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Pharm Quiz 7
Pharmacology Quiz 7
Question | Answer |
---|---|
oral hygiene with subgingval calculus removal can produce... | ageusia |
if on calcium channel blockers check for... | gingival enlargememnt |
if on diuretics, check for | symptoms of hypokalemia |
if taking an ACEI, check for symptoms of... | neutropenia |
avoid dental agents that add to side effects such as | opioids |
in management of the dental patient taking nitroglycerin agents, one must... | provide analgesic if headache occurs watch for syncope, especially with rising out of the chair avoid heat and moisture for proper storage |
what is a contraindication for dental treatment? | acute/recent MI within the preceding 3-6 months |
what two antibiotics increase digoxin levels in 10% of the patients taking digoxin? | erythromycin and tetracycline |
what condition is characterized by pain or discomfort in the chest radiating to the left arm and shoulder? | angina pectoris |
calcium channel blockers can be used in the treatment of | angina, cardiac arrhythmias, hypertension |
what is step IV in the stepped care regimen of hypertension | mixing two or 3 drugs or the addition of a neuronal blocker |
what classifications of hypertension can be eliminated by removing the cause | secondary |
oral adverse reactions of xerostomia and oral lichenoid lesions can be seen with the use of which one of the classes of diuretics | thiazides |
what is the most commonly used in loop diuretic? | Lasix |
what is not an adverse reaction of calcium channel blocker | tachycardia and sialorrhea |
what antihypertensive group is used for the treatment of an enlarged prostate | alpha 1 adrenergic blocking agents |
the centrally acting antihypertensive used as the drug of choice for a pregnant hypertensive woman is | hydralazine |
which vitamin can be used to treat high cholesterol | B3 or niacin |
what medication can be used to treat both elevated triglycerides and cholelithiasis | gemfibrozil |
what is a normal mechanism in the body that is designed to prevent the loss of blood after injury to a blood vessel? | hemoptysis |
if an NSAIA is to be used in a patient taking warfarin, which can be prescribed | ibuprofen and naproxen |
NSAIAs can decrease the antihypertensive effect of | alpha 1 blockers angiotensin II receptor antagonists ACE inhibitors |
what is a clot buster | streptokinase |
what is indicated for intermittent claudication | Pentoxyfylline |
what is true about gingko biloba? | it may increase gum disease it is a blood thinner it has anti platelet properties |
what is true about St. John's Wort? | can cause drowsiness it is recommended to be discontinued after 5 days before surgery avoid taking it along with antidepressants |
what is the prototype cardiac glycoside? | Digoxin |
what are the adverse reactions of nitroglycerin? | flushing, syncope and severe headaches |
what drug is associated with visual disturbances (yellow and green vision) drowsiness and facial pain similar to trigeminal neuralgia? | digoxin |
which anti arrhythmic class utilizes calcium channel blockers? | class IV |
if an antibiotic is to be used as the same time as warfarin, which one has a small effect on changing warfarin's anticoagulant action? | doxicylcine |
tranexamic acid is a... | hemostatic agent |
what is automaticity? | the intrinsic rhythm of cardiac cells |
the normal conduction route is what? | the SA node to the AV node down the bundle of HIS into the right and left bundle branches to the Purkinje fibers |
what are the two antibiotics that can interact with digoxin and increase levels | tetracycline and erythromycin |
what are diuretics classified as? | loop, thiazide and potassium sparing |
nitroglycerin is the most commonly used in the treatment of | angina pectoris |
hypertension occurs when the diastolic blood pressure is... | 90 mm Hg or higher |
what is an indication for dental treatment | controlled hypertension |
what is orthostatic hypotension caused by in the dental office? | lying back in the dental chair for an extended period of time fact that blood vessels are unable to constrict in time to compensate for positional changes |
malignant hypertension... | can cause retinal and renal damage occurs in 5% of the patients with essential or secondary hypertension is an acute and dangerous form of hypertension |
visual disturbances (such as yellow or green vision) are adverse reactions of what... | cardiac glycosides or digoxin |
what are the lifestyle modifications for the treatment of hypertension | weight reduction exercise tobacco avoidance |
