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Worksheetsanti depressants
Total questions: 110
Worksheet time: 55mins
1. Specify antidepressant:
carbidopa
sodium thiopental
amitriptyline
phenobarbital
levodopa
2. Tricyclic antidepressant
paroxetine
moclobemide
fluoxetine
amitriptyline
pyridrol
3. Drug for the treatment of depression:
amitriptyline
aminazine
haloperidol
lithium carbonate
clonazepam
4. Indications for the use of fluoxetine :
insomnia
anorexia
depression
schizophrenia
alcoholism
5. An antidepressant-non-selective monoamine oxidase inhibitor ( MAO-A and MAO-B) is
maprotiline
fluoxetine
moclobemide
amitriptyline
nialamide
6. An antidepressant-selective monoamine oxidase inhibitor (MAO-A) is:
maprotiline
moclobemide
fluoxetine
amitriptyline
nialamide
7. Depression is treated with the following group:
antidepressants
mood stabilizers
neuroleptics
tranquilizers
psychotherapy
8. Side effect of amitriptyline:
stimulation of the central nervous system
parkinsonism
anticholinergic effect
bradycardia
miosis
9. An antidepressant that blocks the neuronal uptake of norepinephrine
maprotiline
paroxetine
imipramine
nialamide
moclobemide
0. A patient with depression was prescribed a drug. On the third day of taking the medicine, the patient
had dinner at a restaurant, the table included lamb, red wine and cheese. 2 hours after dinner, the
patient’s blood pressure rose sharply and tachycardia developed. Which drug was most likely prescribed
to the patient?
fluoxetine
diazepam
prednisolone
maprotiline
nialamide
11. Select a selective crue that blocks the neuronal uptake of serotonin:
fluoxetine
nialamide
amitriptyline
maprotiline
tyramine
12. Specify the mechanism of action of nialamide
inhibits cholinesterase
inhibits catechol - o - methyltransferase (COMT)
inhibits monoamine oxidase (MAO )
inhibits adenylate cyclase
inhibits phospholipase
13. Fluoxetine:
stimulates dopamine receptors
MAO-A inhibitor
disrupts the neuronal reuptake of serotonin
increases the content of gamma-aminobutyric acid (GABA) in the central nervous system
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14. Specify the main effect of nialamide
reduces symptoms of depression
suppression of fear, anxiety
suppression of delusions, hallucinations
promotes sleep
reduces motor activity
15. The combination of Paroxetine is contraindicated with:
antacids
antispasmodics
non-selective MAO inhibItors
antibiotics
NSAIDS
16. Which antidepressants have the following side effects such as headache, insomnia, agitation, dry
mucous membranes, tachycardia, dyspeptic disorders:
inhibitors of neuronal serotonin uptake
tricyclic antidepressants
Inhibitors of neuronal norepinephrine uptake
MAO inhibitors
inhibitors of presynaptic alpha-2 adrenergic receptors
7. Name a tricyclic antidepressant that differs in the positive direction by the absence of
M-anticholinergic properties. It is used for mild to moderate depression:
amitriptyline
imipramine
clomipramine
paroxetine
pipofezin
18. Patient M., 45 years old, suffers from pathologically low mood, with ideas of self-blame, suicidal
thoughts and anxiety. Select a drug for treatment:
diazepam
phenobarbital
chloropyramine
amitriptyline
piracetam
19. MAO-A primarily inactivates:
dopamine
norepinephrine and serotonin
serotonin
norepinephrine
bradykinin
20. For the treatment of depression, patient G., 45 years old, was prescribed maprotiline . Select the
mechanism of action of the drug:
blocks dopamine receptors
increases the affinity of GABA receptors for GABA
blocks MAO
blocks the reuptake of monoamines
blocks the neuronal reuptake of serotonin
21. Patient F., 62 years old, was prescribed a drug for the treatment of depression; after some time the
patient began to complain of dry mouth, urinary retention, dilated pupils, blurred vision, and hand tremors.
What pharmacological group of drugs could cause these side effects?
tricyclic antidepressants
blocking the neuronal uptake of serotonin
blocking the neuronal uptake of norepinephrine
MAO-A inhibitors
MAO-B inhibitors
22. A 42-year-old woman consulted a doctor with complaints of worsening appetite, sleep disturbances, a
feeling of extreme fatigue and loss of strength and anxiety. Laboratory and instrumental examination
revealed no pathology. Prescribe treatment.
amitriptyline
lithium carbonate
aminazine
carbamazepine
there are no indications for prescribing any medications
23. A 55-year-old man is brought to the emergency department by ambulance after experiencing severe
tremors, confusion, and agitation. Paramedics report that the patient has a history of depression and is
currently taking an MAO inhibitor. His wife reports that he has not been feeling well for the past few days
and has started taking a new medication for depression. Which pharmacological group of drugs caused
side effects in the patient?
