PREVIOUS IEXAM IINFO I
Guanfacine- Iused Ito Itreat IHTN Ior IADHD, Inon Istimulant. IAlpha I2 Iadrenergic Iagonist.
Antiarrhythmics Istart Ion Ip. I322
Class II: Isodium Ichannel Iblockers
Class IIa: Ilengthens Iaction Ipotential I(quinidine, Iprocainamide I[requires Ifreq. Idosing],
Idisopyramide)
Class IIb: Ishortens Iaction Ipotential I(lidocaine, Iphenytoin) Itreats Iventricular Iarrhythmias
Class IIc: Iminimal Ior Ino Ieffect Ion Iaction Ipotential; Isevere Iventricular Itachycardias- Iwhere
Ino Iother Idrugs Ihave Iworked
Class III: Ibeta Iblockers I(propranolol, Imetoprolol, Iatenolol)- Iindirectly Ireduces Islope Iby Iblocking
Ichronotropic Iimpact Iof Inorepinephrine
Atenolol Ihas Ilonger Ihalf-life Ithan Imetoprolol
Class IIII: Iagents Ithat Ilengthen Iaction Ipotential I(potassium Ichannel Iblockers) I– I(amiodarone,
Ibretyllium) Ieffective Iin Itreating Ire-entry Iproblems, Iinhibits Iv-fib Idue Ito Imyocardial Iischemia,
Iimproves Icontractility
Class IIV: ICalcium Ichannel Iblockers I(verapamil, Idiltiazem, Ibepridil) I& I(amlodipine, Ifelodipine)
2 Itypes Iof ICCB: I
type II- Inon-hydropyridines-affect Iconduction Ithrough IAV Inode, Ihave Ineg Ichronotropic Ieffect
I(verapamil, Idiltiazem)
type III: Ihydorphyridines-do Inot Iaffect Iconduction Ithrough IAV Inode I(nifedipine, Iamlodipine,
Ifelodipine)
Class IIA I& IIC I-what Iis Isimilar?
Lidocaine- I
Amiodaraone Ieffective Iagainst Isupraventricular Irhythms
BPH I& IHTN Imed
Doxazosin- Iused Ito Itreat IBPH I& IHTN
Mexiletine- Ionly Iavailable Iorally I
Valerian Ihas Ino Iadverse Ireactions Iwhen Iused Iat Ithe Irecommended Ilevel; Ihowever, Ioverdosage Iat
I2.5 Ig Ior Imore Ican Icause Icardiac Idisturbance, Iexcitability, Iheadache, Iinsomnia, Iand Inausea. IIt Ican
Ipotentiate Ialcohol Iand Iother ICNS Idepressants Iif Itaken Iin Ilarge Iamounts. I(p. I139)
Ayurvedic Imedicine- IAlthough Iall Ithree Idoshas Iexist Itogether, Ioften Iplants Iand Ipeople Iare
Iclassified Iby Ithe Ione Ithat Iis Imost Idominant Iin Ithem, Ireferred Ito Ias Ithe Iperson’s I“Prakruti,” Iand
Ispecific Ito Ithem Ias Ian Iindividual. I(p. I132)
Glaucoma Imeds:
Longer Ieyelashes-lanasoprost Ior Ibimatoprost I– Iprostaglandin Idrugs
Glaucoma Imed Icause Iblurriness Iafter Iinstilled Iinto Ieyes Ifor Ifew Iminutes
Procainamide-short Iacting; Ineed Idose Ireduction Iin ICHF Iand Irenal Iimpairment I(p. I325)
VLDL- Isynthesized Iin Ithe Iliver I(p. I1130) IDrugs Ithat Iinhibit IVLDL Isynthesis Iin Ithe Iliver I(niacin,
Ifibric Iacid Iderivatives) Ialso Ireduce ILDLs Ivia Ithe Iendogenous Ipathway I(p.1130).
