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63 Cards in this Set

  • Front
  • Back
For which drug is the following warning appropriate?

May cause photosensitivity

a. Valtrex
b. azithromycin
c. Omnicef
d. doxycycline
d
For which drug is the following warning appropriate?

Avoid sexual activity during herpes outbreak.



a. Bactrim

b. Omnicef

c. cephalexin

d. valacyclovir
d
For which of the following drugs is dizziness NOT a common potential adverse effect?



a. moxifloxacin

b. azithromycin

c. doxycycline

d. Levaquin
c
dizziness = fluoro+doxy
Which of the following drugs is commonly used to treat UTI's?



a. Valtrex

b. amoxicillin/clavulanic acid

c. Bactrim

d. Vibramycin
a
bactrim and cipro
Which of the following is a common indication for the use of Levaquin?



a. Herpes prevention

b. Treatment of pharyngitis (strep throat)

c. Treatment of vaginal candidiasis

d. Treatment of chronic bronchitis
d
other bronchitis drugs:
moxi, levo, cef, sulfatrimet
MLCS
(intel's MLC'S HDDs)

pharyngitis is only for CEPHALEXIN
Which of the following drugs commonly has the dosing listed below:

500mg on day 1, then 250mg on days 2-5



a. Bactrim

b. azithromycin

c. Levaquin

d. moxifloxacin
b
all antibiotics have about 1-2wk dose regimens ranging 250-500mg
Which of the following is NOT a common adverse effect of taking penicillin?



a. Nausea

b. Vomiting

c. Diarrhea

d. Dizziness
peni = empty stomach reqmt = vomiting, diarrhea, nausea OK

Dizziness is only for the Fluoroquinalones and Doxycycline
What is correct Mechanism of Action (MOA) of levofloxacin?



a. Binds to bacterial 50S ribosomal subunit which inhibits protein synthesis

b. Inhibits ergosterol synthesis, increasing fungal cell wall permeability

c. Binds to PBP's, decreases peptidoglycan synthesis and inhibits cell wall formation

d. Inhibits microbial DNA gyrase which inhibits replication and transcription
d - all fluoroQs inh DNA gyrase
Drug MOA: blocks egosterol synth, fungal wall
fluconazole
Drug MOA: Binds to PBP's, decreases peptidoglycan synthesis and inhibits cell wall formation
cephalosporins
Binds to bacterial 50S ribosomal subunit which inhibits protein synthesis
macrolides: azithro, erythro
Binds to bacterial 30S ribosomal subunit which inhibits protein synthesis
tetracyclines (doxycycline)
For which drug is the following warning appropriate?
Take with or after meals.

A. Singulair
B. prednisone
C. cetirizine
D. Spiriva
b
For which drug is the following warning appropriate?
Rinse mouth after use to avoid oral candidiasis and aftertaste, throat irritation or hoarseness.

A. Advair
B. fexofenadine
C. Combivent
D. methylprednisolone
a - rinse with all steroidals
For which of the following drugs is dry mouth a common potential adverse effect?

A. prednisone
B. montelukast
C. Nasonex
D. Spiriva
d - spiriva (tiotropium bromide), anticholinergics (COPD) dry you out = dry mouth and constipation
Which of the following is NOT a common adverse effect of taking albuterol?

A. irritation of throat
B. blurred vision
C. shakiness
D. insomnia
b - apparently not blurred vision
-only promethazine (H1 receptor agonist, antiemetic)
Which of the following drugs is commonly used to treat smoking cessation?

A. varenicline
B. montelukast
C. Deltasone
D. fluticasone
a
Which of the following is a common indication for the use of Flovent?

A. Quick relief of Bronchospasm
B. Asthma control
C. COPD
D. seasonal allergic rhinitis
only asthma control here, only COPD drugs are the -opiums: tiatropium and ipatropium. All steroidals are long-acting
Which of the following drugs commonly has the dosing listed below?
2 inhalations by mouth 4 times per day

A. Deltasone
B. fluticasone/salmeterol
C. Combivent
D. tiotropium
1st-it's a COPD rescue inhaler = albuterol+ipatropium to work on Ach receptors
2nd-COMB-I=Ipatropium bromide
What is correct Mechanism of Action (MOA) of montelukast?

