1560. Know that the only OTC proton pump inhibitor is Prilosec (omeprazole)
1561. repeat question
1562. The HBV vaccine is given as a series of 3 IM doses at months 0, 1 to 2 months,
and 4 to 6 months. (CDC website).
1563. Enbrel (entanercept) is dosed either once weekly (with 2 25 mg injections) or
twice weekly for a total dose of 50 mg per week. Doses given twice weekly should be
separated 72-96 hours. Given SQ.
1564. Cyclosporine is a microencapsulated capsule. Brand names for cyclosporine are
Neoral or sandimmune. They are NOT interchangeable!
1565. Triptans are 5-HT 1B, 1D receptor AGONISTS. Main SE is HTN. Also may
cause chest pain/tightness, warm sensation, dizziness
1566. Amerge (naratriptan) used for migraines, can spike BP.
1567. Almotriptan (Axert) No more than 2 pills in a 24 hour period. Max dose 25mg/d
1568. Patient on chemo. Question was what to give for N/V. Choices were
diphenhydramine, compazine, and ondansetron. Answer was ondansetron.
1569. Phenergan suppositories are refrigerated.
1570. Ketorolac is toradol. Acular is an ophthalmic solution of ketorolac.
1571. Miacalcin and fosamax are therapeutic duplications. Both treat osteoporosis
1572. Strateera is prescribed for ADD and IS NOT a controlled substance
1573. Foods to avoid in ADD- caffeine and sugar were the only logical choices
according to the test taker.
1574. polydipsia is increased thirst
1575. Patient had high heart rate, sweating and tremor. Lab values had a high T4 and
Low TSH. Answer was methimazole (Tapazole). Other drug that can treat
hyperthyroidism is PTU (proplythiouracil).
1576. Pregnancy is confirmed by HCG. Ovulation is confirmed by LH.
1577. benzalkonium chloride is a preservative
1578. What vaccine should an eldery person get with diabetes ANUALLY. Two
answers were right but only one was listed as annually. The correct answer was
influenza.
1579. 2 ?’s on creatinine clearance.
1580. Calcium and phosphate will precipitate in an IV solution
1581. 2 ?’s on MEQ
1582. know how to convert from micrograms to millingrams and liters to deciliters
1583. Lot of drops per minute questions
1584. Know which drugs can or can’t be taken with antacids. Examples of of those that
should NOT be taken with antacids are alendronate (fosamax), isoniazid, itraconazole,
ketoconazole, quinolone antibiotics, and tetracyclines.
1585. Quesiton on which HTN drug should a diabetic patient be on. Answer was an
ACEI
1586. Use USP DI/ Vol II to counsel a patient.
1587. trituration is the process of grinidn a drug in mortar to reduce its particle size.
Question stated that a R.Ph needed to make a lotion with tablets. They wanted to know
what process to use to get the tablets into the lotion.
1588. Demerol (Meperidine) is used to treat rigors.
1589. Kaopectate and Digoxin should not be taken together. Kaopectate reduces the
absorption of digoxin.
1590. What drug should be given to a patient with a non ST segment MI. BB is first
line. If BB is contraindicated or chest pain continues with the BB, a CCB or long acting
nitrate should be added. Lifelong ASA should also be added. Please double check this
answer b/c I’ve never felt comfortable with this particular disease state! If you know of
anything different please let me know.
1591. Prednisone can make osteoporosis worse.
1592. Pateitn was taking Axert or Imitrex and were not getting relief. The test taker said
they put propanolol as an alternative but wasn’t sure if that was correct. Other drugs that
may help with migraines include Midrin, fiorinal/fioricet. Prevention of migraines may
include amitripyline, divalproex sodium, propranolol, timolol, topiramate.
1593. Several questions on Fosamax. Know to drink with full glass of water, sit up right
for 30 minutes, take first thing in the moring 30 minutes before eat or drink anything.
