Exam 1: MH701 / MH 701 (Latest
Update )
Psychopharmacologic / Neuroscience
Foundations of Mental Health Care
| Test Questions and Answers |
100% Correct - Frontier
Question:
ACh in 3 places:
Answer:
Autonomic: PNS, bradycardia, GI motility, salivation, lacrimation, urination,
sexual arousal,
Contraction: muscles.
Hippocampus: learning, memory, awareness, attention.
,Question:
Depression Rx:
Answer:
A combination of medication and therapy is the most effective rather than
either alone.
Question:
Choice of antidepressant:
Answer:
1. Antidepressant response history.
2. Comorbidities
3. Depressive symptoms.
4. Safety/tolerability (MAOI's & TCAs are not first line agents due to side
effects and food drug interactions with MAOI).
5. Drug interactions
6. Pharmacokinetics
7. Cost
8. Patient preference
,Question:
Factors favoring treatment with an antidepressant:
Answer:
Agitation
Problems with sleep and/or appetite.
History of response to antidepressant, patient preference and moderate to
severe symptoms.
Question:
antidepressants choices
Answer:
Most patient's first choice will be a SSRI or SNRU, Wellbutrin is no anxiety
components of depression. A dopamine reuptake inhibitor or Remeron (an
alpha2 agonist). An SNRI or TCA should be considered for patients with pain,
bupropion for patients with nicotine addiction and mirtazapine (Remeron)
for patients with loss of appetite, weight loss, or insomnia.
Mirtazapine does increase appetite, but somnolence may be an issue at lower
doses. With higher doses, somnolence is not a side effect.
, Question:
How to choose a therapeutic agent: depression:
Answer:
1. What are the most bothersome sx? (anxious, energized, vegetative, altered
sleep, alltered sex drive, appetite change, hypersomnia).
Question:
SSRI's from most energizing to most sedating:
Answer:
Fluoxetine (Prozac), Sertraline (Zoloft), Citalopram (Celexa), Escitalopram
(Lexapro), Paroxetine (Paxil)
Question:
Pearls of antidepressants
Answer:
You can take advantage of the side effects of medication such as utilizing a
sedating antidepressant in a patient with insomnia. For undesirable side
effects, the provider can lower the dose or switch to an agent with a different
side effect profile.
Update )
Psychopharmacologic / Neuroscience
Foundations of Mental Health Care
| Test Questions and Answers |
100% Correct - Frontier
Question:
ACh in 3 places:
Answer:
Autonomic: PNS, bradycardia, GI motility, salivation, lacrimation, urination,
sexual arousal,
Contraction: muscles.
Hippocampus: learning, memory, awareness, attention.
,Question:
Depression Rx:
Answer:
A combination of medication and therapy is the most effective rather than
either alone.
Question:
Choice of antidepressant:
Answer:
1. Antidepressant response history.
2. Comorbidities
3. Depressive symptoms.
4. Safety/tolerability (MAOI's & TCAs are not first line agents due to side
effects and food drug interactions with MAOI).
5. Drug interactions
6. Pharmacokinetics
7. Cost
8. Patient preference
,Question:
Factors favoring treatment with an antidepressant:
Answer:
Agitation
Problems with sleep and/or appetite.
History of response to antidepressant, patient preference and moderate to
severe symptoms.
Question:
antidepressants choices
Answer:
Most patient's first choice will be a SSRI or SNRU, Wellbutrin is no anxiety
components of depression. A dopamine reuptake inhibitor or Remeron (an
alpha2 agonist). An SNRI or TCA should be considered for patients with pain,
bupropion for patients with nicotine addiction and mirtazapine (Remeron)
for patients with loss of appetite, weight loss, or insomnia.
Mirtazapine does increase appetite, but somnolence may be an issue at lower
doses. With higher doses, somnolence is not a side effect.
, Question:
How to choose a therapeutic agent: depression:
Answer:
1. What are the most bothersome sx? (anxious, energized, vegetative, altered
sleep, alltered sex drive, appetite change, hypersomnia).
Question:
SSRI's from most energizing to most sedating:
Answer:
Fluoxetine (Prozac), Sertraline (Zoloft), Citalopram (Celexa), Escitalopram
(Lexapro), Paroxetine (Paxil)
Question:
Pearls of antidepressants
Answer:
You can take advantage of the side effects of medication such as utilizing a
sedating antidepressant in a patient with insomnia. For undesirable side
effects, the provider can lower the dose or switch to an agent with a different
side effect profile.