SPVA
methylxanthine derivatives
psychostimulants
neuroleptics
SSRIs, TCAs, SNRIs
24. Indications for the use of fluoxetine
insomnia
anorexia
depression
alcoholism
schizophrenia
25. An antidepressant-non-selective monoamine oxidase inhibitor ( MAO-A and MAO-B) is:
moclobemide
amitriptyline
maprotiline
nialamide
fluoxetine
26. An antidepressant-selective monoamine oxidase inhibitor (MAO-A) is:
maprotiline
moclobemide
fluoxetine
amitriptyline
nialamide
27. Depression is treated with the following group:
neuroleptics
antidepressants
mood stabilizers
tranquilizers
psychotherapy
28. Side effect of amitriptyline.
stimulation of the central nervous system
anticholinergic effect
anticholinergic effect
bradycardia
miosis
29. An antidepressant that blocks the neuronal uptake of norepinephrine:
imipramine
paroxetine
moclobemide
maprotiline
nialamide
30. Select a selective drug that blocks the neuronal uptake of serotonin:
fluoxetine
nialamide
amitriptyline
maprotiline
tyramine
1. Specify long acting benzodiazepine anxiolytic:
Naloxone
Lorazepam
Phenazepam
Buspirone
Midazolam
2. Specify benzodiazepine Medium-acting anxiolytic:
Phenazepam
Lorazepam
Diazepam
Ropinirole
Buspirone
3. "Daytime tranquilizer", a benzodiazepine derivative
Diazepam
Gabapentin
Midazolam
Phenazepam
Medazepam
4. Anxiolytic - agonist of serotonin receptors:
Buspirone
Amizil
Lorazepam
Chlordiazepoxide
Diazepam
5. Anxiolytic with a central H-histamine blocker effect :
Hydroxyzine
Buspirone
Medazepam
Amizil
Phenazepam
6. The action of benzodiazepines is mediated by:
GABA
Serotonin
Acetylcholine
Norepinephrine
Dopamine
7. Reducing internal tension, eliminating anxiety, fear is called
Antidepressant
Sedative
Neuroleptic
Anticonvulsant
Anxiolytic
8.Specific benzodiazepine receptor antagonist:
Galopidol
Diazepam
Flumazenil
Naphazoline
Chlorpromazine
9. benzodiazepine receptor agonist except
Diazepam
Hydroxyzine
Phenazepam
Medazepam
Nitrazepam
10. A 3-year-old child was admitted to the intensive care unit with severe atony of skeletal muscles,
and tomus, respiratory depression and collapse. According to her mother, she takes pills due to
neurosis and forgot to remove them after taking them. After a while she discovered the medicine
next to a child who lies and does not breathe. The child was suspected of benzodiazepine poisoning.What should be administered to neutralize the effect of the drug?:
Atropine
Naloxone
Amisil
Flumazenil
Phenobarbital
11. The following effects are typical for benzodiazepine drugs
Anxiolytic , antipsychotic. anticonvulsant
sedative, hypnotic, antiparkinsonian
amnestic, muscle relaxant, analgesic
antidepressive, anticonvulsant, amnestic
muscle relaxant, anticonvulsant, hypnotic
12. Receptor structures with which buspirone interacts
GABA-A receptors
M- cholinergic receptors
5-HT1A
5-HT2 and histamine receptor
NMDA receptors
13. Anxiolytic which lacks sedative, anticonvulsant and muscle-relaxing effects:
Buspirone
Hydroxyzine
Amitriptyline
Phenazepam
Flumazenil
14. With chloride ion channels under the influence of anxiolytics, benzodiazepine series occurs
Full block
Longer opening
More frequent opening
Partial block
Doesn't change
15. The main mechanism of action of phenazepam is associated with;
excitation of barbiturate receptors by the benzodiazepine -barbiturate- GABAergic complex
Excitation of omega-1, omega-2, omega-5 benzodiazepine receptors benzodiazepine -barbiturate
- GABAergic complex
Inhibition of GABA transferase
reduced permeability of ca 2+ channels
reduced Na + permeability channels
16. The anxiolytic effect of phenazepam is associated with the effect on:
Medulla
Extrapyramidal system
Mesolimbic system
sympathetic nervous system
Hypothalamus
17. The muscle relaxant effect of benzodiazepines is due to:
Blockade of M- cholinergic receptors of the extrapyramidal system
Direct effect on skeletal muscle myofibrils
Strengthening the inhibitory effects of intercalary GABAergic neurons on motor neurons of the
spinal cord
Suppression of the limbic system
Inhibition of the reticular formation
18.When benzodiazepine receptors are excited, which ion channels open?
