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PDA II Exam 1
Ch. 37: Anxiolytic & Hypnotic
64
Health Care
Professional
01/26/2009

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Term
An unpleasant state of tension, apprehension, or uneasiness best describes:
Definition
Anxiety
Term
_____ is generally a constant, unwarranted, or from unknown sources; it may be debilitating or harmful in some fashion.
Definition
Anxiety
Term
This is a disorder that causes patients to suddenly panic.
Definition
Panic disorder
Term
This is a constantly present fear of something.
Definition
Phobia
Term
Events that cause extreme stress and problems after the event describe:
Definition
Post-traumatic Stress Disorder
Term
Anxiety may cause these diseases:
Definition
Insomnia, cardiac problems, etc.
Term
This neurochemical theory of anxiety theorizes that there is a heightened stimulation in the brain by Epi, NE, DA.
Definition
Noradrenergic model
Term
This neurochemical theory for anxiety states that heightened stimulation results from inhibited inhibitory mechanisms.
Definition
GABA receptor model OR Serotonin model
Term
This neurochemical theory of anxiety states that reduced action of the serotonin neuronal receptor system allows excitation.
Definition
Serotonin Model
Term
This class of drugs reduces anxiety and exerts a calming effect.
Definition
Sedatives (anxiolytic drugs
Term
This class of drug produces drowsiness and promotes onset and maintenance of sleep.
Definition
Hypnotics
Term
Recall that GABAa receptors (benzodiazepine receptors are inhibitory. GABAa receptors act through (depolarization/hyperpolarization)?
Definition
Hyperpolarization
Term
Hyperpolarization of a cell ________.
Definition
Inhibits action potential
Term
These drugs bind to chloride channels, enhancing the opening of the channels in the presence of endogenous ligands.
Definition
Benzodiazepines
Term
Benzodiazepines bind to these receptors:
Definition
GABAa Receptors
Term
In the presence of GABA, benzodiazepines will cause ________.
Definition
The Cl- channel to open and stay open longer.
Term
Benzodiazepines bind to an allosteric site on GABAa receptors. What is an allosteric site?
Definition
Site that is not the same site that binds the endogenous ligand
Term
The generic name for Valium is
Definition
diazepam
Term
The generic name for Xanax is:
Definition
alprazolam
Term
This benzodiazepine is often used before surgery to reduce pre-op anxiety:
Definition
Triazolam
Term
Diazepam is used to clinically:
Definition
To treat anxiety, as a sedative, and as an anticonvulsant
Term
Alprazolam is used to treat:
Definition
Anxiety
Term
Flurazepam has a _______ duration of action.
Definition
Long
Term
Diazepam has a _______ duration of action.
Definition
Long
Term
Temazepam has an ____________ duration of action.
Definition
Intermediate
Term
Triazolam has a ______ duration of action.
Definition
Short
Term
Temazepam and midolazam are sometimes used for:
Definition
Retrograde amnesia
Term
Clonazepam is clinically used for:
Definition
Anticonvulsant (anti-seizure)
Term
The rate of benzodiazepine absorption depends on the drug's _____.
Definition
Lipophilicity
Term
Benzodiazepines (are/are not) distributed into the placenta and breast milk.
Definition
Are
Term
Benzodiazepines are metabolized by:
Definition
CYP 3A4 and 2C19
Term
Benzodiazepines are excreted in the:
Definition
Kidney
Term
What are some of the adverse effects of benzodiazepines?
Definition
Dependence, tolerance, drowsiness and confusion, withdrawal, acute closed-angle glaucoma, depresses CNS
Term
This barbiturate is sometimes used in surgeries as an anesthetic.
Definition
Thiopental
Term
Thiopental has a ___ duration of action.
Definition
Short
Term
Pentobarbital has a _________ duration of action.
Definition
Intermediate (Duration of hours)
Term
Phenobarbital has a _______ duration of action.
Definition
Long (Days)
Term
Thiopental is often nicknamed "_____".
Definition
Truth serum
Term
The primary adverse effect of barbiturates is:
Definition
Respiratory depression
Term
Adverse effects of barbiturates include:
Definition
Respiratory depression, enzyme induction, reduce cognition, drowsiness, addiction/dependence, tolerance, and poisoning.
Term
Selective Serotonin Reuptake Inhibitors act by:
Definition
Preventing the reuptake of serotonin in the synaptic cleft
Term
Escitalopram and paroxetine are examples of:
Definition
SSRIs
Term
This drug acts as an SSRI and can act as a NE reuptake inhibitor.
Definition
Venlafaxine XR
Term
Buspirone is described as a 5-HT1a _________.
Definition
Partial agonist
Term
This drug is a long-term anxiolytic that acts as a partial agonist on 5-HT1a receptors.
Definition
Buspirone
Term
This 5-HT1a partial agonist has much less adverse effects than benzodiazepines.
Definition
Buspirone
Term
This hypnotic is used for short-term insomnia, and is notorious for causing hallucinations and sleep walking.
Definition
Zolpidem
Term
Zolpidem binds to the __________ receptor, much like benzodiazepines.
Definition
Term
Zolpidem is metabolized by CYP ______.
Definition
3A4
Term
Adverse effects of zolpidem include:
Definition
Day time drowsiness, anterograde amnesia, increased sedation with anti-depressants, and hallucinations
Term
Eszopiclone is (slowly/rapidly) absorbed.
Definition
Rapidly
Term
Eszopiclone binds to the ______ receptor.
Definition
GABAa
Term
Ezzopiclone is effective for up to _____.
Definition
6 months
Term
This drug is a highly selective, potent MT1 and MT2 melatonin receptor agonist.
Definition
Ramelteon
Term
Ramelteon, unlike zolpidem and eszopiclone, is not a:
Definition
Controlled substance
Term
The MT (melatonin) receptor controls your ________.
Definition
Circadian rhythm
Term
MT receptors are GPCRs that couple to ___.
Definition
Gi
Term
MT1 receptors regulate:
Definition
Sleepiness
Term
MT2 receptors are thought to help the body:
Definition
Shift between day and night
Term
Adverse effects of ramelteon include:
Definition
Drowsiness, fatigue, headache, hyperprolactinemia, and adrenal insufficiency
Term
Ramelteon is contraindicated in patients with:
Definition
Severe hepatic disease, COPD, alcohol use, and endocrine disease
Term
Hydroxyzine is an _____ that crosses the BBB and acts on __________.
Definition
Antihistamine; H1 receptors
Term
Hydroxyzine is an anxiolytic given to patients with:
Definition
Past history of addiction
Term
Chloral hydrate is an anxiolytic, and its mechanism is:
Definition
Unknown
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