1594. Generic name of Forteo is Teriparatide. Just incase you don’t remember (like me),
this is used to treat ostoporosis and is a parathyroid hormone analog. This drug has been
associated with increased risk of osteosarcoma! Not recommended for use greater than 2
years.
1595. Generic name of Avandia is rosiglitazone and generic of actos is pioglitazone
1596.
1597. Know how to get a half life from a trough and peak
1598. asked to calculate CL. Not sure if they mean Cr CL?
1599. Some neonatology questions on exam. No idea as to what they may ask
1600. Erythormycin in newborns is used to prevent gonnorhea infection of the eyes.
Assumint this is a topical eye product.
1601. Benzamaycin gel? Contains eryhthromycin and benzoyl peroxide. May be stored
in the refrigerator for up to 3 months. A similar product is benzaclin which contains
benzoyl peroxide and clindamycin. This one can be stored at room temperature for up to
3 months.
1602. the MOA of prandin (repaglinide): helps to stimulate insulin relsease from the
pancreatic beta cells
1603. Asked to determine if the name of a compound was an emulsifier, suspending
agent, antioxidant. Just look at Dr. Al-Achi’s handout for some of these things
1604. Probenacid: competitively inhibits the reabsorpion of uric acid at the proximal
convoluted tubule, therefore reducing serum uric acid levels; uricosuric agent. Its dosage
form is a tablet
1605. MOA of allopurinol: inhibits xanthine oxidase, an enzyme that converts xanthine
to uric acid. The only xanthine oxifase inhibitor available.
1606. Colchicine impairs leukocyte migration to inflamed areas and disrupts urate
deposition and the subsequent inflammatory response. Best if given within 12 to 36
hours after sx begin. PO dose: 1 mg initially, followed by 0.5 mg every 2 hours until
pain relief occurs or abdominal discomfort or diarrhea develops or a total dose of 8 mg
has been administered
1607. Know how to adjust coumadin based on INR. If INR is less than 2, increase dose
by 5 to 20%. INR of 3.1 to 3.5, decrease dose by 5 to 15%. INR 3.6 to 4, hold 0 to 1
doses and decrese dose by 10 to 15%. If INR is greater than 4, hold 0 to 1 doses, and
decrease dose by 10 to 20%. If INR is 5-9, hold 1 5o 2 doses. If patient is at high risk for
bleeding, falls, etc may give a dose of Vitamin K at 1 to 2.5 mg PO. If INR is greater
than 9, hold coumadin and give give Vitamin K 5 to 10 mg PO. If there is any bleeding
at any INR, hold coumadin and give Vitamin K 10 mg IV +/- FFP, prothrombin complex
or factor VIIa. If there is lifethreatening bleeding will give Vitamin K 10 mg IV plus
prothrombin complex or Factor VIIa. (all of this came from a chart that is probably in
Dr. Groce’s notes, if you need something a little more neat)
1608. Fiorinal comes in capsules and contains butalbital 50 mg , caffeine 40 mg, and
aspirin 325 mg. This one is a schedule 3. Fioricet is APAP, butalbital and caffeine. It
comes in tablets and is NOT a controlled substance. Fiorinal is controlled b/c the aspirn
makes the butalbital more effective or potent.
1609. TPN osmolarity question
1610. several meq and % conc calculations
1611. I think the person who submitted this comment meant Vistaril not Vistral. Vistaril
is an antihistamine and antiemetic. It is used for preoperative sedation. The two together
Vistaril and Demerol) cause CNS depression. Micromedex does not show any
interactions between the 2 and clinical pharmacology shows a moderate interaction. This
will just be a “your judgement” type of question. I think as long as the pateitn is being
supervised and is not overly sleepy, the two can be used together. Any insight from you
guys would be appreciated if you think differently from me.
1612. Cytoxan (cyclophosphamide) can cause severe, hemorrhagic cystitis, renal tubular
necrosis that usually resovles once drug is d/c, and SIADH
1613.
1614.
1615. no herb questions for this person
1616. crutches question??? Not sure what this is about. It may be something he talked
about during the review. Anwya, the person said the answer is 2 inches. If you guys
know what this is let me know.
