Everything Flashcards

(70 cards)

1
Q

MOA of ASA

A

Irreversible COX1 and 2 inhibitor.

Reduces platelet production thromboxane A2

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2
Q

Effect of ASA in children

A

Reye’s Syndrome

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3
Q

Lethal dose in Aspirin Overdose

A

30g

60 ASA 500mg tabs

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4
Q

MOA of Ibuprofen

A

Nonselective reversible COX 1 and 2 inhibitor

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5
Q

Long term use effect of Ibuprofen

A

Reduce risk of colon cancer

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6
Q

Use of Ketorolac

A

A nonselective NSAID

Post surgical analgesic control- short term

Generally restricted to 72hours use only

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7
Q

COX 2 inhibitors that cause MI and stroke

A

Rofecoxib

Valdecoxib

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8
Q

Antidote for Acetaminophen toxicity

A

NAC

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9
Q

Lethal dose of Paracetamol toxicity

A

15g

30 paracetamol 500mg

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10
Q

Examples of DMARDs

A
Methotrexate
Infliximab
Azathioprine
Chloroquine
Cyclophosphamide
Cyclosporine
Mycophenolate mofetil
Sulfasalazine
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11
Q

MOA of Methotrexate

A

Inhibit AICAR transformylase and Thymidylate synthetase

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12
Q

Classifications of NSAIDs

A

Salicylates- aspirin
Nonselective NSAIDs- ibuprofen, indomethacin, ketorolac, piroxicam
COX 2 selective- celecoxib, etoricoxb, parecoxib

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13
Q

MOA of Infliximab

A

Binds to TNF-a and prevents it from activating TNF-a receptor

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14
Q

Side effect of Cyclophosphamide

A

Hemorrhagic cystitis

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15
Q

What alpha blocker is used preoperatively in px with pheochromocytoma? And why?

A

PHENOXYBENZAMINE

to prevent catecholamine (hypertensive) crisis

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16
Q

What are the classes of anti-arrhythmic drugs?

A

Class 1- Na channel blockers
Class 2- Beta adrenoceptor blockers
Class 3- K channel blockers
Class 4- Ca channel blockers

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17
Q

What are the non selective beta blockers?

A

N to Z

Nadolol
Pindolol
Propranolol
Timolol

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18
Q

What are the beta 1 selective antagonists?

A

A to M

Acebutolol
Atenolol
Betaxolol
Esmolol
Metoprolol
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19
Q

What drugs are both beta and alpha antagonists?

A

Carvedilol

Labetalol

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20
Q

Shortest acting beta blocker

A

ESMOLOL

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21
Q

Longest acting beta blocker

A

Nadolol

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22
Q

Which microbes are covered by first gen. Cephalosporins?

A

PEcKs FIRST

PROTEUS MIRABILIS
ESCHERICHIA COLI
KLEBSIELLA PNEUMONIAE

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23
Q

First gen. Cephalosporins

A

FADer, help me FAZ my PHarmacology boards!

CeFADroxil
CeFAZolin
CePHalothin
CePHaperin
CePHradine
CePHalexin
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24
Q

