
Anti psychotic 2ns Gen
Anti psychotic 3rd Gen
It is not a stimulant medication
Atomoxetine
Desipramine
Risperidone
Fluoxetine
First line treatment for alcohol withdrawal
Diazepam
Lorazepam
Chlordiazepoxide
Flumazenil
Disulfiram
Medication that is used concurrently with alcohol and may cause ACETALDEHYDE SYNDROME
Disulfiram
Naltrexone
Acamprosate
Methadone
This syndrome may progress to respiratory depression, cardiovascular suppression, seizures and death
Serotonin sydrome
Acetaldehyde syndrome
Bruxism
St. John's Wort
Oral medication type of aversion (behavioral) therapy
Disulfiram
Naltrexone
Alcamprosate
Lorazepam
Used for opioid withdrawal. Pure opioid antagonist and suppresses craving pleasurable effects of alcohol
Naloxone
Naltrexone
Disulfiram
Acamprosate
It decreases unpleasant effects resulting from abstinence (dysphoria, anxiety, restlessness)
Disulfiram
Naltrexone
Naloxone
Acamprosate
Oral opioid agonist that replaces the opioid to which the client has a physical dependence
Methadone solution
Methadone
Buprenorphine
Naloxone
Dose must be slowly tapered to produce withdrawal. This medication must be administered from an approved treatment center.
Methadone solution
Methadone
Buprenorphine
Naloxone
An agonist-antagonist opioid used for withdrawal and maintenance
Methadone solution
Methadone
Buprenorphine
Naloxone
Opioid toxicity antidote
Naloxone
Naltrexone
Flumazenil
Benzodiazepine
It decreases nicotine craving and manifestation of nicotine withdrawal
Bupropion
Buspirone
Varenicline
Benzodiazepine
To treat dry mouth chew sugarless gum or suck on hard candy
True
False
Nicotine receptor agonist that promotes the release of dopamine to stimulate pleasurable effects of nicotine
Bupropion
Buspirone
Varenicline
Nicotine lozenges
Maximum use of nicotine lozenge is 20/day
True
False
Nicotine gum is NOT recommended longer than "5 months"
True
False
It prevents enzyme cholinesterase from inactivating (ACh), thereby increasing the amount of ACh available at receptor sites
Cholinesterase inhibitors
Catecholamine-O- methyltransferase Inhibitors
Monoamine oxidase-B Inhibitors
It enhances the effect of Levodopa by blocking it's breakdown: Entacapone and tolcapone
Cholinesterase inhibitors
Catecholamine-O- methyltransferase Inhibitors
Monoamine oxidase-B Inhibitors
It prevents dopamine breakdown: Selegline and rasagline
Cholinesterase inhibitors
Catecholamine-O- methyltransferase Inhibitors
Monoamine oxidase-B Inhibitors
It crosses the blood brain barrier
Levodopa
Carbidopa
Dopamine
Ropinirole
If alone it cannot cross the blood brain barrier and has a very short half life
Levodopa
Carbidopa
Dopamine
Ropinirole
It is used to augment Levodopa by decreasing the amount of Levodopa that is converted to DA in the intestine and periphery
Carbidopa
Dopamine
Ropinirole
Apomorphine
First line supplement to Levodopa
Ropinirole
Apomorphine
Carbidopa
Dopamine
Rescue medication for "off" times
Carbidopa
Dopamine
Ropinirole
Apomorphine
Medication for dyskinesia
Amantadine
Levodopa
Apomorphine
Benzodiazepine
NEVER administer primidone with phenobarbital because phenobarbital is an active metabolic
True
False
It is used for status epilepticus (acute prolonged seizure)
Benzodiazepine
Phenytoin
Acetazolamide
Succinylcholine
Softening and overgrowth of gum tissue
Gingival hyperplasia
Skin disorder
Blood dyscrasia
Leukopenia, anemia and thrombocytopenia
Blood dyscrasia
Skin disorder
Gingival hyperplasia
Steven's Johnson Syndrome
Skin disorder
Gingival hyperplasia
Blood dyscrasia
ETHOSUXIMIDE is indicated "only" for absence seizure
True
False
Used to treat acute altitude sickness, seizures and heart failure (as diuretic)
Acetazolamide
Neostigmine
Phenytoin
Ethosuximide
Centrally acting muscle relaxant
Diazepam
Lorazepam
Dantrolene
Peripherally acting muscle relaxant
Diazepam
Lorazepam
Dantrolene
CNS depressants that induce sense of calm and decrease anxiety
Sedative
Hypnotics
Psychotic
CNS depressant that induce sleep
Sedative
Hypnotics
Psychotic
It activated the melatonin receptor
Ramelteon
Neostigmine
Barbiturates
Benzodiazepine
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