Pharmacology Test

Question 1

Which of the following statements regarding Nitro is correct?

A) It decreases preload
B) It increases afterload
C) It increases peripheral vascular resistance
D) It promotes vasoconstriction

Answer 1

A) It decreases preload

Question 2

Which of the following would you least expect to see following the administration of Epinephrine?

A) Tachyarrythmias
B) Palpitations
C) Ischemic discomfort
D) None of the above

Answer 2

D) None of the above

Question 3

Nitro is contraindicated in all of the following, except?

A) A heart rate below 60
B) A blood pressure below 100
C) A right ventricular infarct
D) A patient taking phosphodiesterase inhibitors with 24 hours

Answer 3

A) A heart rate below 60

Question 4

Following the completion of D50W injection, the IV line should be flushed with at least ____ cc of normal saline.

A) 5
B) 50
C) 20
D) 100

Answer 4

C) 20 cc of normal saline

Question 5

The 5 factors that effect drug absorption are?

A) Dissolution, solubility, pH, blood flow and surface area
B) Absorption, distribution, bio-transformation, metabolism and elimination
C) Distribution, dissolution, solubility, metabolism and blood flow
D) Distribution, biotransformation, pH, blood flow and metabolism

Answer 5

B) Absorption, distribution, bio-transformation, metabolism and blood flow

Question 6

Which of the following is the correct does of Glucagon?

A) 10 mg
B) 0.1 unit
C) 100 mcg
D) 1 mg

Answer 6

D) 1 mg

Question 7

When used for its anti-platelet properties, ASA inhibits the aggregation of platelets to the site by:

A) Inhibiting the formation of thromboxane B2
B) Stimulating the production of thromboxane B2
C) Inhibiting the formation of thromboxane A2
D) Stimulating the formation of thromboxane A2

Answer 7

C) Inhibiting the formation of thromboxane A2

Question 8

Do not use Entonox if the temperature is below?

Answer 8

?????

Question 9

Which of the following statements regarding Epinephrine is correct?

A) The dromotropic effects cause increased contractility of the heart
B) The Beta 2 properties cause paroxysmal bronchoconstrition
C) It inhibits the release of histamines
D) The Alpha properties cause peripheral vasodilation

Answer 9

C) It inhibits the release of histamines

Question 10

Entonox is considered a gaseous analgesic/anesthetic. Which % correctly reflects it’s properties?

A) 50% nitroglycerin, 50% O2
B) 50% nitrous oxide, 50% O2
C) 50% nitrogen, 50% O2
D) 50% nistrosyl, 50% O2

Answer 10

B) 50% Nitrous oxide, 50% O2

Question 11

What is the maximum dose of Epinephrine, when administering to a pediatric?

A) 0.3 mg IM 1:1000
B) 0.5 mg IV 1:10000
C) 0.3 mg SC 1:10000
D) 0.1 mg IV 1:1000

Answer 11

A) 0.3 mg IM 1:1000

Question 12

Hypersensitivity to beef and pork proteins is a contraindication for which of the following meds?

A) Oral glucose
B) Iprattropium Bromide
C) Glucagon
D) D50W

Answer 12

C) Glucagon

Question 13

In addition to being a platelet aggregate inhibitor, ASA is also considered a?

A) Antipyretic
B) Antihistamine
C) Anesthetic
D) Antiemetic

Answer 13

A) Antipyretic

Question 14

What is the maximum dose of Ventolin?

A) 5 mg q 5-10 min to a max of 20 mg
B) 500 mcg q 15 prn
C) 2.5-5 mg q 10-15, repeated twice
D) There is no maximum in the prehospital setting

Answer 14

D) There is no maximum in the prehospital setting

Question 15

Tachyarrythmias, palpitations and nausea/vomiting are all side effects of?

A) Ipratropium Bromide
B) Entonox
C) Nitro
D) Salbutamol

Answer 15

D) Salbutamol

Question 16

What is the maximum dose of Ipratropium Bromide?

A) 500 mcg
B) 1500 mcg
C) 1500 mg
D) There is no maximum dose in the prehospital setting

Answer 16

B) 1500 mcg

Question 17

Atrovent is considered a?

A) Anticholinergic
B) Parasympatholytic
C) Sympathomimetic
D) Both A and B

Answer 17

D) Both A and B

Question 18

If a patient is already wearing a Nitro patch, you should?

A) Remove it and administer Nitro as per protocol
B) Keep it in place and administer Nitro as per protocol
C) Remove it and administer half the required dose of Nitro
D) Keep it in place and administer half the required dose of Nitro

Answer 18

A) Remove it and administer Nitro as per protocol

Question 19

Which of the following statements regarding Salbutamol is incorrect?

A) It is a parasympatholytic
B) It is a sympathomimetic
C) At therapeutic doses, it is Beta 2 specific
D) At higher than therapeutic doses, it will have non-specific adrenergic stimulation

Answer 19

A) It is a parasympatholytic

Question 20

One ampule of D50W contains ____ grams of Dextrose?

A) 12.5
B) 25
C) 50
D) 100

Answer 20

B) 25

Question 21

Constricted pupils is best defined as:

A) Miosis
B) Nystagmus
C) Dysconjugate gaze
D) Mydriasis

Answer 21

A) Miosis

Question 22

Factors influencing drug absorption, metabolism and elimination may include?

A) Age of the patient
B) Weight of the patient
C) Sedation
D) Both A and B are correct

Answer 22

D) Both A and B correct

Question 23

Opioids mimic the action of endorphins responsible for:

A) Euphoria
B) Excitation
C) Sedation
D) Hallucinations

Answer 23

C) Sedation

Question 24

You need to administer 2 mg IN. Naloxone is supplied in a 2 mL vial. The concentration is 1 mg/mL. What volume will you need to draw up?

A) 0.8 mL
B) 1 mL
C) 2 mL
D) 4 mL

Answer 24

C) 2 mL

Question 25

Which of the following is the correct dose of Narcan?

A) 0.4 mg IM to a maximum of 1.6 mg
B) 2 mg intranasal to a maximum of 3.2 mg
C) 0.8 mg IM to a maximum of 3.2 mg
D) 0.4 mg IV to a maximum of 1.2 mg

Answer 25

C) 0.8 mg IM to a maximum of 3.2 mg