1. Which of the following drug is indicated in refractory schizophrenia?
A. Haloperidol B. Lithium C. Clozapine D. Thioridazine
2. Which of the following is a tricyclic antidepressant? A. Paroxetine B. Escitalopram C. Venlafaxine D. Amitryptylline
3. Which of the following is a direct pharmacological antagonist? A. Methadone B. Morphine C. Naltrexone D. Disufiram
4. Benzodiazepines primarily act on: A. GABA-A receptors B. 5HT receptors C. Dopamine receptors D. Mu receptors
5. Which of the following is an antagonist of benzodiazepines: A. Flumazenil B. Naloxone C. Flupenthixol D. N-acetyl cystine
6. Which is NOT a long acting antipsychotic drug? A. Haloperidol deconate B. Zuclopenthixol deconate C. Fluphenazine deconate D. Pimozide
7. Psuedoparkinsonism is a term used to refer: A. Post head injury parkinsonism B. Post-encephalitic parkinsonism C. Drug-induced parkinsonism D. Parkinsonism with depression
8. Extrapyramidal symptoms include all, except: A. Psuedoparkinsonism B. Dytonia C. Tardive dyskinesia D. Agnosia
9. A drug which is commonly associated with orthostatic hypotension is: A. Chlorpromazine B. Fluoxamine C. Buproprion D. Lithium
10. Which of the following drug is safest in patients with cardiac conduction disorder and depression: A. Dotheipin B. Mianserin C. Doxepine D. Phenelzine
11. The most frequent cardiaovascular side effect of trazadone is: A. Arrythmias B. Ventricular hypertrophy C. Valvular dysfunction D. Syncope
12. Antimanic properties of lithium was proposed by: A. Delay and Deniker B. Von Meduna C. John Cade D. Egaz Moniz
13. The antipsychotic properties of Chlorpromazine was proposed by: A. John Cade B. Delay and Deniker C. John Cade D. Egaz Moniz
14. The first psychotropic drug introduced in the treatment of depression was: A. Clorpromazine B. LithiumCopyright@ www.nursingplanet.com/Quiz C. Dothipin D. Imipramine
15. Dry mouth, blurred vision, constipation and urinary retention are side effects due to blockade of: A. H1 histaminic receptors B. 5HT1 serotoninergic receptors C. Dopaminergic receptors D. Muscarinic-cholinergic
16. Tricyclic antidepressants act by blocking: A. Dopaminergic receptors B. GABA receptors C. Reuptake of serotonin and norepinephrine D. Cholinergic receptors
17. Therapeutic effects of typical antipsychotics are predominantly due to blockade of: A. Dopaminergic receptors B. GABA receptors C. Serotoninergic receptors D. Norepinephrine receptors
18. Pharmacokinetics refers to: A. The processes of absorption, transport, distribution, metabolism and excretion B. Action of drug on the body C. Selective action of the drug on the receptors D. The adverse effects caused by a drug on the body
19. Zolpidem belongs to which of the following class of drugs: A. Antipsychotics B. Antidepressants C. Mood stabilizers D. Hypnotics
20. Moclobimide is a: A. SSRI antidepressant B. Reversible MAO Inhibitor C. TCA antidepressant D. SNRI antidepressant
ANSWER KEY 1. C 2.D 3. C 4. A 5.A 6. D 7. C 8. D 9.A 10. D 11.A 12. C 13.B 14. D 15.D 16. C 17. A 18. A 19.D 20.B
1. The term ataractic refers to a drug that: A. has a calming effect B. induces sleep C. induces drowsiness D. cause extrapyramidal side effects Answer Key 2. Benzodiazepines have the following effects except: A. suppress REM sleep B. produces respiratory depression C. produce tolerance and dependence D. induces seizures Answer Key 3. An important side effect of zopiclone is: A. respiratory depressionwww.currentnursing.com B. Extrapyramidal symptoms C. A bitter taste associated with excretion in saliva D. Nystagmus and double vision Answer Key 4. Zopiclone is most appropriate for those: A. With difficulty in initiating and maintaining sleep B. Early morning awakening C. Agitated and violent D. With obstructive sleep apnoea and respiratory problems Answer Key 5. Zopiclone is most