Exam III - Final Flashcards
Which drug is the Inotropic cardiac glycoside?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
C. Digoxin
Cardiac glycosides are used to treat heart failure, specifically…
A. Cardiac decompensation
B. Atrial fibrillation
C. Ventricular fibrillation
D. Acute MI
B. Atrial fibrillation
Dobutimine is used to treat…
A. Cardiac decompensation
B. Atrial fibrillation
C. Ventricular fibrillation
D. Acute MI
A. Cardiac decompensation
What is the beta-1 selective vasoactive adrenergic used to treat cardiac decompensation?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
A. Dobutimine
Which heart failure drug increases myocardial contractility, diastolic filling and urinary output while decreasing conduction, edema, and SOB?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
C. Digoxin
Which drug used to treat heart failure and cardiac decompensation is administered via IV continuous infusion only?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
A. Dobutimine
Which heart failure drug is used for chemical stress testing?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
A. Dobutimine
Which heart failure medication is contradicted with hypokalemia?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
C. Digoxin
Which heart failure drug interacts with Amiodarone, antidysrhthmics, beta blockers, calcium channel blockers and PPIs??
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
C. Digoxin
Which cardiac glycoside can cause visual disturbances such as halo vision?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
C. Digoxin
Which heart failure medication is contradicted for those with v-tach & V-fib?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
C. Digoxin
Digoxin is contradicted with…
A. Grapefruit juice
B. Alcohol
C. Dairy products
D. Bran
D. Bran
Which beta-1 selective vasoactive adrenergic increases cardiac output, contractility, stroke volume and diuresis?
A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone
A. Dobutimine
Which antidysrhthmic increases action potential duration?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
C. Amiodarone
Which antidysrhthmic slows conduction?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
A. Diltiazem
Which antidysrhthmic is a Class IV?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
A. Diltiazem
Which Class III antidysrhthmic is used to treat dysrhythmias, tachycardia and A-fib that are not responsive to other drugs?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
C. Amiodarone
Which antidysrhthmic can cause pulmonary toxicity?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
C. Amiodarone
Which antidysrhthmic should not be given if pulse is <60, >100 or systolic BP is <90?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
A. Diltiazem
Which antidysrhythmic interacts with digoxin and warfarin?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
C. Amiodarone
Which antidysrhythmic is contradicted with severe hypotension and 2nd and 3rd degree heart block?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
A. Diltiazem
Which antidysrhythmic should be taken with food?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
C. Amiodarone
Which antidysrhythmic should be transitioned from IV to PO prior to discharge?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
A. Diltiazem
Which Class III antidysrhythmic causes photosensitivity and visual halos after 6 months of use?
A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine
C. Amiodarone
Which beta vasoactive andrenergic is used to treat shock and cardiopulmonary arrest?
A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine
B. Dopamine
Which beta vasoactive adrenergic is contradicted with Pheochromocytoma (adrenal gland tumor)?
A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine
B. Dopamine
Which alpha/beta adrenergic increases heart rate, blood pressure, and contractility and is a vasoconstrictor?
A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine
C. Epinephrine
Which alpha/beta vasoactive adrenergic is contradicted with MAOIs?
A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine
C. Epinephrine
Esmolol counteracts the effects of toxicity of which vasoactive adrenergic?
A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine
C. Epinephrine
Which andrenergic drug has dysrhythmias as a side effect?
A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine
C. Epinephrine
Which adrenergic has muscle cramps as a side effect?
A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine
B. Dopamine
What would you expect to see in a patient in anaphylactic shock from a bee sting prior to administration of epinephrine?
A. Hypertension
B. Hypotension
B. Hypotension
Which beta-adrenergic agonist can cause mild tremors?
A. Fluticasone
B. Salmeterol
C. Methylprednisolone
D. Albuterol
D. Albuteral
Which beta-adrenergic agonist is long acting and typically given twice daily?
A. Fluticasone
B. Salmeterol
C. Methylprednisolone
D. Albuterol
B. Salmeterol
Which respiratory drug decreases inflammation and enhances activity of beta agonists? SATA
A. Fluticasone
B. Salmeterol
C. Methylprednisolone
D. Albuterol
A. Fluticasone
C. Methylprednisolone
Corticosteroids
Which respiratory drug is administered intranasal and orally?
A. Fluticasone
B. Salmeterol
C. Methylprednisolone
D. Albuterol
A. Fluticasone
Which classification of acid controlling drugs interacts with digoxin?
A. Antacids
B. PPIs
C. H2 receptors
B. PPIs
Pantoprazole, Omeprazole, Lansoprazole
Which antacids are suggested with renal disease?
Aluminum salts
Which antacids are contraindicated with renal disease?
Calcium,
Magnesium,
Sodium bicarbonate
Which antacids can cause metabolic alkalosis?
Sodium bicarbonate
Tums are which kind of antacid?
Calcium
What is the mechanism of action for antacids?
Neutralize stomach acid,
Promote gastric mucosal defense
Which antacids cause diarrhea?
Magnesium
Which antacids cause constipation?
Calcium,
Aluminum
What are the side effects of ondasetron?
Orthostatic hypotension, prolonged QT interval, headache, severe dizziness, diarrhea, bronchospasm
Which serotonin blocker can cause sudden cardiac death?
Ondasetron
What are the indications for ondasetron?
Chemo related N/V,
Post op N/V,
Hyperemysis Gravidarum
Which anterior pituitary drug is a growth hormone antagonist ?
A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin
C. Octreotide
Which anterior pituitary drug is used to treat carcinoid tumors and esophageal varices?
A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin
C. Octreotide
Which posterior pituitary drug is used for diabetes insipidus, GI hemorrhage, hemophilia A, and vasodilatory shock?
A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin
B. Vasopressin
Which pituitary drug interacts with Cipro causing prolonged QT intervals?
A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin
C. Octreotide
Which pituitary drug requires consistent glucose monitoring due to side effects of hyper/hypo glycemia?
A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin
C. Octreotide
Which pituitary drug requires having nitroglycerin readily available?
A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin
B. Vasopressin
Which pituitary drug is a vasoconstrictor and primarily works to increase the reabsorption of water, reducing pulmonary edema?
A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin
B. Vasopressin
Which pituitary drug relieves the VIP symptoms (severe diarrhea, flushing, and potentially life threatening hypotension) associated with carcinoid tumors?
A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin
C. Octreotide
What is the serotonin agonist used to treat migraine headaches?
Sumatriptan
By which routes are sumatriptan administered? SATA
A. PO
B. IM
C. SQ
D. Transdermal
A. PO
C. SQ
D. Transdermal
What is the maximum number of injections of sumatriptan per day?
2
Spaced 1 hour
Which CNS stimulants are used for ADHD, narcolepsy, decreased energy and motivation?
Amphetamine,
Methylphenidate
These CNS stimulants should be taken on an empty stomach 30-45 minutes before meals and the last dose should be given 4-6 hours before bed?
Amphetamine,
Methylphenidate