Pharm Exam II

Question 1

What is a mnemonic to remember the 5 asthma ICSs?

Answer 1

BBCFM
Bearded Buddies Collect Fun Memories
1) Beclomethasone
2) Budesonide
3) Ciclesonide
4) Flunisolide
5) Mometasone

Question 2

How to remember the 5 COPD LAMAs?

Answer 2

TAGUR

1) Tiotropium (Spiriva Respimat or Spiriva Handihaler)
-SMI & DPI
2) Aclidinium (Tudorza Pressair)
-DPI
3) Glycopyrrolate (Lonhala Magnair or Seebri Neohaler)
-Nebulized or DPI
4) Umeclidinium (Incruse Ellipta)
-DPI
5) Revefenacin (Yupelri)
-Nebulized

Question 3

How to remember 5 COPD LABAs?

Answer 3

SFAIO
Salmons Form AIO
1) Salmeterol (Serevent Diskus)
-DPI
2) Formoterol (Perfomist)
-Nebulized
3) Arformoterol (Brovana)
-Nebulized
4) Indacaterol (Arcapta)
-DPI
5) Olodaterol (Striverdi)
-Soft mist inhaler (SMI)

Question 4

Tx for VAP with MDR or MRSA or pseudomonas risk factors. What else can this Tx?

Answer 4

CAV

Cefepime+amikacin+vancomycin
-Can also for HAP if hospitalization/IV antibiotics in last 90 days, high mortality risk

Question 5

What can Tx HAP if hospitalization/IV antibiotics in last 90 days, prior MRSA?

Answer 5

CVL or LVL:

cefepime+vancomycin or linezolid
levofloxacin+vancomycin or linezolid

Question 6

What do all COPD LABAs end in?

Answer 6

-terol

Question 7

How to remember the 3 antibiotic groups that are all IV only?

Answer 7

CAM
Carbapenems, aminoglycosides, monobactams

Question 8

How to remember the first gen of cephalosporins?

Answer 8

All start with “Cefa/cepha”

Question 9

How to remember the second gen of cephalosporins?

Answer 9

furry (cefuroxime) foxes (cefoxitin) tan (cefotetan) faces (cefactor) like pros (cefprozil)

Question 10

How to remember the third gen of cephalosporins?

Answer 10

Tri (ceftriaxone) po’docs (cefpodoxime) were fixinme (cefixime) dinner (cefdinir) and got tazed (ceftazidime) for not paying taxes (cefotaxime*)

Question 11

How to remember the 4th gen of cephalosporins?

Answer 11

“-pi-“

Question 12

How to remember the 5th gen of cephalosporins?

Answer 12

Line (ceftaroline) Zone (ceftolozone)

Question 13

Which 3 groups of antibiotics have the following adverse effects?:
○ GI upset
○ Diarrhea
○ Rash / allergic reactions
○ Seizures with accumulation

Answer 13

Penicillins, Cephalosporins, Carbapenems

Question 14

What are the strongest inducers?

*(this is on EVERY EXAM)

Answer 14

Phenytoin
Smoking
Phenobarbital
Oxcarbazepine
Rifampin (and rifabutin / rifapentine)
Carbamazepine
St. John’s Wort

PS PORCS

Question 15

What are the strongest inhibitors?

*(this is on EVERY EXAM)

Answer 15

Grapefruit
PIs (protease inhibitors)
Azoles
C–cyclosporin & cimetidine
Macrolides (not azithromycin)
Amiodarone (and dronedarone)
Non-DHP CCBs (diltiazem and verapamil)

G PACMAN