appropriate for those: A. With difficulty in initiating and maintaining sleep B. Early morning awakening C. Agitated and violent D. With obstructive sleep apnoea and respiratory problems Answer Key 6. The most common side effect of benzodiazepines is: A. Sedation B. Seizures C. Vomiting D. Restlessness and agitation Answer Key 7. The usual dose of clonazepam is: www.currentnursing.com A. 0.25 to 2.0 mg/day B. 5-10 mg/day C. 15-30 mg/day D. 0.4-0.8 mg/day Answer Key 8. Buspirone belongs to which class of drug: A. Benzodiazepines B. Azapirones C. SSRIs D. Tricyclic Answer Key 9. Flumazenil is a drug is used in: A. Severe agitation B. Schizophrenia C. Benzodiazepine overdose D. Opiod dependence Answer Key 10. Which of the following central dopaminergic pathway is associated with antipsychotic efficacy?Copyright@ www.nursingplanet.com/Quiz A. Mesocortical B. Nigrostraiatal C. Tuberoinfundibular D. Mesolimbic Answer Key 11. Which of the following central dopaminergic pathway is associated with hyperprolactinaemia and its consequences? A. Mesolimbic B. Mesocortical C. Nigrostraiatal D. Tuberoinfundibular Answer Key 12. Fundamental property of antipsychotic drugs is: A. Blockade of reuptake of serotonin B. Dopamine post-synaptic receptor blockade C. Increase the neurotransmission in GABA receptors D. Blockade of reuptake of norepinephrine Answer Key 13. Which is not a extrapyramidal symptom? A. Acute dystonia B. Akathesia C. Drug-induced parkinsonism D. Agnosiawww.currentnursing.com Answer Key 14. Involuntary spasmodic contraction of a group of muscles is termed as: A. Tardive dyskinesia B. Dystonia C. Rabbit syndrome D. Akathesia 15. A subjective feeling of motor restlessness develops following treatment with antipsychotics is termed as: A. Dystonia B. Dyskinesia C. Akathesia D. Agnosia Answer Key 16. Tetrabenazine is a drug used in the management of: A. Seizures B. Tardive dyskinesia C. Psychotic symptom D. Sleep disorders
17. A condition hypothesised to be due to dopamine post-synaptic supersensitivity in the basal ganglia is: A. Neuroleptic malignant syndrome B. Tardive dyskinesia C. Pseudoparkinsonism D. Akathesia
18. An antipsychotic which is known to cause fatal torsades de pointes is: A. Chlorpromazine B. Clozapine C. Trihexiphenidyl D. Thioridazine Answer Key 19. A common adverse effect shared by clozapine, olanzapine and risperidone is: A. Seizures B. Sialorrea C. Agranulocytosis D. Weight gain Answer Key 20. A drug which is particularly associated with precipitation and worsening of diabetes mellitus is: A. Olanzapine B. Carbamazepine C. Amitryptylline D. Haloperidol Answer Key
1. A 2.D 3.C 4.A 5.D 6. A 7.A 8.B 9.C 10.D 11.D 12. B 13.D 14.B 15.C 16. B 17.B 18.D 19.D 20.A
1. The usual dose range of trifluperazine is: A. 100-1000 mg/day B. 10-30 mg/day C. 2-8 mg/day D. 80-160 mg/day Answer Key 2. Depot preparation for which of the following drugs is not available: A. Haloperidol B. Fluphenazine C. Flupenthixol D. Pimozide Answer Key 3. Which is not an anticholinegic: A. Trihexiphenidyl B. Procyclidine C. Buspirone D. Benztropine Answer Key 4. Fluoxamine belong to which class of drug: A. TCAs B. SSRIs C. MAOIs D. SNRIs Answer Key 5. A psychotropic drug commonly used in Tourette disorder is: A. Haloperidol B. Phenelzine C. L-tryptophan D. Mianserin Answer Key 6. The reference TCA, against which new antidepressants are tested in clinical trials is: A. Clomipramine B. Amoxapine C. Imipramine D. Dothiepin Answer Key 7. The commonly used TCA in obsessive compulsive disorder is: A. Amitryplyline B. Clomipramine C. Nortryptyline D. Dothiepin Answer Key 8. Which drug in the SSRI group of antidepressant has a half-life of 2-4 days: A. Paroxetine B. Escitalopram C. Sertraline D. Fluoxetine Answer Key 9. Varenicline is a: A. Atypical antipsychotic B. Nicotine receptor