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130 Cards in this Set
- Front
- Back
Known andrenergic receptors:
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Alpha
Beta 1 Beta 2 |
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An adverse effect of ____ adrenergic drugs might be ____ ________
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alpha, male impotence
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General indications for use of a muscle relaxant include:
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abdominal or orthopedic surgery, muscle contracture disorders, overexurtion
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An _____ acting cholinergic is an enzyme inhibitor inhibiting the action of ________________.
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indirect, acetylcholinesterase
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Detrol ____ to treat urinary retention.
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is not
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The primary adverse effect of indirect acting cholinergic drugs is:
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respiratory paralysis
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Beta adrenergic drugs are ______ to treat shock and hypertension.
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not used
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True or False: mydriasis could be induced by using either anticholinergic or sympathomimetic eye drops.
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False
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A drug used for hypertension that limits the amount of norepi store or made by an andrenergic neuron is called an:
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adrenergic neuronal blocker
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Two classes of patients for which a beta adrenergic blocking drug are contraindicated would include:
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asthmatics and diabetics
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An anticholinergic drug would be indicated to treat:
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enuresis, hypotension, irritable bowel
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Irreversible acetylcholinesterase inhibitors are used to treat:
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myasthenia gravis, urinary retention, glaucoma
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an anticholinergic drug would produce:
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urinary retention, mydriasis, and bronchodilation
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Irreeversable acetylcholinesterase inhibitors _____ derivatives of organophosphate used in insecticides and pesticides.
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are
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Direct acting muscle relaxants are used to treat:
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cerebral palsy, MS, spinal cord injury
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To stop uterine contractions, ______ adrenergic drug could be used.
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beta 2
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Direct acting cholinergic drugs work by this action:
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agonist
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Neurotransmitters in the sympathetic nervous system include:
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norepi, epi, acetylcholine
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Stimulation of andrenergic receptors might produce which responses?
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increased heart rate, glycolysis, bronchodilator
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Neurotransmitters in the parasympathetic nervous system include:
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acetylcholine
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Symptoms of malignant hyperthermia include:
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hyperthermia, shock, electrolyte changes
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Z______, A_____, and T______ are indicated in the treatment of absence seizures.
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Zarontin, Ativan, and Tridone
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A _______ cough is not a sign of an adverse reaction to an MAOI.
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non-productive
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A______ prevents the metabolism of acetaldehyde to acetyl CoA in the liver.
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Antabuse
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Anticholinergic drugs work in early stages of Parkinson's disease by _______ Ach in the brain.
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Decreasing
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A primary adverse effect of Tegrotal is:
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bone marrow suppresion
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Benzodiazapines work with ____ to increase chloride flow into the brain and drop the _____ of brain neurons.
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GABA, RMP
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Buspar treats anxiety by _______ levels of serotonin in the brain.
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decreasing
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Drugs used in the treatment of Status Epilepticus include:K_____, A_____, and V_____.
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Klonopin, Ativan, Valium
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Foods contraindicated for patients on an MAOI antidepressant include:
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Wine, beer, cheese, herring
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N_____ is an accumulation of anxiety and tension leading to emotional changes and abnormal behavior.
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Neurosis
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Major sites of action of the Benzodiazapines on the CNS include:
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spinal cord, cerebral cortex, reticular formation, limbic center
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Muscle spasms, twitching, facial grimacing, and torticollis are adverse effects of phenothiazines collectively known as:
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Dystonic reactions
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Parkinson's disease appears to be due to a deficiency of:
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dopamine
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Psychosis appears to be due in part to excessive activity of the neurotransmitter:
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dopamine
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Rest and restoration of the body occur during:
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NREM 3-4
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Secondary amine TCA antidepressants increase the level of:
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Norepi
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Symptoms such as muscle contraction alternating with muscle relaxation are signs of what type of epilepsy?
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Grand Mal
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Tertiary amine TCA increase the level of:
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serotonin
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The antimanic drug _____ is an extremely toxic antidepressant competing with potassium in the body and interfeing with nerve conduction.
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Lithium
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____ antidepressants raises only the level of serotonin in the brain.
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SSRI
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Most antiepileptic drugs are classed as Class _ and _ drugs during pregnancy.
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C, D
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Narcotic analgesics are indicated for:
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moderate to severe visceral pain
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Sharp pain is perceived by _____ receptors.
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delta
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Dysphoria and miosis is produced by interaction with
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mu and kappa receptors
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an antitussive drug will
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stop a cough
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a pure opiod analgesic drug will interact with
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mu receptors
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Toxic doses of salicylate depress the medulla producing the following physiological changes: C___, A____, R___
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Coma, acidosis, respiratory suppression.
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Gout is due to an inability to metabolize p_____
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purines
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____ causes uterine contractions
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PGF2
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Smooth muscle tissue response to opiod analgesics include:
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slowing of peristalsis, decrease of ureter contraction, and bronchial contraction.
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P______ is s drug used in the treatment of gout that works by increasing the excretion of uric acid crystals by the kidney
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Probenecid
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Tinnitus is an indication of the overuse of
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Aspirin and to a lesser degree ibuprofen
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Kappa opioid receptors in the brain interact with this peptide:
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Dynorphin
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H_____, N_____, A____are examples of neuropathic pain.
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Herpes zoster, nerve entrapment, and amputation
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The primary chemical mediator responsible for the signs/symptoms of inflammation is:
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prostaglandin
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Acetaminophen appears to inhibit COX __ in the brain to releive pain.
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3
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COX __ inhibitor durgs treat inflammation without causing gastric irritation.
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2
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True or False: Partial opiod agonist drugs bind to delta receptors alone to produce analgesia.
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False
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True or False: Long term use of opiod analgesics may lead to tolerance and accidental respiratory failure.
