Exam 2-Wk6

Question 1

Characteristics of

EPS

Answer 1

abnormal and involuntary motor movements

Question 2

Causes of

EPS

1 + example

Answer 2

• dopamine antgonists
  (metocloperamide)

Question 3

Causes of

Cardiac Arhythmias/Prolonged QT

2

Answer 3

• serotonin receptor antagonists
• ondansetron

Question 4

Causes of

Orthostatic Hypotension

3

Answer 4

• dopamine antagonists
• metocloperamide
• antiemetics

Question 5

Antacid Side Effects

Magnesium

2

Answer 5

• diarrhea
• hypermagnesemia

Question 6

Antacid Side Effects

Calcium

2

Answer 6

• constipation
• kidney stones

Question 7

Antacid Side Effects

Aluminum

2

Answer 7

• electroyte imbalance
• constipation

Question 8

Antacid Side Effects

Sodium Bicarbonate

2

Answer 8

• alkalosis
• hypernatremia

Question 9

GERD

Signs/Sx’s

2 Concerning ones

Answer 9

• heartburn
• dyspepsia
• belching
• chest pain
• nausea
  Concerning: unexplainde wt loss, dysphagia

dyspepsia: upset stomach

Question 10

GERD

Causes

3

Answer 10

• adults LES relaxation
• less saliva
• less esophageal mobility

Question 11

GERD

Exacerbation

non pharmacological

Answer 11

• caffeine
• ETOH
• carbonated beverages
• chocolate
• smoking
• pregnancy
• obesity

Question 12

GERD

Exacerbation

pharmacological-2

Answer 12

• beta blockers
• anticholinergics

Question 13

Diabetes T1

Signs/Sx’s

3

Answer 13

• Polyphagia
• Polydipsia
• Polyurea

polyphagia: increased hunger

Question 14

Diabetes T2

Risk Factors

7

Answer 14

• Family hx
• Obesity
• HTN
• elevated fasting glucose
• > 45 yrs old
• High triglycerides
• Hx of gestation diabetes

Question 15

Diabetes T2

Treatment

med classes of antidiabetics

Answer 15

• biguanides
• gliptins
• GLP-1 agonists
• SGLT2 inhibitors
• sulfonylureas

Question 16

Insulin

Rapid Acting

onset, peak, duration, give

Answer 16

Onset: <15-30 min
Peak: 1-3 hrs
Duration: 4-6 hrs
Give: before meal

Question 17

Insulin

Fast Acting

onset, peak, duration, give

Answer 17

Onset: 0-60 min
Peak: 2-4 hrs
Duration: 6-8 hrs
Give: 30 min before meal

Question 18

Insulin

Intermediate Acting

onset, peak, duration, give

Answer 18

Onset: 1-2 hrs
Peak: 6-10 hrs
Duration: 12-12+ hrs
Give: bid

Question 19

Insulin

Long Acting

onset, peak, duration, give

Answer 19

Onset: 1.5 hrs
Peak: none
Duration: 24 hrs
Give: once or bid

Question 20

DI

What is it?

Answer 20

Diabetes Insipidus: ADH deficiency

Question 21

DI

Signs

2

Answer 21

• pale urine
• very thirsty

Question 22

DI

Causes

2 body systems, 1 medication

Answer 22

• Neurogenic: brain hormone
• Nephrogenic: kidneys don’t respond
• Lithium

Question 23

Excess ADH

Signs/sx’s

Answer 23

• fluid retention
• increased urine osmolarity
• muscle cramps
• weakness
• headache
• lethargy
• N/V

Question 24

Excess ADH

Treatment

Answer 24

• fluid restriction
• diuretics
• vasopressin receptor antagonists

Question 25

What is DDAVP

Answer 25

desmopressin

Question 26

# DDAVP Indications

Answer 26

* vasoconstriction * williebrands disease * enuresis prevention | enuresis= bedwetting

Question 27

# Thyrotoxicosis Drugs contraindicated | 2

Answer 27

* aspirin * amiodarone

Question 28

# ACTH too much

Answer 28

cushings disease

Question 29

# ACTH too little

Answer 29

adrenal insufficiency

Question 30

# Aldosterone too much

Answer 30

hyperaldosteroneism

Question 31

# Aldosterone too little

Answer 31

addison's disease

Question 32

# Cushings Disease Causes | 3

Answer 32

* too much ACTH * long-term use of steroids * adrenal tumer

Question 33

# Cushings Disease Signs/Sx's

Answer 33

* wt gain * red cheeks * thinning skin * bruising easily * fat accumulation on upper back * HTN * hyperglycemia * mood changes

Question 34

Labs to monitor kidney levels | 3

Answer 34

* GFR * Creatinine * BUN