EXAM 1 WITH 100% CORRECT
ANSWERS 2026
What are the 5 WHO prescribing guidelines? correct answers
>> 1. define the pt's problem
2. Specify therapeutic objectives
3. choose which drug or treatment is needed
4. Write the Rx and start tx
5. Educate and counsel the pt
6. monitor effect of treatment
WHO rx guideline 1 correct answers >> Define the pt's
problem . This forms the basis for choosing and rx-ing the correct
treatment.
Consultation should include: complaints, symptoms, diagnosis and
relevant characteristics like co-morbidities, co-medication,
pregnancy, drug allergies
WHO rx guideline 2 correct answers >> Specify the
therapeutic objective. What needs to be treated?
WHO rx guideline 3 correct answers >> 3a. select the p-drug
(prescribers personal drug of first choice for the indication.)
3b. Is the p-drug appropriate? checking for contraindications,
interactions, pregnancy, allergies, etc.
,WHO rx guideline 4 correct answers >> Write rx and start the
treatment.
WHO rx guideline 5 correct answers >> Educate and counsel
the pt. Intructions and warnings about the tx.
WHO rx 6 correct answers >> Monitor the treatment.
Coreg (Carvedilol) correct answers >> *beta blocker used to
treat mild to severe CHF, left ventricular dysfunction following MI,
HTN.
*works by causing vasodilation to the peripheral vasculature to
decrease the workload on the heart.
*Non selective beta blocker and Alpha-1 blocker
*3rd generation beta blocker
*particularly useful in African Americans
*Dose: 0.625 mg-25mg PO BID with food
*administering with food helps prevent postural hypotension
*Education: don't skip doses, take with food
hypersensitivty reactions: mnemonic ACID correct answers >>
1. A-allergic
2.C-cytotoxic
3.I- Immune complex deposition
4. D-delayed
, Type I hypersensitivity correct answers >> A-allergic
*IgE mediated- quick onset after exposure
*production of IgE after antigen exposure.
*urticaria, wheezing, rhinitis, anaphylaxis
Type II hypersensitivity correct answers >> C-cytotoxic
*cytotoxic/antibody mediated
* drug binds to RBCs and is recognized by antibody-usually IgG
*complement and cytotoxic T cells are activated
*Rare response
Type III hypersensitivity correct answers >> I-immune
complex/IgG/IgM mediated
*antibodies are formed against soluble antigens. ANtigen-
antibody complexes are deposited in tissues such as joints and
lungs.
*cause serum sickness. Ex: ceclor (antibiotic)
Type IV hypersensitivity correct answers >> D-delayed-
delayed or cell mediated
*cytotoxic T cells are activated
*poison ivy, latex, etc
*causes contact dermatitis
*cytokine storm if there is repeated exposure
Grapefruit juice correct answers >> *increases drug toxicity