Home
Subjects
Textbook solutions
Create
Study sets, textbooks, questions
Log in
Sign up
Upgrade to remove ads
Only $35.99/year
Final Pharm FINAL
STUDY
Flashcards
Learn
Write
Spell
Test
PLAY
Match
Gravity
Terms in this set (311)
A drug affect that is neither predictable nor dose related is called:
Drug allergy
A drug is defined as a biologically active substance that can modify:
Cellular functions
A drug's generic name is selected by the:
U.S. Adopted Name Council
A genetics related, abnormal drug response is called?
Idiosyncratic reaction
A noncompetitive antagonist will
Reduce the maximal response of the angonist
Advantages of oral administration of a drug:
-Wide selection of dose form
-Large surface area for absorption
-Convenience
Disadvantages of oral administration of a drug:
It is less predictable with response
A prodrug is an inactive parent drug that becomes transformed into an active drug compound
TRUE
Related to the amount of a drug needed to produce an effect
Potency
Related to the maximal effect of a drug regardless of dose
Efficacy
The first pass effect
The drug passes through the liver before it circulates in the systemic circulation
Cholinergics increase:
-Salivary flow
-Esophageal and gastric motility
-Pilocarpine (used to treat xerostomia)
In the autonomic nervous system the target organ is innervated by what neuron?
Post-ganglionic efferent
-Is an adrenergic receptor agonist and is the drug of choice for acute asthmatic attacks and anaphylaxis
-It is added to local anesthetic solutions to delay absorption and reduce systemic toxicity
Epinephrine
Prostaglandins can sensitize the pain receptors to substance such as
Bradykinin
Why should aspirin not be given until age 18?
Reye's syndrome
Can pain be treated with a placebo pill?
Yes
The opioid analgesics depress
The respiratory center in dose-related manner
Codeine causes nausea and vomiting by inhibiting the receptor trigger zone where?
Medulla
When opioids and nonopioids are combined they cause fewer adverse reactions?
TRUE
In the beginning, the organisms responsible for a dental infection are
Primarily gram-positive, such as Streptococci viridans
Treating gram-positive is easier and the drug of choice is
Penicillin/Amoxicillin
Clindamycin affects
Both gram-positive cocci
Gram-positive
Gram-negative anaerobes
Do we use antiinfective agents very commonly in dentistry?
Yes
Would you prescribe an antiinfective agent if adequate drainage can be obtained?
No, unless the patient is immunocompromised
Most common adverse effect with antibiotics?
GI tract
What drug has the highest incidence of GI complaints?
Erythromycin
Amoxicillin is available mixed with clavulanic acid =
Augmentin
Normally only used IV and has narrow spectrum against many gram-positive-acts by inhibition of bacterial cell wall synthesis
Vancomycin
Adverse reaction of Vancomycin:
Red Man Syndrome
Chemical substances produced by microorganisms that have the capacity, in dilute solutions, to destroy or suppress the growth or multiplication of organisms or prevent their action
Antibiotic
Requires at least 3 drugs concurrently in all active cases-Isoniazid, rifampin, ethambutol, and pyrazinamide are combined for treatment of pulmonary TB
TB agents
Antifungal agents normally end in
-ozol
Which antifungal agent is the only drug that doesn't end in -ozol and inhibits C. albicans?
Nystatin
Which antifungal agent increase caries risk?
Clotrimazole
Which antifungal agent should not be take with H2 blockers?
Ketoconazole
Which antifungal agents are the most useful in dentistry?
-Nystatin
-Imidazoles
-Clotrimazole
-Ketoconazole
-Miconazole
-Is oral triazole antifungal agent, used to treat certain fungal infections
-Used prophetically against candidiasis in immunocompromised patients or for the treatment of candid infections that do not respond to other agents
Fluconazole (Diflucan)
Drugs for the treatment of Herpes Simplex:
-Acyclovir
-Docosanol
-Penciclovir
-Famciclovir
Which drugs are protease inhibitors?
