Complete Real Exam Questions and Correct Answers |
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If a patient has both eating disorder and comorbid depression
or anxiety, treatment should follow indications for the
comorbidity- ex.
if they have OCD comorbid with anorexia nervosa then what (
?) would be indicated for the OCD should be your choice -
ANSWER-SSRI
Insomnia treatment - ANSWER-nonpharmacologic treatments
for insomnia include sleep hygeine, stimulus control,
relaxation, sleep restriction, and cognitive behavioral therapy.
Stimulus control focuses on eliminating stimulating bedroom
activities and getting into bed only when sleepy.
benzodiazepine hypnotics (tx of insomnia) - ANSWER-
Diazepam, Midazolam,
Zolazepam, Triazolam, flurazepam, temazepam
Potentiates the inhibitory action of GABA ( inhibitory
neurotransmitter that reduces feelings of fear and anxiety).
Activation of the receptor causes an influx
,of Cl- ion movement into the neuron and hyperpolarization
and inhibition of
membrane
depolarization
Benzodiazepine hypnotics affect - ANSWER-REM sleep,
tolerance, risk of
abuse, rebound
insomnia
Non-BZD hypnotics for insomnia - ANSWER-
Zolpidem (Ambien)
Zaleplon
(Sonata)
Eszopiclone
(Lunesta)
non-benzo and OTC for insomnia - ANSWER-tolerance to
sedative effects can
develop
half life meds for insomnia in elderly - ANSWER-pay particular
attention,
, Ambien contraindications - ANSWER-hypersensitivity
zaleplon N considerations (Sonata) - ANSWER-used in short-
term insomnia treatment; Zalepion (Sonata) does not prolong
sleep time or decrease awakenings; elderly patients generally
benefit the most; because of rapid onset, patients should take
immediately before bedtime; avoid alcohol while using this
med; may be habit-forming; "sleep driving" may occur; Rx; C-
IV; Preg Cat C
Eszopiclone Contraindications (Lunesta) - ANSWER--
Hypersensitivity reaction
-Pregnancy
-Lactation
-Depression
-Impaired hepatic function
-Impaired respiratory function
-Elderly with hepatic impairment or debilitating conditions
*Not recommended for children
Ramelteon side effects (meletonin) - ANSWER-fatigue
and dizziness
Headache