1- Which of the following side effects are produced with T.C.A? A- Tachycardia & dry mouth. B- Sedation. C- Postural hypotension. D- Both A & C. E- All of the above. 2- Concerning MAO inhibitors: A- Selegiline is MAOB inhibitor that is used in treatment of depression. B- Moclobemide is MAOA inhibitor that is used in treatment of mania. C- Hypertensive crisis may occur when patients on phenelzine ingest cheese. D- Both A & C. E- None of the above. 3- Which of the following effects the T.C.A. & phenothiazines have in common? A- Blocking dopamine receptors. B- Increasing serotonin levels. C- Blocking alpha adrenergic receptors. D- Both A & B. E- None of the above. 4 – Concerning selective serotonin reuptake inhibitors: A- Fluoxetine can be used in treatment of premature ejaculation. B- They may produce anticholinergic, cardiotoxicity & sedative effects. C- Fluoxetine is a liver microsomal enzyme inducer. D- Both A & B. E- None of the above. 5- Antidepressants can be used in treatment all of the following Except: A- Nocturenal enuresis. B- Phobia. C- Psychosis & aggression. D- Panic attacks. E- Endogenous depression. 6- Concerning the mechanism of action T.C.A: A- Amitryptyline blocks 5-HT & NE reuptake into the nerve terminals. B- Long-term use of imipramine causes down regulation of beta, alpha2 & 5-HT receptors. C- T.C.A. with 3ry amine block the reuptake of NE more selectively than 5-HT. D- Both A & B. E-All of the above 7- Concerning second generation antidepressants: A- Mianserin blocks alpha-2 receptors. B- Maprotiline selectively blocks DA reuptake. C- They are more potent than T.C.A. but have more side effects. D- Both A & C. E- All of the above 8- Concerning MAO inhibitors: A- Phenelzine may cause hepatotoxicity. B- Tranylcypromine is a selective MAOA inhibitor. C- Non-selective drugs have a residual effect after discontinuation. D- Both A & C. E-All of the above 9- Concerning second generation antidepressants: A- Bupropion facilitate dopaminergic transmission. B- They have similar potency to TCA. C- They have similar side effects to TCA. D- Both A & B. E-All of the above 10- Which of the following drugs have a dual SSRI activity plus blocking 5-HT2 receptors? A- Nefazodone. B- Flouxetine. C- Sertraline. D- Both A & B. E-All of the above T F 1- Depression can be treated with phenthiazines. T F 2- TCA with tertiary amine structure inhibit reuptake of serotonin more than norepinephrine. T F 3- Imipramine is contra-indicated in glaucoma due to blocking of muscarinic receptors. T F 4- Acute toxicity of TCA is characterized by muscle paralysis and heart block. T F 5- Maprotiline is a selective serotonin reuptake inhibitor. T F 6- Flouxetine has an atropine-like effect. T F 7- Overdose of SSRI may cause aggressive behaviour and seizures. T F 8- MAO inhibitors do not cause receptor down-regulation. T F 9- Concurrent use of moclobemide and tyramine-rich food would cause severe hypertension. T F 10- Concurrent use of diazepam and flouxetine may cause excessive sedation.