Cephalosporins: disulfiram reaction

A

Sec gen:
Cefamandole
Cefotetam

Third gen:
Cefoperazone

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25
Which microbes are covered by second gen. Cephalosporins?
HEN PEcKS ``` H. Influenzae Enterobacter aerogenes Neisseria spp. Proteus E. Coli K. Pneumoniae Serratia marcescens ```
26
Second gen. Cephalosporins
In a FAMily gathering,you see your FOXy cousin wearing a FUR coat and drinking TEA CeFAMandole CeFOXitin CeFURoxime CefoTEtan
27
Rapid IV infusion of Vancomycin leads to?
Red Man Syndrome Diffuse flushing Histamine release
28
What antibiotics are considered drugs of last resort?
I AM your Last Shot at Victory ``` Imipenem Amikacin Meropenem Linozelid Streptogramins Vancomycin ```
29
What antibiotic causes Myopathy? What laboratory parameter needs to be monitored?
Daptomycin Creatine phosphokinase
30
T or F: Aminoglycosides require oxygen for transport
T Ineffective against anaerobes
31
List of Aminoglycosides
Mean GNATS canNOT kill anaerobes ``` GENTAMICIN NEOMYCIN AMIKACIN TOBRAMYCIN STREPTOMYCIN ``` Nephrotoxicity Ototoxicity Teratogen
32
Most vestibulotoxic and nephrotoxic among aminoglycosides
Gentamicin and Tobramycin
33
Aminoglycoside: least resistance but with narrowest therapeutic window
Amikacin
34
Most ototoxic aminoglycoside
Kanamycin | Amikacin
35
Aminoglycoside used in drug resistant gonorrhea, gonorrhea in penicillin allergic px
Spectinomycin
36
Most nephrotoxic aminoglycoside
Tobramycin | Gentamicin
37
Aminoglycosides with skin reactions as SE
Neomycin Streptomycin
38
Weakly acidic compounds that have a common chemical nucleus resembling p-aminobutyric acid (PABA)
Sulfonamides
39
Classification of Sulfonamides
Short acting- SULFISOXAZOLE intermediate acting- SULFAMETHOXAZOLE Long acting- SULFADOXINE
40
Structurally similar to folic acid. A weak base that is trapped in acidic envt
Trimethoprim
41
1st generation Fluoroquinolones
Nalidixic acid Cinaxacin Rosoxacin
42
Second generation fluoroquinolones
Ciprofloxacin Ofloxacin Norfloxacin
43
Third generation fluoroquinolones
Levofloxacin Sparfloxacin Grepafloxacin
44
Fourth generation cephalosporins
Moxifloxacin Trovafloxacin Gemifloxacin Gatifloxacin
45
SE of Zidovudine
Bone marrow suppression
46
SE of Abacavir
Hypersensitivity
47
SE of Didanosine
Pancreatitis
48
SE of Stavudine, Zalcitabine
Peripheral neuropathy
49
An antiviral that inhibits neuraminidase.
Oseltamivir Anti-influenza
50
MOA of Interferon-a
Degrades viral RNA via activation of host cell RNAse (ribonuclease)
51
Contraindications of Interferon-a
Autoimmune disease, hx of cardiac arrhythmias, and pregnancy
52
DOC for pregnant px with malaria
Quinine
53
Severe complication of P. Falciparum malaria characterized by intravascular hemolysis, massive hemoglobinuria, and acute renal failure.
Blackwater fever
54
Antimalarial used in chloroquine resistant areas and an alternative to quinine in acute attacks of falciparum.
Mefloquine
55
DOC for uncomplicated falciparum malaria in the Philippines
Co-artem Arthemeter + lumefantrine
56
DOC for Asymptomatic intestinal infection of E.histolytica
Diloxanide furoate
57
A tissue amebicide given only when Metronidazole could not be used
Emetine
58
DOC for severe intestinal and extraintestinal amebiasis
Metronidazole
59
DOC for prevention and treatment of pneumocystosis
Co- trimoxazole
60
DOC for prophylaxis and treatment of Toxoplasmosis
Pyrimethamine-Sulfadiazine
61
What are the major inhibitory neurotransmitters?
GABA | GLYCINE
62
What are the major excitatory neurotransmitters?
Glutamate | Aspartate
63
A short acting benzodiazepine
Midazolam
64
Type of amnesia as a side effect of benzodiazepines
Anterograde amnesia
65
What abnormal sleep pattern results from the use of Benzodiazepines?
Decrease REM sleep
66
Benzodiazepine which is used as a date rape drug
Flunitrazepam
67
Benzodiazepine that has the longest half life
Chlordiazepoxide HL 36-200hrs
68
Shortest acting Barbiturate
Thiopental
69
What changes in the brain are seen in Wernicke- Korsakoff syndrome?
Hemorrhagic necrosis of the mamillary bodies
70
Drugs causing Hyperthyroidism
Clofibrate Amiodarone Methadone