antagonist for nicotine dependence C. Antidepressant D. Hypnotic without hangover effect Answer Key 10. A drug which is postulated to be an inhibitor of dopamine--hydroxylase, which catalyzes the conversion of dopamine into norepinephrine,leads to an increase in brain dopamine levels: A. Disulfiram B. Phenelezine C. Aripiprazole D. Desipramine Answer Key 11. Who first proposed that lithium has antimanic properties? A. John Cade B. Delay and Denikar C. Eagaz Moniz D. Hippocrates Answer Key 12. Which of the following term refers to the way the body handles the drug? A. Pharmacodynamics B. Pharmacoceutics C. Pharmacokinetics D. Pharmacotherapeutics Answer Key 13. Rivastigmine belongs to A. Inorganic ions B. MAOIs C. Butyrophenones D. Stimulants E. Cholinesterase Inhibitors Answer Key 14. Which of the following statements about benzodiazepines is WRONG? A. BDZs suppress REM sleep B. BDZs prolongs REM sleep C. BDZs interact strongly with alcohol to produce CNS depression D. BDZs raise the ECT seizure threshold Answer Key 15. The most important adverse effect of Zopiclone is: A. Dependence B. Bitter taste C. Convulsion D. EPS E. Sedation Answer Key
ANSWER KEY 1. B 2. D 3. C 4.B 5.A 6. C 7. B 8.D 9. B 10. A 11. A 12.C 13.E 14.B 15.B
1. Acute catatonia may be treated with: A. Chloral hydrate B. Rivastigmine C. Zolpidem D. Lorazepam Answer Key 2. Which of the following is least sedating anxiolytic? A. Chlorpromazine B. Diazepam C. Buspirone D. Zolpidem E. Haloperidol Answer Key 2. Which of the following drug belongs to the group of substituted benzamide? A. Chlorpromazine B. Thioridazine C. Pimozide D. Sulpride E. Aripiprazole Answer Key 4. A schizophrenic patient on treatment with pimozide reports that he cannot keep still and feel a compulsion to move. These symptoms are charecteristics of A. Acute dystonia B. Drug-induced Parkinsonism C. Akathisia D. Neuroleptic Malignant Syndrome E. Serotonin syndrome Answer Key 5. Which is NOT an intervention in the management of neuroleptic malignant syndrome? A. Discontinuation of the antipsychotics B. Use of bromocriptine/amentadine C. Use of lorazepam to treat catatonia D. Use of haloperidol to control agitation Answer Key 6. Which of the following drug is particularly associated with precipitating/worsoning diabetic mellitus? A. Haloperidol B. Chlorpromazine C. Aripiprazole D. Thiazide & Pimozide E. Clozapine & Olanzapine Answer Key 7. When used in a dose exceeding 500 mg/day, thioridazine causes A. Pigmentation of retina B. Diabetic mellitus C. Angle-closure glaucoma D. Agranulocytosis Answer Key 8. Hypersalivation is a paradoxical adverse effect observed in treatment with A. Chlorpromazine B. Clozapine C. Trihexyphenidyl D. Ziprazidone Answer Key 9. Standard oral dose of risperidone is A. 200-1000 mg/day B. 80-160 mg/day C. 15-30 mg/day D. 25 mg/2-4 weeks E. 2-8 mg/day Answer Key 10. Caffeine interacts with following drugs, EXCEPT A. Phenelezine B. Lithium C. Trazadone D. Chlorpromazine Answer Key
ANSWER KEY 1. D 2. C 3. D 4. C 5. D 6. E 7. A 8. B 9. E 10. C
1. Which of the following antipsychotics is known to elevate serum prolactin levels?
A. Quetiapine
B. Clozapine
C. Aripiprazole
D. Amisulpride
2. Which category of drugs are associated with neuroleptic malignant syndrome?
A. Antidepressants
B. Anticholinergics
C. Antipsychotics
D. Mood stabilizers
E. Anxiolytics
3. Tetrabenazine is found to be effective in controlling:
A. Neuroleptic-induced parkinsonism
B. Neuroleptic-induced tardive dyskinesia
C. Weight gain
D. Hyperprolactemia
4. Which neuroleptic agent has the lowest likelihood of producing tardive dyskinesia?
A. Imipramine
B. Chlorpromazine
C. Clozapine
D. Fluoxetine
E. Thiothixene
5. Which drug may be useful in the management of the neuroleptic malignant syndrome, although it can worsen the symptoms of schizophrenia?