1617. scrotum must be measured for swimmers device.
1618. Zantac IV dose is 50 mg every 6 to 8 hours
1619.
1620. Hyzaar is losartan and HCTZ
1621. Glyset doesn’t promote hypoglycemia b/c it doesn’t enhance insulin secretion. It
reverisby inhibits alpha glucosidases
1622. I cant find the answer to this one
1623. I have no idea
1624. methylcellulose in eye drops is used as a lubricant
1625. buspar is non benzodiazepine sedative. Klonopin may be a non sedating benzo
1626. hypokalemia- thiazide diuretics hyerkalemia- renal disease, ACEI, potassium
sparing medicaitons
1627. fosamax directions are listed above in previous question
1628. Combivent consists of ipratropium and albuterol
1629. PCP tx covers toxoplasmosis b/c tx for both is with septra
1630. FDA approved antibiotics for H. pylori include amoxicillin, clarithromycin, and
metronidazole. Tetracycline is also approved when combined with bismuth salicylate,
metronidazole, and H2 antagonist.
1631. inhaled steroids cause thrush so beclomethasone would be the choice here.
1632. Relenza (zanamivir) is a neuramindase inhibitor and antiviral used for influenza A
or B
1633. Singulair is a leukotriene receptor inhibitor.
1634. Only water based lubricants can be used with a condom. Avoid anything with
petroleum as it will deteriorate the condom. Water base lubriancts include KY jelly,
Astroglide.
1635. ??? I don’t think there is enough info here for me to tell what the answer is.
Avodart doesn’t appear to have any effect on blood sugar. Maxzide has a thiazide which
can worsen hyperglycemia but she took the maxzide on the 2nd of may and her glucose
was high on the 1st of may. So I don’t know what the answer is here. If anyone has any
idea let me know.
1636. leukovorin is folinic acid
1637. Zetia requires monitoring of LFT’s and rhabdomyolysis. These things are not
likely to increase with monotherapy (although has in some cases). They tend to become
elevated with the use of statins or fibrates.
1638. Diphenhydraminie has the potential to worsen HTN. Dextromethorphan can cause
HTN when used in combination with MAOI.
1639. Kayexalate is not available in iv form. Available in oral or rectal suspensions
1640. Insulins that may be used IV are regular, humalog and novolog
1641. betaseron is used to tx multiple sclerosis
1642. dystonia/dyskinesias-oral facial movements, grimacing, jerky and writhing
movements of the trunk and extremities
akinesia- difficulty intiating movement. Masked face
1643. avanidia=rosiglitazone
1644. ceftazidime comes in IV and IM.
1645. drugs that can cause serotonin syndrome: SSRI’s, TCAs, MOAIs, venlafaxine.
The use of tryptophan, dextromethorphan, cocaine, or sympathomimetics in addition to
SSRI therapy can increase risk of serotonin syndrome. St Johns wart may also lead to
serotonin syndrome.
1646. Both cipro and flagyl can increase the effects of coumadin. If any of you guys
know of anything different please let me know. I had a difficult time with this one on the
state board also.
1647. don’t use live viruses in HIV pts.
1648. The ebola virus does not have a specific tx. Only supportive care.
1649. Place nitrodur patch on a hair-free area of skin, rotate sites. There is usually a
nitro free interval of about 12 hours to px tolerance.
1650. lithium requires monitoring of blood serum levels every 1 to 2 weeks until
concentraionts are stabilized, thyroid function should be monitored due to fluctuations in
TSH. Renal, CBC w/ differential and cardiovascular function should also be monitored.
It is a pregnancy cat D. Should be d/c a few days prior to delivery. Breastfeeding is
discouraged with lithium use.