Cholesterol Imeds:
-acted Ion Isterols?
,Inhibitor IHmgcoa- Istatins
Bile Ifrom Iliver-bile Isequestrins I
Cost Ibenefit Ianalysis
Cardiotonic
Digoxin Iwith Irenal Ifailure- Icontradicted Iin Irenal Iimpairment; IDigoxin Ican Ialso Ibe Iproblematic
Iwhen Itreating Iolder Iadults Iand Ipatients Iwith Irenal Iinsufficiency. IRenal Ifunction Imay Idecrease
Iduring Iheart Ifailure Itreatment Iand Ithe Idrug Imay Inot Ibe Iadequately Iexcreted, Iallowing Iit Ito
Iincrease Ito Itoxic Ilevels. IDigoxin Ilevels Ishould Ibe Iclosely Imonitored Iin Ithese Ipatients. I(p. I1072)
IBecause Idigoxin Iis Iexcreted Iessentially Iunchanged Iby Ithe Ikidneys, Isevere Irenal Iimpairment
Ieffectively Icontraindicates Iits Iuse. I(p. I318)
Treatment Iwith Ihepatitis IC- Iantiviral Imeds, INS5A Iinhibitors
Tacrine-
Timolol-
The Inurse Iconcludes Ithat Ia Iclient Inewly Idiagnosed Iwith Iglaucoma Iknows Ithe Ipurpose Ifor Ithe
Iprescribed Itimolol I(Timoptic) Iblocker Iwhen Ithe Iclients Imakes Iwhich Istatement:
- REDUCE IINTRAOCCULAR IPRESSURE I
Cromolyn-allergic
David Ipresents Ito Iclinic Iwith Isymptoms Iof Iallergic Iconjunctivitis. IHe Iis Iprescribed Icromolyn
Isodium I(Opticrom) Ieyedrops. IThe Ieducation Iregarding Iusing Icromolyn Ieyedrops Iincludes Iwhich
Ione Iof Ithe Ifollowing Itips
- he Ishould Inot Iwear Ihis Isoft Icontacts Iwhile Iusing Ithe Icromolyn Ieyedrops.
PNA I& Ihypothyroidism- Iwhat Imed Idon’t Igive?? I-epi Iinhaler
Which Iclass Iantiarrhythmic Imeds Itreat ISVT Ior IVT?
HSV Imed- Ianswer Ito Ido Iwith Iapplying Ito Ioral Ilesion Iat Ithe Ifirst Isign Iof Ioutbreak
Protozoal Iinfection- Iwhich Itype Iof Imed Iantifungal, Iantimalarial Ior Iantiviral Iplus Ione Iother II Ican’t
Iremember
Erectile Idysfunction- Isildenafil Ior Isomething
It Imust Ibe Inoted Ithat Iphosphodiesterase-5 Iinhibitors I(sildenafil, IViagra; Ivardenafil, ILevitra;
Itadalafil, ICialis) Iused Ito Itreat Ierectile Idysfunction, Iwhen Itaken Iin Icombination Iwith Initrates Iused
Ifor Ichest Ipain, Ican Icause Isevere Ivasodilation Iresulting Iin Ihypotension Iand Isyncope. I(p. I892)
Patients Iwith IWolff–Parkinson–White I(WPW) Isyndrome Ican Ihave Iventricular Iresponses Ithat Iare
Idangerously Irapid. IDrugs Icommonly Iused Ito Icontrol Iventricular Iresponse Isuch Ias Idiltiazem,
Iverapamil, Iand Idigoxin Iare Iineffective Iin Ithis Isituation Iand Ican Ifacilitate Iconduction Ithrough Ithe
Iaccessory Ipathway, Iincreasing Ithe Irisk Ifor Iventricular Ifibrillation I(p. I315)
Final Iexam Ipharm I
1. Lauren Iis Ia I13 Iyear Iold Ichild Iwho Icomes Ito Ithe Iclinic Iwith Ia I4 Iday Ihistory Iof Icough, Ilow Igrade
Ifever, Iand Irhinorrhea. IWhen Ishe Iblows Iher Inose Ior Icoughs Ithe Imucous Iis Igreenish Iyellow.
