Exam 3- OEQ

Question 1

what is the proposed mechanism of action of apripiprazole (Abilify) for treating schizophrenia?

Answer 1

D2 parital agonist/5HT2a antagonist

Question 2

What common side effect do Pregabalin (lyrica) and sertaline (zoloft) have in common when being used to treat generalized anxiety?

Answer 2

weight gain

Question 3

What is a proposed mechanism of action of Lorazepam (Ativan) for treating anxiety?

Answer 3

GABA-A receptor Agonist

Question 4

What is the proposed mechanism of action of Risperidone (Risperdal) for treating schizophrenia?

Answer 4

D2 antagonist/5HT2a antagonist

Question 5

Which antipsychotic has the greatest risk of causing metabolic side effects such as weight gain, hyperglycemia and hyperlipedima?

Answer 5

quetiapine (seroquel)

Question 6

What is the proposed mechanism of action of haloperidol (halidol) for treating schizophrenia?

Answer 6

D2 antagonist

Question 7

Which benzodiazepine would be most appropriate to give 15-20 min prior to a dental procedure to manage anxiety?

Answer 7

Triazolam (Halcion)

Question 8

Why does Alprazolam (Xanax) have a higher risk of abuse compared with Clonazepam (Klonopin)?

Answer 8

Alprazolam (Xanax) has a faster onset effect

Question 9

Why does Clonazepam (Klonopin) have a lower risk of abuse compared with Alprazolam (Xanax)?

Answer 9

Clonazepam (Klonopin) has a longer duration of effect

Question 10

What is the reason a patient with a psychiatric illness is taking deutetrabenazine (austedo) medication?

Answer 10

For tardive dyskinesia (TD)

Question 11

Which statement correctly identifies a second generation antipsychotic (Haloperidol/Haldol) (Chlorpromazine/Thorazine)?

Answer 11

A&C

Low risk of extrapyramidal symptoms (EPS) such as dystonia, pseudoparkinsonism, and akathisia

-Low risk of Tardine dyskinesia (TD)

Question 12

What medication is the treatment of choice for anxiety disorders including generalized anxiety disorder, panic disorder, and social anxiety disorder?

Answer 12

Paroxetine (Paxil)

Question 13

Which antipsychotics have the greatest potential to prolong the QT interval and cause cardiac arrhythmias?

Answer 13

Clozapine (Clozaril) and Chlorpromazine (Thorazine)

Question 14

Proper disposal of short acting opioids includes all of the following options except:

Answer 14

Flush unused tablets down the toilet

Question 15

Which of the following is true regarding PDMP?

Answer 15

Reduces prescription drug misuse, abuse an diversion while ensuring patients have access to safe, effective treatment

Question 16

Patients may experience increased CNS depression from benzodiazepines when suffering from uncontrolled:

Answer 16

Hypothyroidism

Question 17

Patients may experience increased effects from epinephrine when suffering from:

Answer 17

Uncontrolled hyperthyroidism

Question 18

Acetominophen has which of the following properties?

Answer 18

Analgesic and Antipyretic

Question 19

Which of the following is indicated to treat hyperaldosteronism?

Answer 19

Spironolactone

Question 20

Naloxone can be given:

Answer 20

Every 2-3 minutes

Question 21

You give a patient hydrocodone/acetominophen. What should you educated her about before sending her home?

Answer 21

All of the above:

-How medication will effect you
-Do not drink alcohol or take other meds that cause drowsiness
-potential medical abuse

Question 22

Which of the following is a pure opioid antagonist that blocks opioid receptors and is used to reverse opioid overdoses?

Answer 22

Naloxone

Question 23

NSAIDs are contraindicated or should be used with caution in patients with which of the following conditions?

Answer 23

Chronic kidney disease

Question 24

Which of the following medication is not recommended for children under 12 years of age?

Answer 24

Tramadol or Codeine

Question 25

Sierra is a 42yo undergoing endo for tooth #15, which has irreversible pulpitis and is extremely percussion sensitive. She reports she has HTN but is otherwise healthy. Her BP is currently well controlled. She reports the only medication she takes is amlodipine. She reports NKDA. Which of the following is the best pain management regimen?

Answer 25

Ibuprofen 600mg 4x daily with aceptominophen 650mg 4x daily for 48-72hrs post procedure then prn

Question 26

Acetominophen is contraindicated in which of the following conditions?

