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AIMC Pharmacology Fx

Medical Pharmacology

QuestionAnswer
A pt has changed medication from Acyclovir to Valacyclovir. She reports that she has been feeling a little nausea since the switch. Does this new Sx indicate the discontinuation of this med is the most appropriate course of action? No.
What organism is Famcyclovir approved to treat? Varicella
What of the following meds is used to treat influenza? a.Zanamivir, b.Oseitamivir, c.Idinavir, d.none above, e.two above e.Two above
Interferon is used to treat which of the following? a.Leukemia, b.Genital Warts, c.Hepatitis B, d.Hepatitis C, e.All above e.All above is correct
Match the well documented adverse effect with the medication which it is known to cause it? A.Sodium (Na+)-EDTA/B.Calcium-EDTA/C.Interferon, goes with Hypocalcemia, Hypothyroidism or Hypercalcemia Hypocalcemia = Sodium (Na+)-EDTA, Hypothyroidism = Interferon, Hypercalcemia = Calcium-EDTA
A long term patient decides to have chelation therapy due to mercury poisoning. What is a well documented adverse effect to the DMPS she is using? Muscle Tightness due to a low magnesium level.
Please select the weakest acting corticosteroid from the following choices? a.Triamicinolone, b.Methamethasone, c.Noinflammationonide, d.Hydrocortisone.............................d is correct "hydrocortisone"
What form is capsaicin given in? a.gel caps, b.creams, c.tablets, d.tincture?...........b is correct "creams"
A patient comes in for an acupuncture visit. He is being treated for toneail fungus by his PCP. You look at his med list and the only antifungal listed id Nystatin PO. Do you think this treatment will be effective? No.
You are assessing a pt for an acupunture treatment. Her med list contains Miconazole. The dose of this medication is at the upper end of the dosage range. What other effects are common with this medication? a.Kid failure, b.tachycardia, c. elevated Liv enzymes, d.none of the above?...........c is correct "elevated Liver enzymes"
Which of the following medications should never be taken with any form of Alcohol? a.flagyl, b.allegra, c.tetracycline, quinine?........a is correct "flagyl"
A patient comes into your waiting room and says they are experiencing tinnitus, nausea, and dizziness. The patient tells you they are taking Quinidine. What is the best plan of action for this patient? a.Let the patient lie down and wait to see if the episode passes.b.Send the patient to the prescribing Dr. ASAP.c.Tell the patient to drive to the nearest hospital.d.Call emergency transport and stay with the patient while you wait...........d is correct.
Match the drug classes with the correct actions.A.Bactericidal/B.Sulfonamides/C.Bacteriostatic Bactericidal,Targets bacterial cell wall/Bacteriostatic, Targets folic acid synthesis/Bacteristatic, Targets protein synthesis
This class of meds is used for bone and joint infections but it also has a potential side effect of tendon rupture and growth plate arrest. Select the correct class from the list. a.Aminoglycosides, b.Fluoroquinolones, c.Cephalosporins, d.Macrolidesb is correct.
Please select the class of meds that have severe Ototoxicty from the choices. a.Penicillins, b.Aminoglycosides, c.Sulfoamides, or d.Macrolides b.Aminoglycosides
A pt comes to your office and states that she feels better after taking her antibiotics for only 4 days that her PCP gave her. She wants to stop taking them and asks your opinion. Advise the patient that in bacterial infection treatment, it is important taht she take the meds for all the days prescribed.
The next pt lists a penicillin allergy on their intake form, in exam you notice a rash on the pts abdomen. You suspect a drug allergy as the pt states it started 2 days prior when they started a new med. What class of meds do you suspect caused the rash
A pt has changed medication from Acyclovir to Valacyclovir. She reports that she has been feeling a little nausea since the switch. Does this new Sx indicate the discontinuation of this med is the most appropriate course of action? No.
What organism is Famcyclovir approved to treat? Varicella
What of the following meds is used to treat influenza? Zanamivir? Oseitamivir? Idinavir? or Two of the above?
Interferon is used to treat which of the following? Leukemia? Genital Warts? HBV? HCV? or All of the above?
