CMS Pharm Test Questions with Correct Answers Graded A+
Benzodiazepines - Answers Drugs: "-pams"
- alpralozam
- diazepam
Actions:
- treats anxiety, PTSD, seizures
- alcohol withdrawal
- usually SHORT TERM, do not stop abruptly
Antidote: Flumanezil
Side Effects:
- CNS depression; sedation and resp. depression, amnesia, dependency, withdrawal
Atypical anxiolytic - Answers Buspirone (Buspar)
- for panic disorder, anxiety, OCD, PTSD
- 2 to 6 weeks; long term
Side effects:
- dizziness, nausea, headache
- NO sedation or dependency unlike benzo
Interventions:
- take w/ food cause of nausea
,What is the difference between benzodiazepine and buspirone - Answers "Pam" has anxiety so she goes
on " Benzo" and takes it for a long time but realize its not healthy. So she takes a "bus" to "pier" to sit
"alone" and decide to treat her anxiety long term with "buspirone"
SSRIs or Selective Serotonin Reuptake Inhibitors - Answers Drugs: " -ine"
- fluoxetine, fluvoxamine
- paroxetine
- *antidepressants*, anxiety, PTSD, OCD
- takes about 4 weeks to take effect
Side effects:
- nausea, fatigue, sexual dysfunction, weight gain, insomnia, serotonin syndrome
*Serotonin syndrome*:
- agitation, hallucination, tremors, fever, diaphoresis
- hypertension, tachycardia, vomiting, abdominal pain, mental status change
Atypical Antidepressants - Answers Drugs:
- *Bupropion, Trazodone*
- Vilazodonem, mirtazapine
- treats depression and aids *smoking cessation*
side effects:
- headache
-GI distress
- insomnia
,- nausea
- weight loss
- seizures
Tryciclic antidepressants or TCA - Answers Drugs: Amitriptyline
- treats depression, neuropathic pain, fibromyalgia, anxiety, insomnia
Side effects:
- anticholinergic effects; dry mouth and constipation
- sedation, seizures, sweating (SSS)
*" Amy tripped over a tricycle in the desert"
- amitriptyline is a TCA and causes effects that makes you feel like you're in a desert*
Anticholinergic effects
"think amy in desert" - Answers - dry mouth
- blurred vision
- photophobia
- urinary hesitancy or retention
- constipation
- tachycardia
Monoamine Oxidase Inhibitors (MAOIs) - Answers Drugs: *Phenelzine*, Isocarboxazid, Selegiline,
Tranylcpromine
- antidepressants
- avoid foods high in tyramine
, side effects:
- orthostatic hypotension
- *hypertensive crisis* w/ phenelzine; avoid tyramine high foods
foods that are high in tyramine; avoid for MAOI - Answers - aged cheese
- cured meats: pepperoni, salami, smoked fish
- overripe fruits: avocados, bananas
- alcohol: wine and bear
- protein dietary supplements
- soups and soy sauce
Mood stabilizers - Answers Drugs: *Lithium* Carbonate
- treats BPD
Side effects:
- GI distress
- fine hand tremors
- polyuria
- weight gain
- renal toxicity
- hypothyroidism
- electrolyte imbalance
interventions
- DO NOT give w/ diuretics, NSAID or anticholinergics
Benzodiazepines - Answers Drugs: "-pams"
- alpralozam
- diazepam
Actions:
- treats anxiety, PTSD, seizures
- alcohol withdrawal
- usually SHORT TERM, do not stop abruptly
Antidote: Flumanezil
Side Effects:
- CNS depression; sedation and resp. depression, amnesia, dependency, withdrawal
Atypical anxiolytic - Answers Buspirone (Buspar)
- for panic disorder, anxiety, OCD, PTSD
- 2 to 6 weeks; long term
Side effects:
- dizziness, nausea, headache
- NO sedation or dependency unlike benzo
Interventions:
- take w/ food cause of nausea
,What is the difference between benzodiazepine and buspirone - Answers "Pam" has anxiety so she goes
on " Benzo" and takes it for a long time but realize its not healthy. So she takes a "bus" to "pier" to sit
"alone" and decide to treat her anxiety long term with "buspirone"
SSRIs or Selective Serotonin Reuptake Inhibitors - Answers Drugs: " -ine"
- fluoxetine, fluvoxamine
- paroxetine
- *antidepressants*, anxiety, PTSD, OCD
- takes about 4 weeks to take effect
Side effects:
- nausea, fatigue, sexual dysfunction, weight gain, insomnia, serotonin syndrome
*Serotonin syndrome*:
- agitation, hallucination, tremors, fever, diaphoresis
- hypertension, tachycardia, vomiting, abdominal pain, mental status change
Atypical Antidepressants - Answers Drugs:
- *Bupropion, Trazodone*
- Vilazodonem, mirtazapine
- treats depression and aids *smoking cessation*
side effects:
- headache
-GI distress
- insomnia
,- nausea
- weight loss
- seizures
Tryciclic antidepressants or TCA - Answers Drugs: Amitriptyline
- treats depression, neuropathic pain, fibromyalgia, anxiety, insomnia
Side effects:
- anticholinergic effects; dry mouth and constipation
- sedation, seizures, sweating (SSS)
*" Amy tripped over a tricycle in the desert"
- amitriptyline is a TCA and causes effects that makes you feel like you're in a desert*
Anticholinergic effects
"think amy in desert" - Answers - dry mouth
- blurred vision
- photophobia
- urinary hesitancy or retention
- constipation
- tachycardia
Monoamine Oxidase Inhibitors (MAOIs) - Answers Drugs: *Phenelzine*, Isocarboxazid, Selegiline,
Tranylcpromine
- antidepressants
- avoid foods high in tyramine
, side effects:
- orthostatic hypotension
- *hypertensive crisis* w/ phenelzine; avoid tyramine high foods
foods that are high in tyramine; avoid for MAOI - Answers - aged cheese
- cured meats: pepperoni, salami, smoked fish
- overripe fruits: avocados, bananas
- alcohol: wine and bear
- protein dietary supplements
- soups and soy sauce
Mood stabilizers - Answers Drugs: *Lithium* Carbonate
- treats BPD
Side effects:
- GI distress
- fine hand tremors
- polyuria
- weight gain
- renal toxicity
- hypothyroidism
- electrolyte imbalance
interventions
- DO NOT give w/ diuretics, NSAID or anticholinergics