IThe Iappropriate Iantibiotic Ito Iprescribe Iwould Ibe I
- None I
2. Pong-tai Iis Ia I12month Iold Ichild Iwho Iis Ibeing Itreated Iwith Iamoxicillin Ifor Iacute Iotitis Imedia.
IHis Iparents Icall Ithe Iclinic Iand Isay Ihe Ihas Ideveloped Idiarrhea. IThe Iappropriate Iaction Iwould
Ibe Ito I
, - Advise Ithe Iparents Ithat Isome Idiarrhea Iis Inormal Iwith Iamoxicillin Iand Irecommend
Iprobiotics Idaily I
3. There Iis Ioften Ia Icross Isensitivity Iand Icross Iresistance Ibetween Ipcn Iand Icephalosporins
Ibecause I
- Both Idrug Iclasses Icontain Ia Ibeta Ilactam Iring Ithat Iis Ivulnerable Ito Ibeta Ilactamase
Iproducing Iorganisms I
4. Sara Iis Ia I25 Iyear Iold Ifemale Iwho Iis I8 Iweeks Ipregnant Iand Ihas Ia Iuti. IWhat Iwould Ibe Ithe
Iappropriate Iantibiotic Ito Iprescribe I
- Amoxicillin I
5. Jonathon Ihas Ibeen Idiagnosed Iwith Istrep Ithroat Iand Ineeds Ia Iprescription Ifor Ian Iantibiotic. IHe
Isays Ithe Ilast Itime Ihe Ihad Ipcn Ihe Ideveloped Ia Ired Iblotchy Irash. IAn Iappropriate Iantibiotic Ito
