NR 565 PHARM MIDTERM STUDY EXAM
QUESTIONS AND ANSWERS
What is a black box warning? - Answer-Issued when a drug is found to have serious
life-threatening risks. Must carefully discuss risks w/ patient.
Condition caused by long-term use of allopurinol? - Answer-Hypersensitivity syndrome
(AHS). Watch for rash, fever, liver dysfunction, & renal dysfunction.
Rheumatoid arthritis meds contraindicated in pregnancy? - Answer-Methotrexate,
Leflunomide, & Biologic response modifiers (-ab, ib). NSAIDs and prednisone are less
dangerous.
Which dietary supplement can interfere with absorption of Ibandronate? - Answer-
Calcium
What should be co-administered with Febuxostat? - Answer-Colchicine (no greater than
6 months)
Colchicine (dose, directions, indication) - Answer-Taken within 24 hrs of acute flare
onset (gout) or daily reduced doses for prophylaxis. On day 1, DO NOT exceed 1.8 mg.
Take either 0.6 mg 3x per day or 1.2 mg followed by 0.6 mg an hour later. Can cause GI
upset.
Baseline diagnostic for ALL DMARDs? - Answer-CBC w/ WBC diff
What does the U.S. Food and Drug Administration regulate when it comes to
medications? - Answer-Management guidelines
Order HTN medications are typically prescribed in? - Answer-1) Thiazide diuretics
2) ACEIs
3) ARBs
4) CCBs
5) BBs
Which HTN med is best for patients with diabetes? - Answer-ACEI or ARB, unless
African American, then CCB or thiazide.
Which HTN med is best for patients that are pregnant or planning to become pregnant?
- Answer-Labetolol
Prescribing considerations when carbamazepine is prescribed with warfarin? - Answer-
Can make carbamazepine less effective.
What age can Statin drugs be prescribed? - Answer-40 to 75
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