Match the well documente adverfse effect with the medication which is known to cause it?A. Sodium (Na+)-EDTAB.Calcium-EDTAC.Interferon Hypocalemia AHypothyroidism CHypercalcemia B
A long term patient decides to have chelation therapy due to mercury poisoning. What is a well documented adverse effect to the DMPS she is using? Muscle Tightness due to a low magnesium level.
Please select the weakest acting corticosteroid from the following choices? a.Triamicinolone, b.Methamethasone, c.Noinflammationonide, d.Hydrocortisoned is correct "hydrocortisone"
What form is capsaicin given in? a.gel caps, b.creams, c.tablets, d.tincture?b is correct "creams"
A patient comes in for an acupuncture visit. He is being treated for toneail fungus by his PCP. You look at his med list and the only antifungal listed id Nystatin PO. Do you think this treatment will be effective? No.
YTou are assessing a pt for an acupunture treatmet. Her med list contains Miconazole. The dose of this medication is at the upper end of the dosage range. What oather effects are common with this medication? a.Kid failure, b.tachycardia, c. elevated Liv enzymes, d.none of the above?c is correct "elevated Liver enzymes"
Which of the following medications should never be taken with any form of Alcohol? a.flagyl, b.allegra, c.tetracycline, quinine?a is correct "flagyl"
A patient comes into your waiting room and says they are experiencing tinnitus, nausea, and dizziness. The patient tells you they are taking Quinidine. What is the best plan of action for this patient? a.Let the patient lie down and wait to see if the episode passes.b.Send the patient to the prescribing Dr. ASAP.c.Tell the patient to drive to the nearest hospital.d.Call emergency transport and stay with the patient while you wait.d is correct.
Match the drug classes with the correct actions.BacterialSulfonamidesBacteriostatic B.Targets bacterial cell wallC.Targets folic acid synthesisA.Targets protein synthesis
This class of meds is used for bone and joint infections but it also has a potential side effect of tendon rupture and growth plate arrest. Select the correct class from the list. a.Aminoglycosides, b.Fluoroquinolones, c.Cephalosporins, d.Macrolidesb is correct.
Please select the class of meds that have severe Ototoxicty from the choices. a.Penicillins, b.Aminoglycosides, c.Sulfoamides, or d.Macrolides b.Aminoglycosides
A pt comes to your office and states that she feels better after taking her antibiotics for only 4 days that her PCP gave her. She wants to stop taking them and asks your opinion. Advise the patient that in bacterial infection treatment, it is important taht she take the meds for all the days prescribed.
The next pt lists a penicillin allergy on their intake form, in exam you notice a rash on the pts abdomen. You suspect a drug allergy as the pt states it began 2 days prior when they started a new med. What class of meds do you suspect caused the rash? a.Aminoglycosides, b.Fluoroquinolones, c.Cephalosporins, or d.Macrolides?c is correct "Cephalosporins"
Which drug is not used as a prophylactic and is typically used in a hospital setting to treat thrombosis? a.Beta Blocker, b.Warfarin, c.Clopidogrel, d.Aspirin? b. Warfarin is correct
A pt lists an anti-thrombotic med on your intake form. You begin your exam for needle placement and you notice large bruises. The pt states it started this morning and they are getting bigger as the day goes on. What do you do next? While the patient is on the table, you consult with the prescribing physician. If he is not available, emergency transport pt to the ER.
Which H1 blocker is non-sedating? a.Hydrocortisone, b.Allegra, c.Benadryl, or d.Promethazine b.Allegra is the correct answer.
The generic names of which drug class ends in "zone"? glucocorticoids/corticosteroids
On the pt's list of meds you notice Sudafed. Which of the following drugs should never be combined with this med? a.Corticosteroids, b.N-Acetylcysteine, c.MAO inhibitors, or d.Phenylephrine hydrochloride? c.MAO inhibitors is correct.
The generic names of which drug class ends in "onide"? Glucocorticoids
A pt comes into your office after having a severe bout of pneumonia. She lists N-acetlcyteine as a supplement. What action does this med have that would directly help a pt with pneumonia? a.bronchodilation, b.vasoconstriction, c.reduces viscosity, d.n/a c. Reduces viscosity if correct.
