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Pharm II Test 2 - Treatments
Winter Semester 2011
96
Medical
Graduate
03/05/2011

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Cards

Term
Which neurotransmitter's function is attention, memory and learning?
Definition
Acetylcholine
Term
Which neurotransmitter's function is to affect mood and anxiety?
Definition
Serotonin
Term
Which neurotransmitter's function is mental arousal and affect on mood?
Definition
NE
Term
Which neurotransmitter's function is the basis of learning and long-term memory?
Definition
Glutamate and GABA
Term
Which neurotransmitter's function is to control arousal levels vital for physical motivation?
Definition
Dopamine
Term
Which neurotransmitter's function is sensation of calm?
Definition
Enkephalins
Term
In anxiety disorders, what are the neurotransmitter changes?
Definition
Decreased NE, GABA and Serotonin
Term
In depression, what are the neurotransmitter changes?
Definition
Decreased NE and Serotonin
Term
In Parkinson's disease, what are the neurotransmitter changes?
Definition
decreased dopamine
Term
In schizophrenia, what are the neurotransmitter changes?
Definition
Increased dopamine
Term
In Huntington's disease, what are the neurotransmitter changes?
Definition
Decreased GABA and acetylcholine
Term
In Alzheimer's disease, what are the neurotransmitter changes?
Definition
Decreased acetylcholine
Term
Which drug class is the first-line treatment for depression?
Definition
SSRIs
Term
Which anti-depressant is used in the treatment of bulimia?
Definition
Fluoxetine
Term
Which anti-depressant is used in the treatment of OCD?
Definition
Fluoxetine
Term
Which anti-depressant meds can be used for the treatment of PMDD?
Definition
SSRIs
Term
Which meds MOA prevent the re-uptake of serotonin?
Definition
SSRIs
Term
Which meds MOA is to block the reuptake of NE and Serotonin?
Definition
Tricyclic Anti-Depressants
Term
Which anti-depressant can treat Major depression as well as Enuresis and chronic pain?
Definition
TCAs
Term
Which TCA can treat insomnia?
Definition
Trazodone
Term
Which TCA can treat neuropathic pain?
Definition
Amitryptyline
Term
Which TCA is used for smoking cessation?
Definition
Buproprion
Term
Which anti-depressant can be used to treat depression in psychotic pts?
Definition
Amoxapine
Term
Which second generation TCA has very potent inhibition of NE?
Definition
Maprotiline
Term
Which anti-depressant is useful in the treatment of hospitalized pts to treat depression and anxiety?
Definition
Venlafaxine
Term
Which anti-depressant med is a potent inhibitor of serotonin transport and NE (SSRI-like at low doses)
and is a inhibitor of NE transport at high doses with the higher the dose causing the better response?
Definition
Venlafaxine - Third-Generation Anti-Depressants: (aka Heterocyclic Anti-Depressants)
Term
Which anti-depressant's MOA can be described as 5-HT2 receptor and alpha-adrenoreceptor antagonism, which increases the release of NE and Serotnin?
Definition
Mirtazapine - Third-Generation Anti-Depressants: (aka Heterocyclic Anti-Depressants)
Term
Which third generation anti-depressant has potent anti-histaminic with great sedative effects?
Definition
Mirtazapine
Term
Which SSRI is the 1st line in STAR*D treatment for depression?
Definition
Citalopram
Term
Which SSRI is the MOST selective?
Definition
Citalopram
Term
Which SSRI is described as "100 times more potent" than the others?
Definition
Escitalopram
Term
Which SSRI has the longest half-life? What is the dosing?
Definition
Fluoxetine ; Once weekly dosing
Term
Which SSRI has the shortest half-life? What is the dosing?
Definition
Fluvoxamine; BID dosing
Term
Which anti-depressant meds are used to treat Atypical depression, phobias and panic disorders?
Definition
MAOIs (type B)
Term
Which anti-depressant med has a MOA described as inhibition of an enzyme which is responsible for NE, serotonin and tyramine metabolism - causing an increase in the levels of NE, Serotonin and Tyramine in the presynaptic neuron?
Definition
MAOIs (Type B)
Term
Which MAOI is NOT irreversibly bound?
Definition
Tranylcypramine (Nonhydrazide)
Term
Which MAOI is irreversibly bound?
Definition
Phenelzine (Hydrazine)
Term
How long does MAOI inhibition last after the meds are d/c?
Definition
7 days to 2 – 3 weeks after discontinuation
Term
Which anti-depressant class of meds is used to treat atypical depression, phobias and panic disorder?
Definition
MAOIs (type b)
Term
What MAOI med is used in the adjunct treatment of Parkinson's disease?
Definition
Selegiline
Term
Which med inhibits the phosphoinositol second messenger cascade, which may interfere with the synthesis, storage, release and re-uptake of serotonin, dopamine and NE?