what is angina pectoris characterized by? | pain or discomfort in the chest radiating to the left arm or shoulder |
Lasix is... | the most commonly used loop diuretic |
what are 5 adverse reactions of calcium channel blockers? | gingival enlargement, xerostomia, dysgeusia, GI irritation, nausea and vomiting |
what 3 things should by monitored while a patient is taking antihypertensive agents | blood pressure, gingival enlargement on calcium channel blockers, xerostomia |
what is the most important oral anticoagulant and is almost used exclusively in therapy | warfarin |
what is hemostasis? | a normal mechanism in the body that is designed to prevent the loss of blood after injury to a blood vessel |
what is given by injection | heparin |
do pacemakers require antibiotic premedication? | NO |
amyl nitrate is a nitroglycerin compound that must be kept in what kind of container | closed |
what is one non selective beta blocker? | propanolol |
losartan is a prototype for what classification of antihypertensives? | angiotensin II receptors |
what is the drug of choice for the treatment of pregnant woman with hypertension | hydralizine |
what is associated with cutaneous flushing | niacin |
what is the term for gallstone formation | cholelithiasis |
digoxin is the prototype medication in the treatment of | congestive heart failure |
what is the adverse reactions of nitroglycerin | flushing, hypotension, headache, lightheadedness and syncope |
hypertension is classified as | essential, secondary and malignant |
what is the most commonly used of the diuretics | Furosemide |
what are verapamil, nifedipine and diltiazem classified as | calcium channel blockers |
what are "statins" such as lovastatin considered to be | HMG CoA reductase inhibitors |
what is true about calcium channel blockers | used in angina, used to treat cardiac arrhythmias and hypertension |
what group of analgesics reduces the antihypertensive effect of hydroclorothiazides? | NSAIDs |
what is the 1st line of treatment in reducing high cholesterol | lifestyle changes |
what antibiotic has to be used with warfarin because it has no effect? | clindamycin |
what is an adverse effect of warfarin | petechial hemorrhages |
antiarrthmics have what classification | I-IV |
what is the definition of congestive heart failure | failure of the heart to produce adequate cardiac output heart does not provide adequate cardiac output for the oxygen needs of the body and becomes ineffective as a pump |
what is orthopnea? | inability to breathe when lying down |
what is volatile and is found in a closed container | amanyl nitrate |
what is the definition of intermittent claudication | no pain in limbs at rest, pain when you begin to move |
what causes increased salivation and increased gagging reflex? | Digoxin |
the normal route of conduction begins at... | SA node |
how long after opening should nitroglycerin be used | 3-6 months |
blood pressure above what is considered hypertension | 140/90 |
what can decrease the antihypertensive effect of hydrochlorothiazides | NSAID's |
what is one calcium channel blocker | Verapamil |
what cardiovascular drug is used to treat BPH | ooxazosin |
what group is the most commonly used antihyperlipidemics | statins |
what is a clot buster drug | streptokinase |
when is evidence of retinal damage seen in hypertension | malignant hypertension |
the cells of cardiac muscles have intrinsic rhythm, the rhythm is called | automaticity |
what are three groups of diuretic agents | thiazides, loop and potassium sparing |
what are the oral adverse effects of oral anticoagulants | bleeding and hemorrhage, petachial hemorrhages on the hard palate, ecchymoses with or without trauma |
what two antibiotics have the greatest effect on changing warfarin's anticoagulant action | erythromycin and metronidazole |
streptokinase and altepase are known as | thrombolytics |
what is indicated for intermittent claudication | pentoxifylline |
what are the oral effects seen with the use of clonidine? | parotid gland swelling, xerostomia, pain, dysquesia |
what is Ranolazine (Ranexa) used for the treatment of | chronic angina |
what is part of the step IV regimen of hypertension management | addition of a neuronal blocker |
what is tekturna | renin antagonist drug used for hypertension |
what improves blood flow, lowers blood viscosity and is indicated for intermittent claudication | pentoxifylline |
what is a characteristic of malignant hypertension | must be treated aggressively due to very high blood pressure, evidence of retinal and renal damage |
NSAIDs can reduce the antihypertensive effect of | hydrochlorothiazides, ACE inhibitors, angiotensin I receptor anttagonists |