Medical Pharmacology:
Anti-Psychotic Drug Practice Questions
Click on the correct answer.
The mechanism of action of "atypical" (antipsychotic agents that exhibit very limited extrapyramidal side effects at therapeutic doses) antipsychotic drugs involve a limited dopamine (D2)-receptor blockade along with a significant serotonin (5-HT2A) blockade appears to applied to all the following agents EXCEPT:
Clozapine
Quetiapine
Ziprasidone
Aripiprazole
Olanzapine
This/these atypical antipsychotic drug(s) exhibit 5-HT2A antagonism but a partial D2-type dopamine receptor agonism.
Bifeprunox
Aripiprazole
Both
Neither
For patients that did not respond to typical antipsychotic medications, this agent became the first antipsychotic drug which improved both negative and positive symptoms in patients.
Olanzapine
Risperidone
Clozapine
Aripiprazole
Clozapine administration may cause agranulocytosis in about 1% of patients. This factor constrains the patient groups for which clozapine may be appropriate.
True
False
Which one(s) of the following statements concerning clozapine is/are correct?
Clozapine has received approval in the United States for patients with schizophrenia who exhibit treatment-resistant schizophrenia to typical antipsychotic drugs.
Clozapine is appropriate for administration to manage schizophrenia in patients intolerant of typical agents as a result of tardive dyskinesia or extrapyramidal syndromes.
Both
Neither
Clozapine has been approved for patients with schizophrenia who present with a high risk for suicide.
True
False
Percentage of patients with positive symptoms that may not respond adequately to clozapine monotherapy.
10%
25%
40%
60%
In patients exhibiting substantial treatment-resistance, clozapine therapy lasting six months or longer may be required for positive symptom control (highly treatment-resistant patients).
True
False
Clozapine-induced agranulocytosis most typically occurs within this time window following treatment initiation: