Pharmacology Review #3 Flashcards
1
Q
Which of the following is a possible reaction to the administration of Verapamil? A) Hypertension B) AV block C) Tachycardia D) Dystonic reaction
A
B) AV block
2
Q
This medication blocks the vagus nerve: A) Acetylcholine B) Atropine C) Epinephrine D) Methylprednisolone
A
B) Atropine
3
Q
Which class of antidysrhythmics does Cardizem fall under? A) Class I B) Class II C) Class III D) Class IV
A
D) Class IV
4
Q
What medication causes paradoxical bradycardia if given too small of a dose or given too slowly? A) Amiodarone B) Lidocaine C) Atropine D) Dopamine
A
C) Atropine
5
Q
What receptor does epinephrine have an effect on? A) Muscarinic B) nicotinic C) Adrenergic D) Opioid
A
C) Adrenergic
6
Q
Adverse reactions of Verapamil include all of these EXCEPT: A) Extreme bradycardia B) Hypotension C) Congestive heart failure D) Angina
A
D) Angina
7
Q
Which of the following is NOT considered an antihypertensive medication?
A) Diuretics
B) Antiplatelets
C) Angiotensin-Coverting Enzyme(ACE) inhibitors
D) Calcium Channel blockers
A
B) Antiplatelets
8
Q
You have added 1 g of Lidocaine in a 250 cc bag of normal saline. You have been given direction to hang a maintenance infusion of 2 mg/min. Using a 60 gtt set, your infusion rate would be: A) 15 gtts/min B) 30 gtts/min C) 45 gtts/min D) 60 gtts/min
A
B) 30 gtts/min
9
Q
You have been ordered to give your patient 10 mcg/kg/min of Dopamine. Your patient weighs 132 lbs. and the premixed bag of Dopamine was 400 mg in 250 cc, what would be the drip rate for this patient? A) 22.5 gtts/min B) 24.75 gtts/min C) 49.5 gtts/min D) 23.5 gtts/min
A
A) 22.5 gtts/min
10
Q
Drugs that bind to a receptor and block a response are known as: A) Antagonists B) Agonists C) Inhibitors D) Mimetics
A
A) Antagonists
11
Q
The process of chemically converting medications into metabolites is known as: A) Absorption B) Pharmacodynamics C) Distribution D) Biotransformation
A
D) Biotransformation
12
Q
Ipratropium Bromide is carried: A) 5 mg/3 ml B) 2.5 mg/3 ml C) 0.5 mg/2.5 ml D) 1 g/2.5 ml
A
C) 0.5 mg/2.5 ml
13
Q
Which of the following reduces ventricular irritability and inhibits muscular excitability? A) Epinephrine B) Atropine C) Magnesium D) Verapamil
A
C) Magnesium
14
Q
Which of the following is a contraindication for giving Adenosine?
A) Known AFib or AFlutter
B) Patients on Theophylline and related Methylxanthines
C) 2nd or 3rd degree blocks
D) All of the above
A
D) All of the above
15
Q
The correct adult dosage for Adenosine: A) 12 mg IVP, may repeat 6 mg twice B) 8 mg IVP, may repeat 12 mg once C) 6 mg IVP, may repeat 12 mg once D) 6 mg IVP, may repeat 6 mg once
A
C) 6 mg IVP, may repeat 12 mg once
16
Q
Which of the following medications is contraindicated in a patient with ventricular reponse to A FIb and who have a known history of Wolff-Parkinson-White(WPW)? A) Morphine B) Nitro C) Verapamil D) Adenosine
A
D) Adenosine
17
Q
What class of drug is Vasopressin? A) Antihypertensive B) Hormone C) Sedative/Hypnotic D) Analgesic
A
B) Hormone
18
Q
Which of the following is a calcium channel blocker resulting in negative inotropy and slowing of SA node? A) Calan B) Lidocaine C) Bumetanide D) Atrovent
A
A) Calan
19
Q
Use of what medication can cause vagal stimulation leading to bradycardia or asystole? A) Anectine B) Ativan C) Atropine D) Diltazem
A
A) Anectine
20
Q
What medication would you administer to a patient in cardiogenic shock after fluid resuscitation measures have been taken? A) Nitro B) Lidocaine C) Dopamine D) Adenosine
A
C) Dopamine
21
Q
Which of the following is not a factor in the absorption of a medication? A) Potentation B) Solubility C) Concentration D) Blood flow
A
A) Potentation
22
Q
The following are all contraindications for the use of Amiodarone except: A) Rate control in AFIb or AFlutter B) Cardiogenic shock C) Bradycardia D) Pulmpnary Congestion
A
A) Rate control in AFIb or AFlutter
23
Q
What is the adult dose of Calcium Chloride for a patient with an electrolye imbalance? A) 3 ml of 10% solution B) 5-10 ml of 10% solution C) 2-5 ml of 10% solution D) 0.2-0.5 ml of 10% solution
A
B) 5-10 ml of 10% solution
24
Q
Nitro does what to the coronary arteries? A) Constricts B) Dilates C) Bisects D) Infarcts
A
B) Dilates
25
```
All of the following are cardiovascular adverse reactions seen with Atropine except:
A) Ventricular irritability
B) Exacerbation of angina
C) Nausea and vomiting
D) Bradydysrhythmias
```
D) Bradydysrhythmias
26
```
Which signs and symptoms are not considered adverse reactions of Epinephrine?
