741: Week 8 Lab Quiz

Question 1

Levothyroxine (brand)

Answer 1

Synthroid

Question 2

Levothyroxine (indication)

Answer 2

Hypothyroidism

Question 3

Levothyroxine (adverse effects)

Answer 3

Box warning: not for use for weight reduction
None >10%

Question 4

Levothyroxine (counseling)

Answer 4

Avoid abrupt discontinuation
Take on an empty stomach with water at least 30 minutes before food
Avoid antacids and iron within 4h of dose

Question 5

Liraglutide (brand)

Answer 5

Victoza

Question 6

Liraglutide (indication)

Answer 6

Type 2 diabetes
Chronic weight management

Question 7

Liraglutide (adverse effects)

Answer 7

Box warning: increased risk of thyroid cancer
Diarrhea
Hypoglycemia

Question 8

Liraglutide (counseling)

Answer 8

Monitor blood glucose (typically daily), change needle for each injection

Question 9

Metformin (brand)

Answer 9

Glucophage

Question 10

Metformin (indication)

Answer 10

Type 2 diabetes

Question 11

Metformin (adverse effects)

Answer 11

Box warning: lactic acidosis
Diarrhea
Flatulence
Malabsorption
Asthenia

Question 12

Metformin (counseling)

Answer 12

Take with meals
Drink with plenty of liquids
Avoid alcohol

Question 13

Methocarbamol (brand)

Answer 13

Robaxin

Question 14

Methocarbamol (indication)

Answer 14

Musculoskeletal pain/spasm

Question 15

Methocarbamol (adverse effects)

Answer 15

Somnolence

Question 16

Methocarbamol (counseling)

Answer 16

Avoid activities requiring mental alertness until drug effects are realized

Question 17

Methotrexate (brand)

Answer 17

Trexall

Question 18

Methotrexate (indication)

Answer 18

Non-hodgkin’s lymphoma
Psoriasis
Rheumatoid arthritis

Question 19

Methotrexate (adverse effects)

Answer 19

Myelosuppression
Alopecia
Stomatitis
Photosensitivity
Rash

Question 20

Methotrexate (black box warnings)

Answer 20

Bone marrow suppression
Renal impairment
Hepatotoxicity
Pneumonitis
GI toxicity
Secondary malignancy
Tumor lysis syndrome
Dermatologic toxicity
Opportunistic infection
Radiotherapy
Pregnancy

Question 21

Methotrexate (counseling)

Answer 21

Avoid sun exposure
May take with food

Question 22

Montelukast (brand)

Answer 22

Singulair

Question 23

Montelukast (indication)

Answer 23

Asthma
Seasonal allergic rhinitis
Exercise-induced bronchoconstriction

Question 24

Montelukast (adverse effects)

Answer 24

Box warning: behavior and mood-relate effects
None >10%

Question 25

Montelukast (counseling)

Answer 25

Not for acute asthma attacks Do not discontinue or decrease of other asthma medications until discussing with your doctor

Question 26

Mirtazapine (brand)

Answer 26

Remeron

Question 27

Mirtazapine (indication)

Answer 27

Depression

Question 28

Mirtazapine (adverse effects)

Answer 28

Box warning: suicidality Box warning: not for use in children

Question 29

Mirtazapine (counseling)

Answer 29

Avoid activities requiring mental alertness until drug effects are realized Take in evening prior to sleep

Question 30

Nifedipine (brand)

Answer 30

Adalat CC, Procardia XL

Question 31

Nifedipine (indication)

Answer 31

Hypertension Variant angina Chronic stable angina

Question 32

Nifedipine (adverse effects)

Answer 32

Box warning: STEMI Box warning: cardiogenic shock Box warning: concurrent use with CYP3A4/5 inducers Flushing Dizziness Weakness Dyspepsia

Question 33

Nifedipine (counseling)

Answer 33

Take on an empty stomach Avoid sudden discontinuation (rebound HTN) Avoid grapefruit juice

Question 34

Niacin (brand)

Answer 34

Niaspan, Slo-niacin

Question 35

Niacin (indication)

Answer 35

Dyslipidemia

Question 36

Niacin (adverse effects)

Answer 36

Flushing

Question 37

Niacin (counseling)

Answer 37

Avoid with alcohol or warm drinks Take at bedtime with a low-fat snack

Question 38

Nitroglycerin SL (brand)

Answer 38

Nitrostat Minitran Nitro-Dur

Question 39

Nitroglycerin SL (indication)

Answer 39

Angina Anal fissure

Question 40

Nitroglycerin SL (adverse effects)

Answer 40

None >10%

Question 41

Nitroglycerin SL (counseling)

Answer 41

Be sitting prior to taking medication Rise slowly from sitting positions Allow for 10-12h nitro-free interval Do not take with PDE-Is