Answer 26

alcoholic liver disease

Question 27

ST, a 24yo white male was given hydrocodone/acetominophen after having his 3rd molars removed. Before ST leaves the office you should educate him/his caregiver on which common side effect?

Answer 27

Constipation

Question 28

Pt in pain and has a history of NSAID induced GI bleed, CKD- stage III, active hepatitis C, and MI in 2014. NKDA, which of the following is the best pain management regimen?

Answer 28

Oxycodone 5mg q6hrs prn with a three day supply

Question 29

Which of the following medications is used for chronic neuropathic pain and has been used for pre-op and peri-op analgesia in dental school and other surgical procedures?

Answer 29

Pregabalin (Lyrica)

Question 30

When prescribing an oral corticosteroid for its anti-inflammatory effects to treat an inflammatory dental condition, what instructions should be provided for administration?

Answer 30

A&B -GI upset is a common adverse reaction -Take in the morning with food

Question 31

Therapeutic qualities of corticosteroids include:

Answer 31

Anti-inflammatory

Question 32

What is a realistic pain goal?

Answer 32

30-50% pain reduction

Question 33

Opioid script contains all except:

Answer 33

Patients age (does include- patients full name and address, doctors full name and address)

Question 34

What is the proposed mechanism Latuda (schizo drug)?

Answer 34

D2 antagonist/5HT2a antagonist

Question 35

Which of the following is the mechanism of action for Naproxen?

Answer 35

NON-selectively inhibits COX-1 and COX-2 which inhibits prostaglandin synthesis

Question 36

What are the side effects of Clozapine (Clozaril)?

Answer 36

1. Sialorrhea (slobbering) 2. Dry mouth 3. Hypersalivation

Question 37

Wha is the max dosafe for acetominophen?

Answer 37

4000 mg

Question 38

Which treatment initiated 24hrs before a dental procedure decreases post-op edema and improves healing time?

Answer 38

Ibuprofen

Question 39

Acetominophen effect?

Answer 39

Constipation

Question 40

Patient is hypertensive but otherwise healthy, what can she take after a tooth extraction?

Answer 40

acetominophen and oxycodone (no ibuprofen)

Question 41

Pt is taking acetominophen. What would be the most important thing you should tell her?

Answer 41

Do not take more than one medicine at a time

Question 42

What drug should you avoid taking with an opioid?

Answer 42

Dapezium

Question 43

Pregabalin (lyrica) and gabapentin share what?

Answer 43

no oral side effects

Question 44

What is the proposed mechanism of action of Diazepam (Valium) for treating anxiety?

Answer 44

GABA-A receptor agonist

Question 45

What should you NOT take with acetominophen?

Answer 45

1. Leflunomide (RA medication) 2. Methotrexate (RA medicaiton) 3. Carbamazepine (Anti-convulsant)

Question 46

What is the max recommended daily dose for acetaminophen?

Answer 46

LESS than 3g daily for adulys 2-3g daily for elderly

Question 47

What patient risk factors are important to assess when treating patients with NSAIDs?

Answer 47

1. hx of GI problems and GI risk factors 2. cardiovascular conditions and CV risk factors 3. renal dysfunction (all of the above)

Question 48

GABA-A is coupled to what channels and is the mechanistic target for the therapeutic benefits of benzodiazepines?

Answer 48

Chloride

Question 49

Which of the following medications has been associated with the development of seizures?

Answer 49

1. Clozapine 2. Carbamazepine 3. Buproprion (all of the above)

Question 50

ions may cross cellular membranes by one of the three mechanisms which includes, ion pumps, ligand-gated channels and:

Answer 50

voltage-gated channels

Question 51

The action potenial depolarization phase begins with an influx of which one of the following?

Answer 51

Sodium

Question 52

which of the following adjunctive pain medications is an anticonvulsant often used to treat neuropathic pain?

Answer 52

Gabapentin

Question 53

What would you prescribe to a patient who experienced their FIRST schizophrenic episode?

Answer 53

Apiprazole (Abilify)

Question 54

Which drug is well suited for treating REFRACTORY schizophrenia?

Answer 54

Clozapine

Question 55

What is the primary advantage for using a second generation antipsychotic over first generation?

Answer 55

No risk of EPS

Question 56

EEG activity 1-2MAC was seen with which anesthetic?

Answer 56

Etomidate (sevoflurane)