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Pharm > Quiz 3 > Flashcards

Quiz 3 Flashcards

1
Q

A patient has high blood pressure and is taking hydrochlorothiazide to lower blood pressure. Which drug if given to this patient that would unintentionally produce an increased amount of blood sugar?

Insulin
Glucophage (Metformin)
Glipizide (Glucotrol)
Nateglinide (Starlix)

A

Insulin

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2
Q

A patient is going to receive a CT scan with contrast, which medication will contraindicate with the procedure.

Insulin
Glucophage (Metformin)
Glipizide (Glucotrol)
Nateglinide (Starlix)

A

Glucophage (metformin)

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3
Q

Which drug therapy for osteoporosis stimulates bone formation, similar to the action of parathyroid hormone.

Calcitonin (Calcimar)
Denosumab (Prolia)
Raloxifene (Evista)
Teriparatide (Forteo)

A

Teriparatide (Forteo)

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4
Q

A patient has high blood pressure and is taking hydrochlorothiazide to lower blood pressure. Which drug, if given to this patient would unintentionally lower blood sugar too low? Choose the best answer according to Table 32.5.

Insulin
Glucophage (Metformin)
Glipizide (Glucotrol)
Nateglinide (Starlix)

A

Glucophage (metformin)

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5
Q

Which medication would you give to a patient to stimulate appetite in an AIDS or cancer patients.

Nateglinide (Starlix)
Megestrol (Megace)
Glipizide (Glucotrol)
Teriparatide (Forteo)

A

Megestrol (megace)

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6
Q

Which drug would you not give to a male patient with preexisting cardiovascular disease that is taking nitrates?

Finasteride (Proscar)
Minoxidil (Rogaine)
Sildenafil (Viagra)
Dutasteride (Avodart)

A

Sildenafil (viagra)

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7
Q

Which drug is commonly used for symptomatic relief of obstruction secondary to BPH?

Dutasteride (Avodart)
Finasteride (Proscar)
Minoxidil (Rogaine)
Terazosin (Hytrin)

A

Terazosin (hytrin)

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8
Q

What occurs when the medication leaks into the surrounding tissues and causes severe tissue damage and necrosis?

Phlebitis
Extravasation
Infiltration
Swelling

A

Extravasation

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9
Q

Which drug decreases the effectiveness of oral contraceptive drugs?

Nateglinide (Starlix)
Glucophage (Metformin)
Finasteride (Proscar)
Antibiotics

A

Antibiotics

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10
Q

Which drug is used to alleviate the symptoms of BPH making the passage of urine easier?

Terazosin (Hytrin)
Leuprolide (Lupron)
Goserelin (Zoladex)
Finasteride (Proscar)

A

Finasteride (proscar)

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11
Q

Which drug is used to treat prostate cancer? ( Specifically Slide 10) Select all that apply.

Terazosin (Hytrin)
Leuprolide (Lupron)
Dutasteride (Avodart) 
Finasteride (Proscar)
Goserelin (Zoladex)
A

Leuprolide (lupron), Goserelin (zoladex)

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12
Q

Which drug would you not give to a patient with pulmonary problems?

Daunorubicin
Bleomycin
Cisplatin
Doxorubicin

A

Bleomycin

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13
Q

Which drug would you not give to a patient with cardiac problems? Select all that apply.

Daunorubicin
Bleomycin
Cisplatin
Doxorubicin
Carmustine
A

Daunorubicin

Doxorubicin

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14
Q

Which drug does not produce bone marrow suppression?

Daunorubicin
Bleomycin
Cisplatin
Doxorubicin

A

Bleomycin

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15
Q

Which drugs can cause nephrotoxicity? Select all that apply

Bevacizumab (Avastin)
Cisplatin
Doxorubicin
Bleomycin
Daunorubicin
A

Bevacizumab (avastin)

Cisplatin

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16
Q 
Which lab value would be of concern for a person taking phenytoin (Dilantin)?
3.1 Albumin
3.8 Potassium
137 Sodium
0.9 Creatinine
A

3.1 Albumin

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17
Q

Which antiepileptic drug can only mix with normal saline?

