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21 Cards in this Set
- Front
- Back
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An elderly man is having difficulty sustaining an erection and finds that when he has an erection he cannot control the ejaculation. He is using many different medications. Which of the following drugs could be contributing to this problem? (Select ALL that apply.) Answer AProscar BCatapres CLumigan DMethadose ELupron |
AProscar BCatapres
DMethadose ELupron |
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Jon is a 58 year-old male with dyslipidemia, type 2 diabetes, hypertension and coronary heart disease. His medications include insulin glargine 40 units QHS, metformin 1 gram BID, lisinopril-HCT 20-12.5 mg daily, vardenafil 10 mg as-needed, clopidogrel 75 mg daily and aspirin 81 mg EC daily. He went to his doctor with several medical complaints, including a dry, intermittent cough. The physician discontinued the lisinopril-HCT and gave him prescriptions for valsartan-HCT, Restasisand nitroglycerin SL 0.4 mg, as instructed. Which of the following action should the pharmacist take? Answer ADo not fill valsartan-HCT. BDo not fill Restasis. CDo not fill nitroglycerin SL. DChange the nitroglycerin SL tablets to Nitrolingual spray. EChange the Restasis to Timoptic. |
CDo not fill nitroglycerin SL. |
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The phosphodiesterase type 5 inhibitors are contraindicated with the following drugs: (Select ALL that apply.) Answer ANimitop BNitrofurantoin CMinitran DIsordil EMonoket |
CMinitran DIsordil EMonoket |
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Tadalafil is approved for the following indications: (Select ALL that apply.) Answer ABenign prostatic hyperplasia, with or without erectile dysfunction BErectile dysfunction CPulmonary arterial hypertension (PAH) DFloppy Iris Syndrome EHypogonadism
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ABenign prostatic hyperplasia, with or without erectile dysfunction BErectile dysfunction CPulmonary arterial hypertension (PAH) |
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A patient gave the pharmacist a prescription for Levitra 10 mg 1 tablet an hour before sexual intercourse. Which of the following is an appropriate generic substitution for Levitra? Answer ASildenafil BAlprostadil CPapaverine DTadalafil EVardenafil |
EVardenafil |
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John had an extramarital affair, which made him lose sexual interest in his wife. He has anger towards his wife as he perceives that she is preventing him from a relationship with his new, "true love." He does not want his wife to find out about the affair and does not wish to get separated, but is plainly no longer interested in his wife sexually and when he tried to have sex with her he could not sustain an erection. He has no problem getting an erection, however, with his new girlfriend. He has asked the doctor for help, and the doctor gave him a prescription for Levitra. John is planning to take aLevitra tablet this evening prior to bed so that he is more interested in having sex with his wife. Choose the correct statement: Answer ALevitra will help him to have an erection with his wife. BLevitra is not likely to help with the erectile dysfunction he has with his wife. CStendra would have been a better option, since it has a faster onset than the other agents in this class. DViagra would be a better option than Levitra. EThe pharmacist should call the physician to change the medication to Caverject. |
BLevitra is not likely to help with the erectile dysfunction he has with his wife. |
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Which of the following statements concerning Cialis dosing are correct? (Select ALL that apply.) Answer AThe medication comes as 2.5, 5, 10 and 20 mg tablets. BA typical daily dose is 2.5, or (if not working well enough), 5 mg. CIf they are using the medication 2 or more times weekly they should be counseled to consider the daily dose instead. DCialis should not be used at any dose if the creatinine clearance is less than 50 mL/min. ECialis is safe with severe liver impairment; it is renally cleared. |
AThe medication comes as 2.5, 5, 10 and 20 mg tablets. BA typical daily dose is 2.5, or (if not working well enough), 5 mg. CIf they are using the medication 2 or more times weekly they should be counseled to consider the daily dose instead. |
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Which of the following statements concerning the phosphodiesterase 5 inhibitors are correct? (Select ALL that apply.) Answer AThe ODT formulation Staxyn contains tadalafil. BA benefit to the newer drug Stendra is that it can be taken closer to intercourse (about 30 minutes), with or without food. CSildenafil dosing is 25, 50 and 100 mg (all taken about 1 hour prior to intercourse). DIf once daily dosing of tadalafil is required the daily dose is 10 mg, taken each morning. EIt is not possible to cut these medicines as they come in capsules. |
BA benefit to the newer drug Stendra is that it can be taken closer to intercourse (about 30 minutes), with or without food. CSildenafil dosing is 25, 50 and 100 mg (all taken about 1 hour prior to intercourse). |
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Select the correct brand names for the different formulations of tadalafil. (Select ALL that apply.) Answer ARevatio BAdcirca CViagra DStendra ECialis |
BAdcirca
ECialis |
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A 74 year-old male patient has presented to his physician with complaints of impotence. He has no other known medical conditions. The physician has written him a prescription for sildenafil 50 mg, 1 hour prior to sexual activity. Is the starting dose appropriate? Answer AYes, the dose is correct. BNo, he should begin sildenafil at 25 mg, 1 hour prior to sexual activity. CNo, he should begin sildenafil at 100 mg, 1 hour prior to sexual activity. DIt would be preferable for him to use the alprostadil injection. EIt would be preferable for him to use vardenafil. |
BNo, he should begin sildenafil at 25 mg, 1 hour prior to sexual activity. |