A. Risperidone
B. Thiothixene
C. Haloperidol
D. Bromocriptine
E. Valproic acid
6. Antagonism of which dopaminergic pathway is atributed to be the cause of therapeutic actions of antipsychotic drugs?
A. Nigrostriatal system
B. Mesolimbicmesocortical system
C. Tuberoinfundibular pathway
D. Reticular activating system
7. A patient reports fever, sore throat, or cellulitis, after 2 weeks of starting antipsychotic therapy with clozapine. Which of the following intervention is most important?
A. Treat the patient with a broad-spectrum antibiotic and continue the therapy
B. Discontinue the antipsychotic and conduct WBC and differential counts.
C. Inform the patient that it is common to develop fever and sore throat when taking this drug
D. Hospitalize the patient for observation
8. Which of the following is a phenothiazine?
A. Chlorpromazine
B. Clozapine
C. Olanzapine
D. Risperidone
E. Haloperidol
9. Which of the following statements about side effects of antipsychotics (AP) is NOT correct?
A. APs produce menorrhea and increased libido in women
B. APs produce decreased libido and gynecomastia in men.
C. APs cause inhibition of prolactin secretion.
D. Low-potency APs cause orthostatic hypotension
10. Which of the following mechanism is considered to be the cause of extrapyramidal reactions?
A. Alpha-adrenoceptor blockade
B. D2-receptor blockade
C. H1 histamine receptor blockade
D. D2-receptor up-regulation
11. Which of the following agents possesses pharmacological actions characterized by high antipsychotic potency and high potential for extrapyramidal toxicity?