Carbamazepine (Tegretol)
Phenytoin (Dilantin)
Primidone (Mysoline)
Gabapentin (Neurontin)

A

Phenytoin (dilantin)

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18
Q

Which drug should not be given to a patient that has a liver problem?

Gabapentin (Neurontin)
Phenobarbital
Primidone (Mysoline)
Oxcarbazepine (Trileptal)

A

Primidone (mysoline)

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19
Q

Which drug would you not give to a patient with heart conditions that involve bradycardia?

Carbamazepine (Tegretol)
Phenytoin (Dilantin)
Primidone (Mysoline)
Gabapentin (Neurontin)

A

Phenytoin (dilantin)

20
Q

Which drug would you give to a patient to treat trigeminal neuralgia? (p. 226)

Carbamazepine (Tegretol)
Phenytoin (Dilantin)
Primidone (Mysoline)
Gabapentin (Neurontin)

A

Carbamazepine (tegretol)

21
Q

Which drugs may have reduced effectiveness when given with oral contraceptives? Select all that apply (Women slide 24)

Lisinopril
Carvidilol
Losartan
Glucophage (Metformin)
Phenytoin (Dilantin)
A

Lisinopril
Glucophage (metformin)
Phenytoin (dilantin)

22
Q

Which drug would you give within 2 days of when symptoms occur?

Acyclovir
Ganciclovir
Indinavir
Oseltamivir (Tamiflu)

A

Oseltamivir (tamiflu)

23
Q

Transdermal testoderm and Transdermal androderm are both applied to the testes. True or False?

A

false

24
Q

Which drug will cause hypoglycemia if the patient does not ingest any food within 15 minutes?

Insulin Glulisine (Apidra) 
Regular Insulin (Humulin)
Insulin isophane suspension (NPH)
Insulin Glargine (Lantus)
A

Insulin Glulisine (apidra)

25
Q

A nurse is withdrawing a combination of two insulin drugs in one needle to a patient, which is the correct method? Select all that apply.

NPH before Regular Insulin (Humulin)
Regular Insulin (Humulin) before NPH
Insulin aspart (Novolog) before NPH
NPH before Insulin aspart (Novolog)

A

Regular insulin (humulin) before NPH

Insulin aspart (novolog) before NPH

26
Q

Which drug has an onset of action from 30-60 minutes?

Insulin Glulisine (Apidra)
Regular Insulin (Humulin)
Insulin isophane suspension (NPH)
Insulin Glargine (Lantus)
A

Regular insulin (humulin)

27
Q

When do you administer insulin based on the Sliding Scale Insulin Dosing guidelines? Choose the best answer

When you take a meal
Before you take a meal
When hyperglycemia occurs
Preparing for an onset of hyperglycemia

A

When hyperglycemia occurs

28
Q

In Basal-Bolus Insulin Dosing which drug could be a Basal and which one could be the Bolus?

Insulin Lispro (humalog) is the basal.  Insulin Glargine (Lantus) is the bolus.
Insulin Lispro (humalog) is the basal.  Insulin Glulisine (Apidra) is the bolus.
Regular Insulin (Humulin) is the basal. Insulin Detemir (Levemir) is the bolus.
Insulin Glargine (Lantus) is the basal. Insulin Aspart (Novolog) is the bolus.
A

Insulin Glargine (Lantus) is the basal. Insulin Aspart (Novolog) is the bolus.

29
Q

Which oral antidiabetic drug is contraindicated with patients with a serum creatinine level higher than 1.5 mg/dL.

Glimepiride (Amaryl)
Glucophage (Metformin)
Acarbose (Precose)
Pioglitazone (Actos)

A

Glucophage (metformin)

30
Q

Which oral antidiabetic drug contraindicates with a patient that has an allergy to sulfonamide antibiotic?

