Final Exam - Study questions Flashcards

1
Q

What is the suffix for phosphodisterase ED drugs?

A

-fil

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2
Q

Ocular SE of -FIL drugs

A
  1. Retinal Heme
  2. NAION (non-arteritic ischemic optic neuropathy)
  3. Vision Loss
  4. Elevated IOP
  5. Cyanopsia
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3
Q

Which three drugs will inhibit HMG-COA?

a. Alendronate
b. Tamoxifen
c. Statin
d. Sildenafil
e. Methotrexate

A

Alendronate(Osteoprosis), Statin (anti-hyperlipidemic) and FIL (ED drugs)

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4
Q

Which two drugs will increase LDL levels?

A

Drospirenone (YAZ - contraception/Acne/Dysmenorrhea/Endometriosis/PCOS)
and
-FIL (phosphodiesterase -ED Drug)

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5
Q

Which of the 4 drugs blocks all 3 pathways of the clotting system?

a. Enoxaparin
b. Clopidogrel
c. Coumadin
d. Abciximab

A

Coumadin (Warfarin)

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6
Q

Which of these drugs is patchy baldness associated with?

a. Enoxaparin
b. Clopidogrel
c. Coumadin
d. Abciximab

A

Coumadin (Warfarin)

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7
Q

Which of these drugs is Diabetic Retinopathy a contraindication with?

a. Enoxaparin
b. Clopidogrel
c. Coumadin
d. Abciximab

A

Enoxparin

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8
Q

Which of the following drugs only affects the first two pathways of the clotting system?

a. Enoxaparin
b. Clopidogrel
c. Coumadin
d. Abciximab

A

Enoxaparin

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9
Q

What are the 4 drugs that interact with Coumadin?

A

Tetracycline, Fluoroquinolones, Macrolides and Azole Antifungals

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10
Q

Which two of the following drugs will cause Jaundice?

a. Statin
b. Clopidogrel
c. Coumadin
d. Abciximab

A

Clopidogrel and Statin

Note: This is largely due to the fact that this drug is actively metabolized in the Liver, thus liver failure may induce further damage. NIACIN will also cause Jaundice

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11
Q

Which of the following two drugs has fever as an adverse effect?

a. Enoxaparin
b. Clopidogrel
c. Coumadin
d. Abciximab

A

Enoxaparin and Coumadin

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12
Q

Which of the following will cause an additive effect on Abciximab/Epitifibatide?

a. Corticosteriods
b. NSAIDs
c. Fluoroquinolones
d. Tetracycliness

A

NSAID’s - Opthalmic inhibit COX and therefore TXA2

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13
Q

What are some serious Ocular adverse affects for Statin drugs?

A

Diploplia, Ptosis, pseudo-CME, blurred vision, Increase IOP, intraocular hemorrhage, cataracts (NSC and PSC)

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14
Q

Which two drugs work on the PPAR nuclear level?

a. Statin
b. Niacin
c. Coumadin
d. Zone

A

Statin (hyperlipidemic and Zone drugs (DM drug)

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15
Q

Which of the following drug will cause CME and toxic amblyopia?

a. Statin
b. Niacin
c. Coumadin
d. Zone

A

Niacin

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16
Q

Which drug can be used for DM 1 and 2?

A

Insulin Glargine

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17
Q

Which of the following anti lipid drugs will impair renal elimination when interacted with Gancyciclovir?

a. Statin
b. Fibrate
c. Niacin

A

Fibrate

Note: Gancyclovir interacting with Stiagliptin will also cause renal failure

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18
Q

Which of the following drugs will display a decrease in metabolism of Metformin, when interacted?

a. Amphotericin
b. Aminoglycosides
c. Acyclovir
d. Cyclosporine

A

Cyclosporine

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19
Q

Which of the following drugs, does not have a similar drug interaction to the rest?

a. Glipizide
b. Piolitazone
c. Sitaliptin
d. Metformin

A

Metformin

Note: Fish oils = increase blood sugar
Cyclosporine = decrease metabolism
Aminoglycoside, Amphotericin, Ganciclovir, Acyclovir = Nephro-toxicity lactic acidosis
Flaxseed = decreased blood sugar

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20
Q

Which of the following drugs will cause a metallic taste as an adverse effect?

a. Glipizide
b. Piolitazone
c. Sitaliptin
d. Metformin

A

Metformin

Note: Rash, Lactic Acidosis and Megaloblastic anemia is unique to this drug

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21
Q

Which of the following drugs may cause photosensitivity but also cause death, as an adverse reaction?

a. Glipizide
b. Piolitazone
c. Sitaliptin
d. Metformin

A

Glipizide

Note: Causes Cardiovascular death

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22
Q

Which drug will have a prolonged effect due to NSAID’s?

a. Glipizide
b. Pioglitazone
c. Sitaliptin
d. Metformin

A

Glipizide

Note: Class is a sulfonurea

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23
Q

Which drug will possibly give you flu like symptoms?

a. Statin
b. Fibrate
c. Niacin

A

Fibrate

Note: Fibrate also has muscular side effects as well

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24
Q

Which of the following is has an adverse effect and causes Diabetic Macular edema and Bladder Cancer?