Chlorine
Sodium
Magnesium
Calcium
Potassium
19. The main indication for prescribing anxiolytics is
Psycho-emotional stress, phobias
Artenal hypertension
Convulsive syndrome
Myasthenic syndrome
Mania
20. As a result of long-term use of the drug by the patient to eliminate increased irritability against
the background of a positive therapeutic effect, general weakness, lethargy, tachycardia, dry mouth,and numbness of the tongue. What drug did the patient take?
Buspirone
Phenazepam
Amizil
Diazepam
Midazolam
21. A 46-year-old patient, a van driver, became nervous and irritable after an accident. Select a drugfrom the group of anxiolytics, taking into account the patient's profession:
Diazepam
Nitrazepam
Phenazepam
Medazepam
Lorazepam
22. Determine the group of drugs: They reduce feelings of fear, tension, anxiety, are able to relax
skeletal muscles, reduce motor activity, potentiate the effect of sleeping pills and narcotics. They donot eliminate delusions and hallucinations; they should not be prescribed the day before or during work to drive or person whose work involves the need for a quick reaction:
Antipsychotics
Anxiolytics
Antidepressants
Sedatives
Sleeping pills
23. A 15-year-old teenager consulted a doctor with complaints of constant restlessness, anxiety,
insomnia, and nervousness. He connects his condition with the death of his father. What drug can be recommended to a patient to eliminate feelings of internal tension?
Oxazepam
Diazepam
Haloperidol
Clozapine
Aminazine
24. Mechanism of action of hydroxyzine:
Excitation of omega-1, omega-2, omega-5 benzodiazepine receptors benzodiazepine-barbiturate- GABAergic complex
Inhibits GABA transferase
Blocks 5-HT1A serotonin receptors
Stimulates 5-HT1A serotonin receptors
Competitive blockade of H1 histamine receptors
25. Anxiolytic with a central H- histamine blocker effect:
Buspirone
Hydroxyzine
Phenazepam
Medazepam
Amizil
26. The action of benzodiazepines is mediated by:
Norepinephrine
Acetylcholine
Dopamine
GABA
Serotonin
27. Reducing internal tension, eliminating anxiety, fear is called
Antidepressant
Sedative
Neuroleptic
Anxiolytic
Anticonvulsant
28. Specific benjodiatepire receptor antagonist
Chlorpromazine
Naphazoline
Flumazenil
Diazepam
Galopidol
29. benzodiazepine receptor agonist except
Phenatepam
Diazepam
Hydroxyzine
Medazepam
Nitratepam
30. Receptor structures with which buspirone interacts:
NMDA receptors
5-HT2 and histamine receptors
5-HT1A
M- cholinergic receptors
GABA-A receptors
1. Receptor structures whose activity is modulated by benzodiazepine derivatives:
H2 receptors
H1 receptors
GABA receptors
HT2 receptors
Omega 1 receptors
2. An antiepileptic drug, the mechanism of action of which is to activate the
GABAergic system:
Phenytoin
Ethosuximide
Atenolol
Phenobarbital
Lamotrigine
3. The mechanism of action of Selegiline is:
Inhibition of MAO B
Stimulation of dopamine receptors
Blocking NMDA receptors
Blocking dopamine receptors
Replenishment of dopamine deficiency
4. According to the mechanism of action, Biperiden belongs to
Dopamine precursors
Monoamine oxidase B inhibitors
Dopamine receptor agonists
Drugs that inhibit cholinergic effects
Monoamine oxidase A inhibitors
5. What drugs are used to treat Parkinson’s disease
Trihexyphenidyl and chlorpromazine
Chlorpromazine and levodopa
Levodopa and trihexyphenidyl
Chlorpromazine and haloperidol
Carbamazepine and valproic acid
6. Which groups of drugs most often cause drug-induced parkinsonism
Tranquilizers
Analgesics
Anticonvulsants
Neuroleptics
Sleeping pills
7. Amantadine is used as:
Sleeping pills
Antiemetic
Antiparkinsonian drug
Analgesic
Antileptic drug
8. Mechanism of action of anticonvulsants:
Reduces vascular permeability, helps restore microcirculation
Increases the density of the vascular wall, reduce exudation
Increases cerebral blood flow, improves oxygen supply to the brain
Improve the metabolism of brain cells , increase the resistance of cells to
hypoxia
By stabilizing neuron membranes, they inhibit interneuronal transmission of
excitation
9. Patient K, 55 years old, was diagnosed with Parkinson's disease for the first time.
Recommend the patient a drug from the group of MAO inhibitors to start
pharmacotherapy. What drug is this?
