Anxiolytic and Hypnotic Drugs Part 2.docx

1\. \*\*Which benzodiazepines are commonly used for seizure control?\*\* \- A) Clonazepam, lorazepam, and diazepam \- B) Alprazolam, midazolam, and diazepam \- C) Zolpidem, zaleplon, and eszopiclone \- D) Temazepam, triazolam, and clonazepam \*\*Answer\*\*: A) Clonazepam, lorazepam, and diazepa...

1\. \*\*Which benzodiazepines are commonly used for seizure control?\*\* \- A) Clonazepam, lorazepam, and diazepam \- B) Alprazolam, midazolam, and diazepam \- C) Zolpidem, zaleplon, and eszopiclone \- D) Temazepam, triazolam, and clonazepam \*\*Answer\*\*: A) Clonazepam, lorazepam, and diazepam 2\. \*\*Which barbiturate is still used today to manage generalized seizures?\*\* \- A) Phenobarbital \- B) Amobarbital \- C) Secobarbital \- D) Thiopental \*\*Answer\*\*: A) Phenobarbital 3\. \*\*Which class of drugs is not effective in treating seizures?\*\* \- A) Benzodiazepines \- B) Barbiturates \- C) Z-drugs \- D) Antihistamines \*\*Answer\*\*: C) Z-drugs 4\. \*\*What is a possible effect of hypnotic drugs on respiration?\*\* \- A) Increased respiratory rate \- B) Respiratory depression \- C) Enhanced lung function \- D) Minimal effect in healthy individuals \*\*Answer\*\*: B) Respiratory depression 5\. \*\*Which group of patients is more vulnerable to respiratory depression when taking sedative-hypnotic drugs?\*\* \- A) Patients with sleep apnea \- B) Patients with cardiovascular disease \- C) Patients with hepatic impairment \- D) All of the above \*\*Answer\*\*: D) All of the above 6\. \*\*Which organ is most affected by sedative-hypnotic drugs at higher doses?\*\* \- A) Brain \- B) Lungs \- C) Kidneys \- D) Liver \*\*Answer\*\*: A) Brain 7\. \*\*What is a common feature of sedative-hypnotics when used long-term?\*\* \- A) Tolerance \- B) Increased efficacy \- C) Enhanced receptor sensitivity \- D) Reduced risk of withdrawal \*\*Answer\*\*: A) Tolerance 8\. \*\*Which benzodiazepine has the highest risk of causing daytime anxiety due to its short half-life?\*\* \- A) Triazolam \- B) Diazepam \- C) Lorazepam \- D) Clonazepam \*\*Answer\*\*: A) Triazolam 9\. \*\*What can occur if benzodiazepines are abruptly discontinued?\*\* \- A) Euphoria \- B) Hyperactive reflexes and seizures \- C) Improved sleep quality \- D) Weight gain \*\*Answer\*\*: B) Hyperactive reflexes and seizures 10\. \*\*What is a major clinical toxicity concern with benzodiazepine use in the elderly?\*\* \- A) Anterograde amnesia \- B) Cognitive improvement \- C) Increased appetite \- D) Improved motor skills \*\*Answer\*\*: A) Anterograde amnesia 11\. \*\*Which sedative-hypnotic class is most associated with confusional states in elderly patients?\*\* \- A) Barbiturates \- B) Z-drugs \- C) Benzodiazepines \- D) Antihistamines \*\*Answer\*\*: C) Benzodiazepines 12\. \*\*What condition is a warning sign of potential sedative-hypnotic overdose?\*\* \- A) Sleepwalking \- B) Hyperactivity \- C) Increased alertness \- D) Sleep paralysis \*\*Answer\*\*: A) Sleepwalking 13\. \*\*Which sedative-hypnotic class is associated with neonatal respiratory depression?\*\* \- A) Barbiturates \- B) Antihistamines \- C) Benzodiazepines \- D) Buspirone \*\*Answer\*\*: C) Benzodiazepines 14\. \*\*Which drug carries the highest risk for fetal deformation during pregnancy?\*\* \- A) Zolpidem \- B) Buspirone \- C) Diazepam \- D) Secobarbital \*\*Answer\*\*: C) Diazepam 15\. \*\*Which sedative-hypnotic agent is least likely to cause teratogenicity during pregnancy?