-Saquinavir
-Ritonavir
-Atazanavir
-Tripranavir
-Prevents the maturation of HIV-infected cells
-The difference between the protease inhibitors and the other groups is that the former can interfere with the action of the HIV-infected cells
Protease inhibitors
3 "cocktail" medications usually taken by HIV patients
-Nucleoside
-Nonnucleoside reverse transcriptase inhibitor
-Protease inhibitor
What are the actions of HIV medications?
-Nucleoside reverse transcriptase inhibitor: Zidovudine, Tenofovir, Abacavir
-Nonnucleoside reverse transcriptase inhibitor: Nevirapine
-Protease inhibitor: Saquinavir
Prilocaine can induce:
Methemoglobinemia
What is the major disadvantage of opioids?
Prolonged respiratory depression
Nitrous oxide provides:
Anxiety relief coupled with analgesia
Prevents the spread of seizures in tissues surrounding the anatomic seizure focus
Benzodiasepines
Benzodiazepines are preferable to the barbiturates as hypnotics because the risk of physical addiction or serious poisoning is much less
TRUE
Benzodiazepines have a wider therapeutic effect
TRUE
Which is considered the strongest centrally acting skeletal muscle relaxant?
Cyclobenzaprine (Flexeril)
Use of anti anxiety agents should be discourage in the dentist's office because it encourages addiction
FALSE
To reverse some of the effects of a benzodiazepines what can be used?
Flumazenil
What diminishes the effectiveness of benzodiazepines?
Tobacco or smoking
The efficacy of the benzodiazepines in treatment of chronic insomnia has not been demonstrated
Past 1 month
What is the original sedative-hypnotic agent?
-They have no significant analgesic effect
Barbiturates
Potassium sparing diuretics are known as
Puny diuretics
Only about _____ % of those with known HTN are properly treated
50
What drug is most often used for the management of acute anginal episodes?
Nitroglycerin
Ask the patient about Viagra (PDE5 inhibitor) within the last 24 hours.
This is contraindicated because it can cause drastic BP drop
Nitroglycerin
ACE inhibitors end in the suffix
-pril
________ are now considered first-line therapy and are the cornerstone of HF therapy
ACEIs
CCBs end in the suffix
-dipine
Angiotensin receptor blockers end with the suffix
-artan
A person who has had an MI should wait _____ months before receiving dental care
6
What blocker lowers blood pressure primarily by decreasing cardiac output?
B-adrenergic
B-adrenergic blocking agents end in the suffic
-olol
The _______ node has the fastest rate of depolarization and therefore directs all the other cells to the heart
SA
By far the most often used nitrate for management of acute anginal episodes
Nitrglycerin (NTG)
Is a vasodilator that produces a systemic relaxation of vascular smooth muscle
Nitroglycerin (NTG)
What is the most common cardiovascular disease?
Hypertension
Generalized seizures divided into two groups include:
-Absence
-Tonic-clonic
Involve action of only part of the brain
Partial seizures
Which medications were associated with gingival hypertrophy or gingival overgrowth
-Phentyoin
-diplines
-Verapamil
Has been associated with hepatotoxicity
Valproate
Which of the following agents is classified as an antipsychotic?
Vraylar
Adrenal crisis is rare in dentistry
TRUE
What is a disease or condition produced by an excess of adrenocorticosteroids?
Cushing syndrome
Signs of Cushing disease:
-Fat deposit on back of neck
-Moon face
-Muscle wasting
What is a disease or condition produced by a deficiency of adrenocorticosteroids?
Addision's disease
A 5mg oral dose of hydrocortisone would be equivalent to what dose of triamcinolone?
1mg
A _____ is placed between the MDI and the mouth to increase the amount of drug delivered to the lungs
Space
Corticosteroids increase resistance to infection
FALSE
Scheduled III controlled substance abused by bodybuilders?
Nandrolone
Oral lesion with increased estrogen and progestin
Gingivitis
What can occur with hyper secretion of the pituitary hormones:
-Sexual precocity
-Goiter
-Hypothyroidism
-Cushing disease
-Acromagaly
-Giantism
Rapidly growing cells, such as neoplastic cells, are more susceptible to inhibition or destruction by
Antineoplatic agents
Herbal products in the United States are regulated by which governmental agency?
