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15 Cards in this Set

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Which of the following agents used for dementia should be taken with food regardless of whether GI side effects are present?


Answer


AAricept


BRazadyne


CExelon


DNamenda


EGinkgo biloba

CExelon

A patient gave the pharmacist a prescription for Namenda 5 mg twice daily #60. Which of the following is an appropriate generic substitution for Namenda?


Answer


AMemantine


BAricept


CCognex


DTacrine


ERazadyne


AMemantine

Select the mechanism of action of memantine:


Answer


ADecarboxylase inhibitor


BNorepinephrine reuptake inhibitor


CAdrenergic


DAnticholinergic


ENMDA-receptor antagonist


ENMDA-receptor antagonist

A patient gave the pharmacist a prescription for Razadyne ER 8 mg once daily #30. Which of the following is an appropriate generic substitution for Razadyne?


Answer


ATacrine


BCognex


CRivastigmine


DGalantamine


EMemantine

DGalantamine

Select the mechanism of action of donepezil:


Answer


ADecarboxylase inhibitor


BNorepinephrine reuptake inhibitor


CAcetylcholinesterase Inhibitor


DAnticholinergic


ENMDA-receptor antagonist

CAcetylcholinesterase Inhibitor

Why are patients instructed to take donepezil in the evening?


Answer


ADonepezil is activating.


BDonepezil is sedating.


CDonepezil causes nausea.


DDonepezil causes urinary retention.


EDonepezil can be taken at any time; it doesn't really matter.

CDonepezil causes nausea.

A patient receives a score of 20 on an MMSE. Which medication is likely to be initiated?


Answer


ALevodopa-carbidopa


BTrihexyphenidyl


CDonepezil


DEntacapone


EDarifenacin

CDonepezil

Sam is a 79 year-old male who has been using rivastigmine for one year. His wife reports that it initially was helpful. Now, she is not sure. She states Sam is forgetful to the point that he cannot remember the grandchildren’s names. She has asked the physician for a stronger medicine. She presents to the pharmacy with a prescription for memantine. Choose the correct statement regarding memantine:


Answer


AThe brand name is Exelon.


BThe brand name is Comtan.


CMemantine is dosed initially at 20 mg PO QHS.


DMemantine is approved for moderate-severe disease


EMemantine causes significant GI side effects and should be taken with food.

DMemantine is approved for moderate-severe disease

A caregiver is picking up a new prescription of Namenda for her patient. The pharmacist will counsel the caregiver on this medication. Which of the following statements are correct? (Select ALL that apply.)


Answer


AThis medication comes in different forms, such as a capsule and an oral solution, which may be easier to administer.


BIf using the XR formulation, it should be taken with food or drink.


CIf there is any difficulty swallowing the extended-release capsule, you can open it and sprinkle the contents on applesauce.


DThe common side effects are headache, racing heart and shortness of breath.


EThis medication can reverse the symptoms of memory loss if taken regularly.

AThis medication comes in different forms, such as a capsule and an oral solution, which may be easier to administer.


BIf using the XR formulation, it should be taken with food or drink.


CIf there is any difficulty swallowing the extended-release capsule, you can open it and sprinkle the contents on applesauce.

A patient gave the pharmacist a prescription for Exelon 1.5 mg BID #60. Which of the following is an appropriate generic substitution for Exelon?


Answer


ATacrine


BDonepezil


CRivastigmine


DGalantamine


EMemantine

CRivastigmine

A patient with dementia has nausea whenever he uses his rivastigmine medication. His wife asks the pharmacist for assistance. What medication would be useful to reduce the nausea? (Select ALL that apply.)


Answer


AThe Exelon patch


BMemantine ODT


CGalantamine ODT


DThe tacrine patch


EAricept ODT

AThe Exelon patch



EAricept ODT

Select the indications for the use of donepezil: (Select ALL that apply.)


Answer


AFor mild-to-severe Alzheimer's Disease


BFor wearing off associated with rivastigmine therapy


CFor moderate to-severe disease in combination with memantine


DFor wearing off associated with galantamine therapy


EFor moderate to-severe disease in combination with rivastigmine


AFor mild-to-severe Alzheimer's Disease



CFor moderate to-severe disease in combination with memantine

A patient will begin therapy with the Exelon patch. Which of the following are correct counseling statements? (Select ALLthat apply.)


Answer


AApply the patch once weekly; choose a day of the week that it is easy to remember.


BApply on the back, upper arm or chest, and always change the site from day-to-day so that the skin does not become irritated.


CPrior to applying the patch, lubricate the skin well to reduce the risk of irritation with a product such as Cetaphil or Lubriderm.


DRemove the patch prior to an MRI procedure or your skin will burn.


ERemove the protective liner from one side of the patch, and place the sticky side on your skin, then remove the second side of the liner.

BApply on the back, upper arm or chest, and always change the site from day-to-day so that the skin does not become irritated.



ERemove the protective liner from one side of the patch, and place the sticky side on your skin, then remove the second side of the liner.

Mason is a 75 year-old African American male who had a stroke 12 months ago. His other medical conditions include heart failure and mild memory impairment. Mason's medications include clopidogrel, aspirin, an ACE inhibitor, a beta blocker (Toprol XL), a loop diuretic (Bumex), potassium, Aleve and ginkgo biloba. He presents to the emergency room with blood coming from his penis and a nosebleed. Choose the agents that Mason is taking that can increase the risk of bleeding: (Select ALL that apply.)


Answer


AGinkgo biloba


BClopidogrel


CAspirin


DBumex


EAleve

AGinkgo biloba


BClopidogrel


CAspirin



EAleve

Andy is a 70 year-old male with difficulty falling asleep. He went to the pharmacy and purchased diphenhydramine. What possible side effect might Andy experience from the use of this medicine?


Answer


ADiarrhea


BUrinary frequency


CConfusion


DExcessive tearing


EExcessive saliva and drooling


CConfusion