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1. Clinical signs and symptoms of insomnia may include:

A. Difficulty falling asleep B. Awakening throughout the night C. Daytime fatigue D. All of the above

2. Which nonpharmacologic interventions can be helpful for many people with insomnia?

A. Exercising 1 hour before bed in an attempt to tire herself out B. Taking a nap to minimize daytime fatigue C. Having an alcoholic nightcap to aid in falling asleep D. Establishing a routine by going to bed and arising at the same time every day

3. Which sleep medication is most likely to cause urinary retention, blurred vision and cognitive impairment in the elderly?

A. Lorazepam 0.25 mg po HS B. Zolpidem 1.75 mg po HS C. Diphenhydramine 50 mg po HS D. Ramelteon 8 mg po HS

4. If BK had been prescribed temazepam, counseling on the possible side effects should include which of the following points?

A. Benzodiazepines are often used for extended periods of time to treat insomnia. B. Temazepam is metabolized by the liver into several active metabolites. C. Temazepam may have synergistic CNS depressive effects when combined with alcohol. D. When taken as prescribed, temazepam will not cause dependence.

5. When reviewing BK's case, you notice several factors that would negatively affect her sleep. These would include:

A. Hydrochlorothiazide prescription directions state to take “daily” B. Excessive caffeine intake C. Watching television in bed upon awakening at night D. All of the above

6. If BK were prescribed any of the medications listed below, which agent is most likely to cause sleep walking?

A. Melatonin B. Zaleplon C. Trazodone D. Doxepin

7. BK is willing to start a sleep aid, but she expresses concern over possible dependence. Which agent would be the best treatment option for her?

A. Ramelteon B. Doxylamine C. Eszopiclone D. All would be appropriate choices

8. Which factor is known or a suspected cause of insomnia?

A. Age B. Gender C. Acute stressors D. A and B only E. A, B and C

9. Which medication may cause or worsen insomnia?

A. Selective serotonin reuptake inhibitors B. Steroids C. Diuretics D. All of the above

10. How soon after beginning treatment with zolpidem should BK be evaluated?

A. 2 days B. 7 days C. 30 days D. 6 months

11. Which benzodiazepine possesses pharmacokinetic parameters that would be most appropriate for a patient that is the same age as BK?

A. Diazepam B. Estazolam C. Flurazepam D. Lorazepam

12. If BK only reported difficulty with falling asleep, which agent would be most preferred?

A. Zolpidem CR B. Zaleplon C. Eszopiclone D. All would be appropriate choices

13. If BK were prescribed a benzodiazepine, which statement would be an important factor to consider?

A. Those agents with longer half-lives are associated with a greater likelihood of physical dependence. B. Patients will not become physically dependent on benzodiazepines if they are taking them exactly as prescribed. C. Those that are highly lipophilic are associated with a more intense/greater feeling of euphoria. D. Tolerance to the sedating effect of benzodiazepine hypnotics is seen after 2 weeks of continuous therapy.

14. If BK were prescribed zolpidem, which of the following product labels has recently been updated for dosing in women?

A. Ambien® B. Ambien CR® C. Intermezzo® D. A and B only E. All of the above have recently revised their recommended dose for women

Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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1. Clinical signs and symptoms of insomnia may include:

2. Which nonpharmacologic interventions can be helpful for many people with insomnia?

3. Which sleep medication is most likely to cause urinary retention, blurred vision and cognitive impairment in the elderly?

4. If BK had been prescribed temazepam, counseling on the possible side effects should include which of the following points?

5. When reviewing BK's case, you notice several factors that would negatively affect her sleep. These would include:

6. If BK were prescribed any of the medications listed below, which agent is most likely to cause sleep walking?

7. BK is willing to start a sleep aid, but she expresses concern over possible dependence. Which agent would be the best treatment option for her?

8. Which factor is known or a suspected cause of insomnia?

9. Which medication may cause or worsen insomnia?

10. How soon after beginning treatment with zolpidem should BK be evaluated?

11. Which benzodiazepine possesses pharmacokinetic parameters that would be most appropriate for a patient that is the same age as BK?

12. If BK only reported difficulty with falling asleep, which agent would be most preferred?

13. If BK were prescribed a benzodiazepine, which statement would be an important factor to consider?

14. If BK were prescribed zolpidem, which of the following product labels has recently been updated for dosing in women?

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Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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1. Clinical signs and symptoms of insomnia may include:

2. Which nonpharmacologic interventions can be helpful for many people with insomnia?

3. Which sleep medication is most likely to cause urinary retention, blurred vision and cognitive impairment in the elderly?

4. If BK had been prescribed temazepam, counseling on the possible side effects should include which of the following points?

5. When reviewing BK's case, you notice several factors that would negatively affect her sleep. These would include:

6. If BK were prescribed any of the medications listed below, which agent is most likely to cause sleep walking?

7. BK is willing to start a sleep aid, but she expresses concern over possible dependence. Which agent would be the best treatment option for her?

8. Which factor is known or a suspected cause of insomnia?

9. Which medication may cause or worsen insomnia?

10. How soon after beginning treatment with zolpidem should BK be evaluated?

11. Which benzodiazepine possesses pharmacokinetic parameters that would be most appropriate for a patient that is the same age as BK?

12. If BK only reported difficulty with falling asleep, which agent would be most preferred?

13. If BK were prescribed a benzodiazepine, which statement would be an important factor to consider?

14. If BK were prescribed zolpidem, which of the following product labels has recently been updated for dosing in women?

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