carbidopa
Levodopa
Amantadine
Pramipexole
Selegiline
10. The patient suffers from clonic-tonic convulsions. To prevent epileptic
seizures, a drug was prescribed, which had to be discontinued. A
contraindication for prescribing this drug was the detection of II-Ill degree AV
block on the ECG. What drug is this?
sodium channel blocker difenin
activators GABA-sodium valproate
benzodiazepine receptor agonist - diazepam
calcium channel blocker T type ethosuximide
inhibitors of the glutamatergic system – topiramate
11. Select groups of drugs used to treat Parkinson's disease
anticoagulants and antiplatelet agents;
muscle relaxants and NSAIDs
neuroleptics
anticholinesterase drugs;
dopamine precursors;
12. The classic triad of Parkinson's disease includes:
tremor, rigidity, bradykinesia
tremor, rigidity, depression;
rigidity, anosmia, agitation
bradykinesia, rigidity, mental disorders;
anosmia, tremor, postural instability;
13. Antiepileptic drug, sodium channel blocker:
Ethosuximide
Phenobarbital
Phenytoin
Clonazepam
sodium valproate
14. For the treatment of grand mal seizures of epilepsy, use
Phenobarbital
Zopiclone
Bromhexine
Trimethine
Carbamazepine
15. Antiepileptic drug, the use of which may develop hyperplastic gingivitis:
Chlorakon
Phenytoin
Carbamazepine
Trimethin
Sodium valproate
16. Amantadine is used as:
Antiepileptic drug
Analgesic
Antiparkinsonian drug
antiemetic
Sleeping pills
17. Drugs used for drug-induced parkinsonism
Biperidin
Levodopa
Selegiline
Amantadine
pirenzipine
18. For grand mal seizures , a drug is prescribed whose action is combined with a favourable psychotropic effect
Levodopa
Carbamazepine
Phenobarbital
rispolept
Gabapentin
19) Status epilepticus is a dangerous condition when attacks follow each other.
Diazepam may be the drug of choice. Select an effect uncharacteristic of diazepam:
short action
risk of respiratory depression
occurrence of hypotension
blocks sodium channels of neurocytes
causes muscle relaxation
20. A patient with Parkinson's disease is prescribed medication a drug that caused
tachycardia, difficulty urinating, and worsened glaucoma. What drug are we talking
about?
Trihexyphenidyl
Levodopa
Bromocriptine
Selegiline
amantadine
21. Specify a drug that is a dopamine receptor agonist
Selegiline
Bromocriptine
Levodopa
Tolcapone
amitriptyline
22. Specify a drug that stimulates the release of dopamine and inhibits its neuronal reuptake
Tolcapone
Amantadine
Selegiline
Carbidopa
Bromocriptine
23. Specify the effects caused by the anticholinergic activity
of trihexyphenidy
Appetite disturbances
Swelling
Visual hallucinations
Increased intraocular pressure
bradycardia
24. An anticonvulsant that also has an analgesic effect in trigeminal neuralgia
Sodium valproate
Phenytoin
Hexamidine
Carbamazepine
tiagabine
25 . Select indications for prescribing sodium valproate
Grand anal seizure
Manic state
Depressive syndrome
Parkinson’s disease
Meniere’s disease
26. A GABAergic drug, with long term use of which there is a risk of accumulation and severe dependence
Difenin
Phenobarbital
Phenobarbital
Zopiclone
Amitriptyline
27. Diphenin has, in addition to the main effect:
Antiarrhythmic , analgesic, muscle relaxant effects
Neuroleptic , sedative, adrenergic blocking effects
Sedative , depressant, calming effects
M-anticholinergic, anxiolytic, antidepressant effects
psychostimulating , antispasmodic , antiemetic effects
28. Specify a peripheral DOPA decarboxylase inhibitor, the use of which in the treatment of parkinsonism neutralizes the side effects of levodopa:
Carbidopa
Benserazide
Domperidone
Clozapine
aminazine
29. A 51-year-old woman complained of a resting tremor of her left hand,
difficulty writing, and a painful feeling of internal restlessness. After a thorough
neurological examination, a diagnosis was made and appropriate therapy was
prescribed, including a drug that acts as a partial agonist of dopamine D2
receptors in the brain. What drug was most likely to be prescribed?
