Hypnotics: ramelteon: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · Hypnotics: ramelteon

Sample item

A drug approved for insomnia acts as an agonist at MT1 and MT2 receptors in the suprachiasmatic nucleus and has no abuse potential. It is

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Ramelteon

Ramelteon is a melatonin receptor agonist used for sleep-onset insomnia, with no dependence or abuse potential. Zolpidem acts on the benzodiazepine site of the GABA-A receptor. Melatonin is also used for delayed sleep phase and jet lag.

Option by option

  • A. Ramelteon (correct)

    Correct. Ramelteon is the melatonin agonist hypnotic.

  • B. Diazepam

    Diazepam is a benzodiazepine.

  • C. Zolpidem

    Zolpidem acts at the GABA-A benzodiazepine site.

  • D. Phenobarbital

    Phenobarbital is a barbiturate.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is A, Ramelteon. Ramelteon is a melatonin receptor agonist used for sleep-onset insomnia, with no dependence or abuse potential.

Why is "Diazepam" not the answer?

Diazepam is a benzodiazepine.

Why is "Zolpidem" not the answer?

Zolpidem acts at the GABA-A benzodiazepine site.

Why is "Phenobarbital" not the answer?

Phenobarbital is a barbiturate.

What concept does this question test?

It tests Hypnotics: ramelteon in Psychiatry. Zolpidem acts on the benzodiazepine site of the GABA-A receptor. Melatonin is also used for delayed sleep phase and jet lag.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hypnotics: ramelteon?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.