Definition
Lithium
Term
Which med has been used as a mood stabilizer for the treatment of bipolar disorder, and is also used in combo with other meds for the treatment of schizoaffective disorder, schizophrenia, and other mood disorders with psychotic features?
Definition
Lithium
Term
Which meds MOA is described as blocking postsynaptic dopamine D2 receptors in the limbic system of the brain thereby decreasing the response of postsynaptic neurons to dopamine excitation? (These drugs also inhibit H2 histamine receptors, cholinergic receptors and alpha-adrenergic receptors, which lead to undesirable effects)
Definition
typical anti-psychotic agents (haloperidol, fluphenazine, chlorpromazine, and thioridazine)
Term
Which med is used to treat the positive sx of schizophrenia (including delusions and hallucinations), tourette syndrome and delirium and agitation?
Definition
Typical Anti-psychotic Agents (haloperidol, fluphenazine, chlorpromazine and thioridazine)
Term
Which med has been shown to block both serotonin (5HT2) and dopamine receptors in the limbic system of the brain which decreases the response of post-synaptic neurons to dopamine and serotonin excitation?
Definition
Atypical Anti-psycotics (Clozapine, Risperidone, Olanzapine, Ziprasidone, Aripriprazole and Quetiapine)
Term
Which med can be used to treat the positive and negative symptoms of schizophrenia?
Definition
Atypical Anti-psychotics (clozapine, risperidone, olanzapine, ziprasidone, aripriprazole, quetiapine)
Term
Which Atypical Anti-psychotics can be used to treat delirium?
Definition
Olanzapine, Risperidone and Quetiapine
Term
Which Benzos are used as anesthetics?
Definition
Midazolam and Diazepam
Term
Which Benzos are long-acting? (4)
Definition
Diazepam
Prazepam
Clonazepam
Flurazepam
Term
Which benzos are intermediate-acting? (5)
Definition
Lorazepam
Temazepam
Oxazepam
Alprazolam
Chlordiazepoxide
Term
Which benzos are short acting? (2)
Definition
Triazolam
Midazolam
Term
Which med has a MOA described as enhancing GABA receptor activation leading to decreased activity of neurons of the limbic, thalamic and hypothalamic regions of the CNS?
Definition
Benos
Term
Which med is used to treat muscle spasms, insomnia, panic disorder, anxiety, seizures, status epilepticus and alcohol withdrawl?
Definition
Benzodiazepines (Triazolam, midazolam, lorazepam, temazepam, oxazepam, alprazolam, chlordiazepoxide, diazepam, prazepam,clonazepam and flurazepam)
Term
Which class of meds acts as a sedative and is used to treat insomnia and anxiety?
Definition
Barbiturates (Phenobarbital, Thiopental, Secobarbital, Amobarbital and pentobarbital)
Term
Which barbiturate is used for induction of anesthesia?
Definition
Thiopental
Term
Which barbiturate is used in the management of seizures?
Definition
Phenobarbital
Term
Which barbiturate is used in the treatment of neonatal hyperbilirubinemia?
Definition
Phenobarbital
Term
Which medication has a MOA described as potentiating GABA receptor activity in the brain, thereby increasing Cl ion flow, leading to cell membrane hyperpolarization and DECREASED CNS neuronal activity?
Definition
Barbiturates
Term
Which med is used to treat partial seizures, grand mal seizures and status epilepticus, and can be used to treat trigeminal neuralgia and torsades de pointes?
Definition
Phenytoin
Term
Which med works by decreasing the flow of Na and Ca ions across the cell membrane thereby decreasing depolarization of the cells of the nervous system?
Definition
Phenytoin (and Lamotrigine)
Term
Which anti-seizure medication can be used in the treatment of mania associated with bipolar disorder and in the prevention of migraines?
Definition
Valproic Acid
Term
Which anti-seizure med can be used in generalized tonic/clonic seizures, myoclonic seizures and absence seizures?
Definition
Valproic acid
Term
Which seizure med that acts by decreasing Ca currents across neuronal cells and by inhibiting GABA metabolism is used to treat absence seizures?
Definition
Ethosuximide
Term
Which med may increase GABA concentrations by inhibiting enzymes that metabolize GABA, and also has effects on Na and K conductance across the neuronal cell membrane thereby leading to hyperpolarization of the neuron?
Definition
Valproic Acid
Term
Which anti-seizure medication inhibits the flow of Na ions through Na channels on neural cell membranes thereby causing hyperpolarization and decreased activity of the neuron?
Definition
Carbamazepine or Oxcarbazepine
Term
Which anti-seizure medication acts by inhibiting neural cell sodium channels and is used as an adjunct treatment for simple and complex partial seizures?
Definition
Topiramate
Term
Which med is similar to Tiagabine but works by inhibiting the breakdown of GABA and is used in the treatment of Partial Seizures?