Dietary supplement and education act
Has been used in dentistry for topical analgesia for relief of dental pain, but no published clinical trials have confirmed its efficacy
Oil of cloves (eugenol)
Can increase the risk for bleeding when taken in conjunctions with antiplatelet drugs or anticoagulants
-Garlic
-Ginkgo biloba
-Feverfew
A neuromuscular blocking agent, and positive-pressure oxygen are the agents of choice when drug-induced laryngospasm is present
Succinylcholine
An AED can save up to ____ % of persons experiencing cardiac arrest if it is administered within the first 5 minutes of cardiac arrest
50
Barbiturates reduce the effects of the following drugs except which one?
Propoxyphene
NSAIDs can antagonize the effects of which of the following antihypertensive medications?
Angiotensin-converting enzyme inhibitors (ACEIs)
Which of the following agents used for dental anxiety has a fast onset and short half-life?
Triazolam
Which is the primary adverse reaction associated with the use of benzodiazepines for conscious sedation?
Respiratory depression
Which of the following agents may decrease the effectiveness of benzodiazepines?
Tobacco
Antianxiety agents are most commonly administered orally because the effective dose of particulate antianxiety agent is very predictable
TRUE; FALSE
Benzodiazepines enhance or facilitate the action of the neurotransmitter
y-aminobutyric acid (GABA)
A sedative hypnotic agent can produce varying degrees of central nervous system (CNS) depression. the same drug may be either a sedative or a hypnotic
Both TRUE
Which of the following muscle relaxants has peripheral rather than central action?
Dantrolene
Which of the following drugs is often used first for treating patients with generalized tonic-clonic seizures even though it is not Food and Drug Administration (FDA) approved for this use?
Vaproate
Lamotrigine is an effective treatment for myoclonic seizures
TRUE
Nitroglycerin (NTG) is used for what cardiovascular disease?
Angina pectoris
Which of the following is the most important dental drug interaction with the thiazide diuretics?
Nonsteroidal antiinflammtory drugs (NSAIDs)
Each of the following agents is associated with development of gingival hypertrophy except one. Which is the exception?
Clonidine
Which is the treatment of choice for the treatment of heart failure (HF)?
Angiotensin-converting enzyme inhibitors
Which antihypertensive agent is associated with a nonproductive cough?
Angiotensin-converting enzyme inhibitor
Which of the following is the longest acting barbiturate?
Phenobarbital (luminal)
The nonbenzodiazepine, benzodiazepine receptor agonists (NBRAs) are used to treat
Insomnia
Benzodiazepines are indicated for epilepsy because they
Limit the spread of abnormal activity to other parts of the brain
Although a lethal dose of barbiturates can only be approximated, severe poisoning will follow the ingestion of ____ times the hypnotic dose
10
Which of the following benzodiazepines is the drug of choice for treatment of repetitive intractable seizures that require IV therapy?
Diazepam (Valium)
Which of the following agents are the most commonly prescribed type of anti anxiety drugs?
Benzodiazepines
___ may be used to reverse some of the effects of a benzodiazepine
Flumazenil (luminal)
Barbiturates act on nerves by enhancing the binding of which neurotransmitter to its receptor?
GABA
The use of barbiturates is absolutely contraindicated in patients with a positive family history of
Porphyria
The clinical effects of benzodiazepines in humans are ___ at lower doses
Anxiety reduction and panic reduction
The therapeutic index of benzodiazepines is ____ that of the barbiturates
Wider than
Which agent has selective anxiolytic action without hypnotic, anticonvulsant, or muscle-relaxant properties?
Buspirone
Barbiturates has no significant analgesic effects
TRUE
Which is best for all types of anxiety and muscle strain?
Benzodiazepines
When benzodiazepines are used in dentistry to produce conscious sedation, the appearance of ____ is used as an initial endpoint for the dose administered
Ptosis
Which of the following parenteral benzodiazepines seems to have the greatest likelihood to produce amnesia?
