REGIS NU643 Week 8 Quiz Latest 2021 January (100% Graded)

Week 8 Quiz

Question 1Match the following mood stabilizer to its recommended lab monitoring.

Carbamazepine                 

Quetiapine          

Lithium                   

Valproic acid      

  Question 2All of the following are important aspects of sleep hygiene practices except:

 a.Limit exposure to blue light 90 minutes prior to bedtime.

 b.Avoid caffeine, nicotine, and large meals prior to bedtime.

 c.Set a regular rising time.

 d.If unable to fall asleep, stay in bed.

Question 3An important noradrenergic pathway in the brain which may be overactive in anxious subjects originates in the:

 a.limbic cortex.

 b.basal ganglia.

 c.locus coeruleus.

d.cerebellum.

Question 4Based on your Carlat Psychiatry Report reading, what is a good recommendation for patients experiencing poor sleep quality?

 a.Temazepam

 b.Zolpidem

 c.Regular exercise

 d.A glass of warm milk at bedtime

Question 5Buspirone is indicated for which anxiety disorder?

 a.Generalized anxiety disorder

b.Panic disorder

 c.Posttraumatic stress disorder

 d.Social phobia

Question 6When choosing a PRN/AS NEEDED medication for a patient with alcohol dependence and an anxiety disorder, which of the following medications would be most appropriate choice?

 a.Alprazolam

 b.Hydroxyzine

c.Buspirone

 d.Lorazepam

Question 7When considering a bipolar agent for an individual with liver disease, which medication would be most favorable?

 a.Valproic acid

 b.Carbamazepine

 c.Lithium carbonate

d.Quetiapine

Question 8When considering the use of benzodiazepines in the treatment of bipolar disorder, which of the following statements is true?

 a.Benzodiazepines are effective monotherapy for the stabilization phase of bipolar disorder.

 b.Benzodiazepines are effective adjunctive treatment for bipolar depression.

 c.Benzodiazepines are not considered an effective monotherapy for bipolar disorder.

d.Benzodiazepine are not appropriate for use in bipolar disorder

Question 9When tapering someone from long-term benzodiazepine use, which of the following is true?

 a.The clinician should present as a firm and directive authority when initiating benzodiazepine tapers.

 b.Patients who resist benzodiazepine tapers are likely misusing the medication.

 c.It is best to begin a benzodiazepine taper with a long-acting benzodiazepine for increased tolerance to the taper.

d.Most benzodiazepine tapers can be achieved within 1 month by reducing dose 25% per week.

Question 10Which brain structure plays a central role in the anxiety experience and has many reciprocal connections throughout the brain?

 a.Hippocampus

 b.Thalamus

 c.Brainstem

 d.Amygdala

Question 11Which medication is not considered appropriate for the treatment of acute bipolar mania?

 a.Valproic acid

 b.Lithium carbonate

 c.Lamotrigine

d.Olanzapine

Question 12Which medication might be a good choice for a shift worker with excessive daytime sleepiness?

 a.Quetiapine

b.Diphenhydramine

 c.Modafinil

 d.Temazepam

Question 13Which neurotransmitter is believed to be responsible for the mechanism of action for ramelteon?

 a.GABA

 b.Melatonin

 c.Norepinephrine

 d.5-HT

Question 14Which of following statements is true about the use of clonidine and propranolol in the treatment of anxiety?

 a.Clonidine and propranolol should be scheduled twice daily to be effective anti-anxiety agents.

 b.Clonidine and propranolol target the physiologic symptoms associated with anxiety.

 c.Clonidine and propranolol are effective for the treatment of worry associated with anxiety.

d.Clonidine and propranolol are well tolerated in individuals with a history of hypotension.

Question 15

Which of the follow statements is true about topamax in the treatment of bipolar disorder?

 a.Topamax is an effective bipolar agent.

 b.Topamax has adverse effect of weight gain.

c.Topamax carries the problematic side effect of cognitive dulling.

 d.Topamax can cause rapid cycling in bipolar depression.

Question 16Which of the following anti-anxiety medications is used to treat re-experiencing nightmares in PTSD?

 a.Sertraline

 b.Prazosin

 c.Zolpidem

d.Alprazolam

Question 17Which of the following is a potentially serious side effect of oxcarbazepine?

 a.Neuroleptic malignant syndrome

 b.Akathisia

 c.Hyponatremia

d.Renal toxicity

Question 18Which of the following is not considered efficacious in bipolar depression?

 a.Lithium carbonate

 b.Lamotrigine

 c.Quetiapine

d.Valproic Acid

Question 19Which of the following is not considered standard of care when prescribing hypnotics to treat insomnia?

 a.Use the lowest effective dose.

 b.Dose nightly on an ongoing basis.

 c.Prescribe for short term use in the majority of cases.

 d.Most hypnotics can cause rebound and dependence.

Question 20Which of the following medications is considered second line treatment for bipolar disorder?

 a.Valproic acid

 b.Carbamazepine

c.Olanzapine

 d.Oxcarbazepine

Question 21Which of the following medications would not be considered first line treatment for generalized anxiety disorder? Select all that apply.

