Atypical Antidepressants and MAOIs Quiz
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Questions and Answers

What is the primary indication for trazodone?

  • Schizophrenia
  • Depression and insomnia (correct)
  • Bipolar disorder
  • Anxiety

    • What is the mechanism of action for trazodone?

  • Serotonin antagonist and reuptake inhibitor (correct)
  • Glutamate antagonist
  • Norepinephrine reuptake inhibitor
  • Dopamine agonist

    • Which side effect is commonly associated with trazodone?

  • Insomnia
  • Increased energy
  • Hyperactivity
  • Sedation (correct)

    • What serious side effect can occur with MAOIs like phenelzine?

    <p>Hypertensive crisis</p> Signup and view all the answers

    Which foods should be avoided when taking MAOIs?

    <p>Foods rich in tyramine</p> Signup and view all the answers

    Which of the following is a common side effect of MAOIs?

    <p>Orthostatic hypotension</p> Signup and view all the answers

    What should patients taking trazodone avoid?

    <p>Alcohol</p> Signup and view all the answers

    What critical nursing consideration should be observed for patients on MAOIs?

    <p>Educate about interactions with over-the-counter medications</p> Signup and view all the answers

    Which of the following is NOT a common side effect associated with MAOIs?

    <p>Dry mouth</p> Signup and view all the answers

    What is a significant precaution for patients starting MAOIs?

    <p>Must complete a 'washout' period before new medications</p> Signup and view all the answers

    Which MAOI is associated with a risk for hypertensive crisis?

    <p>Selegiline</p> Signup and view all the answers

    What is a common initial symptom of a hypertensive crisis?

    <p>Severe headache</p> Signup and view all the answers

    Which of the following medications should specifically be avoided in patients taking MAOIs?

    <p>SSRIs</p> Signup and view all the answers

    Which of the following foods should be excluded from the diet while taking MAOIs?

    <p>Aged cheese</p> Signup and view all the answers

    What is one of the side effects of trazodone?

    <p>Sedation</p> Signup and view all the answers

    Which of the following is NOT a recommended patient teaching for those on MAOIs?

    <p>Consume alcohol in moderation</p> Signup and view all the answers

    Which of the following is an indication for medications like phenelzine and tranylcypromine?

    <p>Social phobia</p> Signup and view all the answers

    Which of the following side effects is commonly associated with trazodone?

    <p>Dry mouth</p> Signup and view all the answers

    What type of foods are particularly dangerous to consume when taking MAOIs?

    <p>Tyramine-rich foods</p> Signup and view all the answers

    Which of the following is a correct teaching point for MAOI patients regarding medication changes?

    <p>You should allow a washout period before starting new medications.</p> Signup and view all the answers

    Study Notes

    Atypical Antidepressants

    • Trazodone: Primarily used for depression and insomnia
    • Mechanism of Action: Serotonin antagonist and reuptake inhibitor
    • Common Side Effects: Sedation, hypotension, dry mouth, suicidal thoughts/behaviors
    • Patient Teaching: Avoid alcohol, use sugarless candy/gum to manage dry mouth

    Monoamine Oxidase Inhibitors (MAOIs)

    • Examples: Phenelzine, tranylcypromine, isocarboxazid, selegiline
    • Indications: Primarily for depression
    • Mechanism of Action: Inhibits monoamine oxidase, increasing neurotransmitter levels
    • Common Side Effects: Agitation/anxiety, orthostatic hypotension, suicidal thoughts/behaviors, hypertensive crisis
    • Patient Teaching: Avoid tyramine-rich foods (aged cheese, avocados, bananas, red wine, salami/pepperoni, chocolate), caffeine, and OTC cold medications. A washout period of at least two weeks is needed before starting new medications.

    Multiple Choice Questions - Answer Key

    • Question 1: B (Depression and insomnia)
    • Question 2: B (Serotonin antagonist and reuptake inhibitor)
    • Question 3: B (Sedation)
    • Question 4: B (Hypertensive crisis)
    • Question 5: B (Foods rich in tyramine)
    • Question 6: B (Orthostatic hypotension)
    • Question 7: B (Alcohol)
    • Question 8: B (Educate about the washout period)
    • Question 9: B (Selegiline)
    • Question 10: B (Severe headache)

    Select All That Apply Questions - Answer Key

    • Question 1: A, B, D (Sedation, Hypotension, Dry mouth)
    • Question 2: A, B, D (Aged cheese, Bananas, Red wine)
    • Question 3: A (Depression)
    • Question 4: A, B (OTC cold medications, SSRIs)
    • Question 5: A, B, C (Avoid tyramine-rich foods, Monitor blood pressure, Do not stop abruptly)

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    Description

    Test your knowledge on atypical antidepressants and monoamine oxidase inhibitors (MAOIs). This quiz covers their mechanisms, side effects, and patient teaching points. Perfect for students and professionals in pharmacology and psychology.

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