Triazolam (halcion)
______ is an intravenously (IV) administered benzodiazepine that is used for conscious sedation in oral health care
Midazolam (versed)
The benzodiazepines are preferable to the barbiturates as hypnotics because the risk of physical addiction or serious poisoning is much less. The efficacy of the benzodiazepines in the treatment of chronic insomnia has been demonstrated for longer than 2 years
TRUE; FALSE
The following are actions of metoclopramide except one. Which is the exception?
Decreases peristalsis by acting directly on smooth muscle of the gastrointestinal tract
Newer types of combination therapy for treating ulcers often combine an antibiotic with a(n)
Proton-pump inhibitor
Which of the following adverse reactions is common to all of the currently marketed H2-blocking agent?
Abnormal liver function tests
Which of the following statements is true concerning epilepsy?
The majority of epileptic patients have idiopathic epilepsy
Which of the following seizures are categorized as generalized seizures?
Both A and CAbsence seizures Simple (Jacksonian) seizures
Each of the following statements is true of absence seizures except one. Which is the exception?
To avoid trauma, tongue blades should not be used in the oral cavity
Which of the following statements is true of absence seizures and tonic-clonic seizures?
Both types of seizures involve the loss of consciousness
Seizures characterized by a duration for longer than 30 minutes are called _____ seizures
Status epilepticus
Which of the following statements is true regarding adverse reactions to antiepileptic agents?
CNS depression is a common side effect of antiepileptic agents
Valproate is associated with toxicity of which of the following organs?
Liver
Lamotrigine (Lamictal) belongs to which of the following classes of antiepileptic drugs?
Inactivates sodium channels
Which of the following antiepileptic drugs is commonly used as monotherapy for partial onset and generalized tonic-clonic seizures and may be effective for children with Lennox-Gastaut syndrome?
Levetiracetam (Keppra)
Which antiepileptic agent is commonly prescribed for trigeminal neuralgia?
Carbamazepine
Which of the following agents interferes with platelets?
Both A and B Carbamazepine
Valproic acid
Which agent has a narrow therapeutic index because its metabolism is a saturable process?
Phenytoin
Gingival enlargement may occur in what percentage of chronic users of phenytoin?
50%
Gingival enlargement as a consequence of phenytoin therapy most commonly affects the ____ facial gingiva
Maxillary anterior
The cause of phenytoin gingival enlargement is
Unknown
Surgical intervention to reduce phenytoin-induced gingival enlargement should wait until at least 18 months after cessation of therapy because
Some patients experience additional reduction in the enlargement after the 1-year period
Ethosuximide is the drug of choice for the treatment of ____ seizures
Generalized absence
Clonazepam (Klonopin) is
Used as an adjunct to treat ethosuximide-resistant absence seizures
Which of the following antiepileptics may be used to manage trigeminal neuralgia?
Carbamazepine
A patient experiencing tonic-clonic seizures should be managed by
Tilting the patient's head to one side to prevent aspiration
The drug of choice for treatment of absence seizures is
Ethosuzimide
Each of the following is an example of a type of generalized seizure except one. Which is the exception?
Simple
Each of the following is considered a drug of choice for treatment of generalized tonic-clonic seizures except one. Which is the exception?
Eslicarbazepine
Which is the most important drug interaction of antiepileptic drugs?
Stimulation of hepatic microsomal enzymes
How long should a person who has had a myocardial infarction wait before receiving dental care?
6 months
Which of the following is the primary type of drug recommended for patients who have edema or fluid retention with heart failure (HF)?
Diuretic
The ____ has the fastest rate of depolarization and therefore directs all the other cells of the heart
Sinoatrial (SA) node
Which of the following classes of antiarrhythmics is associated with gingival enlargement?
Calcium channel blockers
Which of the following categories of drug is the best choice to relieve the acute symptoms of angina?