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True
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Pain present during the inflammation response is called:
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Dolar
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True or False: a pure opiod antagonist will compete with an opiod drug already in the body without producing additional opiod responses such as respiratory depression.
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True
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The vital sign that should be assessed prior to the administration of a glycoside medication is:
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heart rate
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a vasodilator drug is beneficial in the treatment of CHF because they produce dilation of the walls of:
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the peripheral arteries
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_______ antagonizes the actions of glycoside medications.
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hyperkalemia
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beta blocker or Ca+ channel blockers and nitrates are indicated in the treatment of _____ angina pectoris
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exertional
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Adverse effects from heparin therapy include:
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bruising, lipolysis, hemorrhage
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P____, A____, and A____ are supraventricular arrhythmias
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PAC, atrial fibrillation, atrial flutter
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signs and symptoms of cinchonism include:
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tinnitus, hallucinations, and headache
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Nitroglycerin can be administered in which three ways?
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sublingual, topical, IV
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Acceptable range for a Protime test for a patient on Coumadin would be:
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2-4 INR
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Indications for the use of an anticoagulant would include:
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DVT, CAD, PE
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Nitroglycerine loses its potency when exposed to:
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light and air
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Quinidine is beneficail for the treatment of
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malaria, atrial arrhythmias, and ventrical arrhythmias
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Lidocaine, Bretylol, and Mexitil are all polarity drugs for _______
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ventricular arrhythmias
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What is the specific antidote for heparin toxicity?
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protamine sulfate
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Adenocard is only indicated for use in ___________ emergencies.
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acute cardiac
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heparin is _____ in the GI tract and must be ______.
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destroyed, injected subQ
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Propanolol aids in the treatment of angina by ____ heart rate and _____ peripheral arterial walls.
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decreasing, dilating
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Pathological indications for the use of diuretics include:
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pulmonary edema, hypertension, renal insufficiency,
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LDL is composed of
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more fat than protein
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a refractory drug is one that
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stops working when the body pH decreases
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C___, O____, T____ diuretics produce hypokalemia
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CAI's, organic acids, thiazides
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orange juice, tomato juice, and grapefruit juice are high in
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potassium
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Heart rate, blood volume, and resistance control
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blood pressure
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severe muscle ache or pain is a sign of complication for
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statin drugs
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A major adverse effect associated with ACEI
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cough
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an adverse effect of potassium sparring is
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gynecomastia
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renin is produced by the
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kidney
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C____, O_____, T____ cause hypokalemia
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CAI's, organic acids, thiazides
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a non-productive cough is an adverse effect caused by
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ACEI
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diuretics are used to treat
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CHF, renal insufficiency, cerebral edema
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hypolipidemics, especially statins, are contraindicated during
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pregnancy
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The extreme vasodilation caused by Niacin may be minimized if
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taken with a baby aspirin
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Thiazide and loop diuretics produce hyperglycemia due to
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fluid loss
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Normal total cholesterol levels should be less than ____ in patients less than 45 years old
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175
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Angiotensinogen is converted to angiotensin in the
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lungs
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Mannitol should not be mixed with whole blood products due to
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agglutination
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Statin drugs should never be taken with
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grapefruit juice
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aldosterone is released in response the relese of ______ in the lung
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angiotensin
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Mechanism of action of cromolyn sodium used as an antiallergic drug
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prevents the release of histamine from the mast cells
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Stimulation of H1 receptors produce:
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vasodilation, bronchioconstriction, tachycardia
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Which drug categories commonly interact with antihistamines?
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CNS depressants, antifungal drugs, macrolide antibiotics
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symptoms of a gastric ulcer include:
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epigastric pain, anemia, loss of apetite
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Antihistamines should not be taken with:
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alcohol, erythromycin, antifungals
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What is the role of ECF-A in the process and symptoms of asthma?
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attract eosinophils and WBC to the site of trauma
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adverse effects of antihistamine therapy include:
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dry mouth, sedation, and anorexia
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Causes of GERD
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obesity, pregnancy, increased abdominal pressure
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bronchodilation is produced by
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cyclic AMP
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SRS-A is formed from
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leukotrienes
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What drug is used for ulcer and GERD treatment is also an abortifacient?
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cytotec
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antiemetic drugs
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marinol, phenergran, compazine, emetrol
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symptoms of asthma
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bronchoconstriction, increased mucous production, decreased ciliary action
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Cromolyn must be taken _____ allergy symptoms appear
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before
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Tagomet has lots of drug interactions because
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of its plasma binding properties
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how does progesterone prevent pregnancy?
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by altering cervical mucosa making it hostile to the ova and prevents implantation of a fertilzed ova
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estrogen replacement therapy is recomended for
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treatment of osteoporosis, protect the heart from an MI, treatment of dysmenorrhea
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tachycardia, weight loss, increased body temp and glucose are symptoms of
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hyperthyroidism
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adverse effects of long term androgen use
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sustained erection, decreased sperm count, addiction syndrome, increased breast tissue
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glucophage ______ liver glucose production
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decreases
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function of calcitonin
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lower blood calcium level and increase bone mass
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acceptable treatment for Grave's disease
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radioactive iodide, thyroid excision, anti-thyroid medications
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form of bolus insulin that works in 30 minutes
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humalog
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adverse effects of corticosteroids
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edema, CHF, sodium retention
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diabetes insipidus is caused by
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deficiency of ADH production
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Type 1 diabetes is often caused by a ______ that initiates an _______ response on the pancreas
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virus, autoimmune
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oral birth control medications prevent pregnancy by
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preventing implantation of a fertilized ova
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most common cause of thyroid cancer is
|
radiation to the gland
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Biphosphanates increase bone mass by
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stopping the activity of osteoclasts
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oral sulfonylurea encourages
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insulin release from the pancreas
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