A pt comes in listing the highest strength epinephrine inhaler on his med list. His last asthma attach was 2 wks prior. He says he uses this inhaler 3x's/day and it's all he has for his asthma. What next? Call the prescribing doc to discuss the situation (because this is a rescue inhaler and he needs something for maintenance.)
Which of the following is no longer commrcially available. It also has the effect of an amphetamine but is less toxic? a.Amphetamine, b.Ephedrine, c.Phenylpropanolamine d.Hydrocortisone b.Ephedrine is correct
How does epinephrine affect Alpha-1 and Beta-2 receptors? a.vasoconstriction at Alpha-1/bronchodilation at Beta-2, b.vasodilation at Alpha-1/bronchoconstriction at Beta-2 c.vasoconstriciton at Alpha-1/Bronchoconstriction at Beta-2 or d.n/a a.Vasoconstriction at Alpha-1 and Bronchodilation at Beta-2
In managing cardiovascular disease, which of the below ddrug class(es) is not an approach discussed in lecture? a.Beta Blockers, b.Angiotensin Receptor Blockers c.Calcium Channel Blockers d.Cardiac Glycosides e.n/a or f. All above? e.None of the above!
A pt saw her PCP for her irregularly beating heart. He prescribed an anti arrhythmic for her. which anti-arrhythmic listed below has the reputation for causing sig. side effects? a.Quinidine, b.Amiodarone, c.Propranolol, d.Diltiazem, e.N/a b.Amiodarone is correct.
After you have put the needles in a pt, they tell you that they have noticed that their urine is blue. they ask you if they should be concerned? You check their med list what drug is on it? a.Spironolactone, b.Digoxin, c.Triamterene d.Chlorothiazide c.Triamterene is correct.
The generic names of which drug class ends in "pril"? Ace Inhibitors
On the pts list of meds you notice Lipitor. Which of her complaints listed below concerns you enough that you would refer her back to the prescribing doc? a.Severe Pain in her shoulder muscles, b.Nausea & vomit c.Fungal infec on her tone nails d.Diarrhea a.Severe pain in her shoulder muscles is correct
The generic names of which drug class ends in "olol"? Beta Blockers
Your findings after exam on a pt is a pale tongue and a thin, weak, floating pulse. you decide to treat for excess damp. You look at his med list and notice he is on Hydrochlorothiazide. What are the side effects that are most concerning? a.Hyperglycemia, b.Hypertention, c.Hypokalemia, d.N/above, e.Two of the abovee. Two of the above is correct
Of the three different sites on the nephron listed below, which is generally the safest area to use a drug to modulate kid activity? a.Loop of Henle/Loop Diuretics, b.Proximal Tubule/Carbonic Anhydrase Drugs, c.Distal Tubule/Collecting Duct/Thiazides c.Distal Tubule/Collecting Duct - Thiazide Drugs
Which of the following drugs is a K+ sparing diuretic? a.Furosemide, b.Spironolactone, c.Hydrochorothiazide, d.Triamterene b.Spironolactone and d.Triamterene are correct.
When pts are prescribed Digoxin, their doctor has to monitor the levels of the drug in the pts blood. What about the effects of this drug makes this monitoring necessary? a.The drug is not very water soluble.b.The drug is made from a plant and therefore unsafec.The drug has a narrow therapeutic windowd.The drug destroys RBC's causing aplastic anemia in minutesc is the correct answer
What vitamin or mineral is depleted by statin drugs? CoQ10
What drug can be used to differentiate btw a diagnosis of Angina & MI? Nitroglycerine
What is the most frequently noted side effect of taking an Ace Inhibitor? Chronic cough
If the pt can't stand the persistent cough that accompanies her taking an ACE inhibitor, generally, what is the next drug class prescribed? ARB's
You are treating a pt who is taking a drug that has a narrow therapeutic window. Which pathology below would the least concerning in relation to an overdose? a.chronic Liv failure, b.chronic Kid disease, c.Inflammatory Bowel Disease, d.Ovarian failure d.ovarian failure? correct per Rob~!
