Summary

This document is a set of lecture slides or study notes on drugs used in mood disorders. It covers topics such as neurotransmitter involvement in depression, drugs used for bipolar disorder, and the mechanism of action of antidepressants.

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**Drugs Used in Mood Disorders** \#\#\# \*\*Slide 1: Overview of Drugs Used in Mood Disorders\*\* 1\. \*\*Which neurotransmitters are primarily involved in the pathophysiology of depression?\*\* \- A. Serotonin, norepinephrine, dopamine \- B. GABA, acetylcholine, histamine \- C. Cortisol, estro...

**Drugs Used in Mood Disorders** \#\#\# \*\*Slide 1: Overview of Drugs Used in Mood Disorders\*\* 1\. \*\*Which neurotransmitters are primarily involved in the pathophysiology of depression?\*\* \- A. Serotonin, norepinephrine, dopamine \- B. GABA, acetylcholine, histamine \- C. Cortisol, estrogen, dopamine \- D. Epinephrine, cortisol, serotonin \*\*Answer:\*\* A. Serotonin, norepinephrine, dopamine 2\. \*\*Which of the following drugs is indicated for bipolar disorder?\*\* \- A. Paroxetine \- B. Sertraline \- C. Lithium \- D. Fluoxetine \*\*Answer:\*\* C. Lithium 3\. \*\*How long does it typically take for antidepressants to show clinical improvement in patients?\*\* \- A. 1 week \- B. 2-4 weeks \- C. 5 days \- D. 3 months \*\*Answer:\*\* B. 2-4 weeks【33†source】 \-\-- \#\#\# \*\*Slide 2: Depression - DSM-5 Criteria\*\* 1\. \*\*According to DSM-5, how many symptoms must be present for a diagnosis of depression?\*\* \- A. At least 3 \- B. 5 or more \- C. 6-10 \- D. At least 2 \*\*Answer:\*\* B. 5 or more 2\. \*\*Which of the following is one of the two mandatory symptoms for a depression diagnosis according to DSM-5?\*\* \- A. Weight gain \- B. Insomnia \- C. Depressed mood \- D. Fatigue \*\*Answer:\*\* C. Depressed mood 3\. \*\*Which of the following symptoms should NOT be included when diagnosing depression according to DSM-5?\*\* \- A. Loss of interest \- B. Depressed mood \- C. Weight gain due to medical condition \- D. Psychomotor retardation \*\*Answer:\*\* C. Weight gain due to medical condition【33†source】 \-\-- \#\#\# \*\*Slide 3: Pathophysiology of Depression\*\* 1\. \*\*Which hypothesis suggests that depression is related to a deficiency in serotonin, norepinephrine, and dopamine?\*\* \- A. Neuroendocrine hypothesis \- B. Monoamine hypothesis \- C. Neurotrophic hypothesis \- D. Glutamate hypothesis \*\*Answer:\*\* B. Monoamine hypothesis 2\. \*\*Which factor is associated with a decrease in brain-derived neurotrophic factor (BDNF) in patients with depression?\*\* \- A. Glucocorticoid receptor binding \- B. Elevated norepinephrine levels \- C. Elevated serotonin levels \- D. Decreased cortisol levels \*\*Answer:\*\* A. Glucocorticoid receptor binding 3\. \*\*Which hormone dysregulation is often found in patients with depression, according to the neuroendocrine hypothesis?\*\* \- A. Prolactin \- B. Cortisol \- C. Insulin \- D. Testosterone \*\*Answer:\*\* B. Cortisol【33†source】 \-\-- \#\#\# \*\*Slide 4: Depression Symptom Mnemonic\*\* 1\. \*\*Which symptom is represented by the \"I\" in the mnemonic for depression symptoms?\*\* \- A. Irritability \- B. Insomnia \- C. Interest loss \- D. Impulsivity \*\*Answer:\*\* C. Interest loss 2\. \*\*What does the \"S\" in the depression mnemonic represent?\*\* \- A. Sleep disturbance \- B. Suicidal ideation \- C. Sadness \- D. Self-esteem issues \*\*Answer:\*\* A. Sleep disturbance 3\. \*\*Which symptom in the mnemonic indicates potential weight fluctuations?\*\* \- A. Sleep disturbance \- B. Psychomotor changes \- C. Appetite changes \- D. Energy loss \*\*Answer:\*\* C. Appetite changes【33†source】 \-\-- \#\#\# \*\*Slide 5: Normal Brain Physiology\*\* 1\. \*\*Which neurotransmitter is involved in regulating mood, appetite, and sleep?\*\* \- A. Dopamine \- B. Norepinephrine \- C. Serotonin \- D. GABA \*\*Answer:\*\* C. Serotonin 2\. \*\*What enzyme degrades serotonin and norepinephrine in the synaptic cleft?\*\* \- A. Monoamine oxidase (MAO) \- B. Acetylcholinesterase \- C. Glutaminase \- D. Catechol-O-methyltransferase (COMT) \*\*Answer:\*\* A. Monoamine oxidase (MAO) 3\. \*\*Which neurotransmitter is responsible for mood regulation and cognitive functions like memory and learning?