Pharm Final 1

Question 1

short acting benzos

Answer 1

Alprazolam
Lorazepam
Oxazepam

Question 2

Heparin full anticoag dosing

Answer 2

80 units/kg bolus followed by 18 units/kg/hr infusion IV

Question 3

—Macrolide (except azithromycin) affect on CYP

Answer 3

Inhibit

Question 4

Onset: Frovatriptan

Answer 4

slow onset/long duration

Question 5

Metronidazole affect on CYP

Answer 5

Inhibit

Question 6

Eliquis (Apixaban) DVT Dosing

Answer 6

10 mg twice daily for 7 days, then 5 mg twice daily thereafter

Question 7

Xarelto (Rivaroxaban) DVT dosing

Answer 7

15 mg twice daily for 21 days, followed by 20 mg daily thereafter

Question 8

Bactrim affect on CYP

—

Answer 8

Inhibit

Question 9

Onset: Sumatriptan

Answer 9

fast onset

Question 10

long acting benzos

Answer 10

Chlordiazepoxide
Clorazepate
Diazepam

Question 11

Heparin prophylaxis

Answer 11

5,000 units SQ BID or TID

Question 12

INR goal for Mechanical mitral valve

Answer 12

2.5-3.5

Question 13

1st line for absence sz

Answer 13

Ethosuximide

Question 14

what anti-epileptic levels can be checked

Answer 14

Carbamazepine (Tegretol)
Phenytoin (Dilantin)
Valproate sodium (Depakote, Depakene)

Question 15

Short acting insulin

Answer 15

Regular insulin (Insulin R)

Question 16

Heparin ACS dosing

Answer 16

60 units/kg bolus followed by 16 units/kg/hr infusion IV

Question 17

rapid acting insulin

Answer 17

Insulin Aspart/Novolog
Insulin glulisine/Apidra
Insulin Lispro/ Humalog

Question 18

—Phenobarbital affect on CYP

Answer 18

Induce

Question 19

CYP Inhibitor effect on INR

Answer 19

Will increase INR

Question 20

—Phenytoin affect on CYP

Answer 20

Induce

Question 21

Long acting insulin

Answer 21

Lantus/Glargine

Levemir/Detemir

Question 22

Enoxaparin prophylaxis dosing

Answer 22

40 mg SQ Q24

If Cr clearance <30 ml/min: 30 mg SQ Q24

Question 23

Onset: Rizatriptan

Answer 23

fast onset

Question 24

Intermediate acting insulin

Answer 24

NPH Insulin (humulin/novolin)

Question 25

—Integrase inhibitors (navir’s) affect on CYP

Answer 25

Inhibit

Question 26

—Rifampin affect on CYP

Answer 26

Induce

Question 27

—Cyclosporine affect on CYP | —

Answer 27

Inhibit

Question 28

—Carbamazepine affect on CYP

Answer 28

Induce

Question 29

—St. johns wort affect on CYP

Answer 29

Induce

Question 30

intermediate acting benzos

Answer 30

Clonazepam

Question 31

Fluconazole affect on CYP

Answer 31

Inhibit

Question 32

1st line for neonatal seizures

Answer 32

Phenobarbital

Question 33

1st line for myoclonic seizures

Answer 33

Clonazepam

Question 34

Dosing for NAS

Answer 34

1.3 mg/kg/day

Question 35

Enoxaparin full anticoagulant dosing

Answer 35

1 mg/kg SQ Q12 hr or 1.5 mg/kg SQ Q24

Question 36

Cimetidine affect on CYP

Answer 36

Inhibit

Question 37

—Oxcarbazepine affect on CYP

Answer 37

Induce

Question 38

tPA stroke dosing

Answer 38

0.9 mg/kg (max of 90 mg) | 10% as bolus, remaining 90% as IV infusion over 60 minutes

Question 39

Onset: Zolmitriptan

Answer 39

fast onset

Question 40

Onset: Naratriptan

Answer 40

slow onset/long duration

Question 41

Onset: Eletriptan

Answer 41

fast onset

Question 42

Amiodarone affect on CYP

Answer 42

Inhibit

Question 43

INR goal for Afib, DVT tx

Answer 43

2-3

Question 44

—Azoles affect on CYP

Answer 44

Inhibit

Question 45

CYP inducer effect on INR

Answer 45

Will decrease INR