Exam 1

Question 1

What are schedule 2 opioids?

Answer 1

Fentanyl, hydromirphone, methadone, morphine, oxymorons, & oxymorphone

Question 2

Cyclobenzaprine

Answer 2

Centrally acting skeletal muscle relaxant
Depressed motor activity in the brain stem
Reputable inhibitor similar to TCAs

Question 3

What to give a patient with EPS?

Answer 3

Benzotropine (cogentin)

Anticholinergic

Question 4

Common skeletal muscle relaxants

Answer 4

Cuclobenzaprine
Baclofen

GABA agonists

Question 5

Imidazolines

Answer 5

Skeletal muscle drug

-Nidine

Question 6

Can benzodiazepines treat skeletal muscle hyperactivity?

Answer 6

Yes

Question 7

Most important skeletal muscle relaxant?

Answer 7

Dantrolene
-interferes with calcium release from skeletal muscle

RISK FOR HEPATOTOXICITY

Question 8

Neuromuscular blockers

Answer 8

Are depolarizing or nondepolarizing

Question 9

Succinylcholine

Answer 9

Depolarizing blocker at NMJ
Prevents voluntary contraction

OD/ overrelaxation: causes difficulty swallowing and breathing

Risk for malignant hyperthermia

Question 10

Dantrolene sodium (Dantrium)

Answer 10

Antispasmodic for head and neck

Interferes with release of calcium from skeletal muscle

Helps preoperatively < probability of malignant hyperthermia

Hepatoxicity

Question 11

What is the preferred drug to treat partial and tonic clonic seizures?

Answer 11

Carbamazepine

Question 12

Two drugs that treat all seizures

Answer 12

Valproic acid

Lamotrigine

Question 13

Risperidone side effects

Answer 13

Increased prolactin levels

Question 14

Atypical antipsychotics have what endings?

Answer 14

• pine (Clonzapine)

- done (Risperidone)

Question 15

Buspirone

Answer 15

Sleep aid

Question 16

Zolpidem (Ambien)

Answer 16

Good to help sleep through early morning hours

OD? - use flumazenil

Question 17

Sympathominetics/catecholamines,noncatecholamines

Answer 17

Epi, NE, DA

Phenlyphrine- nasal decongestant only alpha 1 Receptors

Constricts blood vessels

Question 18

Alpha Adrenergic Antagonists

Answer 18

Prazosin (minipress)
Antihypertensive

Phentolamine treats MAOI crisis

Mostly used for antihypertension

Question 19

Propranolol

Answer 19

Beta1 and 2 blocker

Treats hypertension, HF

Question 20

What is more addictive
Buprenorphine or

Pentazocine. Butophenol

Answer 20

Pentazocine and butophenol
Block Mu receptor
but use Kappa

Question 21

Atypical Antipsychotics end in

Answer 21

• pine Clonzapine

- done

Question 22

DA-serotonin System Stabilizers

Answer 22

Atypical Antipsychotic
Abilify

End in

-ZOLE

Question 23

Cymbalta

Answer 23

Atypical antidepressant

SNRI

Treats neuropathic pain

Question 24

Phenobarbitol can have what symptoms

Answer 24

Death lol

Agranulocytosis

Steven-Johnson’s syndrome

Question 25

Adjuvant analgesics

Answer 25

Tregretol- treats trigrminal neuropathy Valproic acid: treats migraines Gabapentin: posttherpeutic neuroglia

Question 26

Phenelzine (Nardil)

Answer 26

MAOI

Question 27

Volatile liquids have what ending

Answer 27

-fluranes Cause surgical level anesthesia Excellent muscle relaxant Don’t give with catecholamines

Question 28

Lennox- GASTAUT

Answer 28

Bad seizures treated with valproic acid

Question 29

Valproic acid is really bad for your

Answer 29

LIVER

Question 30

Mechanisms of action for anti seizure

Answer 30

STIMULATE Cl- into cell DELAY INFLUX NA AND CA

Question 31

Taurine

Answer 31

< glutamate

Question 32

What prevents malignant hyperthermia?

Answer 32

Dantrolene

Question 33

Succinylcholine

Answer 33

DEPOLARIZING Neuromuscular blocker Intubation necessary

Question 34

How to treat lidocaine overdose?

Answer 34

Lipid Transfusion

Question 35

Immunomodulators

Answer 35

Interferons Glantiraner

Question 36

Donepezil

Answer 36

> Ach Only works if Neurons aren’t dead-> can’t use in later dementia Cholinergic effects Alzheimer drugs also < glutamate

Question 37

Benztropine (cogentin)

Answer 37

Antiparkensins drug Centrally acting Cholinergic receptor blocker Anticholinergic side effects dry mouth, constipation, tachycardia

Question 38

Efffects if antiparkinson’s drugs

Answer 38

``` Acute MI SHOCK NMS Hallucinations Angranulocytosis Depression EPS LIVER FAILURE ```

Question 39

What bests relieves positive schizophrenic symptoms

Answer 39

Phenithiazines -AZINE