A. Thioridazine
B. Haloperidol
C. Flumazenil
D. Clozapine
E. Carbamazepine
12. Tardive dyskinesia after long-term antipsychotic administration is thought to be due to
A. A decrease in dopamine synthesis
B. Enhanced stimulation of D2 dopamine autoreceptors
C. Loss of cholinergic neurons in striatum
D. Up-regulation of striatal dopamine receptors
E. Increased tolerance to antipsychotic agents
13. What is the chlorpromazine (100 mg) equivalent oral dose of haloperidol?
A. 2 mg
B. 10 mg
C. 30 mg
D. 100 mg
E. 300 mg
14. Which of the following manifestations is NOT caused by blockade of Muscarinic cholinoreceptor?
A. Dry mouth
B. Blurred vision
C. Urinary retention
D. Constipation
E. Amenorrhea
15. Which of the following is a butyrophenone?
A. Pimozide
B. Haloperidol
C. Fluphenazine
D. Trifluoperazine
E. Prochlorperazine
1. D 2. C 3. B 4.C 5.D 6. B 7. B 8. A 9.C 10. B 11. B 12. D 13. A 14. E 15. B
1. Which antidepressant is contraindicated in a patient with seizure disorder?
A. Nefazodone
B. Fluoxetine
C. Venlafaxine
D. Mirtazapine
E. Bupropion
Answer Key
2. Which of the following antidepressants is most selective for inhibition of neuronal reuptake of serotonin?
A. Mirtazapine
B. Venlafaxine
C. Bupropion
D. Sertraline
E. Imipramine
Answer Key
3. Which of the following condition is associated with long-term use of lithium in mood disorders?
A. Hypothyroidism
B. Hyperprolactinemia
C. Hypoglycemia
D. Hypertension
E. Tardive dyskinesia
Answer Key
4. Which of the following antidepressants requires therapeutic blood monitoring for safe use?
A. Paroxetine
B. Phenelzine
C. Nortriptyline
D. Venlafaxine
E. Bupropion
Answer Key
5. Combining MAOIs with SSRIs may cause
A. Serotonin Syndrome
B. Extrapyramidal Symptoms (EPS)
C. Neroleptic Malignant Syndrome (NMS)
D. Agranulocytosis
Answer Key
6. Penile priapism is known to be associated with use of
A. Buproprion
B. Venlafaxine
C. Escitalopram
D. Trazadone
E. Mirtazapine
Answer Key
7. Highest rates of sexual dysfunction is reported with:
A. Bupropion
B. Mirtazapine
C. Citalopram
D. Paroxetine
Answer Key
8. Sedation associated with use of antidepressants is attributed to the
A. Blockade of histamine H1 receptor
B. Blockade of muscarinic acetylcholine receptors
C. Blockade of alpha-1-receptors
D. Antagonism of 5-HT2 receptors
Answer Key
9. Which is a clinician-rated scale for monitoring outcome of depression treatment?
A. Beck Depression Inventory (BDI)
B. Zung Depression Scale
C. Geriatric Depression Scale (GDS)
D. Hamilton Depression Rating Scale (HAM-D)
Answer Key
10. Therapeutic options for refractory depression include all, EXCEPT:
A. Lithium Augmentation
B. Thyroid hormone supplementation
C. Stimulant augmentation
D. Transcranial magnetic stimulation
E. Glucocorticoid therapy
Answer Key
11. Which of the following is NOT associated with use of Tricyclic Antidepressants (TCA)?
A. Dry mouth
B. Constipation
C. Blurred vision
D. Urinary Incontinance
Answer Key
12. The recommended dose of duloxetine for major depressive disorder is
A. 4060 mg/day
B. 75-150 mg/day
C. 300600 mg/day
D. 37.5-75 mg/day
Answer Key
13. Which of the following is known to have least cardiovascular side effects?
A. Amitriptyline
B. Imipramine
C.Citalopram
D. Clomipramine
Answer Key
14. A common adverse effect of Venlafaxine is
A. Increase in blood pressure
B. Decrese in blood pressure
C. Hypersalivation
D. Bradycardia
E. Tinnitus
Answer Key
15. Which of the following antidepressants has relatively short biological half-life?
A. Mirtazapine
B. Fluoxetine
C. Trazodone
D. Citalopram
E. Imipramine
Answer Key
16. Which of the following antidepressant is approved by FDA for Smoking cessation?
A. Fluvoxamine
B. Bupropion
C. Paroxetine
D. Venlafaxine
Answer Key
17. Which of the following is a RIMAreversible inhibitor of monoamine oxidase group of antidepressant?
A. Phenelzine
B. Isocarboxazid
C. Tranylcypromine
D. Moclobemide
Answer Key
18. What is the best antidepressant prescribed for a patient with hypotension and cardiac disease?
A. Escitalopam
B. Duloxetine
C. Venlafaxine
D. Mirtazapine 1. A 2. D 3.A 4.C 5. A 6. D 7. B 8.A 9. D 10. E 11.D 12. A 13.C 14.A 15. C 16. B 17. D 18. C
1. Naltrexone occupies which of the following opiod receptors?
A. Sigma Copyright @ www.nursingplanet.com/Quiz
B. Kappa
D. Beta
Answer Key
2. All are side effects of valproic acid, except:
A. Ataxia
B. Tremor
C. Fulminant hepatitis
D. Polycystic ovaries
Answer Key
3. One of the following drug causes least gain in weight:
A. Quetiapine
B. Ziprasidone
C. Olanzapine
D. Risperidone
Answer Key
4. The drug used in nicotine addiction includes:
A. Naloxone
B. Naltrexone
C. Buspirone
D. Bupropion Copyright @ www.nursingplanet.com/Quiz
Answer Key
5. Low doses of clozapine (10-25 mg/day) are used in the treatment of:
A. PAnic attack
B. Dementia
C. Conduct disorders
D. Alcohol dependence
Answer Key
6. Which of the following is considered as the best antidepressant fro a patient with hypotension and cardiac disease?
A. Duloxetine
B. Mirtazapine
C. Venlafaxine
D. Clomipramine
Answer Key
7. One of the following drug causes least gain in weight:
A. Quetiapine
B. Ziprasidone
C. Olanzapine
D. Risperidone
Answer Key
8. Which is NOT a side effect of lamotrigine?
A. Diplopia
B. Dizziness
C. Decreased cognition
D. Rash
Answer Key
9. Adverse effect of valproic acid include:
A. Alopecia
B. Fulminant hepatitis
C. Pancreatitis
D. All of the above
Answer Key
10. Side effects of phenytoin are all except:
A. Gum hypertrophy
B. Hisutism
C. Microcytic anemia
D. Osteomalacia
1. C 2. D 3. B 4. D 5. A 6. C 7. B 8. C 9. D 10. C