NUR 635 Advanced Pharmacology
Final
What would be the first line med for mild-moderate pain, sprained ankle? – answer
NSAID (Ibuprofen)
A patient being prescribed phenytoin for seizures, what does monitoring include? -
answer Monitor for phenytoin syndrome, 3-5 weeks after starting therapy
Patient recently started on carbamazepine for seizures, he comes in and his levels are
sub-therapeutic? - answer Auto-metabolism, need to switch to a new agent.
What does the carbamazepine black box warning refer to? - answer Stevens Johnsons
syndrome and toxic epidermal necrolysis
Long term monitoring of patients taking carbamazepine includes: - answerComplete
blood counts every 3-4 months.
Patient prescribed gabapentin for neuropathic pain, pt complains of depression and
suicidal thoughts? - answerAssess for suicidal ideation
Pt. taking Lamictal for seizures, she requests a prescription for a combined oral
contraceptive that reacts with Lamictal, what would happen? - answerReduced
lamotrigine levels requiring double the dose of lamotrigine.
Patients with pheochromocytoma should avoid which class of drugs that could cause
HTN crisis? - answerBeta 2 agonists.
Methylnaltrexone or relistor is used to treat constipation in patients with: - answerOpioid
induced constipation
Carbamazepine has a black box warning recommending testing for the HLAB1502
allele with Asian ancestry prior to starting therapy due to? - answerIncreased risk for
Stevens Johnson's syndrome
Jamie has glucose 6 phosphate dehydrogenase deficiency, which antibiotic class
should we avoid in this patient? - answersulfonamides
Pt. diagnosed with cluster headaches, what would the appropriate acute therapy be? -
answerOxygen 100% for 15-30 minutes
, 18 y.o. patient diagnosed with frequent migraines, what Is abortive therapy for
migraines? - answertriptans- (ABORTIVE MEDS FOR MIGRAINES)
What is an appropriate drug for the treatment of migraine headaches in an 18-year-old?
- answerPropranolol aka inderal
Is the key to prevention of osteoporosis, which is false? - answerIf exercise is
incorporated into regular activity vitamin d and calcium are not needed (vitamin d and
calcium supplements are still needed)
Which of the following meds is most appropriate for pt. with neuropathic pain? -
answerGabapentin
Prophylactic use of bisphosphonates is recommended with patients with early
osteopenia due to long term use of which drugs? - answerGlucocorticoids
When prescribing drugs with a narrow therapeutic range: - answerMonitor patients
plasma drug levels at regular intervals.
A patient report that brand x tablets work faster than brand y tablets: - answerinactive
ingredients used in the composition may cause different rates of dissolution which can
alter the onset of action of the drug.
IV gentamicin, has a toxic drug level, which possible cause of this situation will the
provider explore? - answerassess whether the patient is taking a medication that binds
to serum albumin. (Gentamicin binds weakly to plasma proteins, so another drug could
cause it to not be able to bind.)
When writing out a prescription do you write daily or Qday? - answerDaily
A provider speaking to a class or group of patients, which trimester has most
teratogenic effects? - answerFirst
A five-year-old has gray teeth, provider asks about which meds? - answerTetracyclines
A provider is reviewing elderly patient's chart, which is of greatest concern in renewing
prescription for highly bound protein drugs? - answerLow serum albumin
An older patient is entering the immediate postoperative period after total hip
replacement, son asks for Demerol, what action will the provider take to address pain? -
answerPrescribe morphine and discuss rationale with pt's son
A pt is wheezing and SOB HR 88, BP 124/78, non-selective beta agonist, beside eval
for pt's resp distress which side effect watch out for? - answerTachycardia
Final
What would be the first line med for mild-moderate pain, sprained ankle? – answer
NSAID (Ibuprofen)
A patient being prescribed phenytoin for seizures, what does monitoring include? -
answer Monitor for phenytoin syndrome, 3-5 weeks after starting therapy
Patient recently started on carbamazepine for seizures, he comes in and his levels are
sub-therapeutic? - answer Auto-metabolism, need to switch to a new agent.
What does the carbamazepine black box warning refer to? - answer Stevens Johnsons
syndrome and toxic epidermal necrolysis
Long term monitoring of patients taking carbamazepine includes: - answerComplete
blood counts every 3-4 months.
Patient prescribed gabapentin for neuropathic pain, pt complains of depression and
suicidal thoughts? - answerAssess for suicidal ideation
Pt. taking Lamictal for seizures, she requests a prescription for a combined oral
contraceptive that reacts with Lamictal, what would happen? - answerReduced
lamotrigine levels requiring double the dose of lamotrigine.
Patients with pheochromocytoma should avoid which class of drugs that could cause
HTN crisis? - answerBeta 2 agonists.
Methylnaltrexone or relistor is used to treat constipation in patients with: - answerOpioid
induced constipation
Carbamazepine has a black box warning recommending testing for the HLAB1502
allele with Asian ancestry prior to starting therapy due to? - answerIncreased risk for
Stevens Johnson's syndrome
Jamie has glucose 6 phosphate dehydrogenase deficiency, which antibiotic class
should we avoid in this patient? - answersulfonamides
Pt. diagnosed with cluster headaches, what would the appropriate acute therapy be? -
answerOxygen 100% for 15-30 minutes
, 18 y.o. patient diagnosed with frequent migraines, what Is abortive therapy for
migraines? - answertriptans- (ABORTIVE MEDS FOR MIGRAINES)
What is an appropriate drug for the treatment of migraine headaches in an 18-year-old?
- answerPropranolol aka inderal
Is the key to prevention of osteoporosis, which is false? - answerIf exercise is
incorporated into regular activity vitamin d and calcium are not needed (vitamin d and
calcium supplements are still needed)
Which of the following meds is most appropriate for pt. with neuropathic pain? -
answerGabapentin
Prophylactic use of bisphosphonates is recommended with patients with early
osteopenia due to long term use of which drugs? - answerGlucocorticoids
When prescribing drugs with a narrow therapeutic range: - answerMonitor patients
plasma drug levels at regular intervals.
A patient report that brand x tablets work faster than brand y tablets: - answerinactive
ingredients used in the composition may cause different rates of dissolution which can
alter the onset of action of the drug.
IV gentamicin, has a toxic drug level, which possible cause of this situation will the
provider explore? - answerassess whether the patient is taking a medication that binds
to serum albumin. (Gentamicin binds weakly to plasma proteins, so another drug could
cause it to not be able to bind.)
When writing out a prescription do you write daily or Qday? - answerDaily
A provider speaking to a class or group of patients, which trimester has most
teratogenic effects? - answerFirst
A five-year-old has gray teeth, provider asks about which meds? - answerTetracyclines
A provider is reviewing elderly patient's chart, which is of greatest concern in renewing
prescription for highly bound protein drugs? - answerLow serum albumin
An older patient is entering the immediate postoperative period after total hip
replacement, son asks for Demerol, what action will the provider take to address pain? -
answerPrescribe morphine and discuss rationale with pt's son
A pt is wheezing and SOB HR 88, BP 124/78, non-selective beta agonist, beside eval
for pt's resp distress which side effect watch out for? - answerTachycardia
