Hypnotic Drugs. Ethyl Alcohol

1. A female complains of insomnia after psycho-emotional stress. What drug has advantage for treatment of this female?

*A. Nitrazepam.

B. Phenobarbital.

C. Aethaminalum-natrium (pentobarbital).

D. Barbamil.

E. Barbital.

2. A patient complains of insomnia due to emotional disturbances. The doctor has prescribed him hypnotic drug with tranquilizer action. What drug has been prescribed to patient?

*A. Nitrazepam.

B. Phenobarbital.

C. Chloral hydrate.

D. Aethaminalum-natrium.

E. Bromisoval.

3. An 18-year-old patient complains of insomnia, which is manifested as difficulty in getting to sleep. As a result, on the next day the patient feels weakness, weariness, and has difficulty in training. The doctor has defined, that the insomnia is connected with neurosis. Make the rational choice of hypnotic drug.

*A. Nitrazepam.

B. Bromisoval.

C. Chloral hydrate.

D. Phenobarbital.

E. Aethaminalum-natrium.

4. A 17-year-old woman took big dose of phenobarbital for suicidal purpose. The urgent doctor made gastric lavage, introduced bemegridum and sodium hydrocarbonate solution intravenously. What has the doctor introduced the sodium hydrocarbonate for?

*A. For increase of kidney excretion of phenobarbital.

B. For stimulation of breathing.

C. For normalization of blood pressure.

D. For inactivation of phenobarbital.

E. For wakening effect.

5. A 50-year-old female suffers from insomnia. She has used different hypnotic drugs (aethaminalum-natrium, phenobarbital, and barbamil) during 3 months. After withdrawal of drugs the female became irritable, aggressive, tremor of hands, and loss of appetite have appeared. What is the complication, which has developed in female called?

*A. Physical and psychic dependence.

B. Tachyphylaxis.

C. Sensibilization.

D. Tolerance.

E. Functional cumulation.

6. Prescribe a patient complaining of insomnia a modern soporific, which is an imidopyridinum derivative. It influences benzodiazepine receptors in the CNS, does not violate the structure of sleep, does not result in dependence, does not change the activity of liver enzymes. What is it?

*A. Zolpidemum.

B. Chlorali hydras.

C. Nitrazepamum.

D. Calcii chloridum.

E. Phenobarbitalum.

7. The effective hypnotic drug which does not influence upon REM sleep is prescribed to patient with sleeping disorders. Choose this drug.

*A. Zopiclone.

B. Phenobarbital.

C. Sodium oxybutiras.

D. Dimedrolum.

E. Aminazine.

8. A doctor has introduced intramuscularly caffeine to young patient in condition of alcohol intoxication. What is the base of expediency of such manipulation?

*A. Physiological antagonism.

B. Synergism.

C. Potentiation.

D. Competitive antagonism.

E. Summation of affects.

9. Desulfiram is widely used in medical practice to prevent alcoholism. It inhibits aldehyde dehydrogenase. Increased level of what metabolite causes aversion to alcohol?

*A. Acetaldehyde.

B. Methanol.

C. Propionic aldehyde.

D. Malonyl aldehyde.

E. Ethanol.