Drugs & stuff

Question 1

TNKase (tenecteplase)

Answer 1

MI

Question 2

Activase (alteplase)

Answer 2

stroke, MI

Question 3

SOLU-CORTEF

Answer 3

hydrocortisone sodium succinate / aka plain hydrocortisone

powder for injection

IV or IM

Question 4

SOLU-MEDROL

Answer 4

methylprednisolone sodium succinate

powder for injection

IV or IM

Question 5

DEPO-MEDROL

Answer 5

methylprednisolone acetate

suspension for injection

IM, intra-articular

Question 6

Polysporin

Answer 6

Bacitracin and POLYmixin B

Question 7

Neosporin

Answer 7

Bacitracin, Polymixin B, and NEOmycin

Question 8

Haloperidol LACTATE

Answer 8

oral (not approved for IV administration)

Question 9

Haloperidol DECANOATE

Answer 9

intramuscular (monthly)

Question 10

Rabies vaccine if egg allergy

Answer 10

Imovax, otherwise use Rabavert

Question 11

Hyper-RAB (rabies immune globulin) dosing

Answer 11

20 units/kg (regardless of age)

Question 12

Children Tylenol vs. Motrin dosing (PO)

Answer 12

Acetaminophen: 10-15 mg/kg q 4-6 hr

Ibuprofen: 10 mg/kg q 6-8 hr

Question 13

Gram positive cocci in clusters may suggest

Answer 13

Staphyloccocus species

Question 14

Gram positive cocci in pairs and chains may suggest

Answer 14

Streptococcus species or Enterococcus species

Question 15

Gram positive diplococci may suggest

Answer 15

Streptococcus pneumoniae

Question 16

Gram negative coccobacilli may suggest

Answer 16

Haemophilus species

Question 17

Lactose fermenting Gram negative rods may suggest

Answer 17

non-Enterobacteriaceae

Question 18

Non-lactose fermenting Gram negative rods, oxidase positive may suggest

Answer 18

Pseudomonas species

Question 19

Gram-tube positive yeast is identified as

Answer 19

Candida albicans

Question 20

Gram-tube negative yeast suggests

Answer 20

non-albicans Candida yeast (and rules out C. albicans)

Question 21

Vasopressors do what?

Answer 21

increase MAP

work on A1, B1, B2, and Dopamine

Question 22

Inotropes do what?

Chronotropes do what?

Answer 22

work on force (muscular contraction), positive ones increase contraction

work on time (of muscular contraction), positive ones increase heart rate

Question 23

Receptor physiology:

Alpha-1

Answer 23

Located in vessel walls (and some in heart).

Causes significant vasoconstriction.

Alpha-1 adrenergic receptors are also present in the heart and can increase the duration of contraction without increased chronotropy. However, clinical significance of this phenomenon is unclear

Question 24

Receptor physiology:

Beta-1

Answer 24

Located in the heart

Mediates increases in inotropy and chronotropy with minimal vasoconstriction.

Question 25

Receptor physiology: Beta-2

Answer 25

Lungs and blood vessels Induces vasodilation

Question 26

Dopamine physiology

Answer 26

Present in the renal, splanchnic (mesenteric), coronary, and cerebral vascular beds Stimulation of these receptors can cause VASODILATION of VASOCONSTRICTION depending on which subtype dopamine receptor. The subtypes that cause vasoconstriction do so by causing norepinephrine release.