A. Blocks histamine-1 receptors
B. Antagonizes leukotriene receptors
C. inhibits prostaglandin synthesis
D. Reverses capillary membrane permeability
montelukast=Singulair
leukotriene receptors (CysLT1)
Blocks histamine-1 receptors
Allegra - fexofenadine
For which drug is the following warning appropriate?
Limit acetaminophen consumption to 4000mg daily.


A. cyclobenzaprine
B. Imitrex
C. Naprosyn
D. Vicodin
d
vicodin = hydrocodone/apap
For which drug is the following warning appropriate?
This drug can cause an increased risk of GI adverse effects, including ulceration, bleeding and perforation.

A. Imitrex
B. Vicodin
C. naproxen
D. cyclobenzaprine
c
any cox inhibitor of pg synth
For which of the following drugs is CNS depression NOT a common potential adverse effect?

A. Vicodin
B. Percocet
C. Flexeril
D. Celebrex
d
key is CNS DEPRESSION not mental depression - flexeril (cyclobenazaprine) is a low-dose muscle relaxant 10mg TID

carisiprodol (soma) is a higher dose relaxant
Which of the following is NOT a common adverse effect of taking cyclobenzaprine?

A. Drowsiness
B. Dry mouth
C. Paresthesias
D. Dizziness
C.
if it doesn't look right, it probably aint.
Which of the following drugs is commonly used to treat muscle spasms?

A. Ultram
B. Flexeril
C. celecoxib
D. Imitrex
B.
flexeril (cyclobenazaprine) or carisiprodol (soma)
Which of the following is a common indication for the use of Darvocet-N?

A. Treatment of mild-to-moderate pain
B. Treatment of acute migraine or cluster headache
C. Treatment of musculoskeletal spasms
D. Treatment of osteoarthritis or rheumatoid arthritis
A.
Propoxyphene w/ APAP = Darvocet, central opioid receptor
Which of the following drugs commonly has the dosing listed below:
5mg/500mg 1-2 PO Every 4-6 hours PRN

Student Response Value Feedback
A. Imitrex
B. Flexeril
C. acetaminophen/codeine
D. hydrocodone/APAP
D
vicodin
What is the correct Mechanism of Action (MOA) of tramadol?

A. Stimulates mu-opioid receptors to decrease pain transmission and response
B. Stimulates serotonin receptors (5HT-R) on cranial nerves causing vasoconstriction and decreasing inflammation.
C. Inhibits COX activity and PG synthesis to decrease pain, inflammation and fever.
D. Reduces somatic motor activity leading to muscle relaxation, similar to TCA's.
A
stims opioid receptors but is not chemically related to opiods, DNE 400mg/day
Stimulates serotonin receptors (5HT-R) on cranial nerves causing vasoconstriction and decreasing inflammation.
Sumitriptan - antimigraine
Reduces somatic motor activity leading to muscle relaxation, similar to TCA's.
cyclobenazeprine - flexeril
Which of the following drugs is available OTC?

A. esomeprazole
B. omeprazole
C. rabeprazole
D. pantoprazole
B
prilosec
Which of the following drugs may induce lactic acidosis?

A. Actos
B. ezetimibe
C. Aciphex
D. metformin
D
metformin
Which of the following drugs does NOT have the potential side effect of hypoglycemia?

A. Lantus
B. fenofibrate
C. Glucophage
D. glyburide
B
fenofibrate-Tricor lowers total cholesterol 145mg dose
Which of the following is NOT a common adverse effect of taking metformin?

A. diarrhea
B. nausea
C. vomiting
D. flushing
D. flushing is not a side effect of metformin
Which of the following drugs is commonly used to treat GERD?