Nitroglycerin (NTG, Nitrostat, Nitrolingual)
Nitroglycerin (NTG) is a(n) _____ that produces relaxation of vascular smooth muscle throughout the body
Vasodilator
The use of nitroglycerine (NTG) is contraindicated if sildenafil (Viagra) has been administered within 24 hours. This is because the NTG-sildenafil combination can precipitate a hypertensive crisis
TRUE; FALSE
Nitroglycerin (NTG) should be
Available to the dental team for treatment of an acute anginal attack
Before administering nitroglycerine (NTG), the dental team should make sure that the patient has not used a _____ within the past 24 hours
PDE5 inhibitor
Which of the following is the most common cardiovascular disease?
Hypertension
Which of the following statements is true regarding hypertension?
Both A and B are TRUE
High blood pressure eventually damages internal organs
Approximately _____% of people with hypertension are properly treated
50
Eating bananas when taking thiazide diuretics will
Replenish potassium
Which of the following groups of diuretics are called the "puny" diuretics?
Potassium-sparing
Which of the following agents can worsen asthma?
Propranolol (Inderal)
B-adrenergic blockers lower blood pressure primarily by
Decreasing cardiac output
Which of the following categories of antihypertensive agents end in the suffix-dipine?
Calcium channel blockers
Which class of agents is of special benefit to a diabetic with nephropathy?
Angiotensin-converting enzyme inhibitors (ACEIs)
Angiotensin receptor blockers (ARBs) end with the suffix
-artan
Which agent is most likely to cause xerostomia?
Clonidine
A patient takin warfarin (Coumadin) may experience interactions with which of the following?
All of the above
Phenobarbital
Erythromycin
Aspirin
The presence of ____ in the ora cavity can be a sign of an adverse effect associated with the oral anticoagulants
Petechial hemorrhages
Which of the following agents has the most serious drug interaction with warfarin?
Aspirin
Extrapyramidal reactions such as an acute spasm of the mandible caused by first-generation antipsychotics such as phenothiazines
All of the above are correct
Can be treated with anticholinergic agents
Are disorders of muscle control
Include Akathisia
The most extensive use of the corticosteroids in both medicine and dentistry is in
Inflammatory and allergic conditions
Second-generation antipsychotics have fewer side effects than first-generation antipsychotics
TRUE1
Which of the following o=groups of medications are considered first-line treatment for chronic obstructive pulmonary disease (COPD)?
Anticholingerics
Which of the following drugs is the most effective long-term treatment for control of symptoms in all patients with mild, moderate or severe persistent asthma?
Corticosteroids
Which one of the following drugs can result in oral candidiasis?
Fluticansone
Leukitriene modifiers are used to manage patients with ____ that is not controlled by B2-agonists and corticosteroid inhibitors
Asthma
Which type of drug is used in conjunction with low-dose corticosteroids to treat patients with persistent asthma that is not well controlled with low-dose inhaled corticosteroids?
Long-acting B2-agonists
A spacer is often placed between the metered-dose inhaler and the mouth to decrease the amount of drug delivered to the lungs
FALSE
Orally inhaled corticosteroids produce an immediate benefit in an acute asthma attack
FALSE
Intranasal corticosteroids are considered first-line therapy for treating moderate to severe allergic rhinitis
TRUE
Adrenocorticosteroids are released from the
Adrenal cortex
ACTH is secreted from the _____ in response to ______
Pituitary gland; CRH
Which of the following choices is a disease or condition produced by an excess of adrenocorticosteroids?
Cushing syndrome
A 5mg oral dose of hydrocortisone (Cortisol) would be equivalent to what dose of triamcinolone?
1mg
All of the following are signs of Cushing syndrome EXCEPT for which one?
Hypoglycemia
For which type of oral lesion would glucocorticoids be contraindicated?
Herpectic gingivostomatitis
A deficiency of adrenocorticosteroids is ____, and an excess is ______
Addison disease; Cushing syndrome
Corticosteroids are mainly used in medicine and dentistry for treatment of which types of conditions?
Inflammatory conditions
Which of the following psychiatric disorders involves a loss of perception of reality?
