Exam 3 Oakley

Question 1

Antidepressants drug of choice is?

Answer 1

SSRI is always drug of choice

(Prozac/Zoloft)

Question 2

Valium (diazapam) used for everything except?

Answer 2

used for everything EXCEPT analgesic

Question 3

Main drug for status elipitus

Answer 3

Valium (diazapam)

Question 4

SSRI definition

Answer 4

serotonin reuptake inhibitors – and that is they increase neutrophic factor for
helping the neurons

Question 5

antihistamines don’t work well if you already have congestion soooo use

Answer 5

pseudofed!!!

AKA Pseudoephedrine -a vasConstrictor

Question 6

how does levadopa work?

Answer 6

levadopa tries to get dopamine into brain thru BBB; carbadopa inhibits carboxylase so it doesn’t get metabolized before L-dopa gets to brain

Question 7

parkinsons is in what part of brain?

Answer 7

basal ganglia

Question 8

what med you don’t want to give local with epi bc its an inhibitor?

Answer 8

Slegritine (aldipril)

*use 3% mepivicaine

Question 9

dopamine agonist #1 side effect

Answer 9

orthostatic hypotension

Question 10

prescribe benzo therapeutically for?

Answer 10

anxiety, muscle spaama, insomnia

*NOT for allergic rhinitis

Question 11

benzo overdose give?

Answer 11

flumazenil (Romazicon)

Question 12

pregnant insomnia use?

Answer 12

antihistamine diphenhydramine (Benadryl)

Question 13

what is the benzo of choice for ppl with alcohol withdrawal?

Answer 13

lorazepam (Ativan)

Question 14

what benzo has burning mouth syndrome?

Answer 14

clonazepam (Klonopin)

Question 15

phenytoin (Dilantin) works as a?

Answer 15

Na+ channel blocker

*same as local and carbamazepine/Tegretol

Question 16

valproic acid (Depakote) works by?

Answer 16

Na+. and GABA

does not block Calcium

Question 17

dantrolene (Dantrium) treats what? How?

Answer 17

treats Malignant hyperthermia (neuromalignant problem)
*works by binding ryodine receptors in the muscle and blocks Ca so you don’t get the troponin and myosin doesn’t bind to actin

Question 18

SSRI are used to treat depression etc, but NOT used for?

Answer 18

motion sickness

Question 19

what happens when a pt takes benzo (1st generation histomine)? antihistamine (benadryl)?

Answer 19

sedation

Question 20

two main side effects of parkinson drugs?

Answer 20

1) dry mouth

2) orthostatic hypotention

Question 21

how does carbamazepine/Tegretol work?

Answer 21

Na channel blocker

*just like LA and phenytoin (Dilantin) *

Question 22

skitzophrenic pt side effects

Answer 22

sex dysfunction, anticholinergic, bind alpha 1, TMJ discomfort
no excessive salivation

Question 23

skitzophrenic pt side effects

Answer 23

sex dysfunction
ANTIcholinergic
bind alpha 1
TMJ discomfort
GI/nausea
ortho hypotention
dry mouth

no excessive salivation bc that is a cholinergic problem

Question 24

why take famotidine (Pepcid)?

Answer 24

ulcer***
GI prob
heart burn

Question 25

Got a schizophrenic male, adolescent – what is the best drug for him to take?

Answer 25

risperidone (Risperdal)an atypical antipsychotic

Question 26

what is a side effect we WON’T have for antidepressants such as SSRI?

Answer 26

weight loss

Question 27

haloperidol (Haldol) is a drug for?

Answer 27

tourettes syndrome

Question 28

what is cimetidine (Tagamet) not used for?

Answer 28

• Histamine 2 receptor antagonist
• OTC
• hepatic enzymes

ANSWER is: H1 antagonist used for allergic rhinitis (runny nose)

Question 29

aripiprazole (Abilify) is NOT used for?

Answer 29

NOT used for Parkinsons

*used for antipsychothic and antidepressants

Question 30

28 year old taking lithium, what drug don’t want to prescribe?

Answer 30

do not prescribe NSAIDS (or thiazide)

• tylonal is NOT an NSAID
• thiazide but we don’t presicribe that

Question 31

Main H1 antagonist, main cause of sedation?

Answer 31

diphenhydramine (Benadryl)

Question 32

what drugs you’d use to treat insomnia

Answer 32

DO NOT USE ropinirole (Requip) -bc it is a dopamine agonist

You would use: zolpadin, ambien, Lunesta, rosarium

Question 33

why is lamotrigine (Lamictal) bad? two things!

Answer 33

STEVEN JOHNSONS syndrome - toxic epidermal necrolysis

*good bc mood stabolizer

Question 34

when you see ‘epileptic drug treating TRIGEMINAL neuralgia’ think?

Answer 34

carbamazepine (Tegretol)

Question 35

main gingival hypertension caused by?

Answer 35

phenytoin (Dilantin)

Question 36

how do antihistamines work?

Answer 36

block histamine receptors

Question 37

carbamazepine (Tegretol) treats?

Answer 37

epileptic drug treating TRIGEMINAL neuralgia

Question 38

Gave you a drug that was neuroprotective – found in studies over 7-8 years in parkinsons, and it was to
MAOB inhibitor – what metabolite did it protect against

Answer 38

DOPAMINE TO DOPAL!!! Know DOPAL

Question 39

typical and atypical anti-psychotics work for

Answer 39

typical= GOOD on positive= 1st generation

atypical= works goof on Negative- 2nd generation

Question 40

how do antihistamines work?

Answer 40

block histamine receptors

*do NOT work on dopamine

Question 41

Drug of choice or malignant hyperthermia

Answer 41

dantrolene (Dantrium)

Question 42

Which one of these drugs is a dopamine agonist

Answer 42

Pramapaxoll/Mirapex ***

a. Amanatainde - odd ball drug – anti-viral
b. Levadopa – dopamine precursor
c. Benzatropine - benza
d. Pramapaxoll/Mirapex – have two questions on that
e. Tocapone – COMT

Question 43

a drug to treat chronic pain of neuropathic origin?

Answer 43

amitriptyline (Elavil)

Question 44

What percent of patients have gingival hyperplasia with phenytoin?

Answer 44

50%

Question 45

main mood stabolizers?

Answer 45

valproic acid (Depakote) and litheum

Question 46

psychosis

Answer 46

CNS disorder -loss of reality