MSN 623 Exam 1 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Schedule I - CORRECT ANSWER Potential for abuse is so high as to be unacceptable.
May be used for research with appropriate limitations. Examples are heroin, LSD, and
cocaine.
Schedule II - CORRECT ANSWER High potential for abuse and severe dependence
liability; current, accepted medical use; prescription drug-signed, not stamped prescription.
30-day supply, no refills. Examples: opium, morphine, methadone.
Schedule III - CORRECT ANSWER Less abuse potential, than C-II; low-moderate
physical dependence. High psychological dependence; by prescription only, which expires in
6 months. Maximum of five refills on one script. Examples: Tylenol with codeine and
hydrocodone
Schedule IV - CORRECT ANSWER Less abuse potential than C-III; accepted medical
use; limited physical and psychological dependence; written or verbal prescription, expires in
6 months; maximum of five refills on one script. Examples: Librium, and valium.
Schedule V - CORRECT ANSWER Limited abuse potential; accepted medical use;
small amounts of narcotics used as antitussives (cough medicine) or antidiarrheals; may not
need a prescription but must be recorded as a transaction. Examples: lomotil and Robitussin
A-C.
Info included in writing prescription - CORRECT ANSWER a. Date
B. Patients full name, legal name
C. Name of medication written out
D. The dose
E. The SIQ: directions
F. Dispensing amount, how much you want them to get
G. Refill: zero or none
H. Signature, full signature. APNP at the end.
, A. Decongestants: - CORRECT ANSWER pseudoephedrine. They work like the
sympathetic nervous system they cause vasoconstriction, so the histamine doesn't cause
boogers, drainage, inflammation
B. Cause blood vessels to constrict
Sympathomimetics - CORRECT ANSWER Drugs used therapeutically that mimic the
catecholamines epinephrine, norepinephrine, and dopamine. Also called adrenergic agonists.
I. Reduce nasal congestion (do not reduce rhinorrhea, sneezing, or itching)
Ii. Activate alpha1-adrenergic receptors on nasal blood vessels
Iii. Adverse effects
1. Rebound congestion
2. CNS stimulation
3. Cardiovascular effects and stroke
4. Abuse
Antihistamine-sympathomimetic combinations - CORRECT ANSWER 1. Ipratropium
bromide [Atrovent]
2. Montelukast [Singulair]
3. Omalizumab [Xolair]
Steady state - CORRECT ANSWER The physiologic state in which the amount of drug
removed via elimination is equal to the amount of drug absorbed with each dose.
In pharmacokinetics, steady state refers to the situation where the overall intake of a drug is
fairly in dynamic equilibrium with its elimination. In practice, it is generally considered that
steady state is reached when a time of 4 to 5 times the half-life for a drug after regular dosing
is started. Whatever medication is going in is coming out.
Minimum effective concentration - CORRECT ANSWER there is a minimum amount
of the medication in the body doing the job. It is defined as the minimum concentration of
drug in plasma required to produce the therapeutic effect. It reflects the minimum
concentration of drug at the receptor site to elicit the desired pharmacological response.
QUESTIONS AND CORRECT ANSWERS
Schedule I - CORRECT ANSWER Potential for abuse is so high as to be unacceptable.
May be used for research with appropriate limitations. Examples are heroin, LSD, and
cocaine.
Schedule II - CORRECT ANSWER High potential for abuse and severe dependence
liability; current, accepted medical use; prescription drug-signed, not stamped prescription.
30-day supply, no refills. Examples: opium, morphine, methadone.
Schedule III - CORRECT ANSWER Less abuse potential, than C-II; low-moderate
physical dependence. High psychological dependence; by prescription only, which expires in
6 months. Maximum of five refills on one script. Examples: Tylenol with codeine and
hydrocodone
Schedule IV - CORRECT ANSWER Less abuse potential than C-III; accepted medical
use; limited physical and psychological dependence; written or verbal prescription, expires in
6 months; maximum of five refills on one script. Examples: Librium, and valium.
Schedule V - CORRECT ANSWER Limited abuse potential; accepted medical use;
small amounts of narcotics used as antitussives (cough medicine) or antidiarrheals; may not
need a prescription but must be recorded as a transaction. Examples: lomotil and Robitussin
A-C.
Info included in writing prescription - CORRECT ANSWER a. Date
B. Patients full name, legal name
C. Name of medication written out
D. The dose
E. The SIQ: directions
F. Dispensing amount, how much you want them to get
G. Refill: zero or none
H. Signature, full signature. APNP at the end.
, A. Decongestants: - CORRECT ANSWER pseudoephedrine. They work like the
sympathetic nervous system they cause vasoconstriction, so the histamine doesn't cause
boogers, drainage, inflammation
B. Cause blood vessels to constrict
Sympathomimetics - CORRECT ANSWER Drugs used therapeutically that mimic the
catecholamines epinephrine, norepinephrine, and dopamine. Also called adrenergic agonists.
I. Reduce nasal congestion (do not reduce rhinorrhea, sneezing, or itching)
Ii. Activate alpha1-adrenergic receptors on nasal blood vessels
Iii. Adverse effects
1. Rebound congestion
2. CNS stimulation
3. Cardiovascular effects and stroke
4. Abuse
Antihistamine-sympathomimetic combinations - CORRECT ANSWER 1. Ipratropium
bromide [Atrovent]
2. Montelukast [Singulair]
3. Omalizumab [Xolair]
Steady state - CORRECT ANSWER The physiologic state in which the amount of drug
removed via elimination is equal to the amount of drug absorbed with each dose.
In pharmacokinetics, steady state refers to the situation where the overall intake of a drug is
fairly in dynamic equilibrium with its elimination. In practice, it is generally considered that
steady state is reached when a time of 4 to 5 times the half-life for a drug after regular dosing
is started. Whatever medication is going in is coming out.
Minimum effective concentration - CORRECT ANSWER there is a minimum amount
of the medication in the body doing the job. It is defined as the minimum concentration of
drug in plasma required to produce the therapeutic effect. It reflects the minimum
concentration of drug at the receptor site to elicit the desired pharmacological response.
