Exam (elaborations)
NR 566 PHARM FINAL QUESTIONS AND ANSWERS
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Exam of 73 pages for the course NR 566 at NR 566 (NR 566 Pharm final)
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Name: Score:72 Multiple choice questions
Definition 1 of 72
aspirin, acetaminophen, naproxen, diclofenac, and other aspirin-like analgesics
First-line treatment for acute, mild to moderate migraine without nausea or vomiting
First-line treatment for migraine prevention
Baseline data needed to prescribe Tricyclic antidepressants (TCA)
When is it safe and not safe to prescribe progesterone (aka: progestin)
Definition 2 of 72
o drowsiness, ataxia, nystagmus, blurred vision, lethargy, GI upset, suicidal behavior/cognitive
decline
o strict adherence to medication is important due to its narrow therapeutic range
Common side effects of Metformin and associated patient teaching
Common side effects of Amoxicillin and associated patient teaching
Common side effects of Ibuprofen and associated patient teaching
Common side effects of Phenytoin and associated patient teaching
,Definition 3 of 72
§ GELS
· good hand washing is required after application
· cover application site with clothing after medication has dried
· females and children may experience negative effects from exposure to testosterone
§ PILLS
· Pose a risk for hepatotoxicity, so do not take long term
§ PATCH
· Principal adverse effect is rash at the site of application
§ IM
· Cause variations in libido, energy, mood
Patient teaching of first generation antipsychotics (FGA)
Patient education needed for maois
When is androgen therapy appropriate vs. not needed related to puberty?
Patient teaching in general and consider teaching specific to different routes of
testosterone therapy
Definition 4 of 72
o By elevating acetylcholine in the periphery, all cholinesterase inhibitors can cause typical
cholinergic side effects. Gastrointestinal effects—nausea, vomiting, dyspepsia, diarrhea—occur
often.
o Dizziness and headache are also common.
o The elevation of acetylcholine at synapses in the lungs can cause
bronchoconstriction.Accordingly, cholinesterase inhibitors should be used with caution in
patients with asthma or (COPD).
o Cardiovascular effects, although uncommon, are a serious concern. Increased activation of
cholinergic receptors in the heart can cause symptomatic bradycardia, leading to fainting,
falls, fall-related fractures, and pacemaker placement. If a patient is experiencing bradycardia,
fainting, or falls, drug withdrawal may be indicated
st. john's wort adverse effects
drugs used to treat alzheimer disease
cholinesterase inhibitors side effects
common side effects of androgen therapy
,Definition 5 of 72
butorphanol nasal spray; 1 spray (1 mg) in one nostril; may repeat in 60 min
Dutasteride patient teaching and response to delayed onset of therapeutic effect
What are sleep attacks associated with related to PD treatment?
Opioid analgesics reserved for severe migraines that don't respond to first-line
medications
How to know someone would be appropriate for preventative therapy
Definition 6 of 72
o benzodiazepines--diazepam
o benzodiazepine-like drugs—zolpidem (Ambien)
o zolpidem (Ambien)
o melatonin receptor agonist—ramelteon (Rozerem)
Examples drugs from the following drug classes
Common side effects of over-the-counter cold medications
List of medications used for treating chronic pain
Types of antibiotics used for bacterial infections
Definition 7 of 72
o injection: can be done by patient or in ER setting; rapidly leads to erection, painless
o intraurethral pellet insertion: can be done by patient, erection occurs within 5-10 mins,
minimal side effects
alprostadil benefits of various routes
patient education needed for maois
symptoms of serotonin withdrawal
side effects of progestin-only oral contraceptives
, Definition 8 of 72
o many anti-seizure meds may decrease o effectiveness of OC, if pregnancy is unwanted the
pt should consider adding or increasing contraception
o the lowest dose/lowest number of meds used during pregnancy tends to be most safe.
o Folic acid is essential
Phenytoin use with antidepressants and associated patient teaching
Phenytoin use with blood thinners and associated patient teaching
Phenytoin use with antihistamines and associated patient teaching
Phenytoin use with oral contraceptives and associated patient teaching
Definition 9 of 72
an act to amend the Federal Food, Drug, and Cosmetic Act with respect to serious adverse
event reporting for dietary supplements and nonprescription drugs, and for other purposes.
Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2006
Food safety modernization act of 2011
Child nutrition reauthorization act of 2010
Federal food, drug, and cosmetic act of 1938
Definition 10 of 72
sexual dysfunction, n/v, agitation, insomnia, weight gain
Common adverse effects of SSRIs
pramipexole most common adverse effect
Know contraindications for triptans
Patient education needed for TCAs
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