1651. Nimodipine is a CCB used for subarachnoid hemorrhage.
1652. Lovenox (enoxaparin) is given SQ
1653. Pancuronium is a neuromuschular blocking agent used for endotracheal intubation
and relaxing skeletal muscles during surgery
1654. ?:
1655. monitor SCr, BUN, urine albumin, BP, and A1C
1656. 8 units of insulin is 0.08 ml of insulin
1657. protonix is an IV PPI
1658. forteo is teriparitide
1659. When checking Ca levels also check albumin levels.
1660. nicotine is not provided by tablet form
1661. enbrel is a TNF blocker. It is refrigerated, given SQ 50 mg weekly or 25 mg twice
weekly
1662. PCP is a protozoa. Anthrax is a bacteria
1663. Synvisc is given inta-articularly and no weight bearing exercise should be done for
48 hours
1664. Oseltamevir is tamiflu and is a neuramidase inhibitor for influenza A or B.
1665. palivizumab(synagis) is used for RSV
1666. measure scrotum for swimmers binder
1667. mannitol is an osmotic diuretic
1668. Give vitamin B6 (pyridoxine) with isonizazid
1669. concerta is methylphenidate
1670. if imitrex fails use morphine
1671. use calcium gluconate when hyperkalemia and EKG changes occur
1672. 35 math problems
1673. bactrim DS calculations. Dose based on TMP component
1674. Lead poisionining antidote is succimer (DMSA, Chemet)
1675. intralipid question. Not sure exactly what the question is
1676.
1677. propylene glycol is used as a wetting agent . Sodium lauryl sulfate is a foaming
agent.
1678. calculation statement
1679. dopamine doses: 1-5 mcg/kg/min for increased renal blood flow and urine output.
5-15 mcg/kg/min for increased renal blood flow, heart rate, cardiac contractility and
output. More than 15 mcg/kg/min for vasoconstriction and increased blood pressure
1680. Even if pt profile states NKDA, always look at bottom of notes to see if a drug
was d/c due to a rash
1681. pentamidine is nebulized for PCP prevention in adults. It is given as 300 mg every
4 weeks via respirgard II nebulizer
1682. just a statement
1683. Had to pick a nutritional product for someone with glucose intolerance. The only
one I know of that is specifically for that population is Glucerna.
1684. can use KY jelly with condoms
1685. regfrigerate octreotide (Sandostatin)
1686. Ribavirin (Rebetol, copegus, Ribashpere, Virazole) can be administerd in a SPAG2 unit for inhalation
1687. Monoket is isosorbide mononitrate
1688. relative risk reduction calculation
1689. Topamax dosage forms are sprinkle capsules and tablets
1690. Docusate or DMSO excipients may enhance penetration into the skin
1691. Bacitracin is available in an injection for IM administration, ophthalmic ointment,
and topical ointment. The injection formulation is sometime used orally. Pt education
includes adequate hydration, report any rash, redness or ithcning, change in urinary
pattern, dizziness, swelling of lips or face, chest pain or tightness or loss of appetite.
With ophthalmic use it may c ause blurred vision so be careful with drving. With topical
use it may be covered with a porous sterile bandgage but avoid occlusive dressings.
Don’t use longer than 1 week.
1692. zosyn and aminoglycosides don’t cover mycoplasma pneumoniae
1693. retrovir (zidovudine) is available in a capsule, syrup, tablet, and injection for IV.
Not given IM
1694. not sure what ? is. Non-PVC and in line filter question. Answer is paclitaxel
1695. Nimotop(nimodipine) is used for subarachnoid hemorrhage
1696. Amitriptyline is a base and will ionize at an acidic PH of 7.4
1697. mOsmol calc
1698. Nonpharmacological ways to help GERD include elevating head of bed, not eating
close to bedtime, weight loss, smoking cessation, avoiding alcohol, eating smaller meals,
avaiding foods or drugs that exacerbate it. Foods include chocolate, citrus juice, tomato
juice, coffee, and pepper. Drugs include anticholinerigics, barbiturates, CCB,
theophylline, ASA, iron, NSAIDS, quinidine, potassium, and bisphosphonates.
1699. K type questions on factors that don’t worsen osteoporosis. The only thing of the
list given that I would guess is thiazide diuretics.
