Drugs Used in Mood Disorders Part 5 PDF

Summary

This document provides information on various drugs used for mood disorders. It contains details about the mechanisms of action, side effects, and different drug classes relevant to treating mood disorders. It includes descriptions of MAOIs, bupropion, dextromethorphan/bupropion ER, trazodone, nefazodone, and mirtazapine.

Full Transcript

\#\#\# \*\*Slide 41: Monoamine Oxidase Inhibitors (MAOIs)\*\* 1\. \*\*What is the primary mechanism of action of MAOIs in the treatment of mood disorders?\*\* \- A. Inhibition of serotonin and norepinephrine reuptake \- B. Inhibition of the enzyme monoamine oxidase, preventing the breakdown of ne...

\#\#\# \*\*Slide 41: Monoamine Oxidase Inhibitors (MAOIs)\*\* 1\. \*\*What is the primary mechanism of action of MAOIs in the treatment of mood disorders?\*\* \- A. Inhibition of serotonin and norepinephrine reuptake \- B. Inhibition of the enzyme monoamine oxidase, preventing the breakdown of neurotransmitters \- C. Activation of dopamine receptors \- D. Inhibition of GABA receptors \*\*Answer:\*\* B. Inhibition of the enzyme monoamine oxidase, preventing the breakdown of neurotransmitters【62:0†source】 2\. \*\*Which type of food must be avoided while taking MAOIs due to the risk of hypertensive crisis?\*\* \- A. High-protein foods \- B. Tyramine-rich foods (e.g., cheese, red wine) \- C. Fatty foods \- D. Carbohydrate-rich foods \*\*Answer:\*\* B. Tyramine-rich foods (e.g., cheese, red wine)【62:0†source】 3\. \*\*Which isoform of monoamine oxidase is responsible for degrading serotonin, norepinephrine, and dopamine?\*\* \- A. MAO-B \- B. MAO-A \- C. COMT \- D. SERT \*\*Answer:\*\* B. MAO-A【62:0†source】 \-\-- \#\#\# \*\*Slide 42: MAOI Side Effects\*\* 1\. \*\*Which side effect is most commonly associated with MAOIs?\*\* \- A. Hypertension \- B. Orthostatic hypotension \- C. Hypercalcemia \- D. Bradycardia \*\*Answer:\*\* B. Orthostatic hypotension【62:0†source】 2\. \*\*MAOIs are associated with the highest rate of which of the following side effects?\*\* \- A. Sexual dysfunction \- B. Weight loss \- C. Constipation \- D. Hepatotoxicity \*\*Answer:\*\* A. Sexual dysfunction【62:0†source】 3\. \*\*Which of the following conditions is associated with discontinuation syndrome upon sudden cessation of MAOIs?\*\* \- A. Psychosis, excitement, and confusion \- B. Seizures and coma \- C. Hyperglycemia and tremors \- D. Bradycardia and hypotension \*\*Answer:\*\* A. Psychosis, excitement, and confusion【62:0†source】 \-\-- \#\#\# \*\*Slide 43: Bupropion (Wellbutrin)\*\* 1\. \*\*What is the primary mechanism of action of bupropion (Wellbutrin)?\*\* \- A. Selective serotonin reuptake inhibitor (SSRI) \- B. Norepinephrine and dopamine reuptake inhibitor \- C. Monoamine oxidase inhibitor (MAOI) \- D. GABA agonist \*\*Answer:\*\* B. Norepinephrine and dopamine reuptake inhibitor【62:0†source】 2\. \*\*In which patient population should bupropion be avoided due to the risk of seizures?\*\* \- A. Patients with a history of hypertension \- B. Patients with a history of seizure disorder \- C. Patients with schizophrenia \- D. Patients with bipolar disorder \*\*Answer:\*\* B. Patients with a history of seizure disorder【62:0†source】 3\. \*\*Which of the following is an advantage of bupropion compared to SSRIs?\*\* \- A. Lower risk of sexual side effects \- B. Greater sedative effects \- C. Faster onset of action \- D. Increased serotonin reuptake \*\*Answer:\*\* A. Lower risk of sexual side effects【62:0†source】 \-\-- \#\#\# \*\*Slide 44: Dextromethorphan/Bupropion ER (Auvelity)\*\* 1\. \*\*Dextromethorphan in Auvelity works as an antagonist of which receptor?