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Pharm 1 Exam 1 & 2

Total questions: 54

Worksheet time: 34mins

Name
Class
Date
1.

True or False- Medications are dosed specifically for the route they are given

a)

True

b)

False

2.

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

a)

True

b)

False

3.

Which are true of CAMs? SATA

a)

A substance used for therapeutic effects

b)

FDA cleared but not approved

c)

Effects have been proven through clinical trials

d)

Considered the same as medications

4.

This is how the drug impacts and changes the body

a)

Pharmacoeconomics

b)

Pharmacokinetics

c)

Pharmacodynamics

d)

Pharmacogenetics

5.

What are factors that impact absorption? SATA

a)

Route

b)

Lipid/fat content of patient

c)

Patient heigh

d)

Blood flow

e)

Surface area drug is acting on

6.

This term is for medications that only work after they are changed in the body, the liver "turns them on"

a)

Biotransformation

b)

Prodrug

c)

Bioavailability

d)

Combination drug

7.

Which organs are primarily involved in drug excretion and diseases of these organs will impact drug doses. SATA

a)

Brain

b)

Kidney

c)

Liver

d)

GI tract

8.

Which types of medication cannot be chewed, crushed, or broken? SATA

a)

Coated tablets

b)

Extended release

c)

Sublingual

d)

Enteric coated tablets

9.

Which are true of priority side effects? SATA

a)

Similar to an adverse event

b)

Side effects that require intervention

c)

Opioid constipation is an example

d)

Opioid induced apnea is an example

10.

This pregnancy category requires discussion- adverse effects have been discovered in animal but not in humans

a)

B

b)

C

c)

D

d)

X

11.

These are non-pharmacological pain interventions. SATA

a)

Guided imagery

b)

Movement

c)

Hypnosis

d)

CAMs

12.

These drug classes are considered non-opioid analgesics. SATA

a)

NSAIDs

b)

COX-2 inhibitors

c)

Centrally acting non-opioid analgesics

d)

Mixed agonist/antagonist

13.

This drug class is first line for treatment of migraines

a)

Ergot-alkaloids

b)

Calcium channel blockers

c)

Triptans

d)

Antiepileptics

14.

Which is NOT true of the drug class opioids?

a)

MOA: Bind to opioid receptor sites to elicit response

b)

Morphine is the strongest

c)

Adverse effect: respiratory depression

d)

Controlled substances

15.

Vicodin is a combination of what two drugs? SATA

a)

Acetominophen

b)

Oxycodone

c)

Hydrocodone

d)

Aspirin

16.

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?

a)

Tramadol

b)

Methadone

c)

Buprenorphine

d)

Meperidine

17.

Which opioid is considered the weakest?

a)

Hydromorphone

b)

Meperidine

c)

Tramadol

d)

Codeine

18.

NSAIDs work by inhibiting what receptors? SATA

a)

COX 2

b)

COX alpha

c)

COX 1

d)

Mu

19.

Which NSAIDs are Rx only? SATA

a)

Naproxen

b)

Ketorolac

c)

Indomethacin

d)

Celecoxib

20.

Which NSAID is a selective COX-2 inihibitor only?

a)

Naproxen

b)

Ketorolac

c)

Indomethacin

d)

Celecoxib

21.

What medication cannot be given to children because it can cause Reyes syndrome?

a)

Celecoxib

b)

Tramadol

c)

Tylenol

d)

Aspirin

22.

What is true of aspirin toxicity? SATA

a)

Rarely fatal

b)

Causes tinnitis

c)

Treated with N-acetylcysteine

d)

Treated with dialysis

23.

Which are true of acetominophen? SATA

a)

A centrally acting non-opioid analgesic

b)

#1 most used in the world for inflammation

c)

BB warning liver failure with excess alcohol use

d)

Limited anti-inflammatory properties

24.

What is the indication for Sumatriptan?

a)

Fever

b)

Migraines

c)

Depression

d)

Blood clots

25.

Which substances have the most dangerous withdrawals? SATA

a)

Nicotine

b)

Opioids

c)

Sedatives

d)

Alcohol

26.

Alcohol has which effects on the body? SATA

a)

CNS depressant

b)

Sedation

c)

Coagulant

d)

Diuretic

27.

What drug is used to reverse opioid overdose?

(a)  

28.

Which are included in the lower respiratory tract? SATA

a)

Sinuses

b)

Pharynx

c)

Larynx

d)

Trachea

29.

This condition causes excessive inflammation of the MM in the nose and mouth

a)

Common cold

b)

Allergic rhinitis

c)

Asthma

30.

These drug classes are used to treat bronchocontriction in asthma. SATA

a)

Beta-agonist

b)

Anticholinergic

c)

Mast cell stabilizer

d)

Methylxanthenes

31.

