Chapter 4 Quiz BNF Central Nervous System
Questions:
1. Which class of drugs does cimetidine belong to?
A. H1 receptor agonist
B. H2 receptor agonist
C. H2 receptor antagonist
D. H1 receptor antagonist
2. You are conducting an antidepressant medication review with Mr PL who is 79 years old. You
have been seeing Mr PL who was commenced on Sertraline 50mg 1 OD a year and a half
ago since the passing of his wife. Today Mr PL informs you he feels as though he does not
need this medication anymore and is informing you, he is in a much better place. He has,
over the last week or so started to wonder is he can come off this medication.
How long should antidepressant treatment be continued in Mr PL following
remission?
A. At least 1 week
B. At least 4 weeks
C. At least 6 months
D. At least 12 months
3. Miss U, 73 years old is new to the practice. You are currently conducting a meds
reconciliation from her previous practice notes. From the notes, you can see that she has
been stabilised on a brand of Lithium Citrate for 20 years, and her bloods from the last 3
years all show Lithium being in range. She also has her annual secondary care mental health
review with the psychiatry team.
How often should Miss U come in for monitoring for her Lithium?
A. Every fortnight
B. Every month
C. 3 monthly
D. 6 monthly
4. Mr L, 58 years old has come into the practice today to see his regular GP. Mr L has recently
been experiencing pain in his back. Below is the list of medication Mr L is currently taking.
Priadel 400mg tablets
Levothyroxine 100mg tablets
Olanzapine 10mg tablets
What would be the least suitable analgesic to prescribe, considering Mr L’s
medication?
A. Naproxen
B. Paracetamol
C. Codeine
D. Meptazinol
5. Mr K89 years old, has been admitted to the ward. He was admitted due to experiencing
nausea and vomiting, being very confused and irritable. Some blood tests have been
conducted, and the results have come back showing a reduction in sodium levels.
Which of the following medications below is likely to have caused a reduction in
sodium levels?
A. Citalopram
B. Olanzapine
C. Temazepam
,Chapter 4 Quiz BNF Central Nervous System
D. Zopiclone
6. Miss P, a 17-year-old girl has been referred to CAMHS to help with her ongoing persistent
sadness and low mood. The specialist has decided to offer pharmacological therapy
alongside the psychological therapy which Miss P is undertaking.
Which of the following is most appropriate to offer as first line drug treatment to Miss
P?
A. Sertraline
B. Clozapine
C. Fluoxetine
D. Venlafaxine
7. Which of the following antipsychotics has the lowest risk of Diabetes?
A. Haloperidol
B. Clozapine
C. Olanzapine
D. Quetiapine
8. Mr S has had Parkinson’s disease for 3 years now and is on Co-Beneldopa to help manage
his symptoms. Unfortunately, today he has also been diagnosed with Dementia.
Which of the following drugs would be the most appropriate for him to be put on?
A. Donepezil
B. Galantamine
C. Rivastigmine
D. Memantine
9. Entacapone can colour your urine what colour?
A. Red/Yellow
B. Orange/Yellow
C. Orange/Brown
D. Red/Brown
10. Mrs R brings in a prescription for Duloxetine. Your pre-reg student asks you what drug class
this belongs to, what answer do you give?
A. SSRI
B. TCA
C. SNRI
D. MAOI’s
11. Which of the following drugs below has both opioid agonist and antagonist properties?
A. Methadone
B. Gabapentin
C. Topiramate
D. Buprenorphine
12. Which of the following antidepressants drugs can increase the risk of bleeding?
A. Venlafaxine
B. Amitriptyline
C. Imipramine
D. Sertraline
, Chapter 4 Quiz BNF Central Nervous System
13. How many weeks can it take for Buspirone to work?
A. Up to one week
B. Up to two weeks
C. Up to three weeks
D. Up to four weeks
14. How long should a patient receive an anti-psychotic drug before it is deemed as being
‘ineffective’?
A. 1-2 weeks
B. 2-4 weeks
C. 4-6 weeks
D. 6-8 weeks
15. Over how many weeks should the dose of Clozapine be reduced to avoid the risk of rebound
psychosis?
A. 1-2 weeks
B. 2-4 weeks
C. 3-4 weeks
D. 4-6 weeks
16. Which of the following in an example of a group 2 drug under section 4 of the driving road
traffic act?
A. Cannabis
B. Ketamine
C. Diamorphine metabolite
D. Amfetamine
17. Mrs K Alory comes into the pharmacy to collect her monthly repeat prescription of
medications. You are chatting away to her and notice that she’s not her usual self and ask if
she is okay. She informs you that she has been putting on weight recently and unsure why.
She is not eating any more than normal and is exercising the same amount and believes it
may be down the medications.
Which of the medications below is likely to have caused Mrs K Alory’s weight gain?
A. Metformin
B. Pizotifen
C. Methylphenidate
D. Semaglutide
18. Mr P 52-years-old is being treated palliatively after his diagnosis of stage 4 metastasise. For
pain relief, he is currently taking:
Morphine Sulphate 60mg BD M/R Capsules
Morphine Sulphate 30mg BD M/R Capsules
The GP has prescribed oral morphine sulphate solution for Mr P to use break through pain, as
Mr P is experiencing a little pain between the doses of Morphine.
What dose of morphine sulphate solution 10mg/5mLwould you expect to see
prescribed?
