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Chapter 9 Anxiety disorders and anxiolytics
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Chapter 9 Anxiety disorders and anxiolytics
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Chapter 9 Anxiety disorders and anxiolyticsMULTIPLE CHOICE
1. What is the recommended time over which antianxiety medications must be
gradually tapered before discontinuation?
a. 1 week
b. 1 month
c. 6 months
d. 1 year
ANS: B
Withdrawal from medication should be done under a health care providers
supervision. Withdrawal usually takes 4 weeks and requires a gradual reduction in
dosage and greater intervals between medication administrations. One week is an
inadequate interval for cessation of antianxiety medication therapy. Six months to 1
year is much longer than necessary for cessation of antianxiety medication therapy.
2. Which is a benzodiazepine of choice when treating anxiety associated with alcohol
withdrawal?
a. Chlordiazepoxide (Librium)
b. Oxazepam (Serax)
c. Diazepam (Valium)
d. Clorazepate (Tranxene)
ANS: B
Oxazepam and lorazepam are the drugs of choice in treating anxiety disorders because
they have no active metabolites. Chlordiazepoxide and clorazepate are not the drugs
of choice when treating anxiety associated with alcohol withdrawal. Diazepam has not
been studied as fully as oxazepam in treating patients who have hepatic function
impairment.
3. Which is the drug of choice to treat a patient with obsessive compulsive disorder
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, (OCD)?
a. Lorazepam (Ativan)
b. Buspirone (BuSpar)
c. Fluvoxamine (Luvox)
d. Hydroxyzine (Vistaril)
ANS: C
Fluvoxamine inhibits the reuptake of serotonin at the nerve endings, thus prolonging
serotonin activity. Fluvoxamine is used for the treatment of OCD when the obsessions
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