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1.

A 51 year old woman with symptoms of major depression also has a narrow-angle
glaucoma. Which of the following antidepressants should be avoided?
A. Amitriptyline B. Sertraline C. Bupropion D. Fluvoxamine
2. A 25 year old male had a long history of depressive symptoms accompanied by body
aches. Physical & laboratory tests were unremarkable. Which of the following drugs might
be useful in this patient?
A. Phenelzine B. Sertraline C.Duloxetine D.amitryptiline
3. A 55 year old male with depressive symptoms complains of sexual dysfunction after 6
weeks therapy with fluoxetine. Which drug can you shifit this patient?
A. Sertraline B. Fluvoxamine C. Citalopram D.Mirtazapine
4. A 36 year old man repeatedly aligns & realigns the things on his desk throughout the day
that interferes with his ability to accomplish daily tasks. Which drug would be most helpful
to this patient?
A. Imipramine B. Fluvoxamine C. Amitriptyline D. Tranylcypromine
5. An antidepressant that causes penile erection:
A. Maprotiline B.Trazodone C. Amitriptyline D. Fluoxetine
6. A 26 year old female is diagnosed to have continuous enuresis. Which of the drugs is best
used to treat this disorder?
A. TCAs B. MAO inhibitors C. SSRIs D. Butyrophenones
7. A 28 year old woman has sporadic attacks of intense anxiety with marked physical
symptoms, including hyperventilation, tachycardia, and sweating. If she is diagnosed
suffering from panic disorder, the most appropriate drug to use is:
A. alprazolam B. chloral hydrate C. flurazepam
D. propranolol E. ramelteon
8. The most appropriate drug for the treatment of a young woman who suffers from
myoclonic jerking with no overt signs of neurologic deficit or history of generalized tonic-
clonic seizures is:
A. carbamazepine B. ethosuximide C. Phenobarbital
D. valproic acid E. vigabatrin
9. One of the reason for the declining use of tricyclic antidepressants such as imipramine,
and the growing use of newer classes, is the prevalence of common tricyclic-induced side
effects or adverse responses that are most likely to occur with the administration of
tricyclic?
A. anticholinergic effects B. arrhythmias C. hepatotoxicity
D. nephrototoxicity E. seizures
10. A 26 year old woman with depression has been on antidepressant therapy for several
months. Today she complains of missing her period and having galactorrhea, and your
assessment suggests she has developed some dyskinesias not unlike those you would
typically associate with a phenothiazine or butyrophenone antipsychotic drug. Pregnancy
test is negative. Which of the following is most likely to have caused these findings?
A. amoxapine B. citalopram C. fluoxetine
D. sertraline E. tranylcypromine

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