20 - 1 Flashcards

1
Q

Zoledronate (Zometa) has what mechanism?

A

Inhibits osteoclasts from binding to the ruffled border

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2
Q

Denosumab (Xgeva) has what mechanism?

A

Inhibits RANK from binding to RANKL

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3
Q

A patient comes in sayng that they are receiving treatment for osteoporosis and also has
active periodontal disease. Which of the following is true?

A

The risk of ARONG is low and it is more beneficial to do dental treatment
possibly with antibiotic prophylaxis

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4
Q

Bevacizumab

A

????????

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5
Q

Cancer cells have what characteristics

A

Low differentiation, high proliferation

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6
Q

Question about correct prescription. Make sure it has dose, name, how many times per
day, how to take it and how much bottle will contain

A

Question about correct prescription. Make sure it has dose, name, how many times per
day, how to take it and how much bottle will contain

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7
Q

Question about how to dose a kid 37 lbs with amoxicillin 25kg/mg/day.

A

Answer was 150
mg/5 mL q8h

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8
Q

Bevacizumab has what mechanism?

A

Stops VEG from binding to VEGF

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9
Q

Which one of these is a monoclonal antibody?

A

Denosumab

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10
Q

The drug is cisplatin. What type of drug is that?

A

Platinum compound

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11
Q

Patient reports cold sensitivity and just started cancer treatment. What are they taking?

A

Oxaliplatin

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12
Q

Which of the following does immunosuppression?

A

Methotrexate (other ones don’t do immunosuppression; ex: amoxicillin)

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13
Q

Patient comes in and was told to tell you he is on cyclosporin. Which of the following
isn’t true?

a. He has gingival hyperplasia
b. He has high risk of infection
c. He will have issues with fluconazole
d. He is at risk for MRONJ

A

He is at risk for MRONJ

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14
Q

Which of the following species is found in an abscess?

A

Bacteroides

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15
Q

Bacterial infection has been around for >3 days. What do you give?

A

Augmentin

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16
Q

If you’re using clauvulonic acid, it helps amoxicillin in bacteria that contain what?

A

Beta lactamases

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17
Q

All of the following are beta lactams except
a. Penicillin
b. Amoxicillin
c. Cephalosporins
d. Azithromycin

A

?????

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18
Q

All of these could cause MRONJ excpt what
a. Denosumab
200
b. Zolendronic acid
c. Bevacizumab
d. Tracrolimus

A

Tracrolimus

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19
Q

Highest drug interactoins is seen with

A

Erthromycin

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20
Q

Viridans Strep has the highest resistance to
a. Amoxicillin
b. Clindamycin
c. Azithromycin

A

Azithromycin

21
Q

Patient is immunosuppressed. What do you give them?

A

Amoxicillin

22
Q

Patient has HIV. What would you use to maintain them?

A

Combo with 4 drugs in it (listed all four)

23
Q

Why do you give amoxicillin three times a day?

A

It’s half life is 8 hours and it is time dependent

24
Q

What is the first organism seen in an early infection?

A

Gram + aerobe

25
Q

If a patient has this reaction to amoxicillin you will not give them cephalex

A

Blistering rash

26
Q

Which drug do you use for gram negatives, anaerobes and Bacteroides?

A

Augmentin

27
Q

What treats an anaerobic infection?

A

Metronidazole

28
Q

Which one is a drug reaction with warfarin?

A

Metronidazole

29
Q

Which drug is known to cause high risks of diarrhea?

A

Augmentin

30
Q

Which bacteria is known to cause C. diff?

A

Clindamycin

31
Q

What do you not give a pregnant person?

A

Doxycycline

32
Q

When would you give a person with infective endocarditis prophylaxis?
a. Gingival manipulation
b. Ortho movement
c. Removable placement
d. Radiographs

A

Gingival manipulation

33
Q

Which of the following heart conditions would be required to have infective carditis
prophylaxis?
a. Heart attack
b. Prosthetic heart valve
c. Heart failure

A

Prosthetic heart valve

34
Q

Antibiotics are indicated with

A

Systemic symptoms (fever)

35
Q

Which ones inhibits viral assembly?

A

Protein inhibitor

36
Q

Which of the following is not a life long disease?

A

Influenza A

37
Q

Which of the following has increased lipid accumulation and fat distrubtion?

A

Protease inhibitor

38
Q

What is the backbone of HAART?

A

NRTI

39
Q

What drug do you give someone who is immunosuppressed?

A

Amoxicillin

40
Q

CD4 count is below 50, what would you give them?

A

Azithromycin

41
Q

A patient takes azithromycin once a week. What disease do they have?
a. HSV-1
b. HSV-2
c. HIV

A

HIV

42
Q

What drug lessens the effects of influenza?

A

Tamiflu

43
Q

What is the role of an azole?

A

Blocks enzyme from lanosterol to ergosterol

44
Q

How does Zometa work with breast cancer?

A

Symbiotic relationship that further decreases bone destruction

45
Q

Which drug is used for patient that has xerostomia and mild oral candida?

A

Nystatin

46
Q

Nystatin has what role?

A

Binds to ergosterol in cell membrane

47
Q

Which of the following has drug interactions with Warfarin?
a. Tamiflu
b. Amoxicillin
c. Fluconazole

A

?????????????

48
Q

What is a side effect of methotrexate?

A

Oral mucositis