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5 Written questions

5 Matching questions

  1. What is Steven's Johnson Syndrome? What causes it?
  2. Tetracyclines
  3. What is c. diff? What causes it? What treats it?
  4. NSAIDs (buprofen)
  5. Isoniazid (INH)
  1. a indications: chlamydia, mycoplasma, H. pylori, bacillus anthracis, rocky mt. spotted fever, cholera, lyme disease, acne, and peridontal disease
    AE: GI upset, teeth discoloration, c. diff, candida, hepatotoxic, nephrotoxic, photosensitive, and super infection
    * do not give to pregnant women or children under 8
  2. b indications: inflammation, mild to moderate pain, fever reduction, dysmenorrhea
    AE: mild GI reactions, ulceration, bleeding, increase for MI and stroke, renal impairment, hypersensitivity, reye's syndrome, conjunctivitis, nose bleed, steven's johnson syndrome
  3. c - widespread lesions of skin and mucous membranes
    - fever, malaise, toxemia, can be fatal
    - mostly happens with sulfonamides
  4. d cause: clindamycin, amoxicillin, ampicillin, cephalexin
    bacterial infection - contact, hand sanitizer doesn't kill it!
    treatments: metronidiazole (Flagyl) or vanco
  5. e indications: latent and active TB
    AE: peripheral neuropathy (tingling, numbness, pain in hands & feet, burning) <- give B6 for this

5 Multiple choice questions

  1. indications: prevention of venous thrombosis
    AE: hemorrhage, harmful during pregnancy and lactation
    lab values: INR 2-3, PT INR 1.5-2
    Antidote: Vitamin K
  2. indications: parkinsonism (reduce tremor/rigidity)
    AE: dry mouth, blurred vision, photophobia, urinary retention, constipation, tachycardia
    - s/s of pakinsonism can intensify w/ abrupt d/c
  3. ask about any allergies to penicillin, drug history, take culture of infection, ask about any liver or kidney diseases
  4. patient and nurse set a pain goal together because ca pain is hard to manage
  5. the movement of drugs and their metabolites out of the body via urine, bile, sweat, saliva, breast milk, and expired air

5 True/False questions

  1. Epinephrine (adrenaline, epi-pen)indications: mainly - anaphalactic shock, also - delay absorption of local anesthetics, overcome AV heart block, cardiac arrest, asthma
    - catacholamine ( not by mouth, given parentarally)
    - can't cross BBB
    AE: tachycardia, HTN crisis, angina, hyperglycemia, necrosis following extravasations (only IV)


  2. Lovenox (low molecular weight heparin)indications: hypothyroidism, maintains thyroid levels after surgery
    AE: rare, w/ acute OD thyrotoxicosis can occur s/s tachycardia, angina, tremor, nervousness, insomnia, hyperthermia, heat intolerance, & sweating


  3. Levothyroxine (Synthroid)indications: 1st drug to treat HIV
    AE: severe anemia and neutropenia, bone marrow suppression, liver damage, gi effects


  4. PPIs (omeprazole/Prilosec)indications: duodenal ulcers, gastric ulcers, erosive esophagitis, & GERD. long term treatment of Zollinger Ellison Syndrome
    AE: HA, diarrhea, n/v, gastric ca, hip fx
    MoA: a prodrug, converted to active form inside parietal cells of the stomach, acive form then causes irreversible inhibition of H+, K+-ATPase (proton pump) the enzyme that generates gastric acid


  5. Dipenhydramine (Benadryl)indications: oral- maintenance of chronic stable asthma. mostly used for nocturnal asthma attacks
    AE: n/v, diarrhea, insomnia, restlessness, severe dysrhythmias and convulsions occur at high levels >30
    treatment = activated charcoal
    * obtain plasma drug levels to watch for toxicity


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