1700. buspar overdose: not sure about the answer but support respiration makes sense.
Physostigmine is used for the reversal of toxic cns effects caused by anticholinergic
drugs. Buspar is not exactly an anitcholinergic so I’m not sure that I would use it or not.
According to the PI there is no specific antidote to tx overdosage of buspar. Just
supportive monitoring of pulse, bp, and respirations.
1701. most questions came from study tips
1702. statistics question
1703. statement on acid/ base
1704. explanation of acid base statement made above. Just read it in the handout
1705. Kw question. Just read it. I have no idea what it is.
1706. read in handout
1707. MCV is average size of rBC (cytic). MCHC is the color of cell (chromic)
1708. BUN to Creatininie ration is > 15, and indicates prerenal or postrenal azotemia
1709. Ostomy sizing refers to how big the hole is on the skin surface and relates to the
size of the bag used to cover the hole
1710. In French catheter sizing, big numbers equal big sizes and small numbers equal
small sizes
1711. Tx for meningococcal carriers is usually rifampin 600 mg BID for 2 days with
Cipro 500 mg QD as an alternative
1712. give flu vaccine in pts with asthma
1713. Insulin with clumps in it is unusable. Forms clumps when regular is mixed with
Lente, contamination with alcohol, heat degredation and protein may cause clumping?
1714. PEG 400 in an antifungal is just a liquid used to make ointments more water
miscible
1715. magnesium
1716. There is a cecil’s textbook of medicine
1717. Univasc (aCEI) slows the development of nephropathy in diabetic patients. (not
sure of the exact mechanism of why this is)
1718. just read the statement
1719. Thrombolytics have not demonstrated any beneficial clinical outcomes in
NSTEMI and have actually been shown to increase risk of MI in patients with NSTEMI.
1720. there are various conjugates to the Hib vaccine due to differences in side effects so
the variation is to reduce side effects
1721. calculation problem. Read it in handout
1722. benzalkonium chloride is a preservative or antiseptic
1723. generic for lescol is fluvastatin
1724. rapid infusion of vanc can cause red man syndrome
1725. don’t give celebrex to someone allergic to sulfa
1726. promethazine suppositories must be refrigerated
1727. My GUESS to this is that it should be in a light resistant container.
1728. BBs can mask symptoms of hypoglycemia
1729. loratidine is a nonsedating OTC antihistamine
1730. glucotrol generic is glipizide
1731. medrol dose pack is meant to be tapered. Take fewer pills each day
1732. fosamax counseling. Repeat question
1733. Prilosec is only PPI that is OTC
1734. cimetidine may inhitbit metabolism of theophylline
1735. heparin andtidote is protamine
1736.
1737. A PICC line is a peripherally inserted central catheter.
1738. pitocin induces labor
1739. nitoprusside solution should be wrapped with aluminum foil or other opaque
material to protect from light. Just look for a light resistant contaioner. If solution has
turned blue it indicates it has almost complete degredation to cyanide
1740. Of the choices given, I think the patient on potassium is the one who can’t self
monitor
1741. spirometry is the measurement of pulmonary function to assess diseases such as
asthma, copd and CF. Pts can measure their FEV at home with a spirometer.
