Neuroleptics, lithium. Tranquilizers. Sedative

1. A 40 year-old patient was admitted to the psychiatric clinic in an agitated state. He was aggressive, and delirated. Indicate the best drug to be given

A. *Aminazine (chlorpromazine)

B. Sodium bromide

C. Diazepam

D. Tinctura Valerianae

E. Peserpinum

2. A man with disorders of psychoemotional state and sleeplessness, was treated with diazepamum. Upon which receptors this drug influence?

A.* Benzodiazepine receptors

B. Alfa-adrenoreceptors

C. Beta-adrenoreceptors

D. M-cholinoceptors

E. N-cholinoceptors

3. Impairment of movement co-ordination, shivering of the hands and sleepiness developed in the patient had been suffering from schizophrenia under the treatment by psychotropic drugs. Indicate this group of drugs.

A. *Neuroleptics

B. Analgesics

C. Tranquilizers

D. Antidepressants

E. Psyco stimulants

4. Introduction of aminazine(chlor-promazine), which was made to a patient who had been suffering from chronic alcholism for elimination of agression and delirium, caused loss of consiousness in this patient. Indicate the probable reason of this complication.

A. *Orthostatic collapse.

B. Inhibition of the reticular formation.

C. Impairment of coronary circulation.

D. Suppression of the limbic system. .

E. Impairment of oxidative processes in the brain tissue.

5. Indicate the drug for elimination of the acute psychosis from the group of derivatives of phenothiazine.

A.*Aminazinum (chlorpromazine)

B. Diazepam.

C. Haloperidol

D. Amitriptylin

E. Natrii oxybutyras (oxybate sodium)

6. Determine the group of drugs which doesn't cause drug dependence.

A.* Neuroleptics

B. Tranquilizers

C. Barbiturates

P. Opioid analgesics

E. Psychostimulants -phenylalkylamine derivatives

7. A doctor administered aminazinum (chlorpromazine) to the patient suffering from schizophrenia to eliminate delirium, hallucinations, to decrease aggression and psychomotor excitement. What is the mechanism of antipsychotic action of aminazinum?

A. Excitation of M-cholinoreceptors in the CNS

B. Stimulation of opioid receptors

C. *Blockade of adrenoreceptors and dopamine receptors in the CNS

D. Excitement of adrenoreceptors and dopamine receptors in the CNS.

E. Inhibition of MAO

8. A neuroleptic (butyrophenone derivative) was administered to a patient with alcohol psychosis. Determine this drug.

A. Aminazinum (chlorpromazine)

B. Sulpirid

C. Diazepam

D. Triftazinum (trifluoperazine)

E. * Haloperidol

9. Neuroleptoanalgesia was made to a patient because of myocardial infarction. What drug from the group of neuroleptics is used more often in combination with fentanyl?

A.* Droperidol

B. Aethaperazinum (perphenazine)

C. Diazepam

D. Chlozepidum (chlordiazepoxide)

E. Sulpind

10. A patient had been suffering from schizophrenia accompanied by arterial hypertension. A doctor administered neuroleptic possessing expressed hypotensive activity. Indicate this drug.

A. *Aminazinum (chlorpromazine)

B. Risperidone

C. Haloperidol

D. Diazepam

E. Triftazinum (trifluoperazine)

11. A 35-years-old woman was addressed to a doctor with complaints of temper tiredness, insomnia, internal tension. The doctor had diagnosed neurosis and administered tranquilizer (diazepam). Which of the effects of this drug is more important in this situation?

A. *Anxiolytic

B. Antiemetic

C. Anticonvulsive

D. Myorelaxation

E. Antipsychotic

12. The majority of drugs from this group exert expressed sedative - hypnotic and myorelaxation action, that is why they decrease concentration and reactions of the cured patients. Determine this group of drugs.

A. *Tranquilizers

B. Salicylates

C. Nootropic agents

D. Sedative

E. Ca channel blockers

13. A dentist introduced sibazonum (diazepam) to a 48-years old woman before extraction of tooth. Explain the mechanism of its anxiolytic action.

A. *Agonist of benzodiazepine receptors

B. Stimulation of opioid receptors

C. Excitation of adrenoreceptors and dopamine receptors in the CNS.

D. Inhibition of α-adrenoreceptors

E. Agonist of M-cholinoreceptors

14. A patient was addressed to a doctor with complaints of emotional unstability. feeling of psychoemotional tension and fear in meetings with the chief often accompanied by signifi­cant tachycardia, pain in the heart area, hyperemia of the face, headache, hand tremor, sweating. Administer the necessary drug.

A. *Chlozepidum (chlordiazepoxide)

B. Aethaperazinum (perphenazine)

C. Aethtmizolum

D. Analginum (metamizole)

E. Sulpirid

15. What group of drugs is used for the treatment and prevention of manias?

A. * Lithium

B. Sedatives

C. Neuroleptics

D. Tranquilizers

E. Antidepressants

16. These drugs amplify and concentrate the inhibitory processes in the brain cortex. They exert sedative action, relieve irritability, and do not eliminate the feeling of fear, anxiety. Determine this group.

A.* Sedatives

B. Tranquilizers

C. Antidepressants

D. Neuroleptics

E. Psychostimulants

17. A patient was addressed to a doctor with complaints of irritability, insomnia, fatigue. A doctor administered a sedative drug to him. In two weeks the patient began to complain of cough, sleepiness, decrease of memory, phenomena of rhinitis, conjunctivitis, dermatitis. What group of the drugs was administered by the doctor?

A. *Bromides

B. Valeriana

C. Lithium

D. Tranquilizers

E. Neuroleptics

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