Unit 4 Pharmacology Quiz Flashcards

1
Q

true/false: Based on the rare use of Complimentary and Alternative Medications (CAMs), therapists should only query their patients about prescription drugs as part of the evaluation process.

A

false

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2
Q

Which of the following is a sign and symptom that might indicate excessive use of Complementary and Alternative Medications (CAMs):

A

muscle weakness, incoordination, excessive fatigue

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3
Q

Prolonged or excessive use of antacids should be avoided because:

A

-these drugs can alter the metabolism of other drugs that rely on gastric acidity to activate the drug
-these drugs can affect the elimination of other drugs by altering urinary pH
-these drugs can cause other Gi problems such as constipation or diarrhea

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4
Q

Patients receiving cancer chemotherapy often have problems with nausea and vomiting, ___ drugs may be helpful to these individuals.

A

antiemetics

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5
Q

A serious consequences of polypharmacy includes:

A

more adverse drugs reactions

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6
Q

The altered pharmacokinetics in the elderly include:

A

-decreased absorption
-decreased elimination
-decreased distribution
-increased adverse side effects

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7
Q

The three primary classes of GI medications covered by Dr. Ciccone include (select all that apply):

A

-control of gastric acid secretion/effects
-laxatives
-antidiarrheals

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8
Q

true/false: The use of GI drugs can help resolve GI problems and enhance participation in rehabilitation

A

true

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9
Q

The primary problem(s) of using laxatives include (select all that apply):

A

-GI irritation
-overuse
-dependence

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10
Q

Please match each term of CAMs with the proper definition:
complementary
alternative

A

complementary - used in addition to conventional treatment
alternative - used as substitute for conventional treatment

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11
Q

There are several issues related to CAM use, from the list below please select all issues that are related to CAM use (select all that apply):

A

-misconceptions about CAM safety
-failure to report CAM use
-inadequate standards for quality and purity of CAMs
-delayed use of conventional meds

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12
Q

There are several significant misconceptions regarding the safety of CAMs. As physical therapists, it is important to be aware of these misconceptions. From the list below, please select the misconceptions about CAM safety that you learned about (select all that apply)

A

-may think “natural” product is inherently safer, less toxic
-may think “more is better, exceed recommended dose
-may fail to recognize impact on other (conventional) medications

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13
Q

The impact of CAMs can be significant. Because of this, as physical therapists, it is important to ask our patient’s about their CAM use. The impacts of CAM use include (select all that apply):

A

-CAMs can produce similar/additive effects to conventional meds
-CAMs can produce effects opposite to conventional meds
-CAMs can increase metabolism of conventional meds

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14
Q

true/false: CAMs must be FDA approved and are subjected to the same testing and standards as conventional meds

A

false

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15
Q

As physical therapists, it is important that we educate our patient’s who use CAMs that more is not better and that CAMs can impact other medications the patient may be on.

A

This statement is true, if a patient is using CAMs it is important to discuss these misconceptions and potential dangers

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16
Q

The visicous cycle of polypharmacy can be described in 4 steps. Following step 4 - the process goes right back to step 1. Please match the steps of the cycle in the proper order

A
  1. elderly take more drugs
  2. increased risk of side effects
  3. increased symptoms
  4. more drugs prescribed
17
Q

Adverse drug reactions (ADRs) in the elderly are dangerous. They are defined as any unwanted, and potentially harmful effect.
ADRs occurs at ___.
Elderly are ___ more likely to experiences ADRs
ARDs are ___ severe in the elderly
ADRs are often misinterpreted as ___

A

-recommended/prescribed
-2-3x
-more
-symptom

18
Q

There are several risk factors for higher incidence of Adverse Drug Reactions (ADRs) in the elderly. These include (select all that apply):

A

-> 75 years old
-small stature
-multiple drugs
-high risk drugs
-organ dysfunction
-previous ADRs