a. Glipizide
b. Pioglitazone
c. Sitaliptin
d. Metformin

A

Pioglitazone

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25
Q

Which two drugs will impair metabolism of Zone drugs?

a. Acyclovir
b. Azoles
c. Beta Blockers
d. Trimethoprim
e. Flaxseed Oil

A

Azoles and Trimethoprim

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26
Q

Which of the following drugs should you NOT use when an ocular disease is present?

a. Enoxaparin
b. Clopidogrel
c. Coumadin
d. Abciximab

A

Clopidogrel

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27
Q

Which of the following drugs should not be given to an individual with high cholestrol readings?

a. Enoxaparin
b. Clopidogrel
c. Coumadin
d. Abciximab

A

Coumadin

Note: May cause cholesterol embolism

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28
Q

Which of the following drugs can be used for a bacterial infection (H. Pylori) in the eye?

a. Estrone
b. Tamoxifen
c. Coumadin
d. Esomeprazole

A

Esomeprazole

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29
Q

Which of the following drug causes dry mouth and diarrhea?

a. Estrone
b. Tamoxifen
c. Cimetidine
d. Esomeprazole

A

Cimetidine

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30
Q

Which of the following drugs will cause gynecomastia?

a. Cimetidine
b. Tamoxifen
c. Coumadin
d. Esomeprazole

A

Cimetidine

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31
Q

Which of the following drugs does not have any adverse affects?

a. Estrone
b. Tamoxifen
c. Coumadin
d. Esomeprazole

A

Esomeprazole

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32
Q

Which of the following drugs causes Pseudotumor cerebri as an adverse reaction?

a. Estrone
b. Levothyroxine
c. Tamoxifen
d. Esomeprazole

A

Levothyroxine

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33
Q

Which of the followings has an additive affect on Thyroid therapies?

a. B-blockers
b. Alpha Agonist
c. Sympathomimetics
d. NSAID’s

A

Sympathomimetics

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34
Q

Which of the following drugs impairs the metabolism of caffeine?

a. Cimetidine
b. Tamoxifen
c. Coumadin
d. Esomeprazole

A

Cimetidine

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35
Q

Which of the following drugs is an indication for Choriocarcinoma?

a. Cimetidine
b. Tamoxifen
c. Promethazine
d. Methotrexate

A

Methotrexate

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36
Q

Which of the following is not an adverse affect of Alendronate?

a. Photosensitivity
b. Uveitis
c. Conjunctivitis
d. Scleritis

A

Conjunctivitis

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37
Q

Which of the following has big issue of producing too much production of vitamin k clotting factor?

a. Levothyroxine
b. Estrone
c. Drospirenone
d. Tamoxifen

A

Estrone

38
Q

Which of the three are ocular adverse affects of Thyroid drug.

a. Ptosis
b. Diplopia
c. EOM paresis
d. Ocular lesions
e. Contact lens

A

Ptosis, Diplopia and EOM

39
Q

Which of the following drugs, pick 2, causes an intolerance to Contact lenses?

a. Estrone
b. Estradiol
c. Tamoxifen
d. Clomiphene

A

Estrone and Estradiol

40
Q

Which hormone will induce a further affect of endometrial cancer and invasive breast cancer?

a. Estrone
b. Estradiol
c. Tamoxifen
d. Coumadin

A

Estrone

Note: DVT and MI are also part of this black box warning

41
Q

What type of phasic drug is YAZ?

a. monophasic
b. diphasic
c. triphasic
d. four phasic

A

monophasic

42
Q

Which type of vitamin will decrease the metabolism of YAZ?

a. Vit A
b. Vit B
c. Vit C
d. Vit D

A

Vit C = Ascorbic Acid

43
Q

Which of the following is an additive to hyperkalemia for contraception drugs?

a. Steroids
b. Tetracycline
c. Fluoroquinolones
d. NSAID’s

A

NSAID’s

44
Q

Severe adverse affects of Tamoxifen?

a. Stroke
b. Pancytopenia
c. Cataracts
d. Thromboembolism
e. Retinopathy
f. All of the above

A

All of the above

45
Q

Which of the following drugs will increase the levels of Cyclosporine, Steroids and Oxycodone?

a. Tamoxifen
b. Estradiol
c. Esterone
d. Yaz

A

Tamoxifen

46
Q

Which of the following two will decrease the effectiveness of Tamoxifen?

a. Fluoroquinolines
b. Statin drugs
c. Macrolides
d. Chlorpheiramine

A

Macrolide and Chlorpheiramine

47
Q

What type of affect will occur when NSAIDs and Methotrexate are combined?

a. Increase the affect of both
b. Decrease their affect
c. Allergy reaction
d. Myelosuppression

A

Fatal myelosuppression

48
Q

True or False. Bone marrow density will decrease as you take Methotrexate.