Schizophrenia
The amount of any drug prescribed for a depressed patient should not exceed a _____-day supply
7
In general, lower potency first-generation antipsychotic agents such as chlorpromazine (Thorazine) will have more of which of the following effects in contrast to the higher potency first-generation antipsychotic agents such as haloperidol (Haldol); (1) sedation, (2) orthostatic hypotension, (3) autonomic effects, (4) extrapyramidal effects?
1, 2, 3
First-generation antipsychotics would have little effect on which of the following symptoms of psychosis?
Flat affect
First-generation antipsychotics are primarily ______ antagonists
Dopamine
Patients taking first-generation antipsychotics can experience severe intermittent temporomandibular joint (TMJ) pain. This pain is a consequence of
Extrapyramidal side effects
Which of the following second-generation antipsychotics is associated with agranulocytosis?
Clozapine
Epinephrine should not be used to treat vasomotor collapse in patients taking first-generation antipsychotics because the first-generation antipsychotic are
a-adrenergic blockers
First-generation antipsychotic therapy must often be combined with _____drugs such as benztropine to control excessive extrapyramidal stimulation
Anticholinergic
Which of the following choices is recommended to counteract the anticholinergic effects of first-generation antipsychotics?
Sugarless products or artificial saliva
Which of the following are adverse reactions associated with selective serotonin reuptake inhibitors (SSRIs)?
Both B and C
Nausea and diarrhea in approximately 15% to 30% of patients
Xerostomia in 10% to 15% of the population
Abrupt withdrawal of serotonin-norepinephrine reuptake inhibitors (SNRIs) can lead to symptoms of
Anxiety
Which of the following side effects is the most serious peripheral side effect associated with the use of tricyclic antidepressants?
Cardiac toxicity
Bupropion is reserved for patients who are not responsive to other agents because of a potential for
Seizures
Which of the following medications is used to treat bipolar depression?
Lithium
Patients undergoing lithium therapy should be observed for signs of overdose toxicity, including
Muscle rigidity and fasciculations
Which of the following categories of medications has recently been approved for the treatment of bipolar disorder?
Second-generation antipsychotics
Which of the following antipsychotic agents have been approved for adjunctive treatment of major depressive disorder?
Second-generation antipsychotics
Which choice represents the current most commonly prescribed antidepressant agent?
Selective serotonin uptake inhibitor (SSRI)
Which was the first selective serotonin reuptake inhibitor (SSRI)?
Fluoxetine (Prozac)
Second-generation antipsychotics are primarily antagonist at all of the following receptor types EXCEPT one. Which is the EXCEPTION?
Acetycholine
Which antidepressant is associated with priapism?
Trazodone
SSRIs tend to produce CNS stimulation rather than CNS depression
TRUE
Asthma is characterized by _____ airway obstruction and is associated with reduction in _____ airflow
Reversible; Expiratory
Patients with ______ asthma experience symptoms less than two times a month, and the symptoms do not interfere with normal activity
Intermittent
Asthma may be precipitated by (1) allergens, (2) exercise, (3) stress
1, 2, 3
Patients with asthma should bring their fast-acting ______ inhaler to be used prophetically or in the management of an acute asthmatic attack in the dental office
B2-agonist
Which of the following respiratory diseases is associated with irreversible airway obstruction?
Both B and C
Chronic bronchitis
Emphysema
Which of the following statements represents the primary advantage of the use of metered-dose inhalers (MDIs)?
The inhaled dose can be accurately measured
The first line of treatment for intermittent asthma is a
Short-acting B2-adrenergic agonist
Albuterol is a bronchodilator that can be administered via a metered-dose inhaler (MDI). It is recommended in prophylactically treating (preventing) chronic asthma
TRUE; FALSE
Which one of the following recommendations would you not make to your patients with asthma?
Avoid acetaminophen
Which of the following statements is true of leukitrienes (LTs)?