These drug classes is used to treat increased mucus and edema in asthma.

a)

Beta-agonist

b)

Anticholinergic

c)

Mast cell stabilizer

d)

Methylxanthenes

32.

Which of these drugs are 2nd generation histamine 1 receptor blockers? SATA

a)

Fexofenadine

b)

Loratadine

c)

Dimenhydrinate

d)

Cetirizine

33.

Which drug class causes a burning sensation in the nose and is effective when taken for prevention?

a)

H1 receptor antagonist

b)

Sympathomimetics

c)

Intranasal corticosteroids

d)

Antitussives

34.

Which drug class causes a burning sensation in the nose and is effective when taken for prevention?

a)

H1 receptor antagonist

b)

Sympathomimetics

c)

Intranasal corticosteroids

d)

Antitussives

35.

This drug class has medications that can be given PO or IN and one drug can cause rebound congestion

a)

H1 receptor antagonist

b)

Sympathomimetics

c)

Intranasal corticosteroids

d)

Antitussives

36.

These two medications are intranasal corticosteroids and inhaled corticosteroids SATA

a)

Fluticasone

b)

Fexofenadine

c)

Pseudophedrine

d)

Budesonide

37.

Which drug also breaks up mucus and also treats cystic fibrosis and chronic bronchitis?

a)

Acetylcysteine

b)

Guaifenesin

c)

Benzonatate

d)

Dextromethorphan

38.

Which drug works by anesthetizing the cough reflex?

a)

Acetylcysteine

b)

Guaifenesin

c)

Benzonatate

d)

Dextromethorphan

39.

Which acute asthma drugs are anticholinergics and can cause blurry vision? SATA

a)

Methylprednisolone

b)

Ipratropium

c)

Tiotropium

d)

Magnesium

40.

Which acute asthma drug works by depressing muscle function relaxing bronchus and respiratory muscles?

a)

Methylprednisolone

b)

Ipratropium

c)

Tiotropium

d)

Magnesium

41.

Which drug class is first line for chronic asthma?

a)

LABA

b)

ICS

c)

Methylxanthines

d)

Leukotriene inhibitors

e)

Mast cell stabilizers

42.

Which drug class has the same effect as caffeine and is last resort for chronic asthma due to headaches, tachycardia, and arrhythmias?

a)

LABA

b)

ICS

c)

Methylxanthines

d)

Leukotriene inhibitors

e)

Mast cell stabilizers

43.

Which drug class causes burning of the throat and must be given 4-6 times per day?

a)

LABA

b)

ICS

c)

Methylxanthines

d)

Leukotriene inhibitors

e)

Mast cell stabilizers

44.

Formoterol and Salmeterol are in which drug class?

a)

LABA

b)

ICS

c)

Methylxanthines

d)

Leukotriene inhibitors

e)

Mast cell stabilizers

45.

What type of fluid should be given to a patient with cerebral edema?

a)

Hypertonic

b)

Isotonic

c)

Hypotonic

d)

Any are fine

46.

How many meq/L of sodium is in 0.9% NS? (number only)

(a)  

47.

Which of the following are colloids? SATA

a)

Hetastarch

b)

Albumin

c)

Dextran

d)

PPF

48.

Which electrolyte imbalance causes thirst, muscle twitching, and altered mental status?

a)

Hypernatremia

b)

Hyponatremia

c)

Hyperkalemia

d)

Hypokalemia

49.

Which electrolyte imbalance causes thirst, muscle twitching, and altered mental status?

a)

Hypernatremia

b)

Hyponatremia

c)

Hyperkalemia

d)

Hypokalemia

50.

Which electrolyte imbalance is caused by kidney failure or medications?

a)

Hypernatremia

b)

Hyponatremia

c)

Hyperkalemia

d)

Hypokalemia

51.

Which electrolyte imbalance is treated with polystyrene sulfinate or pataromir?

a)

Hypernatremia

b)

Hyponatremia

c)

Hyperkalemia

d)

Hypokalemia

52.

Which electrolyte imbalance is treated with 0.45% NS?

a)

Hypervolemia Hypernatremia

b)

Hypovolemia Hypernatremia

c)

Hypervolemia Hyponatremia

d)

Hypovolemia Hyponatremia

53.

Which electrolyte imbalance is treated with 0.9% NS?

a)

Hypervolemia Hypernatremia

b)

Hypovolemia Hypernatremia

c)

Hypervolemia Hyponatremia

d)

Hypovolemia Hyponatremia

54.

Which organs are involved in pH balance? SATA

a)

Brain

b)

Lungs

c)

Kidneys

d)

Liver