Quiz Anxiolytics, Hypnotics and Barbiturates

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Questions and Answers

Which medication is suitable for treating generalized anxiety disorder without causing sedation or dependence?

  • Ramelteon
  • Zolpidem
  • Buspirone (correct)
  • Zaleplon

What symptom does NOT align with the diagnosis of generalized anxiety disorder?

  • Irritability
  • Intense fear of dying (correct)
  • Tiredness
  • Difficulty concentrating

Which medication is primarily indicated for short-term treatment of insomnia and should not be used for generalized anxiety disorder?

  • Buspirone
  • Zaleplon (correct)
  • Ramelteon
  • Buscapine

What is a common feature of panic disorder as described in the case provided?

<p>Sudden episodes of intense anxiety (C)</p> Signup and view all the answers

Which of the following medications is NOT considered a first-line treatment for panic disorder?

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

What emotional state is commonly reported by patients suffering from generalized anxiety disorder?

<p>Persistent anxiety (B)</p> Signup and view all the answers

What is a typical behavioral response of a college student with panic disorder when facing anxiety episodes?

<p>Avoiding crowded areas (A)</p> Signup and view all the answers

Which medication listed is primarily a melatonin receptor agonist and is not indicated for anxiety treatment?

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

Which medication is most suitable for the short-term management of panic disorder due to its rapid onset of action?

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

What is the primary reason for preferring benzodiazepines over barbiturates in managing panic disorder?

<p>Benzodiazepines have a quicker onset and are less risky. (D)</p> Signup and view all the answers

How do benzodiazepines primarily differ from barbiturates in their effect on chloride channels?

<p>Barbiturates increase the duration while benzodiazepines increase the frequency of opening. (D)</p> Signup and view all the answers

In the case of benzodiazepine overdose, which medication is appropriate for reversing the intoxication?

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

What would be the effect of using buspirone during an acute panic attack compared to alprazolam?

<p>Buspirone is intended for chronic management, not acute relief. (A)</p> Signup and view all the answers

Which of the following medications would NOT be effective in reversing clonazepam (Rivotril) intoxication?

<p>Lorazepam (A), Butabarbital (B), Naloxone (D)</p> Signup and view all the answers

What potential risk is associated with using phenobarbital for panic disorder?

<p>Risk of dependence and respiratory depression. (C)</p> Signup and view all the answers

Which statement about chamomile tea is correct in the context of acute panic attacks?

<p>Chamomile tea is not sufficiently potent for acute panic relief. (C)</p> Signup and view all the answers

Which characteristic is true for both alprazolam and buspirone in managing anxiety?

<p>Both address different types of anxiety disorders. (C)</p> Signup and view all the answers

What is a significant consideration when choosing between barbiturates and benzodiazepines for anxiety management?

<p>Benzodiazepines have lower dependence risks compared to barbiturates. (B)</p> Signup and view all the answers

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Study Notes

Generalized Anxiety Disorder (GAD)

  • Buspirone is a suitable treatment option for GAD without causing sedation or dependence.

Panic Disorder

  • Alprazolam is used for the short-term management of panic disorder due to its rapid onset of action.

Benzodiazepines vs. Barbiturates

  • Benzodiazepines and barbiturates are both central nervous system depressants that enhance the effects of gamma-aminobutyric acid (GABA), a neurotransmitter that inhibits neuronal activity.
  • Benzodiazepines increase the frequency of chloride channel opening, while barbiturates increase the duration of chloride channel opening.

Benzodiazepine Overdose

  • Flumazenil is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, including clonazepam (Rivotril).

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