First-line treatment for a healthy patient with CAP - ANSWER Azithromycin
What is the provider concerned about with the combination of an SSRI and St. John's Wort?
- ANSWER Serotonin Syndrome
When could you see a hypersensitivity reaction with phenytoin? - ANSWER 3-8 weeks
Why would carbamazepine level drop despite compliance? - ANSWER Auto metabolize
What is the black box warning for carbamazepine? - ANSWER Steven Johnson's Syn-
drome
If someone on gabapentin states having strange thoughts, what should you ask about? - AN-
SWER Suicidal Ideation
What hypersensitivity reaction would you be concerned about administering Lamictal?
(lamotrigine) - ANSWER Steven Johnson Syndrome
What do you do with oral contraceptive with a patient taking Lamicatal? - ANSWER In-
crease the Lamictal Dose
What comorbidity should you NOT prescribe tricyclic antidepressants? - ANSWER Cardiac
Disease. HTN, Heart Failure: increases contractility= sudden cardiac death
1
, When will a patient begin to feel relief of depression after starting an SSRI? - ANSWER 2-6
weeks
What do you need to monitor for when administering Digoxin and a beta-agonist together? -
ANSWER dysrhythmia/arrhythmia
What do you monitor for when administering Haldol to a schizophrenic patient? - AN-
SWER EPS using AIMS test
What diagnosis should NOT receive a B2 agonist? - ANSWER Pheochromocytoma
What can you prescribe for the treatment of COPD? - ANSWER Inhaled corticosteroid
(Spiriva)
How should a patient use an inhaled corticosteroid like beclomethasone? - ANSWER To
be used everyday-Not PRN
What mental health concerns does montelukast (Singulair) have? - ANSWER Depression,
anxiety, suicide and aggression
What side effect should the provider be concerned about when administering Benadryl to
the elderly? - ANSWER Urinary retention
Why would a provider recommend a second generation antihistamine? - ANSWER Less
sedating, fewer side effects, and more selective
What does the long-term use of PPI cause? - ANSWER Osteoporosis, Iron Deficiency Ane-
mia, and Vit B12 deficiency
What can you give for opiod induced constipation? - ANSWER Relistor (methylnaltrexone)
2
What is the provider concerned about with the combination of an SSRI and St. John's Wort?
- ANSWER Serotonin Syndrome
When could you see a hypersensitivity reaction with phenytoin? - ANSWER 3-8 weeks
Why would carbamazepine level drop despite compliance? - ANSWER Auto metabolize
What is the black box warning for carbamazepine? - ANSWER Steven Johnson's Syn-
drome
If someone on gabapentin states having strange thoughts, what should you ask about? - AN-
SWER Suicidal Ideation
What hypersensitivity reaction would you be concerned about administering Lamictal?
(lamotrigine) - ANSWER Steven Johnson Syndrome
What do you do with oral contraceptive with a patient taking Lamicatal? - ANSWER In-
crease the Lamictal Dose
What comorbidity should you NOT prescribe tricyclic antidepressants? - ANSWER Cardiac
Disease. HTN, Heart Failure: increases contractility= sudden cardiac death
1
, When will a patient begin to feel relief of depression after starting an SSRI? - ANSWER 2-6
weeks
What do you need to monitor for when administering Digoxin and a beta-agonist together? -
ANSWER dysrhythmia/arrhythmia
What do you monitor for when administering Haldol to a schizophrenic patient? - AN-
SWER EPS using AIMS test
What diagnosis should NOT receive a B2 agonist? - ANSWER Pheochromocytoma
What can you prescribe for the treatment of COPD? - ANSWER Inhaled corticosteroid
(Spiriva)
How should a patient use an inhaled corticosteroid like beclomethasone? - ANSWER To
be used everyday-Not PRN
What mental health concerns does montelukast (Singulair) have? - ANSWER Depression,
anxiety, suicide and aggression
What side effect should the provider be concerned about when administering Benadryl to
the elderly? - ANSWER Urinary retention
Why would a provider recommend a second generation antihistamine? - ANSWER Less
sedating, fewer side effects, and more selective
What does the long-term use of PPI cause? - ANSWER Osteoporosis, Iron Deficiency Ane-
mia, and Vit B12 deficiency
What can you give for opiod induced constipation? - ANSWER Relistor (methylnaltrexone)
2
