Chapter 7 – Insomnia (QE) Sample Questions
1. MP is an 85-year-old patient complaining about taking him one hour to fall asleep. He also has osteoarthritis, hypertension, high cholesterol, and diabetes. He wants medication to help initiate sleep without a hangover in the morning. His lifestyle includes brisk walking before bedtime. What is your best recommendation?
- A. Zopiclone
- B. Oxazepam
- C. Flurazepam
- D. Lorazepam
Ans:
A
Tips: This medication is a non-benzodiazepine hypnotic agent that is effective in treating insomnia. Zopicone dose in elderly is 3.75 mg HS P as needed O Increase to 5 mg once daily if needed and tolerated, Maximum 5 mg/day. The lowest dose for the shortest duration is recommended. Treatment should rarely exceed 7–10 days. Re-evaluate the patient if treatment beyond 2–3 weeks is required. Longer term sleep problems should be managed by focusing on the underlying cause
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