1. Which of the fol- Folate (Folic acid)
lowing medications Chlordiazepoxide (Librium)
should be given to pa- Thiamine (Vitamin B1)
tients presenting to Lorazepam (Ativan)
the emergency de-
partment (ED) with an
altered level of con-
sciousness, seizures,
or both, if a con-
cern of Wernicke-Ko-
rsakoff syndrome ex-
ists?
2. Which of the fol- Ethanol intravenously
lowing pharmaceuti- Fomepizole (Antizole)
cal agents is not rec- Sodium Bicarbonate
ommended for treat- Disulfiram (Antabuse)
ing methanol poison-
ing?
3. Which of the fol- Phenobarbital (Solfoton)
lowing pharmaceuti- Valproate (Valproic acid) -This is known as a human
cal agents is the teratogen. Exposure in first trimester isassociated
preferred antiseizure with an approximately threefold increased risk of ma-
medication for a gen- jor congenital malformations,most commonly spina
eralized seizure dis- bifida. There is evidence that valproate exposure may
order in a 25-year -old be associated withan increased risk of autism spec-
pregnant female? trum disorder.
Levetiracetam (Keppra)
Topiramate (Topamax)
4. Which of the follow- Lorazepam (Ativan)
ing is the least prefer- Diazepam (Valium)
able initial treatment Propofol (Diprivan)
of choice for status Fosphenytoin (Cerebyx)
epilepticus?
5. In patients with hypovolemic states, heart failure, and
other diseases that impair cardiovascular function,
, Advanced Pharm NR 567 Final
Which of the follow- normal doses of sedative-hypnotics may cause car-
ing statements is not diovascular depression
true? In patients with pulmonary disease, therapeutic dos-
es of sedative-hypnotics can produce significant res-
piratory depression.
Sedative hypnotics can be utilized as an anticonvul-
sant; zolpidem (Ambien) and lorazepam (Ativan) are
excellent options for managing seizures.
Benzodiazepines exert dose-dependent anterograde
amnestic effects.
6. Your patient has Bromocriptine (Parlodel)
been taking risperi- b. Haloperidol (Haldol)
done (Risperdal) but c. Promethazine (Phenergan)
has developed hyper- d. Chlorpromazine (Thorazine)
prolactinemia. Which
of the following may
help manage hyper-
prolactinemia?
7. A 35-year-old female Flumazenil (Romazicon)
with a long histo- Naloxone (Narcan)
ry of anxiety treated Depakote (Divalproex sodium)
with diazepam (Vali- Midazolam (Versed)
um) has increasing-
ly become fearful and
anxious about the
Coronavirus pandem-
ic and triples her daily
dose. She is found ex-
tremely lethargic and
obtunded two days
after the increased
dosing. Which of the
following pharmaceu-
tical agents should
the nurse practitioner
order to treat her con-
dition?
, Advanced Pharm NR 567 Final
8. A 25-year-old male Haloperidol (Haldol)
with a history of bipo- Olanzapine (Zyprexa)
lar disease presents Aripiprazole (Abilify)
to the emergency de- Naltrexone (Vivitrol, ReVia)
partment (ED) with
acute agitation char-
acteristic of ma-
nia. Non-pharmaco-
logical methods of
de-escalation have
been attempted with-
out success. Which
of the following is
not recommended to
treat this patient?
9. Which of the follow- Diazepam (Valium)
ing is a long-acting Alprazolam (Xanax)
benzodiazepine that Eszopiclone (Lunesta)
is used to treat anxi- Zolpidem (Ambien)
ety?
10. Acute dystonia can Clozapine (Clozaril)
develop after early Haloperidol (Haldol)
initiation of which of Aripiprazole (Abilify)
the following? Olanzapine (Zyprexa)
11. WEEK 2 ...
12. Adding epinephrine Extends the duration of the anesthesia block, useful
to a local anesthet- for longer procedures
ic, such as 1% lido- Can be used in a digital block for extensive finger or
caine for local infiltra- toe laceration repair
tion, has which of the Shortens the duration of the anesthetic
following benefits? Eliminates the concern of systemic toxicity of lido-
caine, even with inadvertent intravenous injection
13. Your patient reports Lidocaine (Xylocaine)
a history of ana- Tetracaine (Pontocaine)
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