Definition
Vigabatrin
Term
Which med used in the adjunctive treatment for epilepsy and neuropathic pain has an unknown method of action?
Definition
Levetiracetam
Term
What anesthetic med can be used for rapid muscle paralysis for endotracheal intubation during surgery or ER procedures?
Definition
Succinylcholine
Term
Which anesthetic meds MOA is described as a depolarizing neuromuscular blocker that competes with acetylcholine to reversibly bind to nicotinic receptors at the neuromuscular junction?
Definition
Succinylcholine
Term
If a pt is given Succinylcholine and you notice muscle fasciculations, what phase are they in? Is this phase able to be reversed?
Definition
Phase I; Not reversible
Term
If a pt is given Succinylcholine and you complete paralysis, what phase are they in? Is this phase able to be reversed?
Definition
Phase II; Reversible by Physostigmine
Term
Which med acts as a nondepolarizing neuromuscular blocker that acts to competitively bind nicotinic receptors at the neuromuscular junction, but does not activate the nicotinic receptors but instead acts to prevent acetylcholine from binding to and activating these receptors?
Definition
Pancuronium
Term
Which med is used as an adjunct to general anesthesia induction to reduce skeletal muscle contraction for the facilitation of endotracheal intubation or bronchoscopy?
Definition
Pancuronium (Vecuronium , Atracurium, Cistracurium, Tubocurarine, Mivacurium, Rapacuronium)
Term
How can the effects of Pancuronium be reversed?
Definition
Reversed with the administration of a cholinesterase inhibitor (eg neostigmine)
Term
Which med is used in minor surgical procedures in which sensation needs to be blocked in a localized area of the body, but will not lead to unconsciousness of the pt for the procedure?
Definition
Local Anethetic - Procaine, Cocaine, Tetracaine, Benzocaine, Bupivacaine and lidocaine
Term
Which med that causes vasoconstriction is often given locally with a local anesthetic? Why is it given?
Definition
Epinephrine; Given to cause vasoconstriction so that the rate of systemic absorption of the anesthetic is decreased and a more effective local nerve block is obtained (since more anesthetic remains in the area)
Term
Which local anesthetics have the shortest duration of action? Which have the longest?
Definition
Esters have the shortest - Procaine, Cocaine, Tetracaine and Benzocaine
Amides have the longest - Bupivacaine and lidocaine
Term
Which general IV anesthetic agent is used for induction and maintenance of anesthesia and conscious sedation?
Definition
Propofol
Term
Which general IV anesthetic agent is used for induction of anesthesia and conscious sedation?
Definition
Etomidate
Term
Which general IV anesthetic agent has a MOA of an NMDA receptor antagonist thereby decreasing neuronal conduction?
Definition
Ketamine
Term
Which med is used in a maintenance program to treat opioid addicts to help ease withdrawal symptoms without producing the characteristic "high"?
Definition
Methadone
Term
Which opioid med can be used as a pain control? (3)
Definition
Morphine, Fantynyl and Codeine
Term
Which opioid med can be used as a cough suppressant?
Definition
Dextromethorphan and codeine
Term
Which opioid med is used to treat acute pulmonary edema?
Definition
Morphine acts to reduce anxiety and cardiac preload
Term
Which opioid med is used to treat diarrhea?
Definition
Diphenoxylate
Term
What is the first-line treatment for Parkinsonism?
Definition
Levodopa
Term
What med is co-administered with Levodopa in the treatment of Parkinsonism? Why?
Definition
Carbidopa - increases the levels of levodopa in the periphery
Term
Which partial dopamine receptor agonist is used in the adjunct treatment for parkinsonism as well as in the treatment for hyperprolactinemia?
Definition
Bromocriptine
Term
Which MAOI inhibitor is used in the treatment of Parkinsonism? Which type of MAOI is it?
Definition
Selegiline (Type B)
Term
Which med that stimulates presynaptic 5-HTID receptors, is used to treat migraines and cluster HA? In which pts is its use contraindicated?
Definition
Sumatriptan (Naratriptan, Rizatriptan, Zolmitriptan)
Contraindicated in pts with CAD
Term
What anti-depressant med can be used to aid in smoking cessation?
Definition
Bupropion
Term
What med is used to treat generalized anxiety d/o and is used in conjunction with SSRIs to tx depression?
Definition
Buspirone
Term
Which med has a MOA that acts as a 5 - HTia presynaptic receptor partial agonist and also has mixed agonist/antagonist activity on postsynaptic dopamine receptors in the brain?
Definition
Buspirone
Term
Which med can be used to tx partial seizures AND postherpetic neuralgia?
Definition
Gabapentin
Term
Which med that binds to Ca ion channels in the CNS, thereby decreasing glutamate and NE release can be used in the treatment of neuropathic pain (especially diabetic neuropathy), and fibromyalgia?
Definition
Pregabalin
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