Pharm MH
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Questions and Answers

Which mnemonic is commonly used to remember the clinical features of depression?

  • SIGECAPS (correct)
  • COLDSPA
  • APGAR
  • BLOOD
  • What does the Monoamine Hypothesis for depression propose?

  • Deficiency in Serotonin (5-HT), NE, and Dopamine (correct)
  • Excess of Serotonin (5-HT)
  • Balanced levels of neurotransmitters
  • Only Dopamine deficiency
  • What is the first line treatment for depression?

  • SSRI (correct)
  • Tricyclic Antidepressants
  • MAO Inhibitors
  • Bupropion
  • What is the mechanism of action for SSRIs?

    <p>Inhibit Serotonin reuptake at the presynaptic neuron. (A)</p> Signup and view all the answers

    Which of the following are major adverse effects of SSRIs? (Select all that apply)

    <p>Sexual Dysfunction (A), Weight Gain (B)</p> Signup and view all the answers

    SSRIs can cause what in patients with bipolar disorder?

    <p>Risk of Mania (A)</p> Signup and view all the answers

    SSRI durgs are?

    <p>Fluoxetin (A), Praoxetine (B), Escitalopram (C), Sertraline (D)</p> Signup and view all the answers

    Which of the following drugs are classified as SNRIs? (Select all that apply)

    <p>Velafaxine (A), Desvenlafaxine (C)</p> Signup and view all the answers

    Which of the following medications inhibit CYP2D6? (Select all that apply)

    <p>Fluoxetine (A), Paroxetine (B)</p> Signup and view all the answers

    What is a good option for antidepressant medication during pregnancy?

    <p>Sertraline (A)</p> Signup and view all the answers

    Which of the following are signs and symptoms of Serotonin Syndrome? (Select all that apply)

    <p>AMS, Incoordination, myoclonus. (A), Fever, muscle rigidity. (B), fever, excessive sweating (D)</p> Signup and view all the answers

    What depression medications may cause septal heart defects?

    <p>Paroxetine (A), Fluoxetine (B)</p> Signup and view all the answers

    Bupropion is indicated for treating depression and what other condition?

    <p>Low Energy (D)</p> Signup and view all the answers

    What is the mechanism of action of Bupropion?

    <p>Inhibits norepinephrine and dopamine reuptake (A)</p> Signup and view all the answers

    A patient with a history of seizures would like a depression medication. Which medication would increase the risk of seizures?

    <p>Bupropion (A)</p> Signup and view all the answers

    What is the mechanism of action of Tricyclic Antidepressants?

    <p>Inhibits Serotonin and Norepinephrine reuptake. (A)</p> Signup and view all the answers

    Which of the following drugs are TCAs?

    <p>Imipramine (A)</p> Signup and view all the answers

    A patient comes in with a complaint of sedation, orthostatic hypotension, dry mouth, and cardiac issues. What medication class should not be prescribed?

    <p>TCAs (A)</p> Signup and view all the answers

    What class of drug is Phenelzine?

    <p>Monoamine Oxidase Inhibitor (MAOI) (B)</p> Signup and view all the answers

    What is the mechanism of action of MAOIs?

    <p>Irreversibly inhibits monoamine oxidase, increasing serotonin, norepinephrine, and dopamine. (A)</p> Signup and view all the answers

    A hypertensive crisis can occur if a patient takes MAOIs along with?

    <p>Products containing Tyramine (A)</p> Signup and view all the answers

    Which of the following foods are rich in tyramine? (Select all that apply)

    <p>Aged cheese (A), Processed meats (C), Wine (D)</p> Signup and view all the answers

    Which of the following are first-line medications for Moderate to Severe Anxiety? (Select all that apply)

    <p>Venlafaxine (A), Duloxetine (B), Paroxetine (C), Escitalopram (D), Buspirone (@)</p> Signup and view all the answers

    What is the mechanism of action of buspirone?

    <p>Partial agonist at 5-HT1A receptor, some dopamine D2 activity (A)</p> Signup and view all the answers

    What is the key difference between Buspirone and Benzodiazepine?

    <p>Buspirone does not affect GABA receptor (A)</p> Signup and view all the answers

    What is the mechanism of action of benzodiazepines?

    <p>Enhances GABA-A receptor activity (B)</p> Signup and view all the answers

    Which of the following are key adverse effects of benzodiazepines? (Select all that apply)

    <p>Psychomotor slowing (B), Sedation (A)</p> Signup and view all the answers

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