A drug works on adrenergic receptors. The drug is for a Ht condition where the cardiac outflow is not keeping up with the demands of the body. Do you think the drug works at Alpha-1 receptor. Yes is correct per Rob!
If a drug directly activates a certain receptor on a cell, it is called a/an _______ for that receptor? a.antagonist, b.synergist, c.agonist, d.blocker c.Agonist is correct per Rob!
If two drugs are similar in everyway except drug 1 has a short half life(fast) and drug 2 has a long half life(slow). What dosing strategy would be best for this pt? a. same for both drugs, b.higher drug 1 than 2, c.higher drug 2 than 1, d.half life n/a b.higher dosage of drug 1 than drug 2
Cholinergic drugs can act at nicotinic and/or muscarinic receptors to activate acetylcholine channels? T or F? True
Match the item with it's best definition:6.Sympatholytic7.Parasympathomimetic8.Adrenergic9.Cholinergic10.sympathomimetic A.increase sympathetic NS...B.decrease sympathetic NS....C.increase parasympathetic NS...d.decrease parasympathetic NS.....6.B, 7.C, 8.A, 9.C, 10.A
Which of the following meds treats gastrointestinal reflux? a.Zantac, b.Omeprazole, c.Fexofenadine, d.Metoclopramide a.Zantac
Tagamet is a H2 blocker that treats peptic ulcer disease and gastrointestinal reflux disease. Which of the below adverse effects have been well documented in relation to this med? a.Cough, b.Tachycardia, c.Reduction in libido, d.Tinnitus c.Reduction in libido is correct
What class of meds has the suffix "praxole"? a.H1 blockers, b.H2 blockers, c.Proton Pump Inhibitor, d.Two of above c.Proton Pump Inhibitors is correct
What is a well documented adverse effect for any opiate prescription for diarrhea? a.Cholelithiasis, b.Electrolyte Imbalance, c.Constipation, d.Depression, e.All above c.constipation is correct
a pt comes into your office with meds listed of Advicor, Advair, Hydrochochloric Acid (HCL). The pt has begun to have GERD Sx, which med is causing it? a.Advicor, b.Advair, c.Hydrochloric Acid, d.None above c.Hydrochloric Acid is correct
What is the mechanism of action for Prochlorperazine? a.Corticosteroid, b.H2 blocker, c.5-HT-3 antagonist, d. Dopamine antagonist d.Dopamine antagonist
Which of following conditions is bile salts ineffective at treating? a.GB removal, b.supress hepatic cholesterol release, c.Calcium bile stones, d.Non-calcium bile stones c.Calcium bile stones
Which of the below meds or classes of meds has a well documented tendency for pt overdose? a.H-1 blockers, b.H2 blockers, c.Cascara sagrada, d.Cardiac Glycosides b.H2 Blockers is correct.
What household item should never be used when taking Docusate? a.Mineral Oil, b.Vodka or any other form of alcohol, c.Hydrogen peroxide, d. Johnson's Baby Shampoo a.Mineral Oil is correct
One of the concerns when a pt is taking Psyllium or Benefiber is? a.Rebound diarrhea, b.Vomitting, c.Stool Impaction, d.Constipation c.Stool Impaction
A pt comes in and asks you if taking Tums is bad. How do you answer ? Tums adds calcium and too much calcium can have adverse effects like calcium bile stones. It can also deplete too much acid in the tummy and cause the stomach not to be able to function to break down food properly.
Which of the following meds is fastes acting thyroid hormone replacement? a.Synthroid, b.Levoxyl, c.Armour Thyroid, d.Cytomel d.Cytomel is correct.
Which of the following are well documented adverse effects of long term corticosteroid prescriptions? a.Adrenal Suppression, b.Hyperthyroidism, c.Cushings Syndrome, d.Two above, e.None above d.Two above is correct (Adrenal Suppression & Cushings Syndrome)
Which of the following meds contain both thyroxine (T4 & triiodothyronine (T3)? a.Synthroid, b.Levothyroid, c.Armour Thyroid, d.Cytomel c.Armour Thyroid is correct.
