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Top 200 Practice
Terms in this set (100)
Mechanism of action of tizanidine?
Alpha2-adrenergic agonist which decreases spasticity by increasing presynaptic inhibition
contraindication for xanax?
concurrent ketoconazole, itraconazole, or other strong 3A4 inhibitors
how should patients be counseled to take Latuda?
take with food (350 calories)
all of these should be monitored with long term use of Protonix EXCEPT?
EKG (these should be: magnesium, B12, bone mineral density)
all are indications for spironolactone EXCEPT?
vasomotor symptoms of menopause
least likely SE of gabapentin?
least likely monitoring parameter for azithromycin?
serum sodium when used with diuretics (these are monitoring: body temp, LFTs if jaundice, EKG if used with other QTc prolonging meds)
Generic name for pitressin?
urinary retention, gastric retention, and patients with or at risk for uncontrolled narrow-angle glaucoma are contraindications for which?
most likely SE of cyclobenzaprine?
when used for muscle spasms, what frequency is cyclobenzaprine usually prescribed?
most important counseling point for cefdinir?
may cause discoloration of stool
least likely SE of methylprednisolone?
shortness of breath?
least likely SE of augmentin?
metallic taste (these are SEs: hives, diarrhea, nausea)
Which is BBW for reglan (metoclopramide)?
which statement accurately compares and contrasts the alpha blocking mechanism of terazosin and tamsulosin?
both are selective for alpha1, but tamsulosin has greater selectivity for alpha1a receptors
MOA of sprintec?
inhibits release of FSH and LH through negative feedback
Most likely to increase risk of clotting in patient using warfarin?
st. john's wort
brand name for triamcinolone acetonide (nasal)?
Diazepam is contraindicated in which of following?
34-year old with sleep apnea prescribed oral tablets for anxiety
most likely serious SE of pramipexole?
Patients initiated on cymbalta for fibromyalgia should take _______ mg daily for 1 week before titrating up
least likely to be appropriate SAFETY monitoring parameter for verapamil
promethazine with codeine is contraindicated in all of the following except
37-year-old with mild hepatic impairment (these are CIs: comatose, 10-year-old, 15-year-old recently underwent surgery)
rare but serious SE of canagliflozin
typical starting dose of metoprolol succinate for heart failure
25 mg once daily
typical starting dose of metoprolol tartrate for hypertension
50 mg BID
which of following, when taken with statin, has highest risk of causing AE?
starting dose of coreg for hypertension
6.25 mg BID
max daily dose of tramadol IR in someone with normal renal/hepatic function
which of these drugs is most likely to require renal dose adjustment?
tramadol (not: alprazolam, pantoprazole, atorvastatin0
most likely to require renal dose adjustment?
baclofen (not carbidopa, dicyclomine, finasteride)
which is a stimulant laxative?
best counseling administration of chantix?
administer after eating with full glass of water
most appropriate counseling for allopurinol?
immediately contact health provider if you develop a rash
what is controlled substance category for fioricet?
not controlled rx
all are indications for propranolol except
most appropriate starting dose for nortriptyline for neuropathic pain
10 mg daily
which med exerts is activity primarily through anticholinergic effects?
most likely SE of vistarin (atarax), an anticholinergic
all are indications for topiramate except
PTSD (these are: migraine ppx, essential tremor, epilepsy)
MOA for lamotrigine?
inhibits voltage sensitive sodium channels which stabilizes neuronal membranes
antacids should NOT be taken with which abx?
which of these is appropriate counseling point for latanoprost?
may cause discoloration of iris
serotonin syndrome can happen between
dextromethrophan and ssri/snri
most likely SE of finasteride?
most likely monitoring parameter for methotrexate?
CBC with diff
primary MOA of varenicline?
partial agonist at alpha4, beta2 nicotinic receptor
MOA of carvedilol
nonselective beta adrenergic and alpha adrenergic antagonist
all are BBW for cipro except
least likely SE of cipro?
how many times per day is macrodantin (nitrofurantoin) typically dosed for UTI?
Four times daily (for macrobid, it's twice daily)
max dose metformin for T2DM
standard dose for gemfibrozil
600 mg BID
max dose ibuprofen when prescribed?
max dose buspirone for generalized anxiety disorder
most likely to require hepatic adjustment?
diclofenac, verapamil, quetiapine
lamotrigine + phenytoin =
decreased lamotrigine levels
lamotrigine + divalproex =
increased lamotrigine levels
most likely rare but serious SE of zofran?
when taken with gemfibrozil, which has limited max dose?
most likely SE of macrobid?
most appropriate counseling point for doxycycline?
least appropriate monitoring for long term use of doxycycline?
doxycycline is contraindicated in which patients EXCEPT
68 year old with CrCl of 25 mL/min
contraindications to nitrofurantoin except
7-year-old (these are CIs: crcl < 30 mL/min, pregnant, anuric)
which antibiotic warrants caution when used with other agents that prolong QTc?
counseling point for tamsulosin
administer 30 min after same meal each day
rare but serious SE for tamsulosin?
intraoperative floppy iris syndrome
least important to monitor after starting januvia?
contraindcation to bactrim
megaloblastic anemia due to folate deficiency
counseling points for bactrim EXCEPT
space antacids and iron supplements by 2 hours
which is most likely SE of bactrim
drug that may increase serum lithium when taken with lithium carbonate?
NSAIDS, SSRI/SNRI, ACE/ARB, diruetics
CI for depakote?
which device contains med with long lipophilic side chains which extends its duration of action
How frequently is apixaban dosed?
What is typical starting dose of Januvia for T2DM?
100 mg once daily
Which requires renal dose adjustment?
Levofloxacin (not: oxybutynin, lamotrigine, diazepam)
Max daily dose of venlafaxine for generalized anxiety?
all are indications for clonidine EXCEPT
tumor lysis syndrome (these are indications: acute hypertensive emergency, vasomotor symptoms of menopause, tourette's)
Most likely SE of omeprazole?
headache (not photosensitivity, insomnia, or xerostomia)
Max daily dose of allopurinol for gout?
Typical adult dose of alendronate for osteoporosis
Most appropriate starting dose of MTX for RA?
Which is a contraindication for Latuda?
Use with strong CYP3A4 inhibitors or inducers
Which drug can be dosed 5 times per day for certain indications?
Acyclovir (for Bell's palsy). These cannot: mupirocin, valacyclovir, oseltamivir
BBW for trexall EXCEPT
What controlled substance category is Cheratussin AC?
Least likely side effect of clindamycin?
tendon rupture (these are SEs: metallic taste, diarrhea, hypersensitivity reaction)
Which is a commercially available dose of Hyzaar?
most likely to occur as rare but serious SE of nortriptyline?
serotonin syndrome (not profound bradycardia, pneumothorax, intraoperative floppy iris syndrome)
Starting dose of sertraline?
two common indications for digoxin?
HFrEF and atrial fibrillation
which is least likely to cause hypotension?
Most important counseling point for alprazolam?
do not stop taking abruptly?
BBW for promethazine?
all are indications for famotidine EXCEPT
Anticipatory nausea from chemotherapy
Most likely a rare but serious SE of sitagliptan?
usual starting dose for pregabalin?
150 mg in divided doses
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