Sleep Lecture SG Questions

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Questions and Answers

Which of the following is NOT a potential risk associated with grapefruit juice consumption when taking medications?

  • Decreased efficacy of certain medications
  • Increased risk of photosensitivity reactions (correct)
  • Gastrointestinal disturbances
  • Increased absorption of CYP3A4-metabolized drugs

If a patient reports difficulty sleeping and asks about taking two 8 mg doses of Ramelteon, what would be the appropriate advice?

  • Advise them to take the two 8 mg doses, as it may improve sleep quality.
  • Advise them to consult their physician before adjusting the dose.
  • Suggest increasing the dose to 16 mg, as higher doses are generally more effective for insomnia.
  • Recommend taking only the prescribed 8 mg dose, as higher doses have not been studied for efficacy and safety. (correct)

Which of the following statements about the use of antidepressants for insomnia is INCORRECT?

  • Mirtazapine is typically prescribed at doses of 7.5-15 mg per night for insomnia.
  • Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed off-label for insomnia.
  • Mirtazapine and trazodone are commonly prescribed at low doses for insomnia.
  • Trazodone is typically prescribed at doses of 25-50 mg per night for insomnia. (correct)

Which of the following statements regarding Advil PM and Tylenol PM is CORRECT?

<p>The active ingredient for sleep is diphenhydramine, an antihistamine. (D)</p> Signup and view all the answers

Which of the following medications is FDA-approved for the treatment of insomnia?

<p>Doxepin (Silenor) (B)</p> Signup and view all the answers

If a patient presents with a prescription for Provigil (modafinil) 200 mg to be taken every 6 hours in the evening, what is the most likely indication?

<p>Shift work disorder (D)</p> Signup and view all the answers

Which of the following is considered the preferred treatment for chronic insomnia?

<p>Cognitive behavioral therapy for insomnia (CBT-I) (A)</p> Signup and view all the answers

Which of the following is NOT a recommended non-pharmacological option for treating insomnia?

<p>Alcohol consumption before bedtime (B)</p> Signup and view all the answers

Which of the following statements about the risks associated with alcohol consumption and medications for insomnia is CORRECT?

<p>Alcohol can increase the sedative effects of certain sleep medications, leading to excessive drowsiness. (B)</p> Signup and view all the answers

Which of the following statements regarding the use of mirtazapine and trazodone for insomnia is INCORRECT?

<p>Trazodone is typically prescribed at doses of 50-150 mg per night for insomnia. (B)</p> Signup and view all the answers

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