Which of the following meds treat delayed puberty and is a Class 3 drug that is highly monitored? a.Progesterone, b.Testosterone, c.Estrogen, d.Pregnenolone b.Testosterone is correct.
Your pt has been prescribed Dexamethasone at 40 Mg twice a day for minor G.I.inflammation. This Rx is inappropriate for several reasons. Select the best reason why this Rx should not have been given. a.dose is below appropriate dose...b.Corticosterdiods should never be prescribed....c.There is a high likelihood that this dose will cause adrenal suppression.......d.Corticosteroids would improve the pt's glucose intolerance........c. is correct.
Estradiol is also known by the following name? a.E1, b.E2, c.E3, d.Phytoestrogen b.E2 is correct.
Which of the below conditions is an estrogen prescription indicated? a.Ovarian Failure, b.Breast Cancer, c.Endometrial Cancer, d.Pregnancy a.Ovarian Failure is correct
A progestin or progesterone Rx is indicated in which of the below conditions? a.Abdominal Cramping, b.Nausea & Vomit, c.Inhibit ovulation for contraception, d. depression c.Inhibit ovulation for contraception is correct
This med is a smooth muscle stimulator that can be given to induce labor. a.Estrogen, b.Pitocin, c.Testosterone, d.hydrocortisone b.Pitocin is correct
What amino acid is part of thyroid hormone synthesis, dopamine synthesis and can feed into the Kreb cycle? I got this one wrong...anybody know the answer?I think it's tyrosine?
Why is hemoglobin A1c a better monitor of a pts blood glucose mgmt than one blood glucose reading? Because A1c is a long term measurement. One blood glucose reading could be incorrect if the pt took it after eating sweets.
Which of the following is an insulin sensitizer? a.Arnica Monatana, b.Metformin, c.Minocycline, d.Lantus, e.None above b.Metformin is correct.
Which of the following is not a category of meds for the treatment of type 2 Diabetes? a.Sulfonyureas, b.Basal insulin, c.Aminoglycosides, d.Thiazolidinediones c.Aminoglycosides is the correct answer.
Basal insulin is only used in the treatment of type I Diabetes? T or F? False.
Byetta is a commonly prescribed GLP agonist for the treatment of Type II Diabetes. One of the downsides of a prescription of byetta is: a.It is ineffective, b.It is very expensive, c.It is unsafe, d.It is a narcotic b.It is very expensive, is the correct answer.
From a clinical standpoint, the correct contraceptive is one that is medically indicated and that can be used effectively by the patient? T, F, or None of the Above? True.
Which of the below conditions is not a risk when estrogen is prescribed? a.Endometrial Cancer, b.Thromboembolism, c.Breast Cancer, d.Prostrate Cancer d.Prostrate Cancer is the correct answer.
When progestins are used for birth control, what below condition is a patient at higher risk for? a.Ovarian failure, b.Breast cancer, c.Endometrial Cancer, d.Abnormal Bleeding d.Abnormal Bleeding
Which of the below conditions is contraindicated for a testosterone prescription? a.Endometrial Cancer, b.Thromboembolism, c.Breast Cancer, d.Prostate Cancer d.Prostate Cancer is correct
On the intake form the patient notes that she uses the Patch for birth control. What does this med contain? a.Estrogen, b.Progestin, c.Estrogen & Progestin, None above c.Estrogen and Progestin is correct
A pt used the Ring as her preferred birth control method. Which of the below statements is most likely to be correct? a.This pt is more likely to have side effects than pts taking the pill.b.This pt is less likely to have side effects than pts taking the pill.c.This pt will not have systemic side effects because the med is not distributed systemically.b. is correct
State one lab test that may indicate a pt has type II diabetes? HbA1c
List one form of birth control that is not an oral contraceptive the Patch or the Ring? State the mechanism of action. Withdrawal. The woman can make this more effective by combining with the calendar method to determine most fertile time and obstaining for sexual intercourse.
