Test Bank for Drugs in
Perspective.
sarah 42yo requests rx for anorexiant to tx oebsity, trial of phentermine rx, prescribing
precautions include: - ANSWERSanorexiants may cause tolerance & should only be
prescribed for 6 months
before rx phentermine to sarah, thorough drug hx should be taken including assessing
for use of serotonergic agents (SSRIs) & St. Johns wort DT - ANSWERSrisk of
serotonin syndrome
anthonia 3yo hx status epilepticus, along with her routine antiseizure meds, should also
home rx for ______ to be used for episode of status epilepticus - ANSWERSrectal
diazepam (diastat)
rabi being rx phenytoin for seizures, monitoring includes: - ANSWERSfor phenytoin
hypersensitivity syndrome 3-8wks after starting tx
dawyne recently started on carbamazapine to tx seizures, comes to see you & note that
while levels had been therapeutic, now low, possible cause for low carbamazepine
levels include: - ANSWERSauto-induces metabolism, leading to lower levels in spite of
good compliance
carbamazepine has BBW DT: - ANSWERSdermatologic reaction, including SJS & toxic
epidermal necrolysis
long-term monitoring of pts who are taking carbamazepine includes: - ANSWERSCBC
q3-4mos
6yo Lucy has recently been started on ethosuximide (Zarontin) for seizures, should be
monitored for: - ANSWERSblood dyscrasias, which are uncommon but possible
sook has been rx gabapentin to tx neuropathic pain & is co feeling depressed & having
"strange" thoughts, appropriate initial action: - ANSWERSassess for SI
Selma, who is overweight, recently started taking topiramate for seizures and at her
follow-up visit you note she has lost 3 kg. The appropriate action would be: -
ANSWERSreassure her that this is normal SE of topiramate & continued to monitor her
weight
monitoring of a pt on gabapentin to treat seizures includes - ANSWERSrecording
seizure frequency, duration & severity
, Scott's seizures are well controlled on topiramate and he wants to start playing baseball.
education for Scott regarding his topiramate includes - ANSWERShe should monitor his
temp & ability to sweat in heat while playing
cara taking keppra to tx seizures, routine education for levetiracetam includes reminding
her: - ANSWERSto not abruptly dc keppra DT risk for WD seizures
Levetiracetam has known drug interactions with:
1. Combined oral contraceptives
2. Carbamazepine
3. Warfarin
4. Few, if any, drugs - ANSWERSfew, if any, drugs
Zainab in taking lamotrigine Lamictal and presents to the clinic with dever and
lymphadenopathy. initial evaluation and treatment includes - ANSWERSruling out
hypersensitivity reaction that may lead to multi-organ failure
sam taking lamictal for seizures & requests rx for combined oral contraceptives, which
interact with lamotrigine & may cause: - ANSWERSreduce lamotrigine levels, requiring
doubling dose of lamotrigine
TCAs should be rx cautiously in pts with: - ANSWERSheart disease
66yo male rx nardil while in acute psychiatric unit for recalcitrant depression, NP
managing primary health care needs to understanding the following regarding
phenelzine & other MAOIs: - ANSWERSall: he should not be rx any serotongergic drug
such as sumatriptan (imitrex), MAOIs interact with many common foods, including
yogurt, sour cream, soy sauce, s/s of HTN crisis (HA, tachycardia, sweating) require
immediate tx
taylor 10yo child dx with major depression, appropriate 1st line antidepressant for
children is: - ANSWERSfluoxetine
Suzanne is started on Paxil an SSRI for depression. Education regarding her
antidepressant includes: - ANSWERSSSRIs may take 2-6wks before she will have
maximum drug effects
cecilia presents with depression associated with complaints of fatigue, sleeping all the
time, lack of motivation, appropriate initial antidepressant for her would be: -
ANSWERSduloxetine (cymbalta)
Perspective.
sarah 42yo requests rx for anorexiant to tx oebsity, trial of phentermine rx, prescribing
precautions include: - ANSWERSanorexiants may cause tolerance & should only be
prescribed for 6 months
before rx phentermine to sarah, thorough drug hx should be taken including assessing
for use of serotonergic agents (SSRIs) & St. Johns wort DT - ANSWERSrisk of
serotonin syndrome
anthonia 3yo hx status epilepticus, along with her routine antiseizure meds, should also
home rx for ______ to be used for episode of status epilepticus - ANSWERSrectal
diazepam (diastat)
rabi being rx phenytoin for seizures, monitoring includes: - ANSWERSfor phenytoin
hypersensitivity syndrome 3-8wks after starting tx
dawyne recently started on carbamazapine to tx seizures, comes to see you & note that
while levels had been therapeutic, now low, possible cause for low carbamazepine
levels include: - ANSWERSauto-induces metabolism, leading to lower levels in spite of
good compliance
carbamazepine has BBW DT: - ANSWERSdermatologic reaction, including SJS & toxic
epidermal necrolysis
long-term monitoring of pts who are taking carbamazepine includes: - ANSWERSCBC
q3-4mos
6yo Lucy has recently been started on ethosuximide (Zarontin) for seizures, should be
monitored for: - ANSWERSblood dyscrasias, which are uncommon but possible
sook has been rx gabapentin to tx neuropathic pain & is co feeling depressed & having
"strange" thoughts, appropriate initial action: - ANSWERSassess for SI
Selma, who is overweight, recently started taking topiramate for seizures and at her
follow-up visit you note she has lost 3 kg. The appropriate action would be: -
ANSWERSreassure her that this is normal SE of topiramate & continued to monitor her
weight
monitoring of a pt on gabapentin to treat seizures includes - ANSWERSrecording
seizure frequency, duration & severity
, Scott's seizures are well controlled on topiramate and he wants to start playing baseball.
education for Scott regarding his topiramate includes - ANSWERShe should monitor his
temp & ability to sweat in heat while playing
cara taking keppra to tx seizures, routine education for levetiracetam includes reminding
her: - ANSWERSto not abruptly dc keppra DT risk for WD seizures
Levetiracetam has known drug interactions with:
1. Combined oral contraceptives
2. Carbamazepine
3. Warfarin
4. Few, if any, drugs - ANSWERSfew, if any, drugs
Zainab in taking lamotrigine Lamictal and presents to the clinic with dever and
lymphadenopathy. initial evaluation and treatment includes - ANSWERSruling out
hypersensitivity reaction that may lead to multi-organ failure
sam taking lamictal for seizures & requests rx for combined oral contraceptives, which
interact with lamotrigine & may cause: - ANSWERSreduce lamotrigine levels, requiring
doubling dose of lamotrigine
TCAs should be rx cautiously in pts with: - ANSWERSheart disease
66yo male rx nardil while in acute psychiatric unit for recalcitrant depression, NP
managing primary health care needs to understanding the following regarding
phenelzine & other MAOIs: - ANSWERSall: he should not be rx any serotongergic drug
such as sumatriptan (imitrex), MAOIs interact with many common foods, including
yogurt, sour cream, soy sauce, s/s of HTN crisis (HA, tachycardia, sweating) require
immediate tx
taylor 10yo child dx with major depression, appropriate 1st line antidepressant for
children is: - ANSWERSfluoxetine
Suzanne is started on Paxil an SSRI for depression. Education regarding her
antidepressant includes: - ANSWERSSSRIs may take 2-6wks before she will have
maximum drug effects
cecilia presents with depression associated with complaints of fatigue, sleeping all the
time, lack of motivation, appropriate initial antidepressant for her would be: -
ANSWERSduloxetine (cymbalta)