A. Actonel
B. Phenergan
C. niacin
D. pantoprazole
D
protonix
Which of the following is a common indication for the use of promethazine?

A. Treat constipation
B. Control nausea/vomiting
C. Treat GERD
D. Prevent Type 2 diabetes
B
phenergan is our only antiemetic and is an H1 receptor agonist
Which of the following drugs commonly has these directions:

12.5 to 25mg po q 4-6h prn

A. Protonix
B. metformin
C. Phenergan
D. pioglitazone
C
phenergan has that weird low dose of 12.5 titrated up to 25 mg
What is correct Mechanism of Action (MOA) of glyburide?

A. Increases release of insulin from your pancreas which lowers your blood sugar
B. Causes your intestines to move food through quicker and calms the areas in your brain that cause nausea/vomiting
C. Blocks cells in your stomach that make acid
D. Pulls water into your intestines so your stool is softer and you have more frequent bowel movements
yep, glipizide and glyburide are both secretory drugs that increase the release of insulin like all sulfa drugs
For which drug is the following warning appropriate?

May cause hot flashes.

A. risendronate
B. Crestor
C. raloxifene
D. Tricor
A.
raloxifene - Evista
selective estrogen receptor modulator (SERM)
MOA of risendronate and brand name
inhibits osteoclast-mediated bone resorption

Actonel
Which of the following is NOT a counseling point for osteoporosis drugs such as Fosamax, Actonel, and Boniva?


A. Do not crush or chew
B. Sit upright and stay upright for 30 minutes after taking
C. Take at least 30 minutes before first food or drink of the day
D. Take with milk to increase Calcium and Vitamin D
D.
remember the sit upright one tho
For which of the following drugs is myopathy, rhabdomyolysis NOT a potential adverse effect?

A. simvastatin
B. Pravachol
C. niacin
D. Lipitor
C.
myopathy is a common statin side effect, so pick the only non-statin: Niacin
Which of the following is NOT a common adverse effect of taking niacin?

A. Dyspepsia
B. Flushing
C. Drowsiness
D. Abdominal discomfort
C.
500mg qhs 4wks, flushing and pruritis
Which of the following drugs is commonly used to treat hypothyroidism?

A. Boniva
B. Synthroid
C. Simvastatin
D. Fenofibrate
B.
duh
Which of the following is a common indication for the use of Crestor?

A. Osteoporosis
B. Hyperlipidemia
C. Diabetes
D. Hypothyroidism
B.
hyperlipidemia-Rosuvastatin
HMG-CoA Reductase Inhibitor, liver enzyme elevatin like all statins

only one w/o photosensitivity
Which of the following drugs commonly has the dosing listed below:
150mg Q month

A. Synthroid
B. Evista
C. simvastatin
D. ibandronate
D.
any of the osteoporosis drugs
What is the correct Mechanism of Action (MOA) of Zetia?

A. Blocks absorption of cholesterol in your intestines
B. Decreases how much cholesterol you body makes internally
C. Mimics estrogen to decrease the breakdown of your bones which keeps them strong
D. Replaces your thyroid hormone which increases your metabolism so you have more energy and feel better
A
statins decrease cholest synth
evista mimics estrogen
synthroid replaces thyroid hormone
Which of the following is NOT a key counseling point for a patient taking prednisone 20 mg po daily?

a. You may experience insomnia.

b. This drug has anti-inflammatory actions.

c. Take on an empty stomach.

d. You may experience jittiness or mood changes.
C.
always take steroids with food
For which drug is the following auxiliary warning label appropriate? (take on empty stomack 1hr b4 or 2-3hr after meal)



a. penicillin VK

b. Tricor

c. Imitrex

d. cephalexin
Oddly, Penicillin is the correct answer here, and not keflex...why I don't know

Keflex, remember KDAP for vomiting
Tricor - take with meals
Which of the following is a common side effect of Phenergan?

a. cough

b. diarrhea

c. drowsiness

d. muscle pain
C - drowsiness
For which of the following drugs is diarrhea NOT a common potential adverse effect?

a. penicillin

b. Keflex

c. valacyclovir

d. Omnicef
C.
once again, KDAP pretty much means diarrhea, vomiting, etc.
Which of the following drugs is commonly used to treat seasonal allergic rhinitis (SAR)?

a. Deltasone

b. Chantix

c. fexofenadine

d. latanoprost
C. Allegra
Which of the following drugs is NOT commonly used to treat GERD?

a. pantoprazole

b. tolterodine

c. Prevacid

d. Aciphex
B wtf is tolterodine?