\*\* \- A. GABA-A receptor \- B. NMDA receptor \- C. Dopamine receptor \- D. Alpha-1 receptor \*\*Answer:\*\* B. NMDA receptor【62:0†source】 2\. \*\*Which drug is combined with dextromethorphan in Auvelity to enhance its antidepressant effects?\*\* \- A. Fluoxetine \- B. Bupropion \- C. Venlafaxine \- D. Mirtazapine \*\*Answer:\*\* B. Bupropion【62:0†source】 3\. \*\*What serious adverse reaction can occur when combining dextromethorphan with other serotonergic medications?\*\* \- A. Hypertensive crisis \- B. Serotonin syndrome \- C. Hypercalcemia \- D. Bradycardia \*\*Answer:\*\* B. Serotonin syndrome【62:0†source】 \-\-- \#\#\# \*\*Slide 45: Trazodone (Desyrel)\*\* 1\. \*\*What is the primary use of trazodone at low doses (25-150 mg)?\*\* \- A. Antidepressant \- B. Insomnia treatment \- C. Antipsychotic \- D. Weight loss \*\*Answer:\*\* B. Insomnia treatment【62:0†source】 2\. \*\*Which receptor blockade is responsible for trazodone's sedative effects?\*\* \- A. NMDA receptor \- B. Histamine H1 receptor \- C. GABA receptor \- D. Dopamine D2 receptor \*\*Answer:\*\* B. Histamine H1 receptor【62:0†source】 3\. \*\*What is a rare but serious side effect of trazodone?\*\* \- A. Serotonin syndrome \- B. Priapism \- C. Agranulocytosis \- D. Hepatitis \*\*Answer:\*\* B. Priapism【62:0†source】 \-\-- \#\#\# \*\*Slide 46: Nefazodone\*\* 1\. \*\*What receptor does nefazodone block that contributes to its antidepressant effects?\*\* \- A. 5-HT2A receptor \- B. Dopamine D2 receptor \- C. NMDA receptor \- D. Beta-1 receptor \*\*Answer:\*\* A. 5-HT2A receptor【62:0†source】 2\. \*\*Nefazodone is chemically related to which of the following antidepressants?\*\* \- A. Trazodone \- B. Mirtazapine \- C. Bupropion \- D. Venlafaxine \*\*Answer:\*\* A. Trazodone【62:0†source】 3\. \*\*Why is nefazodone no longer commonly prescribed?\*\* \- A. Risk of hepatotoxicity \- B. Risk of seizures \- C. High rate of weight gain \- D. Increased risk of serotonin syndrome \*\*Answer:\*\* A. Risk of hepatotoxicity【62:0†source】 \-\-- \#\#\# \*\*Slide 47: Mirtazapine (Remeron)\*\* 1\. \*\*What is the mechanism of action of mirtazapine?\*\* \- A. Alpha-2 receptor antagonist \- B. Dopamine D2 receptor antagonist \- C. GABA receptor agonist \- D. NMDA receptor antagonist \*\*Answer:\*\* A. Alpha-2 receptor antagonist【62:0†source】 2\. \*\*Which of the following is a common side effect of mirtazapine?\*\* \- A. Weight gain \- B. Hypertension \- C. Tachycardia \- D. Nausea \*\*Answer:\*\* A. Weight gain【62:0†source】 3\. \*\*Mirtazapine is less likely to cause which of the following side effects compared to SSRIs?\*\* \- A. Sexual dysfunction \- B. Weight gain \- C. Sedation \- D. Dry mouth \*\*Answer:\*\* A. Sexual dysfunction【62:0†source】 \-\-- \#\#\# \*\*Slide 48: Vortioxetine (Trintellix)\*\* 1\. \*\*Which of the following receptors does vortioxetine partially agonize?\*\* \- A. 5-HT1A \- B. NMDA \- C. Alpha-2 adrenergic \- D. Dopamine D2 \*\*Answer:\*\* A. 5-HT1A【62:0†source】 2\. \*\*Which of the following is a common side effect of vortioxetine?\*\* \- A. Diarrhea \- B. Headache \- C. Tachycardia \- D. Weight loss \*\*Answer:\*\* B. Headache【62:0†source】 3\. \*\*Vortioxetine primarily inhibits which transporter in the treatment of depression?\*\* \- A. SERT (Serotonin transporter) \- B. DAT (Dopamine transporter) \- C. NET (Norepinephrine transporter) \- D. GAT (GABA transporter) \*\*Answer:\*\* A. SERT (Serotonin transporter)【62:0†source】

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