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2024 PHARMACOLOGY MILESTONE EXAM WITH CORRECT ANSWERS
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2024 PHARMACOLOGY MILESTONE EXAM WITH CORRECT ANSWERS
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2024 PHARMACOLOGY MILESTONEEXAM WITH CORRECT ANSWERS
MAOIs (Phenelzine)
1) Avoid foods containing ______
2) Name those foods
3) Adverse effects if you eat these foods - CORRECT-ANSWERS1) Tyramine
2) Avocados, bananas, beef or chicken liver, caffeine (coffee, tea, chocolate),
cheese (esp aged, but not cottage cheese), eggplant, figs, overripe juice,
papaya, pickled herring, raisins, red wine, beer, sherry, sauerkraut, sausage,
bologna, pepperoni, salami, sour cream, soy sauce, yogurt
3) Hypertensive crisis - HTN, occipital headache, neck stiffness and soreness,
sweating, fever, chills, clammy skin, palpitations, chest pain
Lithium
1) Therapeutic range
2) Patient teaching - CORRECT-ANSWERS1) 0.6-1.2
2) Avoid excessive amounts of coffee, tea, or cola, which have a diuretic
effect, maintain a fluid intake of 6-8 glasses of water/day and an adequate
salt intake to prevent lithium toxicity, avoid alcohol, therapeutic response is
noted in 1-3 weeks
In all antipsychotic medications, monitor for:
1) Extrapyramidal syndrome
2) Neuroleptic Malignant Syndrome
Acetaminophen (Tylenol)
1) NSAID or not?
2) What can it be used for?
3) Toxic to what organ?
4) Patient teaching
5) Antidote - CORRECT-ANSWERS1) Not an NSAID
2) Decrease fever and pain
3) Liver
4) Don't drink alcohol while taking
5) Acetylcysteine
S/S of both - CORRECT-ANSWERS1) Parkinsonism (shuffling gait, tremors),
dystonia (facial grimacing), akathisia (restlessness), tardive dyskinesia
(tongue protrusion, chewing)
,2) Dyspnea, tachypnea, tachycardia, irregular pulse rate, hypertension,
diaphoresis, drooling, altered LOC, seizures, muscle rigidity, dysphagia,
elevated WBCs
Clozapine
1) Class
2) Use
3) Major risk for ____
4) Lab value to pay attention to - CORRECT-ANSWERS1) Second Gen
Antipsychotic
2) Schizophrenia
3) Agranulocytosis
4) WBC - stop if <2,000
Donepezil & Memantine
1) Class
2) Use
3) Which one treats mild-mod and mod-severe Alzheimer's? - CORRECT-
ANSWERS1) Acetylcholinesterase inhibitor
2) Treat Alzheimer's disease
3) Donepezil: Mild-mod, Memantine: Mod-severe
Oxybutynin chloride
1) Class
2) Use
3) Side effects
4) What can you give your patient if they experience dry mouth? - CORRECT-
ANSWERS1) Anticholinergic
2) Overactive bladder (urge incontinence)
3) Anorexia, N/V, dry mouth, blurred vision, constipation, dry eyes,
decreased sweating, urinary retention
4) Gum or hard candy
Bethanechol chloride
1) Class
2) Use
3) Side effects - CORRECT-ANSWERS1) Cholinergic
2) Increases bladder tone and function, treats urinary retention and
neurogenic bladder
3) Flushing, sweating, increased salivation, diarrhea, urinary urgency
-afil (Sildenafil)
1) Use
2) Which med should you not take if you've recently taken an -afil drug? -
CORRECT-ANSWERS1) Treats erectile dysfunction
2) Nitroglyercin
, -terol (Albuterol)
1) Class
2) Use
3) Use caution in patients with?
4) Side effects
5) Patient teaching - CORRECT-ANSWERS1) Bronchodilator, short-acting
beta2 agonist
2) Acute bronchospasm, acute and chronic asthma, bronchitis, restrictive
airway diseases, reactive airway diseases
3) HTN, diabetes, narrow-angle glaucoma
4) Palpitations, tachycardia, dysrhythmias, hyperglycemia, headache,
restlessness, tremors
5) Take before exercise, give instructions on how to use metered-dose
inhaler (MDI), wait 1 min between puffs if using MDI
Loratadine & Diphenhydramine
1) Class
2) Use
3) Side effects
4) Patient education - CORRECT-ANSWERS1) Antihistamine
2) Common cold, rhinitis, nausea and vomiting, motion sickness, urticaria,
sleep aid
3) Drowsiness, fatigue, dizziness, blurred vision, wheezing, dry mouth,
photosensitivity
4) Avoid alcohol, take med 30 min before motion sickness event, suck on
hard candy or ice chips for dry mouth
Rifampin & Isoniazid
1) Use
2) How long is the treatment?
3) Side effect of rifampin - CORRECT-ANSWERS1) Treat tuberculosis
2) 6-9 months
3) Rifampin - red/orange body secretions (urine, sweat) - can stain and
permanently discolor items
Gabapentin & Pregabalin
1) Use
2) Side effects - CORRECT-ANSWERS1) Can treat nerve pain (neuropathy)
2) Dizziness, drowsiness, loss of balance or coordination, problems with
memory or concentration, tremors, and vision problems (blurred vision or
double vision)
Fat soluble vitamins - CORRECT-ANSWERSA, D, E, K
*Angie Dosdall Eats Kale
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