Musculoskeletal Flashcards

1
Q

Aspirin MOA

A

Irreversibly binds cyclooxygenase (COX1+2)decreases thromboxane A2 and prostoglandin synthesis

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2
Q

Aspirin - clinical use

A

low dose: decreased platelet aggregationintermediate dose: antipyretic/analgesichigh dose - anti-inflammatory

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3
Q

Aspirin - AEs

A

GI bleeding, tinnitus, acute renal failureRisk of Reye’s syndrome in kids treated for viral infection (strep vs mono)

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4
Q

NSAIDs - 5 common

A

Ibuprofen, naproxen, indomethacin, ketorolac, diclofenac

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5
Q

NSAIDs - MOA

A

Reversibly bind cyclooxygenase (COX 1+2)-> blocks prostaglandin synthesis

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6
Q

NSAIDs - clinical use

A

antipyretic, analgesic, anti-inflammatory

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7
Q

Specific NSAID used to close PDAs

A

Indomethacin

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8
Q

NSAIDs - AEs

A

interstitial nephritis, GI ulceration/bleeding, renal ischemia

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9
Q

COX-2 inhibitors - common one

A

celecoxib

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10
Q

COX-2 inhibitors - MOA

A

reversibly inhibits COX-2

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11
Q

COX-2 inhibitors - clinical use

A

Rheumatoid and osteoarthritisshould spare gastric mucosa and platelet function (COX-1 dependent)

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12
Q

COX-2 inhibitors - AEs

A

increased thrombosis risk

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13
Q

Acetaminophen - MOA

A

reversibly binds COX, mostly in CNS

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14
Q

Acetaminophen - clinical use

A

antipyretic and analgesic (NOT anti-inflammatory)use to avoid Reye’s in kids w/ viral infection

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15
Q

Acetaminophen - AEs

A

hepatic necrosis (glutathione depletion in liver)

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16
Q

Bisphosphonates - common one

A

Alendronate and other -dronates

17
Q

Bisphosphonates - MOA

A

binds hydroxyapatite in bone ->inhibits osteoclast activity

18
Q

Bisphosphonates - clinical use

A

osteoporosis, hypercalcemia, Paget’s disease

19
Q

Bisphosphonates - AEs

A

corrosive esophagitis, osteonecrosis of jaw

20
Q

Chronic gout treatment

A

allopurinol, febuxostat

21
Q

Acute gout- best NSAIDS

A

naproxen, indomethacin

22
Q

TNF-alpha inhibitors - common ones

A

EtanerceptInfliximab, adalimumab

23
Q

TNF-alpha - AEs

A

increased risk of infectionreactivation of TB, especially (prevents macrophage activation)

24
Q

Etanercept - MOA

A

fusion protein (decoy receptor)

25
Q

Etanercept - clinical use

A

RA, psoriasis, ankylosing spondylitis

26
Q

Infliximab/adalimumab - MOA

A

anti-TNF-alpha monoclonal antibody

27
Q

Infliximab/adalimumab - clincal use

A

Crohn’s, RA, ankylosing spondylitis, psoriasis

28
Q

Other chronic gout drug and MOA

A

Probenecid - inhibits uric acid reabsorption at PCT