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WorksheetsPharm 1 Exam 1 & 2
Total questions: 54
Worksheet time: 34mins
True or False- Medications are dosed specifically for the route they are given
True
False
True or False- everything that is given IV can be given IO- they are identical routes but an IO catheter must be removed within 24 hours
True
False
Which are true of CAMs? SATA
A substance used for therapeutic effects
FDA cleared but not approved
Effects have been proven through clinical trials
Considered the same as medications
This is how the drug impacts and changes the body
Pharmacoeconomics
Pharmacokinetics
Pharmacodynamics
Pharmacogenetics
What are factors that impact absorption? SATA
Route
Lipid/fat content of patient
Patient heigh
Blood flow
Surface area drug is acting on
This term is for medications that only work after they are changed in the body, the liver "turns them on"
Biotransformation
Prodrug
Bioavailability
Combination drug
Which organs are primarily involved in drug excretion and diseases of these organs will impact drug doses. SATA
Brain
Kidney
Liver
GI tract
Which types of medication cannot be chewed, crushed, or broken? SATA
Coated tablets
Extended release
Sublingual
Enteric coated tablets
Which are true of priority side effects? SATA
Similar to an adverse event
Side effects that require intervention
Opioid constipation is an example
Opioid induced apnea is an example
This pregnancy category requires discussion- adverse effects have been discovered in animal but not in humans
B
C
D
X
These are non-pharmacological pain interventions. SATA
Guided imagery
Movement
Hypnosis
CAMs
These drug classes are considered non-opioid analgesics. SATA
NSAIDs
COX-2 inhibitors
Centrally acting non-opioid analgesics
Mixed agonist/antagonist
This drug class is first line for treatment of migraines
Ergot-alkaloids
Calcium channel blockers
Triptans
Antiepileptics
Which is NOT true of the drug class opioids?
MOA: Bind to opioid receptor sites to elicit response
Morphine is the strongest
Adverse effect: respiratory depression
Controlled substances
Vicodin is a combination of what two drugs? SATA
Acetominophen
Oxycodone
Hydrocodone
Aspirin
What are the 2 drug names of the mixed opioid agonist/antagonist that are used in narcotic rehab/withdrawal to treat physical dependence without a high?
Tramadol
Methadone
Buprenorphine
Meperidine
Which opioid is considered the weakest?
Hydromorphone
Meperidine
Tramadol
Codeine
NSAIDs work by inhibiting what receptors? SATA
COX 2
COX alpha
COX 1
Mu
Which NSAIDs are Rx only? SATA
Naproxen
Ketorolac
Indomethacin
Celecoxib
Which NSAID is a selective COX-2 inihibitor only?
Naproxen
Ketorolac
Indomethacin
Celecoxib
What medication cannot be given to children because it can cause Reyes syndrome?
Celecoxib
Tramadol
Tylenol
Aspirin
What is true of aspirin toxicity? SATA
Rarely fatal
Causes tinnitis
Treated with N-acetylcysteine
Treated with dialysis
Which are true of acetominophen? SATA
A centrally acting non-opioid analgesic
#1 most used in the world for inflammation
BB warning liver failure with excess alcohol use
Limited anti-inflammatory properties
What is the indication for Sumatriptan?
Fever
Migraines
Depression
Blood clots
Which substances have the most dangerous withdrawals? SATA
Nicotine
Opioids
Sedatives
Alcohol
Alcohol has which effects on the body? SATA
CNS depressant
Sedation
Coagulant
Diuretic
What drug is used to reverse opioid overdose?
(a)
Which are included in the lower respiratory tract? SATA
Sinuses
Pharynx
Larynx
Trachea
This condition causes excessive inflammation of the MM in the nose and mouth
Common cold
Allergic rhinitis
Asthma
These drug classes are used to treat bronchocontriction in asthma. SATA
Beta-agonist
Anticholinergic
Mast cell stabilizer
Methylxanthenes
These drug classes is used to treat increased mucus and edema in asthma.
Beta-agonist
Anticholinergic
Mast cell stabilizer
Methylxanthenes
Which of these drugs are 2nd generation histamine 1 receptor blockers? SATA
Fexofenadine
Loratadine
Dimenhydrinate
Cetirizine
Which drug class causes a burning sensation in the nose and is effective when taken for prevention?
H1 receptor antagonist
Sympathomimetics
Intranasal corticosteroids
Antitussives
Which drug class causes a burning sensation in the nose and is effective when taken for prevention?
H1 receptor antagonist
Sympathomimetics
Intranasal corticosteroids
Antitussives
This drug class has medications that can be given PO or IN and one drug can cause rebound congestion
H1 receptor antagonist
Sympathomimetics
Intranasal corticosteroids
Antitussives
These two medications are intranasal corticosteroids and inhaled corticosteroids SATA
Fluticasone
Fexofenadine
Pseudophedrine
Budesonide
Which drug also breaks up mucus and also treats cystic fibrosis and chronic bronchitis?
Acetylcysteine
Guaifenesin
Benzonatate
Dextromethorphan
Which drug works by anesthetizing the cough reflex?
Acetylcysteine
Guaifenesin
Benzonatate
Dextromethorphan
Which acute asthma drugs are anticholinergics and can cause blurry vision? SATA
Methylprednisolone
Ipratropium
Tiotropium
Magnesium
Which acute asthma drug works by depressing muscle function relaxing bronchus and respiratory muscles?
Methylprednisolone
Ipratropium
Tiotropium
Magnesium
Which drug class is first line for chronic asthma?
LABA
ICS
Methylxanthines
Leukotriene inhibitors
Mast cell stabilizers
Which drug class has the same effect as caffeine and is last resort for chronic asthma due to headaches, tachycardia, and arrhythmias?
LABA
ICS
Methylxanthines
Leukotriene inhibitors
Mast cell stabilizers
Which drug class causes burning of the throat and must be given 4-6 times per day?
LABA
ICS
Methylxanthines
Leukotriene inhibitors
Mast cell stabilizers
Formoterol and Salmeterol are in which drug class?
LABA
ICS
Methylxanthines
Leukotriene inhibitors
Mast cell stabilizers
What type of fluid should be given to a patient with cerebral edema?
Hypertonic
Isotonic
Hypotonic
Any are fine
How many meq/L of sodium is in 0.9% NS? (number only)
(a)
Which of the following are colloids? SATA
Hetastarch
Albumin
Dextran
PPF
Which electrolyte imbalance causes thirst, muscle twitching, and altered mental status?
Hypernatremia
Hyponatremia
Hyperkalemia
Hypokalemia
Which electrolyte imbalance causes thirst, muscle twitching, and altered mental status?
Hypernatremia
Hyponatremia
Hyperkalemia
Hypokalemia
Which electrolyte imbalance is caused by kidney failure or medications?
Hypernatremia
Hyponatremia
Hyperkalemia
Hypokalemia
Which electrolyte imbalance is treated with polystyrene sulfinate or pataromir?
Hypernatremia
Hyponatremia
Hyperkalemia
Hypokalemia
Which electrolyte imbalance is treated with 0.45% NS?
Hypervolemia Hypernatremia
Hypovolemia Hypernatremia
Hypervolemia Hyponatremia
Hypovolemia Hyponatremia
Which electrolyte imbalance is treated with 0.9% NS?
Hypervolemia Hypernatremia
Hypovolemia Hypernatremia
Hypervolemia Hyponatremia
Hypovolemia Hyponatremia
Which organs are involved in pH balance? SATA
Brain
Lungs
Kidneys
Liver
