medications

Question 1

problem with chronic benzos + opioids

Answer 1

CNS depression, leading to respiratory failure and AMS. Don’t prescribe both to patients.

Question 2

duonebs

Answer 2

Ipratropium bromide/albuterol

Question 3

other sleep med option

Answer 3

mirtazapine (remeron)

Question 4

other meds to avoid in elderly

Answer 4

NSAIDS

Question 5

what’s in tylenol PM

Answer 5

benadryl

Question 6

med to give for slow VT

Answer 6

lidocaine

Question 7

b52

Answer 7

B52- bendaryl 25/haldol 5/ativan 2

Question 8

best sleeping med for PTSD patients

Answer 8

trazodone

Question 9

when to be careful with ibuprofen

Answer 9

Kidney disease
surgery planned
GI bleed
anticoagulated

Question 10

use of prazosin

Answer 10

PTSD nightmares

Question 11

med for excessive salivation

Answer 11

glycopyrrolate

Question 12

meds that count as inpatient anticoagulation

Answer 12

NOAC’s or warfarin. (Plavix does not count).

Question 13

norepi

Answer 13

potent vasopressor with some positive inotropic properties

Question 14

dopamine

Answer 14

its effect varies based upon the dose range administered. At low doses, it has primarily positive inotropic effects but at higher doses it stimulates alpha adrenergic receptors, resulting in vasoconstriction and increased systemic vascular resistance. ***This may produce an undesirable elevation in pulmonary capillary wedge pressure (PCWP). The minimum required dose should be used.

Question 15

effect of dobutamine as a pressor

Answer 15

inotrope that also produces vasodilation

Question 16

phenylephrine

Answer 16

pure alpha agonism

Question 17

meds covering community acquired mrsa

Answer 17

clindamycin, trimethoprim/sulfamethoxazole (TMP/SMX; Bactrim, Septra), a tetracycline (doxycycline or minocycline [Minocin]), and linezolid (Zyvox)

Question 18

levofed generic name

Answer 18

norepi

Question 19

fibrinolytic drugs

Answer 19

tissue plasminogen activator (tPA), streptokinase (SK), and urokinase (UK)

Question 20

anuria definition

Answer 20

less than 100CC

Question 21

oliguria definition

Answer 21

less than 400 cc

Question 22

dysphagia differential

Answer 22

globus vs. foreign body/food impaction (acute onset) vs. peptic or esophageal stricture vs. neuromuscular disorder vs. esophageal ring vs. functional dysphagia

Question 23

acute tachycardia management

Answer 23

In route: 1) 12-lead 2) vitals and trend 3) access 4) get cardiac monitor → Go see pt → assess airway/breathing + O2 step-up if hypoxemic → assess for instability (under pearls/pitfalls), synchronized cardioversion if need be → look at BP/HR trend → interpret EKG.

Question 24

normocytic anemia ddx

Answer 24

ARF (anemia of chronic renal disease) vs. dilutional vs. hospital acquired anemia (new since hospitalization) vs. ACD vs. overt blood loss

Question 25

twinrix

Answer 25

hep A and B vaccine

Question 26

spiriva

Answer 26

tiotropium

Question 27

combination albuterol/tiotropium inhaler

Answer 27

combivent

Question 28

COPD diagnosis cutoff

Answer 28

FEV1/FVC ratio less than 70% in someone with symptoms of COPD defines a person as having the disease.

Question 29

LAMA

Answer 29

tiotropium

Question 30

psoriasis management

Answer 30

Emollient (Eucerin, lubriderm, aquaphor, vaseline)
Salicylic acid
IF localized → topical steroids
IF severe → topical vitamin D and vitamin A derivatives (calcipotriene + tazarotene) + anthralin derivatives + methotrexate
consider biologics (infliximab, etanercept, efalizumab, alefacept)
IF >30% of body involved → UV light

Question 31

common drug used for pruritus

Answer 31

doxepin

Question 32

atopic dermatitis treatment

Answer 32

Keep skin moist with emollients
avoid hot water + drying soaps
Topical steroids
Treat pruritus with Antihistamines OR doxepin
Phototherapy
IF impetiginization of skin → antistaphylococcal antibiotics
IF using a lot of steroids → Use topical immunosuppressants (tacrolimus and pimecrolimus) intermittently to decrease dependence on steroids

Question 33

metoprolol succinate, tartrate

Answer 33

• succinate is long acting (extended release) = toprol

- tartrate = lopressor

Question 34

imdur generic name

Answer 34

isosorbide mononitrate

Question 35

brilinta generic name

Answer 35

ticagrelor

Question 36

major side effect of norepi (levofed)

Answer 36

limb ischemia