1742. Azmacort has a built in spacer
1743. Metronidazole is the drug of choice for C. diff
1744. chemical name of mesalamine? (I thought mesalamine was the chemical name so
I will list all possible names) Asacol, Pentasa, Canesa, Rowasa, 5-ASA, 5-aminosalicylic
acid, fisalamine or mesalazine)
1745. Lactulose comes in a solution
1746. albuterol is a rescue drug for asthma
1747. Prevacid is available in capsules, granules for oral suspension, injection for IV use,
and orally disentigrating tablets
1748. know which refrence books to use
1749. biaxin susp should be stored at room temp
1750. Clozaril (clozapine) requires monitoring of WBC
1751. naloxone is antidote for opiates
1752. Ritalin is long acting. (I don’t know what other choices were)
1753. Lithium can be substituted with divalproic acid in tx of bipolar
1754. Kayexelate is used for hyperkalemia
1755. Detrol is used for enuresis
1756. Mellaril has a black box warning that it may prolong QTC interval
1757. Capsaicin is a topical that mya be used to tx pain from shingles
1758. Wellbutrin and zyban are the same thing- bupropion
1759. drugs change color due to oxidation
1760. Cardura (alpha 1 blocker) may cause syncope or orthostatic hypotension
1761. Rheumatoid arthritis can be treated with gold salts, NSAIDs, salicylates, Cox 2
inhibitors, corticosteroids, or disease modifying agents such as Arava, Enbrel, Remicade,
Kineret. Some of these DMARDs do cause immunosupression as adverse effects. The
pharmacy comprehensive review book has a list of other DMARDs used for RA on page
996.
1762. Hepatitis B vaccine requires 3 doses
1763. flu vaccine is recommended in ashthmatics
1764. Ambien works on the BZD receptor but is a non-BZD
1765. Calcium and phosphorus will precipitate in TPN
1766. Inderal (propanolol) may be used as migraine prphylaxis
1767. A pt on cholestyramine can substitute with welchol (colesevelam) since they are
both bile acid requestrants
1768. monitor LFTs on statins
1769. TNkase side effect is cerebral bleeding
1770. accutane is contraindicated in pregnancy
1771. SR morphines are Kadian (Kapanol) and oramorph SR. Avinza is also extended
releases. MS contin is controlled release.
1772. white petrolatum is an oleogeanous base
1773. may give ASA 325mg 30 mintues before taking nicacin to prevent flushing
1774. half life question of gentamycin if given peak and trough. If this is something you
have to calculate there isn’t enough info in the statement. But in lexicomp the ½ life of
gent is given as 1.5 to 3 hours but of course would vary depending on renal function
1775. how to administer enbrel. Repeat question
1776. Enbrel and methotrexate may be used together
1777. active ingredients of lomotil are atropine 0.025 mg and diphenoxylate 2.5 mg
1778. Peridex is chlorhexidene
1779. prinivil is an acei
1780. if patient starts a zpak on 11/25 the last dose will be on 11/28
1781. question on what drug requires intensive therapeutic monitoring. The test taker
put quinidex (quinidine) but isn’t sure of answer. Have no idea what other choices are
but it seems to me that this would require intensive monitoring as it has been associated
with life threatening arrythmias.
1782. elderly pat with osteoporosis, which med is contraindicated. Testtaker said
prednisone
1783. pravachol max dose is 80 mg
1784. SE of haloperidol include: torsade de pointes, arrhythmia, tachycardia,
hyper/hypotension, tardive dyskinseisia, neuroleptic malignant syndrome, extrapyramidal
side effects, hyponatremia, hyperglycemia, hypoglycemia, dyspepsia
1785. Diphenydramine should be used cautiously in someone with HTN.
Dextromethorphan can cause elevated blood pressure if given with an MOAI. I’m not
aware of any problems with using guafenesin in HTN.
1786. SE of accutane can include hepatitis which can cause yellowing of skin or eyes
1787. A SE of loniten (minoxidil) is hirsutism
1788. calculations
1789. a Prevpak contains lansoprazole, amoxicillin, clarithromycin
1790. MOA of glucophage: decreases hepatic glucose production, decreases intestinal
absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose
uptake
1791. moexipril (univasc) interactions: ASA,NSAIDS and rifampin may decrease the
hypertensive effects of univasc. Potassium supplememnts and potassium sparing diuretics
may increase levels of potassium. Probenecid can increase the effects of ACEI. ACEI
may increase conc of digoxin, lithium, and sulfonylureas
1792. Humalog is taken 15 minutes before a meal
1793. Exosurf (colfoseril) is a synthetic lung surfactant used for neonatal respiratory
distress syndrome. It is also given to premature babies whose lungs have not fully
developed. It is administered soon after birth directly into the trachea. There are few side
effects directly caused by use of Exosurf®. There is a possibility that the baby will be
deprived of oxygen during administration of Exosurf® as the suspension flows into the
lungs. There is also the possibility that if the lungs recover very rapidly too much oxygen
will enter the blood stream. These conditions require that the baby remains under
constant supervision during, and for some time after, Exosurf® administration and
remains connected to an artificial ventilator (on oxygen).