\*\* \- A. GABA \- B. Serotonin \- C. Dopamine \- D. Norepinephrine \*\*Answer:\*\* D. Norepinephrine【33†source】 \-\-- \#\#\# \*\*Slide 6: Neurotrophic Hypothesis\*\* 1\. \*\*The neurotrophic hypothesis of depression focuses on which protein related to neural plasticity and resilience?\*\* \- A. Serotonin \- B. Brain-derived neurotrophic factor (BDNF) \- C. Cortisol \- D. Dopamine \*\*Answer:\*\* B. Brain-derived neurotrophic factor (BDNF) 2\. \*\*What effect do antidepressants have on brain-derived neurotrophic factor (BDNF) levels?\*\* \- A. Decrease BDNF levels \- B. Stabilize BDNF levels \- C. Increase BDNF levels \- D. No effect on BDNF levels \*\*Answer:\*\* C. Increase BDNF levels 3\. \*\*Which of the following factors is NOT typically associated with a reduction in BDNF levels in depression?\*\* \- A. Glucocorticoid receptor activation \- B. Chronic stress \- C. Increased norepinephrine \- D. Elevated cortisol levels \*\*Answer:\*\* C. Increased norepinephrine【33†source】 \-\-- \#\#\# \*\*Slide 7: Neuroendocrine Hypothesis\*\* 1\. \*\*Which hormone is commonly elevated in patients with depression according to the neuroendocrine hypothesis?\*\* \- A. Estrogen \- B. Insulin \- C. Cortisol \- D. Melatonin \*\*Answer:\*\* C. Cortisol 2\. \*\*Thyroid dysregulation is present in approximately what percentage of patients with depression?\*\* \- A. 5% \- B. 10% \- C. 25% \- D. 50% \*\*Answer:\*\* C. 25% 3\. \*\*What neuroendocrine factor may contribute to mood symptoms in postpartum depression?\*\* \- A. Low cortisol levels \- B. Estrogen deficiency \- C. Low prolactin levels \- D. Testosterone deficiency \*\*Answer:\*\* B. Estrogen deficiency【33†source】 \-\-- \#\#\# \*\*Slide 8: Monoamine Hypothesis\*\* 1\. \*\*Which class of drugs supports the monoamine hypothesis by increasing serotonin and norepinephrine levels?\*\* \- A. Antipsychotics \- B. SSRIs and SNRIs \- C. Benzodiazepines \- D. Anticonvulsants \*\*Answer:\*\* B. SSRIs and SNRIs 2\. \*\*Which neurotransmitter, according to the monoamine hypothesis, is NOT typically implicated in depression?\*\* \- A. Dopamine \- B. Serotonin \- C. Acetylcholine \- D. Norepinephrine \*\*Answer:\*\* C. Acetylcholine 3\. \*\*Which drug mentioned in the evidence for the monoamine hypothesis blocks central monoamine activity and can cause depression in some patients?\*\* \- A. Propranolol \- B. Fluoxetine \- C. Venlafaxine \- D. Lithium \*\*Answer:\*\* A. Propranolol【33†source】 \-\-- \#\#\# \*\*Slide 9: Neurotrophic Hypothesis\*\* 1\. \*\*What is a critical function of brain-derived neurotrophic factor (BDNF) in the brain?\*\* \- A. Regulating appetite \- B. Promoting neural plasticity and neurogenesis \- C. Increasing serotonin breakdown \- D. Inhibiting cortisol release \*\*Answer:\*\* B. Promoting neural plasticity and neurogenesis 2\. \*\*Which of the following supports the neurotrophic hypothesis in the treatment of depression?\*\* \- A. Increased BDNF levels with antidepressant therapy \- B. Increased cortisol levels in patients on antidepressants \- C. Lower dopamine levels in response to therapy \- D. Increased norepinephrine with treatment \*\*Answer:\*\* A. Increased BDNF levels with antidepressant therapy 3\. \*\*Which of the following is associated with a reduction in BDNF synthesis in the brain?\*\* \- A. Glucocorticoid receptor binding \- B. Elevated testosterone levels \- C. Low serotonin levels \- D. Increased norepinephrine activity \*\*Answer:\*\* A. Glucocorticoid receptor binding【33†source】 \-\-- \#\#\# \*\*Slide 10: Mechan ism of Antidepressants\*\* 1\. \*\*How do most antidepressants work to alleviate depression symptoms?\*\* \- A. By blocking serotonin and norepinephrine reuptake \- B. By blocking dopamine breakdown \- C. By stimulating cortisol release \- D. By increasing acetylcholine levels \*\*Answer:\*\* A. By blocking serotonin and norepinephrine reuptake 2\. \*\*Which neurotransmitter is most affected by selective serotonin reuptake inhibitors (SSRIs)?\*\* \- A. Norepinephrine \- B. Dopamine \- C. Serotonin \- D. GABA \*\*Answer:\*\* C. Serotonin 3\. \*\*Why do antidepressants typically take several weeks to show efficacy?\*\* \- A. They need time to decrease serotonin levels \- B. They require time to increase BDNF synthesis \- C. They work immediately but require close monitoring \- D. They must first decrease norepinephrine activity \*\*Answer:\*\* B. They require time to increase BDNF synthesis【33†source】

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