APEA- Neuro Pharm
Pramipexole (Mirapex), a dopamine agonist, is indicated in the treatment of:
insomnia and parasomnia disorders.
Parkinson disease and sleep-related eating disorders.
REM sleep behavior disorder and multiple sclerosis.
restless leg syndrome and Parkinson disease. - ANS-restless leg syndrome and Parkinson
disease.
The patient who requires the LEAST cautionary measures when treated with
carbidopa/levodopa (Sinemet) is:
a 43-year-old woman with hypothyroidism.
a 45-year-old retired marine with secondary parkinsonism and a history of post-traumatic stress
disorder.
a 50-year-old woman with a history of obstructive sleep apnea.
a 55-year-old man with history a of myocardial infarction with residual atrial arrhythmia. - ANS-a
43-year-old woman with hypothyroidism.
Benztropine (Cogentin), an anticholinergic, is NOT recommended for use in patients with:
athetosis movements.
Huntington's chorea.
parkinsonism.
tardive dyskinesia. - ANS-tardive dyskinesia.
A patient presenting with a transient ischemic attack (TIA) is taking nifedipine (Adalat CC) for
hypertension. Pharmacokinetics of nifedipine may be altered in patients with:
renal insufficiency.
hepatic impairment.
irritable bowel disease.
G6PD deficiency. - ANS-hepatic impairment.
A medication used in a patient with a transient ischemic attack to prevent platelet aggregation
and produce an anti-inflammatory effect in vessels by inhibiting prostaglandin synthesis is:
acetaminophen.
ibuprofen.
acetylsalicylic acid.
warfarin. - ANS-acetylsalicylic acid.
Carbidopa/levodopa (Sinemet) for the treatment of Parkinson's disease is contraindicated in
patients with:
diabetes.
, history of peptic ulcer disease.
narrow-angle glaucoma.
wide-angle glaucoma. - ANS-narrow-angle glaucoma.
During initiation of treatment and escalation of doses, pramipexole (Mirapex) and other
dopamine agonists are known to cause:
akathisia.
gastrointestinal bleeding.
orthostatic hypotension.
thrombocytopenia. - ANS-orthostatic hypotension.
Ergotamine alkaloids, such as dihydroergotamine (Migranal), are indicated in the treatment of:
basilar migraine headaches.
cluster headaches.
migraine headaches (acute).
tension headaches. - ANS-migraine headaches (acute).
Patients who are taking rasagiline (Azilect) for the treatment of Parkinson's disease should
avoid other CYP1A2 inhibitors such as:
ciprofloxacin (Cipro).
clindamycin (Cleocin).
erythromycin base (Ery-Tab)
sulfamethoxazole/trimethoprim (Bactrim). - ANS-ciprofloxacin (Cipro).
Beta-blockers, used for the prophylactic treatment of migraines, would NOT be contraindicated
in a patient with a history of:
ventricular arrhythmias.
2nd degree heart block.
pulmonary congestion.
acute coronary syndrome. - ANS-acute coronary syndrome.
A patient who is taking beta-blockers for the prophylactic treatment of migraine headache does
NOT need to be monitored for:
hypotension.
bradycardia.
heart failure.
tachypnea. - ANS-tachypnea.
Oxcarbazepine (Trileptal) is structurally similar to:
carbamazepine (Tegretol).
divalproex sodium (Depakote).
lamotrigine (Lamictal).
topiramate (Topamax). - ANS-carbamazepine (Tegretol).
Pramipexole (Mirapex), a dopamine agonist, is indicated in the treatment of:
insomnia and parasomnia disorders.
Parkinson disease and sleep-related eating disorders.
REM sleep behavior disorder and multiple sclerosis.
restless leg syndrome and Parkinson disease. - ANS-restless leg syndrome and Parkinson
disease.
The patient who requires the LEAST cautionary measures when treated with
carbidopa/levodopa (Sinemet) is:
a 43-year-old woman with hypothyroidism.
a 45-year-old retired marine with secondary parkinsonism and a history of post-traumatic stress
disorder.
a 50-year-old woman with a history of obstructive sleep apnea.
a 55-year-old man with history a of myocardial infarction with residual atrial arrhythmia. - ANS-a
43-year-old woman with hypothyroidism.
Benztropine (Cogentin), an anticholinergic, is NOT recommended for use in patients with:
athetosis movements.
Huntington's chorea.
parkinsonism.
tardive dyskinesia. - ANS-tardive dyskinesia.
A patient presenting with a transient ischemic attack (TIA) is taking nifedipine (Adalat CC) for
hypertension. Pharmacokinetics of nifedipine may be altered in patients with:
renal insufficiency.
hepatic impairment.
irritable bowel disease.
G6PD deficiency. - ANS-hepatic impairment.
A medication used in a patient with a transient ischemic attack to prevent platelet aggregation
and produce an anti-inflammatory effect in vessels by inhibiting prostaglandin synthesis is:
acetaminophen.
ibuprofen.
acetylsalicylic acid.
warfarin. - ANS-acetylsalicylic acid.
Carbidopa/levodopa (Sinemet) for the treatment of Parkinson's disease is contraindicated in
patients with:
diabetes.
, history of peptic ulcer disease.
narrow-angle glaucoma.
wide-angle glaucoma. - ANS-narrow-angle glaucoma.
During initiation of treatment and escalation of doses, pramipexole (Mirapex) and other
dopamine agonists are known to cause:
akathisia.
gastrointestinal bleeding.
orthostatic hypotension.
thrombocytopenia. - ANS-orthostatic hypotension.
Ergotamine alkaloids, such as dihydroergotamine (Migranal), are indicated in the treatment of:
basilar migraine headaches.
cluster headaches.
migraine headaches (acute).
tension headaches. - ANS-migraine headaches (acute).
Patients who are taking rasagiline (Azilect) for the treatment of Parkinson's disease should
avoid other CYP1A2 inhibitors such as:
ciprofloxacin (Cipro).
clindamycin (Cleocin).
erythromycin base (Ery-Tab)
sulfamethoxazole/trimethoprim (Bactrim). - ANS-ciprofloxacin (Cipro).
Beta-blockers, used for the prophylactic treatment of migraines, would NOT be contraindicated
in a patient with a history of:
ventricular arrhythmias.
2nd degree heart block.
pulmonary congestion.
acute coronary syndrome. - ANS-acute coronary syndrome.
A patient who is taking beta-blockers for the prophylactic treatment of migraine headache does
NOT need to be monitored for:
hypotension.
bradycardia.
heart failure.
tachypnea. - ANS-tachypnea.
Oxcarbazepine (Trileptal) is structurally similar to:
carbamazepine (Tegretol).
divalproex sodium (Depakote).
lamotrigine (Lamictal).
topiramate (Topamax). - ANS-carbamazepine (Tegretol).
