Med/Surg

Question 1

Class: Opioid Agonist
Indication: Moderate to severe pain
SE: respiratory depression, nausea

Answer 1

Hydromorphone

Question 2

Class: Long acting insulin
Indication: T1D/T2D
SE: n/v, hypoglycemia

Answer 2

Insulin Detemir

Question 3

Class: Narcotic- centrally acting analgesic
Indication: Mod-severe pain - low instance of abuse
SE: sedation, dizziness, HA, dry mouth, constipation

Answer 3

Tramadol

Question 4

Class: ergot alkaloid
Indication: postpartum bleeding
SE: nausea, headache, hypertension

Answer 4

Methylergonovine

Question 5

Class: antineoplastic; immunosuppressant
Indication: RA, cancer psoriasis, crohn’s
SE: nausea, elevated LFTs, fatigue

Answer 5

Methotrexate

Question 6

Class: Anti-convulsant
Indication: partial seizures, neuropathic pain
SE: drowsiness, dizziness, fatigue

Answer 6

Gabapentin

Question 7

Class: organic nitrate
Indication: angina
SE: HA, hypotension, tachycardia

Answer 7

Nitroglycerin

Question 8

Class: uterine stimulant
Indication: induce or augment labor; PPH
SE: tachysystole, uterine rupture, elevated BP, fetal hypoxia

Answer 8

Oxytocin/Pitocin

Question 9

Class: 1st generation NASAID
Indication: analgesia for mild to moderate pain such as OA and RA
SE: dyspepsia, abdominal pain, nausea, long-term use - GI bleeding/perforation

Answer 9

Meloxicam

Question 10

Class: atypical antipsychotic (2nd gen)
Indication: schizophrenia, acute bipolar disorder, autism
SE: weight gain, dyslipidemia, diabetes

Answer 10

Risperidone

Question 11

Class: glucocorticoid
Indication: inflammation
SE: euphoria, infection, Cushing’s

Answer 11

Methylprednisolone

Question 12

Class: glucocorticoid/bronchodilator
Indications: prophylaxis in chronic restrictive airway disease (asthma, COPD)
SE: GI upset, infection

Answer 12

Budesonide/formoterol

Question 13

Class: uricosuric
Indications: chronic gout
SE: hypersensitivity, fever, nausea, rash

Answer 13

Allopurinol

Acute: Colchicine

Question 14

Class: antibacterial (glycopeptide)
Indications: C.diff, MRSA
SE: nephrotoxicity, “red man syndrome”

Answer 14

Vancomycin

Monitor BUN and Serum Cr for nephrotoxicity

Question 15

Class: antibacterial
Indications: bacterial infection
SE: GI upset, leukopenia

Answer 15

Piperacillin/tazobactam (Zosyn)

Question 16

Class: platelet aggregation inhibitor
Indications: prevent stenosis after cardiac stent placement, MI & CVA
SE: abdominal pain, dyspepsia, diarrhea, bleeding

Answer 16

Clopidogrel

Stop 7-10 days before ANY surgery

Question 17

Class: mood stabilizer
Indications: bipolar disorder
SE: anorexia, confusion, thirst

Answer 17

Lithium

** <2 is toxic - <2.5 is SEVERELY toxic**

Question 18

Class: anti-psychotic
Indications: Schizophrenia, acute psychosis, Tourette’s
SE: mild leukopenia, EPS (high risk), TD, laryngospasm, respiratory depression, NMS

Answer 18

Haloperidol

Question 19

Class: sedative-hypnotic
Indications: insomnia
SE: daytime fatigue, drowsiness, dizziness - sleep activities

Answer 19

Zolpidem (Ambien)

Question 20

Class: proton pump inhibitor
Indications: GERD, gastric ulcers
SE: nausea, vomiting, abdominal pain

Answer 20

Esomeprazole

Question 21

Class: anti-dysrhythmic
Indications: a-fib, v-fib, v-tach
SE: pulmonary toxicity, liver injury, heart block

Answer 21

Amioderone

Question 22

Class: atypical psychotic
Indications: schizophrenia, major depressive disorder, autism, bipolar mania
SE: anxiety, insomnia, agitation, EPS (low risk)

Answer 22

Aripiprazole (Abilify)

Question 23

Class: growth factor
Indications: anemia (CKD/chemotherapy)
SE: HTN, thrombotic stroke, clotting of AV fistula

Answer 23

Epoetin

Question 24

Class: biphosphonate
Indications: osteoporosis
SE: bone pain, leg cramps, colitis

Answer 24

Risedronate/Alendronate

Question 25

Class: anticonvulsant Indications: neuralgia, partial seizures, fibromyalgia SE: dizziness, ataxia, confusion, weight gain

Answer 25

Pregabalin (Lyrica)

