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Pharmacotherapy > STOP/START/BEERS > Flashcards

STOP/START/BEERS Flashcards

1
Q

True/False

Stop NSAID in HF to prevent risk of exacerbation

A

True

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2
Q

True/False

NSAID use > 3 months for relief of mild joint pain are part of the STOP criteriA

A

True

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3
Q

What is the first line prophylactic drug in gout?

A

allopurinol

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4
Q

Avoid long-term use of corticosteroids in RA as monotherapy, defined as _____ months

A

3

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5
Q

True/False

Diclofenac is associated with lower cardiovascular risks than other non-selective NSAIDs

A

False, it is higher risk

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6
Q

What 2 NSAIDs have the most favorable CV risk profiles?

A

Naproxen and low dose advil

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7
Q

What medication for urinary incontinence should be avoided in frail older women?

A

Oxybutinin

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8
Q

True/False

Bladder antimuscarinic drugs should be stopped with chronic angle-closure glaucoma, constipation and prostatism?

A

True

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9
Q

True/False

Loperamide is indicated for diarrhea of unknown cause or severe infective gastroenteritis

A

False

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10
Q

PPI therapy should be limited to ____ weeks to prevent what SE

A

< 8 weeks, prevent fractures, hyponatremia and hypomanesaemia

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11
Q

True/False

Metformin is contraindicated if GFR < 30

A

True

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12
Q

What medications should be started with DM with nephropathy (proteinuria or microalbumineria) +/- signs of renal impairment

A

ACE-I

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13
Q

What medication should be considered with DM and CVD risk >/= 10%

A

Statin

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14
Q

BB should be stopped in DM if frequent ______ to prevent recurrent episodes

A

hypoglycemia episodes > 1 per month

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15
Q

Estrogen increases risk of:

A

VTE, breast cancer, endometrial cancer

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16
Q

Glitazones should be stopped with what 3 conditions

A

heart failure (worsening edema), bladder cancer, fracture risk

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17
Q

Empagliflozin requires an eGFR of >

A

eGFR >20 mL/minute

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18
Q

In acute pancreatitis, avoid what antidiabetic medication?

A

Gliptins/DPP4

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19
Q

True/False

Gliptins (DPP4) and GLP-1s should should not be used together

A

True

20
Q

In OA with patient taking NSAIDs consider prescribing ____ to prevent SE

A

PPI

21
Q

If c.diff is suspected, discontinue what 2 medications

A

Motlitiy agents and PPIs

22
Q

T/F

Loop diuretics are indicated for dependent ankle edema in the absence of heart failure

A

False

23
Q

Beta blocker in combination with verapamil can increase risk of symptomatic heart block. T/F?

A

True

24
Q

CCB diltiazem and verapamil are not reccomended in NYHA Class ___ and ___ heart failure

A

III, IV

25
Q

PD drugs should be initiated in primary care prior to specialist diagnosis. T/F?

A

False

26
Q

Antidepressants can be initiated with moderate-severe depression for at-least ____ months

A

3 months

27
Q

Memantine can be used for mild alzheimers disease. T/F?

A

False

28
Q

Antipsychotic drugs are associated with increased risk of stroke in elderly. True/False?

A

True

29
Q

What medication is the only licensed short term drug for aggression in patients with moderate-severe alzheimers?

A

Risperidone

30
Q

Avoid tramadol in the over ____ year people

A

75

31
Q

What medication can be discontinued if it has been > 12 months since stenting

A

ASA

32
Q

According to STOP criteria, DVT prophylaxis should be disontinued following first DVT after ___ months

A

6

33
Q

According to STOP criteria, PE prophylaxis should be discontinued following first PE after ___ months

A

12 months

34
Q

T/F

Narrow angle glaucoma can be exacerbated by SAMA/LAMA?

A

True

35
Q

Citalopram and escitalopram can cause what CV consequence that may require monitoring

A

QTC prolongation

36
Q

ASA should not exceed dose of ____ per day if >65 years

A

150mg/day

37
Q

Antiplatelets can be combined with warfarin when indicated as benefits outweigh harms. T/F?

A

False, benefits do not outweigh harms in this population

38
Q

ASA monotherapy can be given for stroke prevention. T/F?

A

False

39
Q

Anticoagulation should be withheld purely because of the risk of falls. T/F?

A

False

40
Q

T/F

TCAs can worsen constipation?

A

True

41
Q

Benzodiazipines and Z drugs should not be used for > _____ and if fallen in past ______

A

1 month

fallen in past 3 months

42
Q

What medication class should be started with chronic stable angina?

A

BB

43
Q

What medication to reduce afterload should be started in chronic heart failure?

A

ACE-I

44
Q

Following acute MI what medication to reduce afterload should be given?

A

ACE-I

45
Q

Give patients with COPD and a FEV1 of < ______ a course of ABX and oral corticosteroids tablets to keep at home

A

FEV1<30%

Pharmacotherapy (3 decks)

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