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Clay soil > argf > Flashcards

argf Flashcards

1
Q
  1. Which one of the following antiepileptic medications is considered a controlled
    substance?
A

Phenobarbital (Luminal)

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2
Q

Which antidepressant is contraindicated in patients with a seizure disorder?

A

Bupropion (Wellbutrin)

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3
Q

Which of the following medications is NOT recommended for children under 12 years of
age?

A

Tramadol (ultram)

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4
Q
  1. Which of the following antidepressants is associated with the most weight gain?
A

Mirtazapine (Remeron)

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5
Q
  1. Acetaminophen is contraindicated in which of the following conditions?
A

Active hepatitis

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6
Q

Which of the following antiepileptic medications is known to cause a significant amount
of cognitive impairment and is associated with an increased risk of nephrolithiasis if th
patient is not adequately hydrated?

A

Topiramate (Topamax)

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7
Q

You give a patient hydrocodone/acetaminophen after care, what common side effect
should we warn zer about?

A

Constipation

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8
Q
  1. Endo patient who has history of NSAID induced GI bleeds, kidney disease and active
    hepatitis, what is the best pain management regimen?
A

Oxycodone 5mg q6 hrs PRN x 3 days supply.

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9
Q

Which of the following medications is used for management of chronic neuropathic pain
and has been used for pre-operative and peri-operative analgesia in dental school and
other surgical procedures?

A

Pregabalin (Lyrica)

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10
Q
  1. Carbamazepine (Tegretol) and oxcarbazepine (Trileptal) are both antiepileptic
    medications that can contribute to a condition known as syndrome of inappropriate
    antidiuretic hormone (SIADH). One result from this condition is to develop a
    hypervolemic _________
A

Hyponatremia

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11
Q

Which antidepressant is recommended as first line therapy in treatment guidelines for
depression?

A

Venlafaxine (Effexor)
- Mirtazapine (Remeron)
- Escitalopram (Lexapro)

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12
Q
  1. Which of the following antidepressants is associated with the most weight gain?
A

Zoloft

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13
Q
  1. Which of the following Rx is not recommended for kids less than 12 y.o.?
A

Tramadol- w/ acetaminophen is contraindicated for children younger than 12 due to
variability in metabolism.

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14
Q
  1. Requi9red on written prescription for oxycodone?
A

Dentist full name, address, signature, and patient full name and address ( A and C)

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15
Q

Seizure disorder type referred as “drop attack”, pt. wear helmet to protect their head?

A

Atonic

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16
Q
  1. Which antidepressant has been associated with bruxism?
A

Fluoxetine (Prozac)

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17
Q

Boi is treated for focal seizures with dysconitive features and 2 nd generalization with
carbamazepine. Boi is stabilized, no seizure after 2 weeks on carbamazepine, after 4
weeks, seizure frequency increases, durg level 5.6 mg/L. Wut the fak happened?

A

Metabolism autoinduction by carbamazepine.

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18
Q

Which of the following antiepileptic meds is known to cause sig. amounts of cognitive
impairment and associated with nephrolithiasis?

A

Topiramate (Topamax)

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19
Q
  1. Antidepressant’s MOA includes both serotonin and norepinephrine reuptake inhibitor?
A

Venlafaxine (efflexor)

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20
Q
  1. Recommended dose of acetaminophen by healthcare provider?
A

3mg, Elderly 2-3mg

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21
Q
  1. What type of a seizure is characterized by randomly falling and needing a helmet?
A

Atonic

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22
Q
  1. AD with most weight gain?
A

TCA- amitriptyline

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23
Q

Chronic and neuropathic pain?

A

TCA- amtryptiline

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24
Q

Venlafaxine (Effexor)?

A

Blocks the ne/5ht pump because it is an SNRI

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25
Q

Benzos can cause _______ with overdose?

A

CNS and respiratory depression

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26
Q

Akathisia is more common than other EPS

A
  1. Ariprazole-
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27
Q

increased prolactin (galactorrhea, gynecomastia etc)

A

Rispiridone:

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28
Q

Haloperidol:

A

highest risk for EPS

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29
Q

Sialorrhea

A

Clozapine:

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30
Q

Antidepressant with the least weight gain?

A

Bupropion

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31
Q

Drowsy, sedation, psychomotor impairment, blurred vision, ataxia, impaired memory,
risk for drug-to-drug interaction. No oral effects.

A

Question about main side effects of Benzos:

32
Q

Which of the following adverse effects is specifically associated with the use of inhaled corticosteroids.

