Final Exam Questions Flashcards by Abagayle Moody

Bacteria in early infections:

Gram positive aerobes

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Oral side effects with Beztropine?

Xerostomia

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What patient would NOT be a good candidate for short course NSAIDs?

End stage kidney dx

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Pathogen for infective endocarditis?

Strep

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How would you prescribe amoxicillin?

Drug: Amox
Dose: 500mg
#: 4 capsules
Direction: By mouth x1

Amox 500mg, 4 caps po x1

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Which med should you NOT hold morning of?

You would not hold long-acting /ultra-long acting insulin such as Glargine and Degludec

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Which is NOT an NSAID?

Acetaminophen (APAP)

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Which antidepressant drug class may cause bruxism?

SSRIs
- Fluoxetine (Prozac)
- Paroxetine (Paxil/Pexeva)
- Sertaline (Zoloft)
- Citalopram (Celexa)
- Escitalopram (Lexapro)

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Diabetes can increase:

Risk of infection an periodontitis

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What agent might be given for a LATER odontogenic infection?

Augmentin

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What meds should be avoided if opioid therapy is warranted for dental pain management?

Diazepam

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Which insulin causes Hypoglycemia?

Insulin Aspart

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Oral antidiabetic medications most likely to cause hypoglycemia?

Sulfonylureas
- Glimepiride
- Glyburide
- Glipizide

Meglitinides
-Nataglinide
- Repaglinide

GLYBURIDE MOST LIKELY

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Which antibiotics should NOT be used in pregnancy?

Doxy

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What best explains why amoxicillin is dosed 3x daily?

8 hour half life and time dependent

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Antidepressant that’s MOA is both NE and dopamine re-uptake inhibition?

Wellbutrin

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Medication that is most likely to contribute to the development of dose-related thrombocytopenia?

Valproic acid

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Antipsychotics that can be associated with both dry mouth and sialorrhea?

Clozapine

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Medication used to manage HIV?

Genvoya

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If a patient has a sulfa allergy you would not give them

zonisamide

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MOA for Lorazepam?

GABA-A receptor agonist

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Need for adjunctive systemic antibiotics in a patient with a perio abscess that presents with:

systemic symptoms

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Drug interaction with Warfarin:

FLuconazole

(ASA/NSAIDs)

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Monoclonal antibody:

Denosumab (anything ending in “mab”)

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MOA of Buspirone:

5HT receptor partial agonist

Antibiotic that kill strep (gram +), oral gram negative and bacteriodes?

Augmentin

Oral side effects with antidepressants?

Xerostomia

What would be the best for treating a patient who becomes unconscious with hypoglycemia?

Glucagon IV 1mg

Prescription for 4 year old weight 37lbs:

Amox 125mg

Warrants antibiotic prophylaxis in high risk patient:

maniuplation of gingival tissues

Side effects of paroxetine following treatment?

Nausea, Vomitting, Diarrhea, headache, & insomnia

What labs do you want to get prior to a patient starting Gabapentin?

Renal function test

Cathinones are derived from which plant?

Khat

Ideal characteristic of anesthetic agents?

Amnestic effect

Which designer drugs are detected on a drug screen?

None

Which of the following anesthesia medications is a negative ionotrope?

Propofol

Best drug for patient with xerostomia and mild candidiasis?

Nystatin

Patient is on once weekly azithromycin, what is this indicative of?

HIV

Patients taking acetaminophen should be educated regarding the following?

Do not take more than one med that contains APAP

What medication has a really high potential for drug interactions?

Fluconazole

Medication of choice for anxiety disorders including generalized anxiety disorder, panic disorder, and social anxiety disorder?

Escitalopram

Which drug is common for treatment of hyperthyroidism?

Methimazole (Tapazole) Prophylthiauracil (PTU)

Bevacizumab is associated with the following effects:

Increased bleeding

Cavulonic acid will increase amoxicillin activity if a bacteria is resistant to _____

Beta lactamases

How long should citalopram be continued after first episode of depression?

9-12 months

Oral antidiabetic agent most likely to cause hypoglycemia?

Nateglinide (Meglitinide) (also Repaglinide) (Also sulfonylureas like glimepiride, glyburide, & glipizide)

Med used to treat hyperthyroidism?

Proplythiouracil

Patient has Addisons dx, what treatment for stress prophylaxis to minimize risk of adrenal crisis?

None indicated

EPS:

Tardive dyskinesia (common side effect of anti-psychotics)

Best option to prescribe to begin 24 hours BEFORE extractions as an initial pain management :

Ibuprofen

MOA of rispieridone?

D2/5HT antagonist

What anti epileptic drug commonly causes gingival hyperplasia?

Phenytoin

Pure opioid antagonist:

Naloxone

What anti-infective drug has a lot of interactions with other drugs?

Erythromycin

What drug can potentially decrease Calcium and Vitamin D?

Valproic acid (anti-convulsant)

Denosumab inhibits:

RANKL

MOA fluconazole

Conversion to ergosterol

Side effect of Zoloft that is NOT transient?

Sexual dysfunction

MOA of Nystatin?

Binds to ergosterol

Cytochrome P450:

3A4

Azithromycin dosed once a day because it is:

Concentration dependent

Antiretroviral lipid changes and fat redistribution:

Protease inhibitors

Meds for best coverage of anaerobic bacteria:

Metronidazole

Chemotherapy with tooth pain:

Oxaloplatin

Abscess formation is due to:

Bacteroides

Drug that causes immunosuppression:

Methotrexate

IV anesthetic causing adrenal suppression due to 11-beta:

Etomidate

Antidepressant 1st line therapy:

SSRIs and SNRI

Maximum dose of acetaminophen per day:

Type 2 DM drug of choice:

Metformin

Antibiotic associated with HIGH c-dff presence:

Clindamycin

Antidepressant medication that you can OD with on a 7 day supply:

Amitriptyline

Anything ending in "tide"

GLP-1

MOA of Aripiprazole:

D2- partial agonist (Anti-psychotic for schizophrenia)

Potentent alpha 2 receptor agonist:

Precedex

When should you avoid Keflex?

Blistering skin rxn

Ingested K2:

Synthetic cannabinoids

Education for patients taking prednisone?

Take in the morning (insomnia)

Zometa MOA:

Osteoclast ruffled border

Maintains airway:

ketamine

Adverse effect of dapagliflozin (SGLT2) (Flozins):

UTIs and Yeast infections and gangrene of the d

Adverse effects have been reported after synthetic cannabinoid use:

all of the above

Avastin mechanism of action:

Blocks VegF and angiogenesis

Antipsychotics that causes your to be HUGE, Hyperglycemia and hyperlipidemia:

Queitiapine (Seroquil)

Management of agitation:

Benzo

MOA for metformin:

Decreases hepatic glucose production

Over supplementation thyroid treatment:

Sweating and nervousness, tachycardia and difficulty sleeping

Fludrocortisone is a:

Mineralocorticoid

Strep viridian has high resistance to:

Azithromycine

Increase nephrolithiasis is caused by what drug?

Topiramate

Anti-epileptic medication that is considered a controlled substance:

Phenobarbital (also pregabalin, clonazepam, and clobazam)

Final Exam Questions Flashcards

(92 cards)