VT and OPS Flashcards by Yuko Porter

Dietary changes that can help improve BMD include adding which of the following vitamins and
minerals to the diet? SATA
a. Calcium
b. Vitamin A
c.Vitamin D
d.Vitamin C

a, c, d

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Which of the following statements are false regarding Calcium carbonate?
a. Can be taken with or without Vitamin D
b. Must be taken in doses larger than 600 mg to see effect
c. Should be taken with food
d. Contain 40% elemental calcium

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Which drugs are recommended for elderly patients with concurrent hypophosphatemia? SATA
a. Posture
b. Calcium citrate
c. Dical-D
d. Tums
e. Caltrate
f. Titralac

a, c

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Which of the following statements are true regarding Bisphosphonates?
a. Should be taken with food
b. Should be taken with at least 4 oz of plain tap water
c. Patient should lay down for 30 minutes after taking the medication
d. Recommended to be taken with milk to increase Calcium intake

b
AIR dronate

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A patient is taking Denosumab (Xgeva®). What statement is correct regarding this medication?
a. Hot flashes will often occur when discontinued
b. Requires calcium supplementation.
c. Causes thromboembolism risk
d. Intranasal that is sprayed into one nare a day
e. Must take on an empty stomach

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Denosumab
a) is adminiater every month and b) is every 6month

a) Xgeva
b) Prolia
SUQ
Don’t forget to take Ca suppuliment with it!!

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Which of the following agents is contraindicated in patients with active thromboembolic disease?
a. Xgeva
b. Raloxifene
c. Risedronate
d. Alendronate

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How should calcitonin be administered?

Nasal
SUQ

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What are the risks for initiating Estrogen Therapy?

cardiac vasular efffect

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.** A nurse is teaching a patient how to take Teriparatide (Forteo). Which statement by the patient is
correct?**
a. I can take this with my Alendronate for increased effect
b. I should lay down after taking my first dose
c. I should take this medication every month
d. I need to take this medication with 4 oz of tap water

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True or false? Enoxaparin (Lovenox) requires aPTT monitoring.

False
LMWH
Estamit Deliver Time
+
Parin

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. Which of the following is the antidote for unfractionated heparin?
a. Vitamin K
b. Protamine sulfate
c. Idarucizumab
d. Andexanet alpha

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Idarucizumab

Dabigatran
Direct Thrombin Inhibitors

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Andexanet alpha

Argatroban

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What drug is used for patients with HIT who need parenteral antithrombotic therapy?
a. Argatroban
b. Warfarin
c. Fondaparinux
d. Rivaroxaban

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What needs to be monitored while on Warfarin?

INR

What statement is true regarding Dabigatran?
a. aPTT should be routinely monitored
b. Reversed with protamine sulfate
c. Is a direct Xa inhibitor
d. Dose must be adjusted in renal insufficiency

Which of the following drugs is a Thienopyridine?
a. Tirofiban
b. Prasugrel
c. Edoxaban
d. Alteplase

b
grel

Which of the following drugs dissolve clots by activating plasmin?
a. Abciximab
b. Cangrelor
c. Streptokinase
d. Fondaparinux

Thrombolytics
agents

anistreplase (Eminase®)
reteplase (Retavase®)
streptokinase (Streptase®)
urokinase (Abbokinase®)

Thrombolytics
indication

myocardial infarction
pulmonary embolism
deep vein thrombosis
For emargency!!

Thrombolytics,allergy
which agent?

anistreplase
streptokinase

Which of the following are contraindications for thrombolytic therapy? SATA
a. Aneurysm
b. Car accident
c. Stroke
d. Uncontrolled hypertension
e. Active bleeding

ALL!

Match the term to the correct description.
a. Packed red blood cells
b. Washed red cells
c. Fresh frozen plasma
d. Albumin
- provide clotting factors
-allows volume expansion
-prevents circulatory overload
-less chance of allergic reaction

c, d, a, b

**Which of the following statements is not true about Dalteparin (Fragmin®)** a. It is excreted using the renal system b. You have to do routine monitoring of aPTT c. Has a predictable dosing/response d. Safe outpatient treatment -also less bleeding

b LMWH

**Which of the following is not true about Fondaparinux (Arixtra)?** a. Causes more HIIT b. Administered subcutaneous c. Chemically related to low molecular weight heparins d. It is a pentasaccharide

**Which of the following are contraindications of thrombolytics?** a. Active bleeding b. Myocardial infarction c. Uncontrolled HTN d. Active VTE e. Aneurysm

a,c,e Also brain tumor, CNS surgery, trauma

**Which of the following agents is the only one FDA approved for stimulating bone formation?** a. Calcitonin b. Teriparatide (Forteo®) c. Raloxifene (Evista®) d. Risedronate (Actonel®) -

b administer laying down due to OH

**. A patient is taking denosumab (Xgeva). Which statement is correct regarding this medication?** a. flashes will often occur after discontinued -raloxifene b. Requires calcium supplementation c. Causes thromboembolism risk d. Intranasal spray that is sprayed into one nare a day -calcitonin (salmon calcitonin is better) e. Must take on an empty stomach -bisphosphonates (dronates)

-raloxifeneb a-raloxifene c-

b a-raloxifene c-raloxifene d-calcitonin e-bisphosphonates

**Which of the following medications is the drug of choice for osteoporosis?** a. Calcium citrate b. Calcitriol c. Calcium phosphate tribasic d. Calcium carbonate e. Alendronate (Fosamax®)

b, d

** For a patient taking Ibandronate (Boniva®), what should the nurse educate them on?** a. All tablets should be taken with at least 4 oz of fluid b. You can experience dermatitis with this medication c. You can experience some abdominal pain with this medication d. If you stop taking this medication it can result in hot flashes

c AIR nate

Alenadronate frequency

PO daily oral solution weekly

Ibandronate frequency

tablet montly IV every 3 month

Risedronate frewuency

Tablet daily, weekly, maonthly