A. 18-30mg every 2-4 hours PRN
B. 5-10mg every 4-8 hours PRN
C. 5-10mg every 2-4 hours PRN
D. 30-40mg every 2-4hours PRN
Questions:
1. Which class of drugs does cimetidine belong to?
A. H1 receptor agonist
B. H2 receptor agonist
C. H2 receptor antagonist
D. H1 receptor antagonist
2. You are conducting an antidepressant medication review with Mr PL who is 79 years old. You
have been seeing Mr PL who was commenced on Sertraline 50mg 1 OD a year and a half
ago since the passing of his wife. Today Mr PL informs you he feels as though he does not
need this medication anymore and is informing you, he is in a much better place. He has,
over the last week or so started to wonder is he can come off this medication.
How long should antidepressant treatment be continued in Mr PL following
remission?
A. At least 1 week
B. At least 4 weeks
C. At least 6 months
D. At least 12 months
3. Miss U, 73 years old is new to the practice. You are currently conducting a meds
reconciliation from her previous practice notes. From the notes, you can see that she has
been stabilised on a brand of Lithium Citrate for 20 years, and her bloods from the last 3
years all show Lithium being in range. She also has her annual secondary care mental health
review with the psychiatry team.
How often should Miss U come in for monitoring for her Lithium?
A. Every fortnight
B. Every month
C. 3 monthly
D. 6 monthly
4. Mr L, 58 years old has come into the practice today to see his regular GP. Mr L has recently
been experiencing pain in his back. Below is the list of medication Mr L is currently taking.
Priadel 400mg tablets
Levothyroxine 100mg tablets
Olanzapine 10mg tablets
What would be the least suitable analgesic to prescribe, considering Mr L’s
medication?
A. Naproxen
B. Paracetamol
C. Codeine
D. Meptazinol
5. Mr K89 years old, has been admitted to the ward. He was admitted due to experiencing
nausea and vomiting, being very confused and irritable. Some blood tests have been
conducted, and the results have come back showing a reduction in sodium levels.
Which of the following medications below is likely to have caused a reduction in
sodium levels?
A. Citalopram
B. Olanzapine
C. Temazepam
,Chapter 4 Quiz BNF Central Nervous System
D. Zopiclone
6. Miss P, a 17-year-old girl has been referred to CAMHS to help with her ongoing persistent
sadness and low mood. The specialist has decided to offer pharmacological therapy
alongside the psychological therapy which Miss P is undertaking.
Which of the following is most appropriate to offer as first line drug treatment to Miss
P?
A. Sertraline
B. Clozapine
C. Fluoxetine
D. Venlafaxine
7. Which of the following antipsychotics has the lowest risk of Diabetes?
A. Haloperidol
B. Clozapine
C. Olanzapine
D. Quetiapine
8. Mr S has had Parkinson’s disease for 3 years now and is on Co-Beneldopa to help manage
his symptoms. Unfortunately, today he has also been diagnosed with Dementia.
Which of the following drugs would be the most appropriate for him to be put on?
A. Donepezil
B. Galantamine
C. Rivastigmine
D. Memantine
9. Entacapone can colour your urine what colour?
A. Red/Yellow
B. Orange/Yellow
C. Orange/Brown
D. Red/Brown
10. Mrs R brings in a prescription for Duloxetine. Your pre-reg student asks you what drug class
this belongs to, what answer do you give?
A. SSRI
B. TCA
C. SNRI
D. MAOI’s
11. Which of the following drugs below has both opioid agonist and antagonist properties?
A. Methadone
B. Gabapentin
C. Topiramate
D. Buprenorphine
12. Which of the following antidepressants drugs can increase the risk of bleeding?
A. Venlafaxine
B. Amitriptyline
C. Imipramine
D. Sertraline
, Chapter 4 Quiz BNF Central Nervous System
13. How many weeks can it take for Buspirone to work?
A. Up to one week
B. Up to two weeks
C. Up to three weeks
D. Up to four weeks
14. How long should a patient receive an anti-psychotic drug before it is deemed as being
‘ineffective’?
A. 1-2 weeks
B. 2-4 weeks
C. 4-6 weeks
D. 6-8 weeks
15. Over how many weeks should the dose of Clozapine be reduced to avoid the risk of rebound
psychosis?
A. 1-2 weeks
B. 2-4 weeks
C. 3-4 weeks
D. 4-6 weeks
16. Which of the following in an example of a group 2 drug under section 4 of the driving road
traffic act?
A. Cannabis
B. Ketamine
C. Diamorphine metabolite
D. Amfetamine
17. Mrs K Alory comes into the pharmacy to collect her monthly repeat prescription of
medications. You are chatting away to her and notice that she’s not her usual self and ask if
she is okay. She informs you that she has been putting on weight recently and unsure why.
She is not eating any more than normal and is exercising the same amount and believes it
may be down the medications.
Which of the medications below is likely to have caused Mrs K Alory’s weight gain?
A. Metformin
B. Pizotifen
C. Methylphenidate
D. Semaglutide
18. Mr P 52-years-old is being treated palliatively after his diagnosis of stage 4 metastasise. For
pain relief, he is currently taking:
Morphine Sulphate 60mg BD M/R Capsules
Morphine Sulphate 30mg BD M/R Capsules
The GP has prescribed oral morphine sulphate solution for Mr P to use break through pain, as
Mr P is experiencing a little pain between the doses of Morphine.
What dose of morphine sulphate solution 10mg/5mLwould you expect to see
prescribed?
A. 18-30mg every 2-4 hours PRN
B. 5-10mg every 4-8 hours PRN
C. 5-10mg every 2-4 hours PRN
D. 30-40mg every 2-4hours PRN
