Pharm Practice Quiz 2

A patient is taking Methotrexate (Rheumatrex) and you are considering adding infliximab (Remicade) to their treatment regimen. What must you do first before starting this medication?

Which of the following drugs does not have a side effect that would show acute changes on an EKG?

What can you give to offset the SE of antacids?

Which of the following drugs has a BBW for increased risk of neoplasia?

You started your 25 y/o female patient with history of depression on Fluoxetine (Prozac). After trying the medication for several weeks, the patient reports she feels as though the medication isn’t helping. You decide to stop Fluoxetine (Prozac) and try a new medication. What medication would you put your patient on next?

A patient presents to you and is confused, hypomanic, restless, diaphoretic and has myoclonus. Meds: sertraline (Zoloft) and Trazodone (Desyrel). What can you give the patient in this emergency?

Your patient takes ondansetron (Zofran) for post-op n/v. They are also on ziprasidone (Geodon) for schizophrenia. What side effect are you concerned about with the use of both of these drugs together?

What is a side effect of the first line treatment for osteoarthritis and how do you treat it?

Which of the following second generation “Atypical” Neuroleptic medications has a BBW for seizures and myocarditis?

A patient with PMH of anxiety presents to the ED confused with altered level of consciousness. While trying to take his history, you realize the patient cannot remember anything past 8pm last night. He spent the night drinking EtOH with his friends at a college party. Before you are able to finish taking their history your patient starts to hypoventilate and goes into a respiratory depression. You immediately start planning for intubation. What drug was this patient most likely on?

Regarding the prior case, what drug could you give this patient to reverse the medication effects?

Which of the following drugs has a BBW for colitis?

Your patient with PMH of depression is currently taking Zoloft. They’re morbidly obese and were just started on Lorcaserin (Belviq) by their bariatric PA. What condition must you monitor your patient for?

Which of the following is the only drug that can be used for both acute treatment of gout and prophylaxis?

A patient presents to you and is feverish, agitated, and confused. On PE, they are tachycardic and have muscle rigidity. There is increased CPK levels and leukocytosis. Which agent is likely responsible for this?

Your patient with Bipolar disorder is prescribed Lithium. Practicing patient centered care, you educate your patient on the side effects of this drug including what to expect if they start to develop Lithium toxicity. What two side effects (typically) always happen in lithium toxicity that you need to tell your patient about, so they know when to present to the ED for evaluation?

Which of the following medications has a side effect of rectal seepage and soiling?

Which of the following is not a diet restriction for a person taking Phenylzine (Nardil)?

T/F: Antacids inhibit the conversion pepsinogen to pepsin and therefore are used to heal ulcers.

Which medication should be taken with food in order to enhance absorption?

A patient with osteoarthritis complains of vomiting, increased sweating, and tinnitus. You check his BMP and see that there are electrolyte imbalances. Which drug is the culprit?

Which of the following would be a good drug to use in a child who has ADHD and also has anxiety?

A patient presents to you complaining of nausea and vomiting. PMH is significant for diabetic gastroparesis. Which antiemetic would be most helpful to give to the patient?

Which of the following medications should not be used with mineral oil due to risk of liver toxicity?

Which of the following antiemetics is a dopamine antagonist?

Which of the following medications has a MOA that blocks the reuptake of NE and dopamine in addition to inhibiting MAO?

A patient presents to you with Steven Johnsons Syndrome. He just started his stimulant medication 3 weeks ago. What do you suspect he was started on?

Which of the following is a chronic gout medication that can increase the risk of nephrolithiasis?

Which of the following is an antiperisaltic agent used in the treatment of diarrhea?

Which class of antiemetics do not have a side effect of extra-pyramidal symptoms?

Which of the following can be used if your patient has a sulfa allergy?

Which medication used to treat constipation must be used cautiously in patients who have HTN?

Which of the following medications is used to treat anticipatory nausea?

Which of the following is true regarding prophylactic therapy in patients with gout?