Question 26

Class: Insulin (rapid-acting) Indications: Type 1 and 2 diabetes SE: hypoglycemia

Answer 26

Aspart

Question 27

Class: calcium channel blocker Indications: HTN, angina, a-fib, a-flutter, SVT SE: heart failure, peripheral edema

Answer 27

Dilitazem

Question 28

Class: Smoking cessation aid Indications: aid efforts to stop smoking SE: nausea, anorexia, unusual dreams, mood changes suicidal thoughts

Answer 28

Varenicline (Chantix)

Question 29

Class: Loop-diuretic Indications: heart failure, renal or hepatic failure, uncontrolled HTN, pulmonary edema SE: hypokalemia, ototoxicity

Answer 29

Furosemide (Lasix)

Question 30

Class: antibiotic Indications: pneumonia, sinusitis, skin infections SE: tendonitis, photosensitivity

Answer 30

Levofloxacin (Levoquine)

Question 31

Class: Statin Indications: lower cholesterol & LDL levels, raise HDL levels SE: rhabdomyolysis, hepatotoxicity

Answer 31

Atorvastatin

Question 32

Class: phosphodiesterase inhibitor Indications: erectile dysfunction SE: hypotension, priapism, flushing, HA

Answer 32

Sildenafil (Viagra)

Question 33

Class: SSRI Indications: depression, OCD, PTSD, panic attacks SE: Insomnia, agitation, weight gain, sexual dysfunction, suicidal thoughts

Answer 33

Sertraline (Zoloft)

Question 34

Class: narcotic analgesic Indications: chronic pain; surgical analgesia, control of breakthrough pain in clients taking other opioids SE: respiratory depression, sedation, constipation, urinary retention

Answer 34

Fentanyl

Question 35

Class: glucocorticoid Indications: prophylaxis for asthma, allergic rhinitis SE: oropharyngeal candidiasis, hoarseness

Answer 35

Fluticason

Question 36

Class: beta blocker/antihypertensive Indications: HTN, angina, dysrhythmia, MI, acute, anxiety SE: Bradycardia, AV heart block, heart failure, bronchoconstriction

Answer 36

Propanolol

Question 37

Class: Cholinesterase inhibitor Indications: Mild to severe Alzheimer’s SE: N/V, diarrhea, GI bleeding, anorexia, dizziness, bronchoconstriction, bradycardia

Answer 37

Donepezil

Question 38

Class: ACE inhibitor Indications: HTN, heart failure, acute MI SE: persistent dry cough, hyperkalemia, renal failure, angioedema

Answer 38

Lisinopril

Question 39

Class: antibiotic Indications: tuberculosis SE: body secretions turn orange

Answer 39

Rifampin

Question 40

Class: Anticoagulant Indications: DVT prevention, ischemia prevention in unstable angina and MI SE: bleeding, neurological injury

Answer 40

Enoxaparin (lovenox) **antidote is protamine sulfate

Question 41

Class: Antidysrhythmic Indications: paroxysmal SVT SE: Bradycardia, dyspnea, hypotension, flushing, chest discomfort

Answer 41

Adenosine

Question 42

Class: 5-alpha-reductase inhibitor Indications: benign prostatic hyperplasia SE: decreased ejaculate and libido

Answer 42

Dutasteride

Question 43

Class: anticoagulant Indications: prophylaxis for thrombosis, TIAs and MI SE: Black box warning: serious/fatal bleeding

Answer 43

Warfarin

Question 44

Class: antiepileptic Indications: seizures SE: gingival hyperplasia, thrombocytopenia

Answer 44

Phenytoin (Dilantin)

Question 45

Class: antiprotozoal, antimicrobial, amebicide Indications: amoebiasis, trich, giardiasis, SE: Nausea, headache, metallic taste, dark urine

Answer 45

Metronidazole (Flagyl)

Question 46

Class: centrally acting muscle relaxant Indications: relief of muscle spasm related to muscle injury SE: dizzinesss, dry mouth, drowsiness, urinary retention, constipation

Answer 46

Cyclobenzaprine (Flexiril)

Question 47

Class: glycoside; inotrope Indications: heart failure, dysrhythmias SE: dysrhythmias, anorexia, nausea, fatigue, yellow tinge to vision

Answer 47

Digoxin

Question 48

Class: antidepressant Indications: depression, insomnia SE: orthostatic hypotension, nausea, sedation

Answer 48

Trazodone

Question 49

Class: opioid analgesic Indications: moderate to severe pain SE: respiratory depression, constipation, urinary retention, sedation, cough suppression

Answer 49

Hydrocodone/acetaminophen (Vicodin)

Question 50

Class: leukotriene modifier Indications: prevent asthma attacks, relieve allergic rhinitis SE: dizziness, GI upset, mood changes, SI

Answer 50

Montelukast