Final exam ( new materials) Flashcards
Repeated insulin injection into the same location can result in a side effect that may decrease the amount of insulin the patient actually absorbs from a hardened skin. What is this side effect known as? Select one: a. Injection-Site Reactions b. Hypoglycemia c. Lipodystrophy d. Bruising
c. Lipodystrophy
From the insulin products listed below, which one is a rapid-acting or "meal-time" insulin? Select one: a. Insulin NPH b. Insulin regular c. Insulin lispro d. Insulin detemir
c. Insulin lispro
How does insulin lower blood sugar?
Select one:
a. Causes the pancreas to release more insulin
b. Inhibits reabsorption of sugar by the kidneys
c. Stimulates sugar uptake into cells
d. Slows gastric emptying, decreasing sugar absorption
c. Stimulates sugar uptake into cells
Insulin products have different pharmacokinetic profiles, affecting how quickly and how long they produce effect in the body. From the list below, which insulin product is a short-acting insulin? Select one: a. Insulin regular b. Insulin aspart c. Insulin glargine d. Insulin NPH
a. Insulin regular
Insulin can cause significant hypoglycemia.
Select one:
True
False
True
Lantus® is the brand name for which insulin product? Select one:
a. Insulin detemir
b. Insulin lispro
c. Insulin degludec
d. Insulin glargine
d. Insulin glargine
Insulin NPH is available under which branded medication name? Select one: a. Humalog® b. Humulin® U-500 c. Humulin N® d. Humulin R®
c. Humulin N®
Insulin interacts with medications that affect a patient's blood sugar as they will need to adjust their insulin dose to ensure effective blood sugar control or to prevent hypoglycemia. Which of the following medications interacts with insulin through modifying the patient's blood sugar? Select one: a. Cholesterol Absorption Inhibitor b. ACE-I c. Beta Blocker d. Corticosteroid
d. Corticosteroid
Insulin Pens can be shared among patients as long as a different pen needle is used because you are not puncturing the insulin vial within the pen with the needle.
Select one:
True
False
False
Jamie is a Type 1 Diabetic who calls into the pharmacy with a question. She put her insulin at the top of the fridge, and it accidentally froze. She left it thaw and said it still looks normal comparing it to an insulin vial stored on a lower shelf that did not freeze.
You can tell Jamie that she can use the insulin since it still appears normal and is not cloudy.
Select one:
True
False
False
Paul is a Type 2 Diabetic on a fixed income. He said his insulin lasts him 35 days (he uses insulin aspart with a stablility of 28 days once opened). He knows you told him his insulin is only good for 28 days once opened, but he stores it in the fridge and thinks it should be good if in the fridge until the manufacturer expiration date of 12/31/2016.
Paul can continue to use this product until 12/31/2016.
Select one:
True
False
False
Victoza® can be used in Type 1 Diabetic Patients.
Select one:
True
False
False
What oral diabetes medication is contraindicated in elderly patients (>80 years of age)? Select one: a. Amaryl® b. Actos® c. Victoza® d. Glucophage®
d. Glucophage®
Januvia® is available in multiple dosage strengths so that the medication can be titrated to minimize side effects
Select one:
True
False
False
What is the branded medication name for canagliflozin? Select one: a. Jantoven® b. Actos® c. Invokana® d. Glucotrol®
c. Invokana®
What oral diabetes medication should be stopped 48 hours before contrast media due to risk of kideny injury? Select one: a. Glucophage® b. Glucotrol® c. Invokana® d. Lantus®
a. Glucophage®
What class of diabetes medications should patients be counseled to take 15-30 minutes before eating to minimize risk of hypoglycemia? Select one: a. SGLT-2 Inhibitors b. Sulfonylureas c. Biguanides d. Thiazolidinediones
b. Sulfonylureas
Januvia® contains a warning for: Select one: a. Severe hypoglycemia b. Edema c. Pancreatitis d. Bladder Cancer
c. Pancreatitis
Metformin is FDA-approved as an adjunctive therapy in Type 1 Diabetes
Select one:
True
False
False
Actos® is the brand name for: Select one: a. Sitagliptin b. Pioglitazone c. Canagliflozin d. Liraglutide
b. Pioglitazone
This oral diabetes medication causes release of insulin from the pancreas: Select one: a. Micronase® b. Invokana® c. Januvia® d. Glucophage®
a. Micronase®
Patients taking which class of diabetes medications should be counseled that there will be an increased prevalence of yeast infections? Select one: a. SGLT-2 Inhibitors b. DPP-IV Inhibitors c. Biguanides d. Sulfonylureas
a. SGLT-2 Inhibitors
Loratadine is able to cross the blood-brain-barrier to cause side effects.
Select one:
True
False
False
Zyrtec® is a …..
Select one:
a. Sedating antihistamine
b. Nonsedating antihistamine
b. Nonsedating antihistamine
Allegra® is a….
Select one:
a. Second Generation Antihistamine
b. First Generation Antihistamine
a. Second Generation Antihistamine
What second generation antihistamine is MOST likely to cause sedation? Select one: a. Cetirizine b. Loratadine c. Fexofenadine
a. Cetirizine
All second generation antihistamines are available as over-the-counter (OTC) medications
Select one:
True
False
True
What second generation antihistamine should be avoided by 4 hours with fruit juices (i.e. apple, orange, grapefruit)? Select one: a. Loratadine b. Cetirizine c. Fexofenadine
c. Fexofenadine
Which second generation antihistamine interacts with ritonavir? Select one: a. Fexofenadine b. Loratadine c. Cetirizine
c. Cetirizine
Patients using antihistamines for allergies turning a seasonal pollen time (i.e. Ragweed in August) should be counseled to take the medication on an as needed basis.
Select one:
True
False
False
Sudafed® should not be taken with which of the following medications due to risk of adverse effects?
Select one:
a. Beta Blocker
b. Tricyclic Antidepressants
c. Selective Serotonin Reputake Inhibitor
d. Angiotensin Converting Enzyme Inhibitor
b. Tricyclic Antidepressants
Which of the following medications is located behind the counter? Select one: a. Guaifenesin b. Pseudoephedrine c. Loratadine d. Benzonatate
b. Pseudoephedrine
Which of the following medications is a cough suppressant? Select one: a. Guaifenesin b. Dextromethorphan c. Pseudoephedrine d. Fexofenadine
b. Dextromethorphan
Which of the following medications is an expectorant? Select one: a. Cetirizine b. Guaifenesin c. Dextromethorphan d. Benzonatate
b. Guaifenesin
Which of the following represents a common side effect of benzonatate? Select one: a. Elevated blood pressure b. Diarrhea c. Bleeding d. Oral numbness
d. Oral numbness
Tessalon® can be used in an 8 year old child recovering from bronchitis with a residual cough
Select one:
True
False
False
Feedback: Benzonatate cannot be used in children <10 due to risk for toxicity and death with small amounts of medication.