A

Oral candidiasis

33
Q

GABA-A is coupled to what channels and is the mechanistic target for the therapeutic
benefits of benzodiazepines?

34
Q

When prescribing an oral corticosteroid for its anti-inflammatory effects and pain
management to treat an inflammatory dental condition, what instructions should be
provided for administration?

A

Take in the morning with food.

35
Q

The seizure medication that is most associated with a rash and requires a conservative
gradual dose titration when used with enzyme inhibitors or valproic acid?

A

Lamotrigine (Lamictal)

36
Q

which of the following sets of lab orders ould be most appropriate when conduction
therapeutic drug monitoring for valproic acid?

A

Drug level, LFTs, platelets.

37
Q

Which gland secretes mineralocorticoid and glucocorticoid hormone?

A

Adrenal gland

38
Q
  1. Which side effect of Lexapro is NOT transient and does NOT subside with continued use?
A

Sexual dysfunction

39
Q

therapeutic qualities of corticosteroids include?

A

Anti-inflammatory

40
Q
  1. Which side effects occur most commonly with antidepressants?
A

Dysgeusia and xerostomia

41
Q

A stress steroid cover dose of 10-25mg of hydrocortisone should be used for those with
Addison’s Disease who are at high risk of adrenal crisis in which of the following?

A

Major dental surgery

42
Q
  1. What are the most common side effects associated with Remeron use?
A

Sedation and weight gain

43
Q

Which antidepressant may be associated with an increased risk of bleeding and bruising
during and/or after a dental procedure?

44
Q

Which of the following are involved in the stimulation of the adrenal gland?

A

Hypothalamus and pituitary

45
Q

Fludrocortisone is a/an:

A

Mineralocorticoid

46
Q

Which antidepressant has been associated with bruxism?

47
Q

Which of the following adverse effects is associated with the use of corticosteroids?

A

Suppression of response to infection and insomnia

48
Q

A dose reducing taper should be employed for a patient who receives prednisone for ____
days or more to avoid adrenal insufficiency?

A

14 days (2 weeks) or longer

49
Q
  1. Proper disposal of short acting opioids includes all of the following options except:
A

Flushing down the toilet.

50
Q

Which medication DOES NOT possess anelgesics and anti-inflammatory properties?

A

Acetaminophen

51
Q

CP is a 59 y.o. undergoing endodontic treatment. MI one year ago?

52
Q
  1. Patients may experience increased CNS depression from benzodiazepines when suffering
    from uncontrolled?
A

Hypothyroidism

53
Q

Which antidepressants pharmacology involves increasing both NE and serotonin levels in
the brain?

A

All the above

54
Q

Which of the following is indicated to treat hyperaldosteronism?

A

Spironolactone

55
Q

Which MAO-I drug interaction can cause hypertensive crisis?

A

Tranylcypromine (Parnate) + pseudoephedrine (Sudafed)

56
Q

Mineralocorticoids role in the body is to regulate:

A

Water and electrolyte balance

57
Q

If a patient presents to the dental clinic with an oral infection that requires antibiotic
therapy, but possesses a sulfa allergy, you should avoid sulfa based antibiotics such as
sulfamethoxazole-trimethoprim Bactrim DS. If a patient for epilepsy, which of the following anti
epileptics should also be avoided in a patient with a sulfa allergy?

A

Zonsamide Zonegran

58
Q

Liver func2on and platelet test

A

Valproic acid?

59
Q

Oxycarbamazipine?

60
Q

Divalproic acid?

A

Thrombocytopenia

61
Q

Carbmazapine?

A

D and Ca supplement

62
Q

Keppra?

A

Renal func2on test

63
Q

Prozac?

A

Decrease platelet aggrega2on.

64
Q

Celexa?

65
Q

increase NE and sero

66
Q

Hypothyroidism?

A

Increase in opioid seda2on effects

67
Q

Hyperthyroid increase

A

epidemic effects

68
Q

Hyperaldosteronism?

A

Spironolactone

69
Q

Mirtazipine:

A

highest risk of dry mouth (compared to SSRI and SNRI)

70
Q

Sexual dysfunc2on:

A

not transient

71
Q

TCA’s (nortryl2line, amtryp2line) casue

A

increase seda2on from opiods

72
Q

Naloxone can be given

A

every 2-3 minutes

73
Q

Need to taper cor2costeroid a_er

74
Q

Pregabalin?

A

Seizure med can also be used for neuropathic pain or pe:

75
Q

celicoxib

A

Selec2ve Cox 2 inhibitor

Clay soil (5 decks)

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