Exam (elaborations)
NAPLEX STUDY GUIDE PRACTICE FREQUENTLY QUESTIONS AND ANSWERS RATED A.
- Course
- Institution
NAPLEX STUDY GUIDE PRACTICE FREQUENTLY QUESTIONS AND ANSWERS RATED A.
[Show more]
Content preview
NAPLEX STUDY GUIDE PRACTICE FREQUENTLYQUESTIONS AND ANSWERS RATED A.
For sure you will see an Alpha blocker on the test exam and in real world,
what medical condition and other drugs should you look and watch for in
the case?
✔✔Medical condition :
1-3A4 inhibitor are contra with Silo and Alfu (that is why they are less
used)
2-contras Liver and renal issues with Silo(both) and Alfu(liver)
3-Othostatic hypo !!!
(Taper !!! care with PDE5 & Hypertension drugs) / give at bed time
4-may cause floppy iris syndrome in cataract
5-Priapism, Angina, Abnormal ejaculation and fatigue
6-Alfuzosin cause QT^\
7-Silodosin cause retrograde evacuation
On drugs list look for:
1-PDE5
2-Hypertension drugss
3-3A4 inhibitors
4-Qt^ for Alfuzosin
over active bladder drug classes
✔✔Anticholinergic & B3 agonist & Botox
try 1 Anticholinergic
if fail try second or dose change
,if failed try B3 agonist
if failed try Botox
If you see an anti cholinergic on an over active blader case look for:
✔✔1-Age and dementia it worsen the dementia and drugs are opposite to
each other.
2-Anticholinergic side effect and additive effect with other drugs
3-Use lower dose with 3A4 inhibitors (Tol,soli,dar,Fose)
4-constipation (got worse)
Glucoma treatment drug groups
✔✔Decrease production :
Betablocker, Carbonic Anhydrase inhibitors, A2 agonist
Increase outflow:
Prostaglandin Analogue, Chollinergic , A2 agonist
One thing to remember about prostaglanding Analogue Eye drop
✔✔Darkening of Iris and eyelash
eyelash growth (Latisse)
Drugs that cause eye problems
✔✔1-Alpha blocker
2-Amiodaron
3-Ethambutol
4-Voriconazole
,5-Digoxen
6-PDE5
7-chloroquine
8-Hydroxychloroquine
9-Linezolid
10-isotretinoin
11-Tamoxifen
If you see oral ISOtretinoin
✔✔1-Check the HCG lab test
2-Dispense only for 1 month and after 7 days and through IPLEDGE
3-two forms of birth control
4-Cholest^ / BG^ /decreased night vision
5-psychiatric issues.
Drugs that can cause alopecia?
✔✔Lithium
Interferon
Chemotherapy
Valproate
Heparin & warfarin
Spironolactone
Procainamide
Levonorgestrel
HYdroxychloroquine
, in a case a patient suffering from Tinea Pedis, Tinea cruris, tinea corporis,
or candida, what you would recommend?
✔✔Topical antifungal for 2-4 weeks / 1-2 inches beyond affected area.
Creams work best while solution work better for hairy areas
Lamisil AT cream or spray
Lotrimin Ultra (Butenafine)
Lotrimin AF (clotrimazole)
Baza (Miconazol with Petrolatum) for geriatrics
if we have itching with the fungal infection we can recommend Lotrisone
A lady came in pharmacy with an Exzema, what can we recommend?
✔✔in the following sequence:
1-Topical Steroids ( Anti histamin if itching and anti bacteria if infected) +
keep skin hydrated
another option is PDE4 inhibitors (Eucrisa)
2-Topical immunosuppressant like Protopic (tacrolimus) or Elidel(Elidel)
3-Oral immunosuppressants if above did not work (like cyclosporine,
MTX, Anti TNF)
A patient walk in pharmacy with a toenail & finger nail fungal infection
what do you recommend?
✔✔1- Better to confirm the infection (Onychomycosis( with KOH 20%
smear as treatment will take loooong time
2-We can use Topical for mild cases or when systematic is not tolerated or
when in combination with oral ( Topical like Ciclopirox/Penlac not alone
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AcademicAllure. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80467 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now