RABE' is the ACE!
urinary incontinence muscarinic antagoinist-detrol
What is correct Mechanism of Action (MOA) of Evista?

a. Decreases bone resorption by producing an estrogen-like effect on bone

b. Directly inhibits the cells that breakdown bone

c. Mimics your body's thyroid hormone which increases your metabolism

d. Blocks your body's allergy response
A
Evista = raloxifene - rox the ovaries lol
What is correct Mechanism of Action (MOA) of sumatriptan?

a. Decreases inflammation and constricts blood vessels in your head

b. Causes muscle relaxation by calming muscle cells

c. Blocks formation of uric acid which causes pain if there's too much of it

d. Works on your brain to decrease your response and perception of pain
A
Which of the following drugs commonly has the dosing listed below:

400mg po QD x 5days

a. tramadol

b. Allegra

c. sumatriptan

d. Avelox
D
avelox is the only antibiotic, moxifloxacin
The following case applies to the next 3 questions. JB is a 26-year-old female who presents to your pharmacy. She states that she has been having a runny & stuffy nose, cough, mild headache, and some sneezing. She does not have malaise, fever, or any other symptoms. She is looking for relief of her symptoms.
What is the most likely reason for her symptoms?

a. Allergies
b. Hypertension
c. Flu
d. Cold
D
List three types of pharmacy-based questions that you would ask a pt with cold symptoms before making a recommendation?
QuEST SCHOLAR

1. any other symptoms?
2. how long?
3. what makes it worse?
4. what makes it better?
5. history and location
5.
What does QuEST SCHOLAR stand for?
Quickly & accurately assess the patient

Symptoms – What major and minor symptoms do you have?

Characteristics – What are the symptoms like?

History – What have you done to treat it so far? In the past?

Onset – When did it start?

Location – Where is the problem?

Aggravating factors – What makes it worse?

Remitting factors – What makes it better?

KEY:
--Please describe your symptoms in detail (20%)
--How long have you had these symptoms? (20%)
--What medical conditions do you have, if any? (20%)
--What medications do you take, if any? (20%)
--What products have you previously tried? If so, did they work? (20%)
Upon asking JB a series of questions, you discover that she has hypertension (high blood pressure). Which of the following drug classes would NOT be suited for her?

a. Ultrasonic humidifier

b. Second-generation antihistamine

c. First-generation antihistamine

d. Oral (systemic) decongestant
D
Please select appropriate treatment recommendations for the type of pain that pt with a MIGRAINE is experiencing. Select all that apply.

a. Avoid caffeine containing products because withdrawal can cause a headache

b. Avoid tyramine containing foods such as aged cheese and red wine

c. Treat with decongestants such as phenylephrine

d. Treat with analgesics such as aspirin or ibuprofen

e. Avoid low blood sugar, low magnesium, and fatigue
check all that apply

a, b, e
tyramine, low blood sugar, fatigue and caffeine
Please select appropriate treatment recommendations for the type of pain that pt with a TENSION HEADACHE is experiencing. Select all that apply.

a. Avoid caffeine containing products because withdrawal can cause a headache

b. Avoid tyramine containing foods such as aged cheese and red wine

c. Treat with decongestants such as phenylephrine

d. Treat with analgesics such as aspirin or ibuprofen

e. Avoid low blood sugar, low magnesium, and fatigue
A,D

take APAP and avoid caffeine