Select one or more:

 a.Clonazepam

b.Buspirone

 c.Sertraline

 d.Hydroxyzine

Question 22Which of the following statements about anticonvulsants in the treatment of bipolar disorder is true?

 a.All anticonvulsants have mood stabilizing properties.

 b.The mechanism of action of anticonvulsants in mood stabilization is well understood.

 c.Most anticonvulsants are believed to work through inhibitory effects on voltage sensitive ion channels.

 d.Anticonvulsants are equally effective in the treatment bipolar depression and mania.

Question 23Which of the following statements about anxiety disorders and depressive disorders is true?

 a.It is important to have a clear diagnosis before making treatment decisions for either anxiety or depressive disorders.

 b.Symptoms of fear and worry are hallmarks of both anxiety and depressive disorders.

 c.Concentration impairments differentiate depressive disorders from anxiety disorders.

 d.Overlapping symptoms of depression and anxiety suggest that both disorders can be targeted with the same first-line agents.

Question 24Which of the following statements about atypical antipsychotics in the treatment of bipolar disorder is true?

 a.Atypical antipsychotics are hypothesized to tune dysfunctional dopamine and serotonergic circuits in bipolar disorder.

 b.Most atypical antidepressants are FDA approved for the treatment of bipolar depression.

 c.Atypical antipsychotics are rarely effective in the treatment of bipolar mania.

 d.Atypical antipsychotics should be considered adjunctive agents in the treatment of bipolar disorder.

Question 25Which of the following statements about benzodiazepines and GABA receptors is true?

 a.Benzodiazepine anti-anxiety effect is mediated by all GABA receptor subtypes.

 b.Benzodiazepine hypnotic effect is mediated by the same GABA-A subunits as anti-anxiety effect.

 c.Benzodiazepine binding to GABA receptors increases the frequency of opening of inhibitory chloride channels.

 d.Benzodiazepines act as antagonists at the GABA receptor.

Question 26Which of the following statements about benzodiazepines in the treatment of bipolar disorder is true?

 a.Benzodiazepines are effective mood stabilizing agents.

 b.Benzodiazepine monotherapy is a second line treatment for bipolar disorder.

 c.Adjunctive use of benzodiazepines with mood stabilizers is useful for agitation and insomnia.

d.Adjunctive use of benzodiazepines boosts the antidepressant effects of other mood stabilizers.

Question 27Which of the following statements about benzodiazepines is true?

 a.Treatment guidelines recommend benzodiazepines as first line treatment for anxiety disorders.

 b.When used as prescribed, tolerance to benzodiazepines is unlikely to develop.

 c.Seizure risk is high with abrupt cessation from long term benzodiazepine use.

d.Patients in sustained full remission from alcohol use disorders are at no greater risk on benzodiazepines than the general population.

Question 28Which of the following statements about BuSpar, is a selective serotonin 1A partial agonist, is true?

 a.It is approved for use panic disorder.

 b.It has twice daily dosing, therefore may be difficult for patients forgetful with medications.

 c.It can be taken PRN for anxiety attacks.

 d.Prolonged use can lead to physiologic dependence on the medication.

Question 29Which of the following statements about fear and the amygdala is true?

 a.Activation of the amygdala is responsible for symptoms of worry and rumination in anxiety.

b.Memory recall can result in fear response via communication between the amygdala and the hippocampus.

 c.The amygdala activation of the parabrachial nucleus results in decreased respiratory rate.

 d.Motor response to fear is regulated independently of the amygdala.

Question 30Which of the following statements about insomnia true?

 a.Untreated insomnia often precedes depressive episodes.

b.Insomnia usually resolves after primary depressive symptoms of depressed mood and anhedonia have resolved.

 c.Benzodiazepines are effective in restoring sleep architecture in insomnia.

 d.Modafinil is a good choice for patients who have difficulty initiating sleep.

Question 31Which of the following statements about lamotrigine is true?

 a.Lamotrigine is a FDA approved for bipolar mania.

 b.Lamotrigine is FDA approved for bipolar depression.

 c.Lamotrigine carries a black box warning for potentially life threatening rash.

d.When initiating lamotrigine, it is best to start at full therapeutic dose.

Question 32Which of the following statements about lithium carbonate is true?

 a.Lithium carbonate should be considered a second line treatment for bipolar disorder.

 b.There is increased risk of suicidality in patients taking lithium carbonate.

 c.Kidney impairment after long term lithium treatment is a common adverse side effect.

d.Hepatotoxicity increases when lithium is combined with an atypical antipsychotic.

Question 33Which of the following statements about memory and fear is true?

 a.Fear conditioning occurs when the amygdala responds to a frightening or stressful situation.

b.Fear conditioning, once it occurs, is explained by irreversible changes in the hippocampus.

 c.New learning can modulate a conditioned fear response.

 d.Fear extinction is the spontaneous resolution of a fear response.

Question 34Which of the following statements about Z-drugs is true?

 a.Z-drugs have the same mechanism of action as traditional benzodiazepines.

 b.Z-drugs can be taken mid-sleep cycle for mid-sleep waking and early morning awakening.

 c.Patients taking Z-drugs are unlikely to develop tolerance after long term use.

d.Anterograde amnesia is a rare side effect of Z-drugs.

Question 35Which statement about bipolar treatment options is true?

 a.Carbamazepine is more effective at treating bipolar depression than mania.

 b.Lamotrigine is an effective antimanic agent.

 c.Olanzapine is not effective for bipolar depression

d.Antidepressant use may increase cycling, including precipitating mania.