Iprescribe Iwould Ibe I
- Azithromycin I
6. Treatment Ifor Iherpes Isimplex I1 I
- Acyclovir I
7. A Igirl Iis Iprescribed Ifluconazole Iafter Ibeing Itreated Iwith Ian Iantibiotic Ifor Iuti. IWhat Iis Ithe
Ipurpose Iof Ithe Ifluconazole I
- Yeast Iinfection I
8. What Ido Iglaucoma Ieye Idrop Itimilol, Ilantoprost Ihave Iin Icommon I
- -decrease Iintraocular Ipressure I
9. What Iantibiotic Iis Iused Ito Itreat IMRSA I
- Vanc I
10. What Imedication Ito Iavoid Ifor Isomeone Iwith Iopen Iangle Iglaucoma Iand Ikidney Istones
- Acetylcholine I
11. What Imedications Ito Iavoid Iwith Iclosed Iangle Iglaucoma I
- Acetazolamide I
- Topiramate
-
12. Otitis Imedia
- amoxicillin
13. ADR Iof Iisoniazid I
14. What Ianalysis Iwould Ia Imanaged Icare Iorganization Iuse Ito Iimprove Ihealth Ioutcomes I
15. What Ianalysis Iwould Ibe Iused Iif Ia Imanaged Icare Iorganization Iwanted Ito Icompare Itwo Idrugs
Iwith Idifferent Ibenefits I
16. You Iare Iprescribing Idrugs Iusing Istep Itherapies Ito Icut Icosts Iwhat Idrug Iwould Iyou Iprescribe I
- Generic I
17. Which Ianalysis Iis Iexpressed Iin Iterms Iof Ilife Iyears I
18. What Ido I1A's Itreat?
- Atrial/ventricular Itach I(quinodine, Iprocainamide)
19. Mexiletine
- Only Iavailable Iorally I
20. 1b I(lidocaine, Imexiletine, Iphenytoin)
- Blocks Isodium Ichannels I
- Tx Iventricular Iarrythmias I
21. 1c I(propadenone)
- Na Iblocker I I& IBB I
, - Treats IWPW, IAFIB I
22. Class I2 I(BB’S) I
- Tx: ISupraventricular I
23. Class I3 I(amio, Isotalol)
- Prolonged Iaction Ipotential I
24. Class I4 I(verapamil, Idiltiazem) I
- Tx: Isvt I
25. II. ISodium Ichannel Iblockers- I1A, I1B, I1C I
II. Iβ-adrenergic Iantagonists
III. IPotassium Ichannel Iblockers Iand Irelatives
IV. ICalcium Ichannel Iblockers
26. Nurse Ipractitioner Iprescriptive Iauthority Iis Iregulated Iby:
1. The INational ICouncil Iof IState IBoards Iof INursing
2. The IU.S. IDrug IEnforcement IAdministration
3. The IState IBoard Iof INursing Ifor Ieach Istate
4. The IState IBoard Iof IPharmacy
30. IClinical Ijudgment Iin Iprescribing Iincludes:
1. Factoring Iin Ithe Icost Ito Ithe Ipatient Iof Ithe Imedication Iprescribed
2. Always Iprescribing Ithe Inewest Imedication Iavailable Ifor Ithe Idisease Iprocess
3. Handing Iout Idrug Isamples Ito Ipoor Ipatients
4. Prescribing Iall Igeneric Imedications Ito Icut Icosts
31. INurse Ipractitioner Ipractice Imay Ithrive Iunder Ihealth-care Ireform Ibecause Iof:
1. The Idemonstrated Iability Iof Inurse Ipractitioners Ito Icontrol Icosts Iand Iimprove Ipatient
Ioutcomes
2. The Ifact Ithat Inurse Ipractitioners Iwill Ibe Iable Ito Ipractice Iindependently
3. The Ifact Ithat Inurse Ipractitioners Iwill Ihave Ifull Ireimbursement Iunder Ihealth-care
Ireform
4. The Iability Ito Ishift Iaccountability Ifor IMedicaid Ito Ithe Istate Ilevel
32. I. According Ito Ithe IU.S. IOffice Iof IMinority IHealth, Ipoor Ihealth Ioutcomes Iamong IAfrican
IAmericans Iare Iattributed Ito:
1. The Ibelief Iamong IAfrican IAmericans Ithat Iprayer Iis Imore Ipowerful Ithan Idrugs
2. Poor Icompliance Ion Ithe Ipart Iof Ithe IAfrican IAmerican Ipatient
3. The Igenetic Ipredisposition Ifor Iillness Ifound Iamong IAfrican IAmericans
4. Discrimination, Icultural Ibarriers, Iand Ilack Iof Iaccess Ito Ihealth Icare
33. IThe Iracial Idifference Iin Idrug Ipharmacokinetics Iseen Iin IAmerican IIndian Ior IAlaskan INatives
Iare:
1. Increased ICYP I2D6 Iactivity, Ileading Ito Irapid Imetabolism Iof Isome Idrugs
2. Largely Iunknown Idue Ito Ilack Iof Istudies Iof Ithis Ipopulation
3. Rapid Imetabolism Iof Ialcohol, Ileading Ito Iincreased Itolerance
4. Decreased Ielimination Iof Iopioids, Ileading Ito Iincreased Irisk Ifor Iaddiction
34. IHispanic Inative Ihealers I(curanderas):
1. Are Inot Iheavily Iutilized Iby IHispanics Iwho Iimmigrate Ito Ithe IUnited IStates
2. Use Iherbs Iand Iteas Iin Itheir Itreatment Iof Iillness
3. Provide Iunsafe Iadvice Ito IHispanics Iand Ishould Inot Ibe Itrusted
4. Need Ito Ibe Ilicensed Iin Itheir Ihome Icountry Iin Iorder Ito Ipractice Iin Ithe IUnited IStates