Just to make sure we all have the concept, state two life threatening conditions that patients are at risk for from an estrogen Rx. Thromboembolism and Breast Cancer.
What condition is a neuroleptic drug indicated in? a.Depression, b.Mania, c.Psychosis, d.ADHD, e.None above c.Psychoses is correct.
What is the mechanism of ation for any Phenothiazine medication? a.Beta 2 Blocker, b.Dopamine receptor blockade, c.H2 blockade in the lungs, d.None above b.Dopamine receptor blockade
Which of the below are common side effects of neuroleptic drugs and decreased dopamine? a.Tachycardia, b.Metallic taste in the mouth, c.Tremors & Parkinsonial effects, d.diarrhea c. Tremors & Parkinsonian effects is correct.
Which of the below neurotransmitters/hormones are commonly modulated in the treatment of depression? a.Catecholamines, b.Testosterone, c.Serotonin, d.Two above, e.None above d. Two of the above is the correct answer.
Which of the below conditions is contraindicated for a Wellbutrin prescription? a.Depression, b.Smoking cessation treatment, c.Seizures, d.All above c.Seizures is correct
Which of the following meds is not a selective serotonin uptake inhibitor? a.zoloft, b.prozac, c.amiodrone, d.lexapro c.amiodrone is correct.
Which of the following neurotransmitters are affected by Monoamine Oxidase Inhibitors prescriptions? a.Dopamine, b.Serotonin, c.Norepinephrine, d.All above, e.None Above e.None of the above is correct
Which of the below are Sx of Serotonin syndrome? a.BP changes, b.coma, c.Hyperreflexia, d.fever, e.all of above e.all of above is the correct answer
What is the mechanism of actions for Effexor? a.Modified 5HT effector, b.HMG-CoA inhibitor, c.Cardiac Glycoside, d.MAO inhibitor a. Modified 5HT effector is correct.
A common side effect when removing the effects of Tricyclic antidepressants is: a.tachycardia, b.Rebound Insomnia, c.hypotension, d.Hyperreflexia b.Rebound Insomnia is correct
The movement disorders displayed in many Parkinson pts is usually due to? a.Increased Norepinephrine, b.Decreased Serotonin, c.Decreased Dopamine, d.Increased Nitrous oxide c.Decreased Dopamine is correct
What is the mechanism of action for Carbamazepine (Tegretol) which is indicated for seisures? a.Reduces Sodium, Potassium and Calcium ability to cross the membrane, b.Increases epinephrine, c.Increases GABA breakdown, d.Increase nitrous oxide a.Reduces Sodium, Potassium and Calcium ability to cross the membrane is the correct answer.
What class of medication is Vallium and Xanax? a.Benzodiazepine, b.Cardiac Glycoside, c.Calcium Channel Blocker, d.SSRI a.Benzodiazepine is correct.
This medication is indicated for pts with mania. It also must be closely monitored through blood testing because it has potential to cause seizures and arrhythmias? a.Cocaine, b.Lithium Carbonate, c.Tryptophan, d.Reserpine b.Lithium Carbonate is correct
Neurontin's (Gabapentin) mechanism of action works on what neurotransmitter? a.Dopamine, b.Serotonin, c.Norepinephrine,, d.GABA d.GABA is correct
Which of the below conditions occurs in 5% to 35% of pts as a result of long term Lithium carbonate prescription? a.Liver failure, b.Essential Hypertension, c.Ht Failure, d.Hypothyroidism d.Hypothyroidism is correct
Which of the following is not an opioid? a.Morphine, b.Codeine, c.Vicodin, d.Acetaminophen d.Acetaminophen is correct
Does Robitussin A-C contain and opiate? yes.
Which of the meds below are indicated for a pt with a gout diagnosis? a.allopurinaol, b.phenobarbital, c.colchicine, d.two above d.two above is correct
Which of the below meds are indicated for muscle spasms? a.Clyclobenzaprine hydrochdrochloride, b.SSRI, c.Gabapentin, d.Zolpidem a.Clyclobenzaprine hydrochdrochloride is correct
Created by: DOCRAIN
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