Exam III - Final Flashcards

1
Q

Which drug is the Inotropic cardiac glycoside?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

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2
Q

Cardiac glycosides are used to treat heart failure, specifically…

A. Cardiac decompensation
B. Atrial fibrillation
C. Ventricular fibrillation
D. Acute MI

A

B. Atrial fibrillation

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3
Q

Dobutimine is used to treat…

A. Cardiac decompensation
B. Atrial fibrillation
C. Ventricular fibrillation
D. Acute MI

A

A. Cardiac decompensation

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4
Q

What is the beta-1 selective vasoactive adrenergic used to treat cardiac decompensation?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

A. Dobutimine

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5
Q

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

A

C. Digoxin

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6
Q

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

A. Dobutimine

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7
Q

Which heart failure drug is used for chemical stress testing?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

A. Dobutimine

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8
Q

Which heart failure medication is contradicted with hypokalemia?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

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9
Q

Which heart failure drug interacts with Amiodarone, antidysrhthmics, beta blockers, calcium channel blockers and PPIs??

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

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10
Q

Which cardiac glycoside can cause visual disturbances such as halo vision?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

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11
Q

Which heart failure medication is contradicted for those with v-tach & V-fib?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

C. Digoxin

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12
Q

Digoxin is contradicted with…

A. Grapefruit juice
B. Alcohol
C. Dairy products
D. Bran

A

D. Bran

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13
Q

Which beta-1 selective vasoactive adrenergic increases cardiac output, contractility, stroke volume and diuresis?

A. Dobutomine
B. Valsartan
C. Digoxin
D. Milrinone

A

A. Dobutimine

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14
Q

Which antidysrhthmic increases action potential duration?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

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15
Q

Which antidysrhthmic slows conduction?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

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16
Q

Which antidysrhthmic is a Class IV?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

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17
Q

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

A

C. Amiodarone

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18
Q

Which antidysrhthmic can cause pulmonary toxicity?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

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19
Q

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

A. Diltiazem

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20
Q

Which antidysrhythmic interacts with digoxin and warfarin?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

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21
Q

Which antidysrhythmic is contradicted with severe hypotension and 2nd and 3rd degree heart block?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

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22
Q

Which antidysrhythmic should be taken with food?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

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23
Q

Which antidysrhythmic should be transitioned from IV to PO prior to discharge?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

A. Diltiazem

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24
Q

Which Class III antidysrhythmic causes photosensitivity and visual halos after 6 months of use?

A. Diltiazem
B. Flecainide
C. Amiodarone
D. Adenosine

A

C. Amiodarone

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25
Q

Which beta vasoactive andrenergic is used to treat shock and cardiopulmonary arrest?

A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine

A

B. Dopamine

26
Q

Which beta vasoactive adrenergic is contradicted with Pheochromocytoma (adrenal gland tumor)?

A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine

A

B. Dopamine

27
Q

Which alpha/beta adrenergic increases heart rate, blood pressure, and contractility and is a vasoconstrictor?

A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine

A

C. Epinephrine

28
Q

Which alpha/beta vasoactive adrenergic is contradicted with MAOIs?

A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine

A

C. Epinephrine

29
Q

Esmolol counteracts the effects of toxicity of which vasoactive adrenergic?

A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine

A

C. Epinephrine

30
Q

Which andrenergic drug has dysrhythmias as a side effect?

A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine

A

C. Epinephrine

31
Q

Which adrenergic has muscle cramps as a side effect?

A. Dobutamine
B. Dopamine
C. Epinephrine
D. Norepinephrine

A

B. Dopamine

32
Q

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

A

B. Hypotension

33
Q

Which beta-adrenergic agonist can cause mild tremors?

A. Fluticasone
B. Salmeterol
C. Methylprednisolone
D. Albuterol

A

D. Albuteral

34
Q

Which beta-adrenergic agonist is long acting and typically given twice daily?

A. Fluticasone
B. Salmeterol
C. Methylprednisolone
D. Albuterol

A

B. Salmeterol

35
Q

Which respiratory drug decreases inflammation and enhances activity of beta agonists? SATA

A. Fluticasone
B. Salmeterol
C. Methylprednisolone
D. Albuterol

A

A. Fluticasone
C. Methylprednisolone

Corticosteroids

36
Q

Which respiratory drug is administered intranasal and orally?

A. Fluticasone
B. Salmeterol
C. Methylprednisolone
D. Albuterol

A

A. Fluticasone

37
Q

Which classification of acid controlling drugs interacts with digoxin?

A. Antacids
B. PPIs
C. H2 receptors

A

B. PPIs

Pantoprazole, Omeprazole, Lansoprazole

38
Q

Which antacids are suggested with renal disease?

A

Aluminum salts

39
Q

Which antacids are contraindicated with renal disease?

A

Calcium,
Magnesium,
Sodium bicarbonate

40
Q

Which antacids can cause metabolic alkalosis?

A

Sodium bicarbonate

41
Q

Tums are which kind of antacid?

A

Calcium

42
Q

What is the mechanism of action for antacids?

A

Neutralize stomach acid,

Promote gastric mucosal defense

43
Q

Which antacids cause diarrhea?

A

Magnesium

44
Q

Which antacids cause constipation?

A

Calcium,

Aluminum

45
Q

What are the side effects of ondasetron?

A
Orthostatic hypotension, 
prolonged QT interval, 
headache, 
severe dizziness, 
diarrhea, 
bronchospasm
46
Q

Which serotonin blocker can cause sudden cardiac death?

A

Ondasetron

47
Q

What are the indications for ondasetron?

A

Chemo related N/V,
Post op N/V,
Hyperemysis Gravidarum

48
Q

Which anterior pituitary drug is a growth hormone antagonist ?

A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin

A

C. Octreotide

49
Q

Which anterior pituitary drug is used to treat carcinoid tumors and esophageal varices?

A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin

A

C. Octreotide

50
Q

Which posterior pituitary drug is used for diabetes insipidus, GI hemorrhage, hemophilia A, and vasodilatory shock?

A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin

A

B. Vasopressin

51
Q

Which pituitary drug interacts with Cipro causing prolonged QT intervals?

A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin

A

C. Octreotide

52
Q

Which pituitary drug requires consistent glucose monitoring due to side effects of hyper/hypo glycemia?

A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin

A

C. Octreotide

53
Q

Which pituitary drug requires having nitroglycerin readily available?

A. Somatropin
B. Vasopressin
C. Octreotide
D. Desmopressin

A

B. Vasopressin

54
Q

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

A

B. Vasopressin

55
Q

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

A

C. Octreotide

56
Q

What is the serotonin agonist used to treat migraine headaches?

A

Sumatriptan

57
Q

By which routes are sumatriptan administered? SATA

A. PO
B. IM
C. SQ
D. Transdermal

A

A. PO
C. SQ
D. Transdermal

58
Q

What is the maximum number of injections of sumatriptan per day?

A

2

Spaced 1 hour

59
Q

Which CNS stimulants are used for ADHD, narcolepsy, decreased energy and motivation?

A

Amphetamine,

Methylphenidate

60
Q

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?

A

Amphetamine,

Methylphenidate