A

True

49
Q

Which of the following will cause neurotoxcity

a. Pemetrexed
b. Methotrexate
c. Trimethoprim
d. Pyrimethamine

A

All of these. They are all anti metabolites

50
Q

What would you take with central antiviral agents to lower the pH content?

a. Milk
b. Water
c. Coca Cola
d. Cocaine

A

Coca Cola - it will lower the pH level considerably faster

51
Q

At which level of the H2 receptor will only be affective?

a. Alpha level
b. Beta level
c. Kappa level
d. Basal Level

A

Basal level

52
Q

Match the following with hyperthyroidism and hypothyroidism.

a. Bradycardia
b. Tachycardia

A
Hyper = Tachy
Hypo = Brady
53
Q

True or False. Estrogen dosing for menopause is significantly higher and safer than contraception.

A

False. Estrogen does for menopause is LOWER and safer than contraception

54
Q

What is the most potent estrogen producer?

A

Estradiol

Note: Estrone is a metabolite of Estradiol and will be 1/3 potent as Estradiol

55
Q

Which gender does osteoporosis occur in the most?

A

Female

Note: Cholesterol build up

56
Q

What are the two most lethal cancer’s that can spread to the eye?

A

Lung and Breast

57
Q

What are the top 4 cancer deaths in males?

A
  1. Lung 2. Prostate 3. Colon 4. Pancreas
58
Q

What are the top 4 cancer deaths in females?

A
  1. Lung 2. Breast 3. Colon 4. Pancreas
59
Q

What are the highest amount of new cases in males?

A

Prostate

60
Q

What are the highest amount of new cases in females?

A

Breast

61
Q

Which type of drug also has the similar affects as chemotherapy of vomitting, nausea and chemical structure of the drug?

A

Anti-psychotics

62
Q

Which is correct?

a. Arterial thrombosis = Coagulation Cascade
b. Arterial thrombosis = Platlet rich clot

A

b. Arterial thrombosis = Platlet rich clot

63
Q

Which is correct?

a. Venous thrombosis = Coagulation Cascade
b. Venous thrombosis = Platlet rich clot

A

Venous thrombosis = Coagulation Cascade

64
Q

Which of the two pathways, Extrinsic or Intrinsic, causes a thrombin burst?

A

Extrinsic - synthesis of vitamin K coagulation factors

65
Q

Which of the two pathways, Extrinsic or Intrinsic, is important in the inflammatory pathway?

A

Intrinsic

66
Q

What of the following is a contraindication for a statin drug?

a. Apple juice
b. Orange Juice
c. Grapefruit juice
d. Purple Drank

A

Grapefruit juice

67
Q

True or False. Coronary heart disease causes 1/2 deaths in all of the US

A

True

68
Q

True or False. Type 2 DM is most common in Overweight, Non-caucasian and Over 40 years of age.

A

True

69
Q

Which ethnic group has the greatest risk for insulin resistance?

A

Latino’s

70
Q

Which ethnic group has the greatest for Beta cell dysfunction?

A

East Asian

71
Q

What is the most common side effect from Anti HTN?

A

Headache

72
Q

Which structure is the most similar to Morphine?

a. Hydrocodon
b. Codeine
c. Heroine
d. NSAID’s

A

Codeine

Note: NSAID’s are the most different

73
Q

What is the most common side affect of Lisinopril?

A

Cough with plegm

74
Q

Lisinopril is associated with what ocular side effects?

A

Ocular surface issues, Dry eye (when combined with BBlockers)

75
Q

Amlodipine is associated with what ocular issues?

A

Diplopia, Pain, and Conjunctivitis (when combined with Lisinopril)

76
Q

Terazosin is associated with what ocular side effects?

A

Catract surgery and Intraoperative floppy iris syndrome and Pain

77
Q

Metaprolol/Atenolol is associated with what ocular issues?

A

Decrease IOP, Glaucoma progression, Opth Decong anatagonist

78
Q

Furosemide is inhibits reabsorption of NaCl at what parts of the kidney?

A

Proximal and Distal

79
Q

What drugs are hypersensitive to Sulfonamides?

A

Furosemide, HCTZ diuretic

80
Q

What major ocular issue is associated with HCTZ diuretic?

A

Angle Closeure Glaucoma

81
Q

Which drug is associated with Lupus Erythematosus?

A

Hydralazine

82
Q

Escitalopram is associated with what ocular issues?

A

Ptosis, Conjunctivitis, Diplopia, Blur and DRY EYE!

83
Q

Which of the following is not an SSRI?

a. Fluoxetine
b. Duloxetine
c. Escitalopram
d. Sertraline

A

Duloxetine

84
Q

Which typical anti-pshycotic drug is associated with cataracts?

A

Qutiapine

85
Q

Which alzheimer drug inactivates ACHesterases?

A

Donepizil

86
Q

Which drug is associated with Parkinsons?

A

Sinemet

87
Q

Celecoxib has 4 major side effects. Name them.

A

Bleeding, Ulcer, Stroke and Sulfa allergy

88
Q

Which drug is associated with respiratory disease, that also has a side-effect causing conjunctivitis

A

Tramadol

89
Q

What are the 3 ocular side effects of Fluticasone?

A

Cataracts, Glaucoma and Increase IOP

90
Q

Name the 5 ocular issues related to Mometasone.

A

Increase IOP, Glaucoma, HSV infection, Cataracts and Vision changes