Both B and C are true
Its produced by cells of inflammation
It produces increased secretion of mucus and mucosal edema
_____ is the least toxic of all asthma nedications
Cromolyn
Which the following medications is used to treat persistent asthma and the bronchospasm associated with chronic bronchitis and emphysema?
Theophylline
A significant drug interaction occurs between theophylline and _____ that can result in toxic serum levels of theophylline
Erythromycin
The drug of first choice for emphysema is
Ipratropium
The term _____ refers to agents that are H1-blockers
Antihistamine
Which of the following common antihistamines produces the most sedation?
Diphenhydramine (Benadryl)
Antihistamines such as loratadine (Claritin) are non sedating because they
Do not cross the blood-brain barrier
Which of the following types of medication are considered first-line therapy for the treatment of moderate to severe allergic rhinitis?
Intranasal corticosteroids
Ipratropium bromide (Atrovent) is an intranasal _____ drug
Anticholinergic
Which of the following types of drugs is known to increase intraocular pressure if inadvertently placed in the eye?
Intranasal anticholinergic
Which type of medication is recommended for the treatment of intermittent asthma?
Short-acting B2-agonist
A high-dose inhaled corticosteroid is recommended for which form of asthma?
Severe persistant
Asthma is characterized by _____ airway obstruction, and chronic bronchitis by ____ airway obstruction
Reversible; Irreversible
Which of the following drugs is a mast cell stabilizer?
Cromolyn sodium (Nasalcrom)
_______ is a concern when administering local anesthetics with sulfating agents as a preservative for the vasoconstrictor
Bronchoconstriction
In status asthmatics, patients have persistent life-threatening
Bronchospasm
Diabetic gastroparesis can be treated with
Metoclopramide
Which of the following statements is true of metformin?
It lowers blood glucose but, used alone, does not produce hypoglycemia
Which oral anti diabetic agent requires administration for 6 to 14 weeks to achieve maximal therapeutic effect?
Rosiglitazone
The criterion for a diagnosis of diabetes mellitus includes a hemoglobin A1C value of _____% or higher?
6.5
The posterior pituitary secretes
Oxytocin
Increases in estrogen and progestin levels are associated with which oral lesion?
Gingivitis
Which of the following agents is categorized as a schedule III controlled substance?
Nandrolone
Which of the following medications is indicated for the palliative treatment of advanced breast cancer in postmenopausal women?
Tamoxifen
Each of the following is a potential consequence of hyper secretion of pituitary hormones except one. Which is the exception?
Diabetes insipidus
The medical use of bromocriptine (Parlodel) is to
Inhibit pituitary function
Which pituitary hormone is used to treat diabetes insipidus?
Vasopressin (Pitressin)
Which drug is used to treat symptoms of menopause and postmenopausal osteoporosis?
Raloxifene
The anterior lobe of the pituitary gland secrete growth hormone
TRUE
Which of the following statements is true regarding systemic complications of diabetes?
Both B and C are true
-Neuropathy is a complication of diabetes
-Gangrene can occur in peripheral extremities
Contributing factors to gangrene in the extremities of diabetic patients include
All of the above
-Poor eyesight
-Poor circulation
-Reduced sensation in the extremities
The primary goal of treating diabetes is to maintain hemoglobin A1C levels
As close to normal as possible (<7%)
Insulin is usually administered
By subcutaneous injection
Human insulin is made from pork insulin by
Transpeptidation
Which oral anti diabetic agent produces lactic acidosis as a significant adverse effect?
Metformin
Adverse reactions to metformin occur primarily in the
GI tract
The U.S. Food and Drug Administration (FDA) recommends checking serum alanine aminotransferase (ALT) levels before starting therapy with _____ and periodically thereafter
Thiazolidinediones
Which is considered first-line therapy for a patient with type 2 diabetes?
Diet and exercise
For every percentage point drop in hemoglobin A1C, the risk of microvascular complications decreases by ____%
40
Exenatide (Byetta) will lower hemoglobin A1C levels by ____%
1.00 to 1.5
Opioid withdrawal includes all signs and symptoms except:
Drowsiness
Codeine has all effects in usual therapeutic doses except:
Central nervous system excitation
Which route of administration will reduce the systemic distribution of opioids?