\*\* \- A) Buspirone \- B) Zaleplon \- C) Phenobarbital \- D) Eszopiclone \*\*Answer\*\*: A) Buspirone Here are PANCE-style questions generated from slides 26 through 43 of the \"Anxiolytic and Hypnotic Drugs\" PowerPoint: 1\. \*\*What is a known risk of benzodiazepine use during pregnancy?\*\* \- A) Neonatal hypoglycemia \- B) Fetal deformation and increased risk of miscarriage \- C) Increased fetal muscle tone \- D) Excessive birth weight \*\*Answer\*\*: B) Fetal deformation and increased risk of miscarriage 2\. \*\*What risk is associated with barbiturate use during pregnancy?\*\* \- A) Hypoglycemia \- B) Fetal respiratory depression \- C) Increased cardiac function \- D) Hyperactivity in the fetus \*\*Answer\*\*: B) Fetal respiratory depression 3\. \*\*What is a safer anxiolytic option for pregnant women?\*\* \- A) Diazepam \- B) Z-drugs \- C) Buspirone \- D) Phenobarbital \*\*Answer\*\*: C) Buspirone 4\. \*\*Which medication reverses the sedative actions of benzodiazepines?\*\* \- A) Naloxone \- B) Flumazenil \- C) Suvorexant \- D) Ramelteon \*\*Answer\*\*: B) Flumazenil 5\. \*\*Why might flumazenil need to be re-dosed when reversing benzodiazepine overdose?\*\* \- A) It has a short half-life \- B) It causes rebound sedation \- C) It enhances the effects of benzodiazepines \- D) It increases CNS depression \*\*Answer\*\*: A) It has a short half-life 6\. \*\*What is a potential risk of flumazenil administration in chronic benzodiazepine users?\*\* \- A) Hypertension \- B) Seizures \- C) Tachycardia \- D) Hypoglycemia \*\*Answer\*\*: B) Seizures 7\. \*\*Which drug class most commonly interacts with benzodiazepines to produce additive CNS depression?\*\* \- A) Antihistamines \- B) Antihypertensive agents \- C) Opioids \- D) Antipsychotics \*\*Answer\*\*: C) Opioids 8\. \*\*What effect does combining benzodiazepines with alcohol have?\*\* \- A) Decreased sedation \- B) Increased risk of respiratory depression \- C) Increased alertness \- D) Hyperactivity \*\*Answer\*\*: B) Increased risk of respiratory depression 9\. \*\*Which of the following medications can potentiate the sedative effects of benzodiazepines?\*\* \- A) Antihistamines \- B) Beta-blockers \- C) Diuretics \- D) NSAIDs \*\*Answer\*\*: A) Antihistamines 10\. \*\*Which lifestyle modification is recommended for sleep problems?\*\* \- A) Avoid exercise \- B) Increase screen time before bed \- C) Go to bed at the same time each night \- D) Avoid sunlight exposure during the day \*\*Answer\*\*: C) Go to bed at the same time each night 11\. \*\*What might the persistence of insomnia after 7-10 days of treatment indicate?\*\* \- A) The patient is not using their medication correctly \- B) Presence of an underlying psychiatric or medical illness \- C) Increased CNS tolerance \- D) Drug resistance \*\*Answer\*\*: B) Presence of an underlying psychiatric or medical illness 12\. \*\*Which of the following is NOT recommended for long-term treatment of insomnia?\*\* \- A) Melatonin \- B) Benzodiazepines \- C) Proper sleep hygiene \- D) Cognitive Behavioral Therapy \*\*Answer\*\*: B) Benzodiazepines 13\. \*\*What is a common side effect of short-acting benzodiazepines like triazolam?\*\* \- A) Rebound insomnia \- B) Weight gain \- C) Hyperactivity \- D) Weight loss \*\*Answer\*\*: A) Rebound insomnia 14\. \*\*Which benzodiazepine is used for procedural sedation?\*\* \- A) Triazolam \- B) Midazolam \- C) Diazepam \- D) Lorazepam \*\*Answer\*\*: B) Midazolam 15\. \*\*Which short-acting benzodiazepine is associated with complex sleep-related behaviors like sleepwalking?\*\* \- A) Temazepam \- B) Alprazolam \- C) Triazolam \- D) Oxazepam \*\*Answer\*\*: C) Triazolam