Glimepiride (Amaryl)
Glucophage (Metformin)
Acarbose (Precose)
Pioglitazone (Actos)

A

Glimepiride (amaryl)

31
Q

Which drug increases the sensitivity of insulin receptors. Select all the apply

Glimepiride (Amaryl)
Glucophage (Metformin)
Acarbose (Precose)
Pioglitazone (Actos)

A

Glucophage (metformin)

Acarbose (precose)

32
Q

What are early symptoms of hypoglycemia? Select all that apply.

Hypothermia
Confusion
Coma
Irritability
Vomiting
A

Confusion

Irritability

33
Q

What is one of the most serious adverse effects of the Estrogens, Progestins, Contraceptives? Choose the best answer.

Photosensitivity
Carpal tunnel
Amenorrhea
Thromboembolism

A

Thromboembolism

34
Q

After taking bisphosphonates, which position does the patient need to remain in for 30 minutes after taking the dose? (Slide 61 Women) Select all that apply.

Supine
Upright
Sitting
Prone
Sims
A

Upright

Sitting

35
Q

Which medication must be discontinued 72 hours before and during any prolonged immobility (such as surgery)? (women slide 67)

Megestrol (Megace)
Risedronate (Actonel)
Raloxifene (Evista)
Calcitonin (Calcimar)

A

Raloxifene (evista)

36
Q

Which medication, if used in long term therapy can cause gingival hyperplasia?

Phenytoin (Dilantin)
Primidone (Mysoline)
Diazepam (Valium)
Gabapentin (Neurontin)

A

Phenytoin (dilantin)

37
Q

What is a major adverse effect of Sildenafil (Viagra)?

Phimosis
Priapism
Paraphimosis
Pulmonary Fibrosis

A

Priapism

38
Q

What’s wrong with giving beta blockers to a diabetic patient taking insulin?

The blood pressure will rise too high
Beta blockers mask the the tachycardia from hypoglycemia
Beta blockers mask the bradycardia from hypoglycemia
There is nothing wrong with this

A

Beta blockers mask the the tachycardia from hypoglycemia

39
Q

For Fixed-Combination, I have a combination that is “Humulin 70/30”. What does this mean? (p. 507)

70% Humulin 30% Normal saline
70% Normal saline 30% Humulin
70% NPH 30% Humulin
70% Humulin 30% NPH

A

70% NPH 30% Humulin

40
Q

Which drug can be used to treat high-altitude sickness?

Gabapentin (Neurontin)
Diazepam (Valium)
Acetazolamide (Diamox)
TOpiramate (Topamax)

A

Acetazolamide (Diamox)

41
Q

Which medication can lead to the development of Stevens-Johnson syndrome when treating Lennox-Gastaut syndrome? (P.227)

Lamotrigine (Lamictal)
Diazepam (valium)
Gabapentin (Neurontin)
Acetazolamide (Diamox)

A

Lamotrigine (Lamictal)

42
Q

Which medication is commonly used for neuropathic pain, postherpetic neuralgia, and fibromyalgia? (P.227)

Lamotrigine (Lamictal)
Diazepam (valium)
Acetazolamide (Diamox)
Pregabalin (Lyrica)

A

Pregabalin (Lyrica)

43
Q

Angle-closure glaucoma is a common adverse effect of what type of drug?

Gabapentin (Neurontin)
Carbamazepine (Tegretol)
Topiramate (Topamax)
Zonisamide (Zonegran)

A

Topiramate (Topamax)

44
Q

Which antiepileptic drug would you not give to a patient with a sulfur allergy?

Gabapentin (Neurontin)
Carbamazepine (Tegretol)
Topiramate (Topamax)
Zonisamide (Zonegran)

A

Zonisamide (Zonegran)

45
Q

A patient experiencing liver impairment and pancreatitis should not be given which non hepatic enzyme inducing antiepileptic drug?

Carbamazepine (Tegretol)
Valproic Acid
Phenytoin (Dilantin)
Primidone (Mysoline)

A

Valproic Acid

Pharm (8 decks)

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