Oral
What is the major route of metabolism for the opioids?
Liver
What is the most commonly used opioid in dentistry?
Codeine
What is the usual cause of death in opioid overdose?
Respiratory depression
Which opioid family is most commonly used preoperatively or during general anesthesia?
Fentanyl family
_______ is the antiinfective drug of choice for prophylactic premeditation for a patient with artificial heart valves if the patient is not allergic to penicillin
Amoxicillin
What antiinfective agent is most likely to produce an allergic reaction?
Penicillin
Mr. Garza indicated in his medical history that he is taking isoniazid, pyrazinamide, and rifampin. What is the most likely reason he is taking these medications?
Tuberculosis
Which group of antiinfectives is commonly used to treat oral infections of periodontal origin?
Tetracyclines
Clindamycin is associated with the serious adverse drug effect of
Pseudomembranous colitis
Which class of antibiotics is structurally related to the penicillins and has similar mechanisms of actions and indications as the penicillins?
Cephalosporins
What are some advantages of amoxicillin over penicillin V?
Less frequent dosing
What is the primary advantage of penicillin V or penicillin VK over penicillin G?
Better oral absorption
All are common adverse effects of antiinfectives except:
Central nervous system depression
With a primarily anaerobic gram-negative infection, which antibiotic would be most effective?
Metronidazole
All are classifications of nonopijoid except:
Narcotics
All are adverse drug effects of aspirin except:
Constipation
The primary site of actions for nonopijoid analgesics is
At there peripheral nerve endings
Acetaminophen has these pharmacologic actions except:
Antuinflammatory
Aspirin is absorbed rapidly from:
Stomach and small intestine
Which analgesic would be best for a patient with asthma for relief of a headache or other mild to moderate pain?
Acetaminophen
NSAIDs and aspirin reduce inflammation by inhaling the synthesis of
Prostaglandins
NSAIDs are indicated for which conditions?
Osteoarthritis
What is the drug of choice for inflammatory dental pain?
Ibuprofen
Two drugs that are found to be chemically equivalent, but not biologically equivalent or therapeutically equivalent are said to differ in
Bioavailability
Two drug formulations that produce similar concentration in the blood and tissues after drug administration are termed ______ equivalent
Biologically
The route of administration of a drug affects
Both the onset and duration of response
When different drugs compete for the same receptor sites, the drug with the stronger affinity for the receptor will bind to
More receptors than the drug with the weaker affinity
When a drug has affinity for a receptor and produces no effect, it is called a(n)
Competitive antagonist
Which is true of a drug with a stronger affinity for a receptor site versus a drug with a weaker affinity for the same site?
A drug with stronger affinity is more potent than a drug with weaker affinity
A noncompetitive antagonist
Reduces the maximal response of the agnoist
The need for an increasingly larger dose of a drug to obtain the same effects as the original dose is
Drug tolerance
A patients perception that a pill without active ingredients is having a pharmacologic effect is termed
Placebo effect
What type of administration involves the injections of solutions into the spinal subarachnoid space?
Intrathecal route
What route is used to administer the tuberculosis skin test?
Intradermal
Which of the following routes of drug administration produces the most rapid response?
Intravenous
The movement of a drug from one site of the body to other sites is called
Distribution
Which organ is involved in the first-pass effect after oral administration of a drug?
Liver
Advantages of oral administration of a drug include all of the following except:
More predictable response than intravenous administration
What of the following choices is considered the safest, least expensive, and most convenient route of administering drugs?
Oral
An enteral route of administration would be:
Oral
Which term refers to the time required for a drug to begin to have its effect?
Onset
Other sets by this creator
Oral Pathology
14 terms
Oral Microbiology and Immunology
125 terms
Dental Anatomy
165 terms
Embryology and Histology
164 terms
Other Quizlet sets
Physics Final
12 terms
GAIT TRAINING
25 terms
Food Temperatures
26 terms
331 Exam 2
51 terms