Sarah Michelle's Pharm Review

Question 1

SSRI choice for the elderly

Answer 1

Zoloft, (sertraline) low side effect profile

Question 2

SSRI that is weight neutral, therefore good for patients with eating disorders such as bulimia

Answer 2

Prozac (fluoxetine)

Question 3

Most sedating of the SSRI’s, also used in menopause and OCD

Answer 3

Paxil (paroxetine)

Question 4

Two common SNRI’s

Answer 4

1. Effexor (venlafaxine)

2. Cymbalta (duloxetine)

Question 5

Side effect profile of SNRI’s

Answer 5

HTN, avoid in patients with HTN

Question 6

Off label use of tricyclics

Answer 6

Treatment of neuropathic pain

Question 7

What body system is adversely affected by tricyclics?

Answer 7

Can cause problems with cardiac conduction

Question 8

What are MAOI’s reserved for?

Answer 8

Refractory or atypical depression

Question 9

Patient’s taking MAOI’s should avoid

Answer 9

1. Grapefruit juice
2. Foods high in tyramines
3. ETOH

Question 10

HTN crisis can be found in patients taking what antidepressant class?

Answer 10

MAOI’s

Question 11

Toxic lithium level

Answer 11

> 2.0

Question 12

Lithium affects what electrolyte

Answer 12

Sodium

Question 13

Goiter and hypothyroidism are seen in what what medication used to treat bipolar?

Answer 13

Lithium

Question 14

Seizure med associated with hair loss and weight gain

Answer 14

Valproic acid

Question 15

Seizure med associated with gingival hyperplasia and hirsutism

Answer 15

Dilantin

Question 16

Seizure med associated with bone marrow suppression, also treats trigeminal neuralgia

Answer 16

Tegratol (carbamazepine)

Question 17

Seizure/migraine med associated with benefit of weight loss, but also may cause kidney stones

Answer 17

Topamax

Question 18

Tricyclic used for migraine prophylaxis

Answer 18

Elavil (amitriptyline)

Question 19

Triptans should not be used in patients with

Answer 19

1. Uncontrolled HTN
2. MAOI use
3. CAD

Question 20

1st line treatment of bacterial sinusitis

Answer 20

Augmentin

Question 21

1st line treatment for mastitis

Answer 21

Dicloxacillin

Question 22

What side effects are the macrolides notorious for?

Answer 22

GI upset

Question 23

Three CAT B antibiotic classes for pregnant women

Answer 23

1. PCN’s
2. Cephalosporins
3. Macrolides

Question 24

Black box warning of Bactrim

Answer 24

SJS

Question 25

Antibiotic associated with photosensitivity

Answer 25

Tetracyclines

Question 26

Antibiotic used for TB, may turn secretions red

Answer 26

Rifampin

Question 27

Treatment options for purulent cellulitis hint (BCD)

Answer 27

Bactrim, Clindamycin, Doxy

Question 28

In term of kidney function and GFR, when should an ACE be discontinued?

Answer 28

If the GFR drops 30% of baseline GFR

Question 29

Cardiac drug known to be ototoxic if given to quickly

Answer 29

Lasix

Question 30

Adverse side effect in men due to spironolactone use

Answer 30

Gynecomastia

Question 31

Digoxin therapeutic range

Answer 31

0.5-0.8

Question 32

Associated with long term effects such as thyroid issues, eye issues, and pulmonary toxicity

Answer 32

Amiodarone

Question 33

Toxic digoxin level

Answer 33

> 2

Question 34

Electrolyte imbalance that may affect digoxin level

Answer 34

Hypokalemia

Question 35

Normal and therapeutic INR

Answer 35

1, and 2-3

Question 36

INR level of 5-10, vitamin K?

Answer 36

No, unless patient bleeding

Question 37

INR level of > 10, vitamin K?

Answer 37

Yes, PO vitamin K, unless patient is bleeding, then IV

Question 38

INR level > 10, vitamin K?

Answer 38

Yes, IV vitamin K

Question 39

Associated with spinal hematoma and possible paralysis

Answer 39

Black box warning of Lovenox

Question 40

B12 deficiency, osteoporosis, c-diff

Answer 40

Associated with long term use of PPI

Question 41

Anti-emetic associated with sedation, anticholinergic effects, tardive dyskinesia, dystonia

Answer 41

Compazine

Question 42

Hormone replacement that can be given to women without an intact uterus

Answer 42

Estrogen only

Question 43

Hormone replacement that can't be given to women with an intact uterus

Answer 43

Estrogen only

Question 44

BPH drug class intended to provide quicker relief of symptoms

Answer 44

Alpha blockers, reductase inhibitors take up to 6 months

Question 45

BPH drug class associated with possible erectile dysfunction and is CAT X

Answer 45

Reductase inhibitors, specifically finasteride

Question 46

Selenium sulfide shampoo

Answer 46

May be used to treat tinea versicolor and tinea capitis

Question 47

Terbinafine

Answer 47

Treats tinea capitis and fungal nail infections

Question 48

Griseofulvin

Answer 48

Oral antifungal that treats tinea capitis, take with fatty meal

Question 49

Order of asthma medications

Answer 49

SABA, L-ICS, LABA, refer

Question 50

Order of COPD medications

Answer 50

SABA, LABA, LAMA, combo drugs with ICS, refer