NUR-635 Pharm Final Exam Questions
And Outlined Answers
\.While rational drug selection is based on the individual patient the aspect of rational drug
selection addressing disease-specific information by a national medical or nursing organization
is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - Answer-✔A. a guideline
\.Drugs that alter synaptic transmission are much more selective than those that alter axonal
conduction, why is this? - Answer-✔a drug that affects the axonal conduction - non-selective
effect.
Drugs that alter synaptic transmission - very selective because of the differences in synapses
and their specific neurotransmitters
\.What is phenytoin used for? - Answer-✔Seizures
\.What should you monitor for with phenytoin? - Answer-✔Delayed hypersensitivity - even 1
month later
\.What is carbamazepine used for? - Answer-✔Seizures
, \.What may cause carbamazepine levels to drop despite no other change? What to do? -
Answer-✔Autometabolization of drug. Increase dose.
\.What is the black box warning for carbamazepine? - Answer-✔Steven-Johnson Syndrome &
TENS
\.Monitoring for carbamazepine, and how often? - Answer-✔CBC, 3-4 times a year
\.What population is most at risk for Steven-Johnson syndrome & TENS when taking
carbamazepine? - Answer-✔Asian patients
\.Main class of medication for depression? - Answer-✔Selective serotonin reuptake inhibitors
(SSRIs)
\.What to watch for with SSRIs? - Answer-✔Other medications that can cause serotonin
syndrome
\.What is lamictal used for? - Answer-✔Seizures
\.Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? -
Answer-✔Hypersensitivity in lamictal can lead to MODS
\.Patient on lamictal wants birth control. What do we need to change? - Answer-✔Increase
lamictal dose.
\.When will pt notice improvement after starting an SSRI? - Answer-✔4 weeks later
And Outlined Answers
\.While rational drug selection is based on the individual patient the aspect of rational drug
selection addressing disease-specific information by a national medical or nursing organization
is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - Answer-✔A. a guideline
\.Drugs that alter synaptic transmission are much more selective than those that alter axonal
conduction, why is this? - Answer-✔a drug that affects the axonal conduction - non-selective
effect.
Drugs that alter synaptic transmission - very selective because of the differences in synapses
and their specific neurotransmitters
\.What is phenytoin used for? - Answer-✔Seizures
\.What should you monitor for with phenytoin? - Answer-✔Delayed hypersensitivity - even 1
month later
\.What is carbamazepine used for? - Answer-✔Seizures
, \.What may cause carbamazepine levels to drop despite no other change? What to do? -
Answer-✔Autometabolization of drug. Increase dose.
\.What is the black box warning for carbamazepine? - Answer-✔Steven-Johnson Syndrome &
TENS
\.Monitoring for carbamazepine, and how often? - Answer-✔CBC, 3-4 times a year
\.What population is most at risk for Steven-Johnson syndrome & TENS when taking
carbamazepine? - Answer-✔Asian patients
\.Main class of medication for depression? - Answer-✔Selective serotonin reuptake inhibitors
(SSRIs)
\.What to watch for with SSRIs? - Answer-✔Other medications that can cause serotonin
syndrome
\.What is lamictal used for? - Answer-✔Seizures
\.Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? -
Answer-✔Hypersensitivity in lamictal can lead to MODS
\.Patient on lamictal wants birth control. What do we need to change? - Answer-✔Increase
lamictal dose.
\.When will pt notice improvement after starting an SSRI? - Answer-✔4 weeks later