1794. Lithium toxicity symptoms include sedation, confusion, tremors, seizures, coma,
visual changes, and joint pain. Therapeutic range is about 0.6 to 1.5. Some people may
experience toxic effects even with concentrations below this.
1795. Monitor WBC count with clozaril (clozapine)
1796. flu vaccine should be given yearly
1797. Hepatitis B vaccine has 3 doses
1798. Accolate is a leukotriene modifier
1799. take crixivan(indinnavir) take without food
1800. olfoxacin (floxin, ocuflox) is a fluroquinolone
1801. LDL level in coronary artery disease is < 100
1802. finasteride (propecia and proscar) have reports of birth defects. Women who are
pregnant should not handle crushed or broken tablets
1803. Typhoid fever vaccine (Vivotif) is oral and is a live virus. Polio vaccine is oral.
1804. phytonadione (vitamin K) is a fat soluble vitamin
1805. ketorolac may be used for 5 days max
1806. calculations
1807. insulin 30 minutes before evening meals (I’m guessing this must be short acting
insulin)
1808. Actagall MOA: Decreases cholesterol content of bile and bile stones by reducing
the sectreion of cholesterol from the liver and the fractional reabsorption of cholesterol
by the intestines. Used for gallbladder stone dissolution, prvetnion of gallstones in obeste
pateitns experiencing rapid weight loss.
1809. PICC line used in central line
1810. St Johns wort may inhibit GABA uptake and receptor binding. Valarian may also
affect GABA by inhibitng the enzyme that breaks it down.
1811. Drugs that may increase triglycirides are bile acid sequestrants, cyclosporine,
tamoxifen, estrogen, birth control pills, drinking excessive alcohol
1812.
1813. An untreated Chlamydia infection can lead to infertility in women. Complications
in men are very rare but can possibly lead to infertility.
1814. Bactroban (Mupirocin). It is used topically to tx impetigo due to S. aureus,
Streptococcus, and S. pyogenes. It sometimes is used intranasally for eradicaton of
nasal coloniziaton with MRSA
1815. diaper rash is usually due to skin that is enclosed by a diaper with little exposure to
the outside air and tends to hold moisture. Diaper rash is treated with skin protectants
such as A + D ointment w/ or ow/out zinc, destin, johnsons baby powder cream or
cornstarch, Vaseline pure petroleum jelly
1816. a non medical tx of diaper rash is to leave baby w/out diaper and expose to air as
much as possible
1817. Prempro- consists of conjugated estrogen and medroxyprogetsterone
1818. Evista(raloxifene) is a selective estrogen receptor modulator (serm) used for both
prevention and tx of osteoporosis in postmenopausal women. It is CI in women with
thromboembolic disorder. May not be drug of choice in someone experiencing hot
flashes as this tends to cause them. Has potential to block some estrogen effects such as
thoses that lead to breast cancer and uterine cancer
1819. medroxyprogesterone prevents endometrial cancer
1820. the benefit of carvedilol over metoprolol is that it blocks the alpha receptor also
1821. Drugs in bee sting kit include epinephrine injection, APAP, and diphendydramine.
(I couldn’t find anything to verify this)
1822. an OTC cough medicine w/out alcohol is delsym
1823. glucosamine and nettles are herbs that increase blood glucose
1824. MOA of loop diuretics: inhibit NaCL reabsorption in the ascending loop of henle
1825. A miotic (constriction of pupil) for glaucoma: pilocarpine (Isopto)
1826. propylene glycol is used as a solvent
1827. Zyvox (linezolid) is available in a tablet or powder for oral suspension, and an IV
form. Synercid (quinupristin/dalfopristin) is available in IV only
1828. Robitussin- Guaifenesin
Robitus CF- Guaifenesin, Pseudophed, dextromethorphan
Robitus DM- guafeneisin and dextromethorphan
Robitussin Honey- dextromethorphan
Robituss AC- guafenesin and codeine
1829. straterra is not a controlled substance. Has a black box warning for hepatotoxiciy.
