Random Pharm Facts

Question 1

To which groups of people should you not Rx NSAIDs?

Answer 1

HF/CVD*
CKD*
HTN
GI bleeds (mostly with ibu)

Question 2

What is first line therapy for OA?

Answer 2

Acetaminophen

Question 3

What is second line therapy for OA?

Answer 3

NSAIDs

Question 4

What is bridge therapy for RA?

Answer 4

NSAIDs

If C/I, go to prednisone (1 month)

Question 5

What is bridge therapy for SLE?

Answer 5

prednisone

Question 6

What is 1st line RA?

Answer 6

methotrexate

Question 7

What is 2nd line RA?

Answer 7

methotrexate + hydroxychloroquine
OR
methotrexate + etanercept

Question 8

What is 1st line SLE?

Answer 8

hydroxycholorquine (+ prednisone)

Question 9

Some long-term effects of corticosteroids?

Answer 9

osteoporosis, weight gain, hypergylcemia (many more, congrats if you can name them all!)

Question 10

If pt. has RA, when should they start on DMARDs?

Answer 10

within 3 months of an early diagnosis

Question 11

Which drug reacts strongly with your eyes?

Answer 11

hydroxychloroquine

Question 12

Can you prescribe NB-DMARDS with other NB-DMARDS?

Answer 12

yes

Question 13

Can you prescribe NB-DMARDS with B-DMARDS?

Answer 13

yes (other than Xeljanz)

Question 14

Can you prescribe B-DMARDS with other B-DMARDS?

Answer 14

NO

Question 15

Which B-DMARD is IV infusion only?

Answer 15

Abatacept (Orencia)

Question 16

Which drug is likly to cause a rash with first infusion?

Answer 16

Rituxan

Question 17

Which drug is used in terminal patients?

Answer 17

Rituxan

Question 18

Which RA drug is a transplant drug?

Answer 18

Cellcept

Question 19

After how many weeks should you start down-titrating prednisone?

Answer 19

2 weeks

Question 20

Which drug has a common side effect of abdominal pain/diarrhea?

Answer 20

Colchicine

Question 21

Which anti-gout med can you not prescribe if you have a hx of kidney stones?

Answer 21

Probenecid (benemid)

Question 22

What is the primary metabolite in allopurinol?

Answer 22

oxypurinol (in the table, don’t know if this is important!)

Question 23

What is your 1st line drug for a pt. with MS having muscle spasms?

Answer 23

Baclofen

Question 24

What is your 1st line drug for a patient having back spasms?

Answer 24

Cyclobenzaprine

Question 25

What is the most common arthropathy in America?

Answer 25

gout (from article)

Question 26

What is the most common form of arthritis in America?

Answer 26

OA (from article)

Question 27

1st line fibromyalgia?

Answer 27

Amitriptyline

Question 28

What cancer drug do we borrow to treat MSK/Rheum conditions?

Answer 28

cyclophosphamide

Question 29

Which drug on our chart is a pro-drug?

Answer 29

cyclophosphamide

Question 30

What 3 major conditions would make you think twice about prescribing pilocarpine?

Answer 30

Severe asthma
Glaucoma
CVD