NR565 / NR565 Advanced Pharmacology Fundamentals Midterm / Final Exam| 240 Q & A | Highly Rated Quiz bank | LATEST, 2020 / 2021 | Chamberlain College
... [Show More] 1. Why is the consistency of taking paroxetine (Paxil) and never running out of medication more important than with most other selective serotonin reuptake inhibitors (SSRIs)?
- It has a shorter half-life and withdrawal syndrome has a faster onset without taper.
2. The patient shares with the provider that he is taking his Prozac at night before going to bed. What is the best response?
- Have you noticed that you are having more sleep issues since you started that?
3. Paige has a history of chronic migraines and would benefit from preventative medication. Education regarding migraine preventive medication includes:
- The goal of treatment is to reduce migraine occurrence by 50%.
4. A first-line drug for abortive therapy in simple migraine is:
- Naproxen (Aleve)
5. Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She has been taking this medication for over 2 years for migraines and states one dose usually works to abort her migraine. What is the best care for her?
- Assess how often she is using Fiorinal and refill her medication.
6. When prescribing ergotamine suppositories (Wigraine) to treat acute migraine, patient education would include:
- They may need premedication with an antinausea medication.
7. Migraines in pregnancy may be safely treated with:
- Acetaminophen with codeine (Tylenol #3)
8. Xi, a 54-year-old female, has a history of migraines that do not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Appropriate decision making would be:
- Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose.
9. Kelly is a 14-year-old patient who presents to the clinic with a classic migraine. She says she is having a headache two to three times a month. The initial plan would be:
- Prescribe NSAIDs as abortive therapy and have her keep a headache diary to identify her triggers.
10. Jayla is a 9-year-old patient who has been diagnosed with migraines for almost 2 years. She is missing up to a week of school each month. Her headache diary confirms she averages four or five migraines per month. Which of the following would be appropriate?
- Prescribe propranolol (Inderal) to be taken daily for at least 3 months.
11. Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include:
- Anorexiants may cause tolerance and should only be prescribed for 6 months
12. Before prescribing phentermine to Sarah, a thorough drug history should be taken including assessing for the use of serotonergic agents such as selective serotonin reuptake inhibitors (SSRIs) and St John's wort due to:
- The risk of serotonin syndrome
13. Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure medication, she should also have a home prescription for_________ to be used for an episode of status epilepticus.
- Rectal diazepam (Diastat)
14. Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
- For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
15. Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels include:
- Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance.
16. Alpha-beta blockers are especially effective to treat hypertension for which ethnic group?
- African American
- Increases detrusor muscle tone to empty the bladder
18. Clinical dosing of Bethanechol:
- Starts at 5 mg to 10 mg PO and is repeated every hour until a satisfactory clinical response is achieved [Show Less]