Concerta is a C2.
1830. Theophylline SE: tachycardia, nervousness, tremor, N/V/D, insomnia, ha
1832. book with FDA approved drugs? Orange book?
1833. Treatment of prostate cancer can include orchiectomy(although most patients
aren’t candidates for this tx), LHRH agonists (leuprolide goserelin),
antiandrogens(flutamide, bicalutamide, nilutamide), estrogens, androgen ablation
1834. Lantus is to be taken once daily night or day as long as keep with consistent time
of day. It should not be mixed with any other insulin. It doesn’t provide meal coverage.
1835. answer is in a previous question
1836. Leukovorin is folinic acid. It is used as an antidote during high dose methotrexate
treatment and may be given in some anemia’s. Its also given with 5-FU to treat colon
cancer.
1837. procar?? Maybe they meant proscar? Proscar MOA: competitive inhibitor of
tissue and hepatic 5- alpha reductase which results in inhibition of the conversion of
testosterone to dihydrotestotsterone and markedly suppresses serum dihydrotestosterone
levels
1838. just a statement
1839. statement
1840. statement
1841. statement
1842. ??
1843. ??
1844. Generally wait 8 to 12 weeks before adjusting dose on avandia or pioglitazone
1845. repeat question
1846. repeat question
1847. repeat question
1848. Of the choices given, I thing 5FU is not immunemodulating. I’m not sure if
interferon alpha is or not.
1849. synagis (pavalizumab) is given to help prevent the development of rsv in kids.
RSV-IGIV is a vaccine that can also be given to help prevent rsv but not always
effective.
1850. In hypo or hyper kalemia you must correct magnesium levels first
1851. Thrombolytic drugs are not helpful 12 hours post MI
1852. allopurinol can potentiate the effects of 6-mercaptopurine (Purinethol)
1853. treatment of both hyperkalemia and hypermagnesia: IV calcium, diuretics, sodium
bicarb, insulin and albuterol. Albuterol usually has a poor response in the inhaled form
1854. statement
1855. statement
1856. statement
1857. doxorubicin causes cardiotoxicity and there is a lifetime dose. The lifetime dose is
550mg/m2
1858. toxicities of methotrexate include: GI (n/v/d), thrombocytopenia, leucopenia,
pulmonary fibrosis, and pneumonitis LFT elevations, mucosal ulceration which can be
life threatening, myelosupression, cns toxicity such as encephalopathy or neurotoxicity,
and nephrotoxicity.
1859. Cyclophosphamide (cytoxan) , ifosfamide (ifex), Melphan (alekeran); injection
only , chlorambucil (leukeran), thiotepa (thioplex), busulfan (busulfex, myleran),
carmustine (bicnu), zanosar (streptozocin) can be stored under refrigeration after
reconstitution
1860. antibiotic statement
1861. another antibiotic statement. I’m assuming that we know what we treat
pneumonia and pseudomonas with already.
1862. ?
1863. statement
1864. statement
1865. be able to identify PI, NRTI, NNRTI. I’m just referring to the lists in the
comprehensive pharmacy review
1866. Recomm vaccines in HIV patients are: hepatitis B, influenza (not flumist), MMR,
pneumococcal, tetanus and diphtheria toxoids(Td).
1867. statement
1868. Drugs that may be used to tx UC: aminosalicylates (sulfasalazine, mesalamine,
olsalazine, balsalazide), corticosteroids, and immunomodulators (azathioprine, 6mercatpopurine, cyclosporine A)
1869. statement
1870. statement
1871. Cuprimine (penicillamine) is used to treat Wilson’s disease