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A patient gave the pharmacist a prescription for Viagra 50 mg 1 tablet an hour before sexual intercourse. Which of the following is an appropriate generic substitution for Viagra? Answer ATadalafil BVardenafil CSildenafil DAlprostadil EPapaverine |
CSildenafil |
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Tommy is a 48 year old male patient known to your pharmacy. His chronic medical conditions include hypertension and high cholesterol. He has been taking valsartan, hydrochlorothiazide, pravastatin and amlodipine chronically. About a month ago, his physician added sertraline 100 mg once daily. Tommy had lost his job and was suffering from anxiety and depression. He presents to the pharmacy today and informs you that he is having difficulty with sexual performance. This is a new problem for him, which he finds quite upsetting. He can obtain an erection, but cannot achieve orgasm. He is wondering if there is anything he can take for this problem that does not require a prescription. Which medication may be causing Tommy's problem with sexual performance? Answer AHydrochlorothiazide BValsartan CSertraline DPravastatin EAmlodipine |
CSertraline |
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Which of the following are correct starting doses of the designated PDE5-Inhibitor for a 50 year old overweight male with no other known medical conditions: (Select ALL that apply.) Answer ASildenafil 100 mg BVardenafil 10 mg CTadalafil 5 mg DSildenafil 50 mg ETadalafil 10 mg |
BVardenafil 10 mg
DSildenafil 50 mg ETadalafil 10 mg |
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Which of the following side effects are possible from the use of Cialis? (Select ALL that apply.) Answer AHearing loss BUrinary incontinence CIndigestion DVision loss EBlurry vision |
AHearing loss
CIndigestion DVision loss EBlurry vision |
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Select the correct brand names for the different formulations of sildenafil. (Select ALL that apply.) Answer ARevatio BAdcirca CViagra DStendra ECialis |
ARevatio
CViagra |
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When dispensing a phosphodiesterase type 5 inhibitor the pharmacist must include counseling on the possibility of these possible adverse reactions: (Select ALL that apply.) Answer ASudden decrease in vision in one or both eyes, which may be permanent BSudden loss of hearing, or ringing in the ears and dizziness, which may be permanent CSudden loss of the sense of smell, which may be permanent DHeadache EFlushing
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ASudden decrease in vision in one or both eyes, which may be permanent BSudden loss of hearing, or ringing in the ears and dizziness, which may be permanent
DHeadache EFlushing |
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Many classes of medications can cause sexual dysfunction, which may be a significant issue to patients and have a negative impact on quality of life and treatment adherence. Which of the following drugs contribute to sexual dysfunction? (Select ALL that apply.) Answer AZyban BPristiq CChlorpromazine DCimetidine EFluoxetine |
BPristiq CChlorpromazine DCimetidine EFluoxetine |
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Jack is a 55 year-old male who has been using sildenafil therapy about 3-4 times weekly. He states that he takes the sildenafil with lunch but often finds that he is not "ready" when he wants. What could be the problem causing a delayed reaction to the drug? Answer AThe sildenafil should be taken in the morning. BThe sildenafil should be taken with fatty food an hour before intercourse. CThe sildenafil should be taken on an empty stomach an hour prior to intercourse. DThe sildenafil should be taken with a full glass of regular milk. ESildenafil often does not work when needed. |
CThe sildenafil should be taken on an empty stomach an hour prior to intercourse. |
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A patient will begin sildenafil therapy for erectile dysfunction. His only other medical condition is hypertension, for which he uses amlodipine and chlorthalidone. Choose the correct counseling statements. (Select ALL that apply.) Answer ASildenafil is also used for pulmonary arterial hypertension under the name Adcirca; do not use the two medications at the same time, as they are the same drug. BThis medication can cause you to feel dizzy; be careful standing up until you get used to it. CTake sildenafil the morning of the day you plan to have sexual intercourse DSildenafil works best if it is taken with a meal, preferably fatty food. ESildenafil can rarely cause a painful erection that lasts longer than 4 hours; if this happens, you need emergency treatment. |
BThis medication can cause you to feel dizzy; be careful standing up until you get used to it.
ESildenafil can rarely cause a painful erection that lasts longer than 4 hours; if this happens, you need emergency treatment. |
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James is a 59 year-old male patient. His medical conditions are hypertension, dyslipidemia, gout, obesity and erectile dysfunction. His medications include enalapril, nifedipine, allopurinol, atorvastatin and tadalafil. He is currently hospitalized with an acute infection. The infection is being treated with voriconazole (VFEND). Other medications added during the hospital stay are furosemide (Lasix, by injection) and diltiazem. James is complaining of seeing a blue tinge next to objects, and difficulty distinguishing between the colors blue and green. This could be an adverse effect of which of the following medications? (Select ALL that apply.) Answer ADiltiazem BTadalafil CAllopurinol DVoriconazole EFurosemide |
BTadalafil
DVoriconazole |
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Vardenafil comes in an oral tablet and an orally disintegrating tablet (ODT). What is the most likely reason the manufacturer felt there might be a market for the ODT formulation? Answer AElderly men might cheek the tablet and spit it in the toilet. BThey may have dysphagia. CThey prefer to crush their medications. DIt comes in nicer packaging. EThe ODT is easier to handle without breaking the tablet. |
BThey may have dysphagia. |