A) Ventricular dysrythmias; angina
B)Nausea; vomiting
C) Hypotension; dizziness
D) Tachycardia; anxiety
```
C) Hypotension; dizziness
27
Calcium chloride's mechanism of action includes which of the following?
A) Rightward shift in oxygen-hemoglobin dissociation curve
B) Decreases platelet aggregation
C) Multiple effects on sodium, potassium and calcium channels
D) Increase extracellular and intracellular calcium levels
D) Increase extracellular and intracellular calcium levels
28
```
You are ordered to begin a continuous infusion of epinephrine at 3 mcg/min. You have 1 mg of 1:1,000 solution in s 250 ml bag of D5W. You are using a 60 gtts set. What is your drip rate for this infusion?
A) 15 gtts/min
B) 30 gtts/min
C) 45 gtts/min
D) 60 gtts/min
```
C) 45 gtts/min
29
```
The following adverse reactions are for Magnesium Sulfate affect the cardiovascular except:
A) Hypotension
B) Depressed reflex
C) Smooth muscle relaxant
D) Heart block
```
B) Depressed reflex
30
```
Which of the following is the appropriate angle for a subcutaneous injection?
A) 90 degrees
B) 25 degrees
C) 15 degrees
D) 45 degrees
```
D) 45 degrees
31
```
Which of these is a contraindication for the use of Nitro?
A) CHF with pulmonary edema
B) Pregnancy
C) Increased intracranial pressure
D) Bradycardia
```
C) Increased intracranial pressure
32
```
What class is Albuterol Sulfate?
A) Bronchodilator
B) Broncoconstrictor
C) Vasodilator
D) Vasoconstrictor
```
A) Bronchodilator
33
```
Per the AZDHS drug profiles, how can you determine Aspirin is degraded and is no longer effective?
A) Change in color of tablet
B) Vinegar like smell
C) Expiration date
D) Change in consistency of tablet
```
B) Vinegar like smell
34
```
What is the maintenance infusion dose of Amiodarone post conversion or resuscitation for an adult?
A) 1.5 mg/min over six hours
B) 1 mg/min over 12 hours
C) 1 mg/min over 6 hours
D) 0.5 mg/min over 3 hours
```
C) 1 mg/min over 6 hours
35
```
Which is the adult dose for Solumedrol in a patient suffering an asthma attack?
A) 5 mg/kg IV
B) 2-4 mg/kg IV
C) 125 mg IV
D) 75 mg IM
```
C) 125 mg IV
36
```
This medication is contraindicated in patients with pulmonary congestion and may precipitate if mixed with Sodium Bicarbonate or Furosemide:
A) Amiodarone
B) Lidocaine
C) Verapamil
D) Diltiazem
```
A) Amiodarone
37
```
Which of the following medication is utilized for stimulating receptors in the blood vessels of the nasal mucosa which causes their constriction and thereby decreases the risk of nasal bleeding?
A) Lidocaine
B) Albuterol
C) Phenylephrine
D) Atrovent
```
C) Phenylephrine
38
```
This organic nitrate is a smooth muscle relaxant acting on vascular, uterine, bronchial and intestinal smooth muscle:
A) Adenosine
B) Aminophylline
C) Magnesium Sulfate
D) Nitroglycerin
```
D) Nitroglycerin
39
```
The recommended initial Dopamine infusion rate for cardiogenic shock is:
A) 1 mcg/kg/min
B) 2-10 mcg/kg/min
C) 10-20 mcg/kg/min
D) 20-25 mcg/kg/min
```
B) 2-10 mcg/kg/min
40
```
You are infusing Lidocaine at 2 mg/min after converting VT. You have a 2 g/500 cc of Lidocaine and are using a 60 gtts set. You would set your infusion rate at:
A) 15 gtts/min
B) 30 gtts/min
C) 45 gtts/min
D) 60 gtts/min
```
B) 30 gtts/min
41
```
You have been ordered to give your patient 15 mcg/kg/min of Dopamine. Your patient weighs 256 lbs., using a 60 gtts set and your concentration of Dopamine is 800 mg/ 250 cc, what is your drip rate?
A) 72 gtts/min
B) 32.73 gtts/min
C) 545.43 gtts/min
D) 32726.25 gtts/min
```
B) 32.73 gtts/min
42
```
You are ordered to administer 0.5 mg of Atropine IVP. You have a 1 mg/10ml vial on hand. How many ml will your dose be?
A) 0.05 ml
B) 5ml
C) 0.01 ml
D) 1 ml
```
B) 5ml
