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22
PHARMACY PREP

INSOMNIA

1-Which of the following statement is inappropriate in sleep hygiene recommendations?
A-Take 2 to 3 caffeine drinks at bedtime
B- Discontinue caffeine four to six hours before bedtime and minimize total daily intake
C- Avoid nicotine near bedtime and upon awakening at night
D-Establish a regular sleeps time and wake up time
E- Exercise four 30 to 40 minutes endurance training sessions per week
Ans-
Tips: TC page 56, sleep hygiene guidelines

2- In which of the following conditions would you refer your patient complaining about
insomnia to the physician?
I- If the OTC sedatives are ineffective for 3 evenings
II- Insomnia associated with asthma
III- If insomnia occurs in a predictable manner
a) I only
b) III only
c) I and II only
d) II and III only
E-All of the above
Ans-
Tips: PSC page 51, If insomnia occurs in predictable manner, consider short term drug therapy
(2-3 nights only)

3- Which of the following patient assessment is LEAST important for insomnia?
A. Sleep latency
B. Alcohol consumption
C. Early and/or frequent awakening
D. Daytime impact of sleeping problem
E. Total sleep time
Ans-B

4-All of the following herbals can be used for insomnia EXCEPT?
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Copyright 2000-2010 TIPS Inc. Unauthorized reproduction of this manual is strictly prohibited and it is
illegal to reproduce without permission. This manual is being used during review sessions conducted by
PharmacyPrep.

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A. Valerian
B. Melatonin
C. Passion flower
D. Chamomile
E. Echinacea
Ans-E

5.About benzodiazepines all true, excepts:
a) Transfer NOT permitted
b) Written or verbal prescription permitted
c) Sales report NOT required
d) Refills for both written and verbal permitted
E-Loss and theft should be reported to office of control substances
Ans: A

6. A 35 years old patient who has chronic insomnia due to depression. His doctor wants to
prescribe for him a hypnotic medication, in addition to bupropion 75mg SR that he is taking
currently. The patient is intolerant to BDZ. Best medication his doctor should recommend is:
(A) Zopiclone
(B) L-Tryptophan
(C) Chloral Hydrate
(D) Melatonin
(E) Barbiturates
Answer: B
Reference: Therapeutic Choices 5th edition Page 128

7. All true with respect to methylphenidate immediate release tablet EXCEPT:
(A) Avoid use with MAOIs
(B) Concurrent use with theophylline may risk of tachycardia
(C) Last daily dose should be given after 4pm
(D) Anorexia is one of its side effects
(E) Cause seizures
Answer: (E)
TIPS: Last daily dose should be given before 4pm to avoid insomnia