Pramipexole
Selegiline
Amantadine
Levodopa
carbamazepine
30. Antiepileptie drugs should not be discontinued suddenly, but gradually, because:
Tachyphylaxis may develop
It is fraught with adrenal insufficiency
This is a prevention of hepatotoxicity
Drug addiction should be prevented
The phenomenon of "recoil" may develop
31. Select a benzodiazepine anticovulsant antagonist:
Ditilin
Buspirone
Isonitrazine
Naloxone
Flumazenil
32. Select indications for prescribing sodium valproate
Depressive syndrome
Manic state
Grand mal seizure
Meniere’s disease
Parkinson’s disease
33. Drugs used for drug-induced Parkinsonism
Levodopa
Selegiline
Amantadine
Biperiden
Pirenzipine
34. Receptor structures, blocker of which amantadine is
5-HT2 receptors
GABA receptors
H1 receptors
NMDA receptors
Opioid receptors
35. To treat Parkinson’s disease use:
Sodium Valproate
Carbamazepine
Levodopa
Zopiclone
Diazepam
36. Identify the drug : it has anti epileptic , hypnotic and sedative effects, stimulates GABAergic processes in the brain, causes the induction of microsomal liver enzymes:
Phenobarbital
Naloxone
Fentanyl
Morphine
Butorphanol
37. Specify the main reason why it is impossible to use dopamine as replacement therapy for Parkinsonism
Dopamine causes psychosis with long term use
Dopamine practically does not penetrate the blood brain barrier
Dopamine practically does penetrate the blood brain barrier
Dopamine is contraindicated for intravenous administration
Dopamine blocks dopamine receptors
38. Specify an antiparkinsonian drug, a monoamine oxidase inhibitor:
Levodopa
Midantan
Cyclodol
Selegiline
Nialamide
39. This drug was chosen by a doctor to treat a patient with myoclonus epilepsy.
The mechanism of action is diverse, but is not associated with the glutamatergic
system. SIDE effects : nausea, ataxia, drowsiness. Select drug
Topiramate
Lamotrigine
Clonazepam
Phenobarbital
Sodium valproate
40. Combined drug for the treatment for Parkinsonism. Replenishes dopamine
deficiency in the basal ganglia of the CNS. The second part of the drug prevents
the destruction of the active principle in peripheral tissues. Select drug
combination:
Levodopa + Bromocriptine
Levodopa + Carbidopa
Amantadine + selegiline
Levodopa + amantadine
Amantadine + biperiden
41. Antiepileptic drug, T-type calcium channel blocker:
Clonazepam
Ethosuximide
Phenobarbital
Phenytoin
sodium valproate
42.What drugs are used to treat Parkinson's disease?
trihexyphenidyl and chlorpromazine;
chlorpromazine and levodopa;
levodopa and trihexyphenidyl
chlorpromazine and haloperidol.
carbamazepine and valproic acid
43.Antiepileptic drug, the use of which may develop hyperplastic gingivitis
Chlorakon
Carbamazepine
Sodium valproate
Phenytoin
Trimethin
44 .What is the mechanism of action of levodopa?
increases the content of gamma-aminobutyric acid (GABA) in the central nervous
system
increases the content of enkephalins in the central nervous system
increases the content of dopamine in the central nervous system
increases the content of serotonin in the central nervous system
increases the content of acetylcholine in the central nervous system
45.Specify a drug that is a dopamine receptor agonist
Bromocriptine
levodopa
tolcapone
Selegiline
amitriptyline
46. For grand mal seizures , a drug is prescribed whose action is combined with a favourable psychotropic effect
Levodopa
Carbamazepine
Phenobarbital
Gabapentin
Rispolept
47. Specify a drug that is a dopamine receptor agonist
Selegiline
Bromocriptine
levodopa
amitriptyline
tolcapone
48.Select benzodiazepine anticonvulsant antagonist:
Ditilin
Buspirone
Isonitrazine
naloxone
flumazenil
49.Status epilepticus is a dangerous condition when attacks follow each other. Diazepam may be the drug of choice. Select an effect uncharacteristic of diazepam:
short action
isk of respiratory depression
occurrence of hypotension
blocks sodium channels of neurocytes
causes muscle relaxation
50. An 82-year-old man receiving the combination drug levodopa/carbidopa (Sinemet)
for the treatment of Parkinson's disease must be prescribed an additional drug,
because the therapeutic effect of Sinemet has become insufficient. From the
anamnesis it is known that several years ago the same patient received a certain
antiparkinsonian drug, which is also used in gynecological practice for the treatment of
infertility associated with hyperprolactinemia. What drug is this?
Amantadine
Bromocriptine
Carbamazepine
Dopamine
Lorazepam
