NSG 6320 AGNP Board Exam – Orthopedics Prescribing Which medication is NOT a brand name for acetaminophen?
Mapap
Cetafen
Aleve
... [Show More] Correct
Feverall
Explanation:
Brand names for acetaminophen include Mapap, Cetafen, FeverAll and Tylenol. Aleve
is the brand name for naproxen sodium.
2. Question:
To treat low back pain in a patient for whom nonsteroidal anti-inflammatory drugs
(NSAIDs) are contraindicated, the recommended therapy is:
acetaminophen (Tylenol). Correct
ibuprofen (Motrin).
cyclobenzaprine (Amrix).
tramadol (Ultram).
Explanation:
To treat low back pain in a patient for whom nonsteroidal anti-inflammatory drugs
(NSAIDs) are contraindicated, the recommended therapy is acetaminophen (Tylenol). A
nonsteroidal anti-inflammatory drug (ibuprofen) is recommended as initial therapy for
the treatment of back pain. The trial should be short-term, usually 2 to 4 weeks.
Acetaminophen is a reasonable option for initial therapy in patients with
contraindications to NSAIDs.
3. Question:
The patient at highest risk for side effects from cyclobenzaprine (Amrix) is a:
20-year-old man with spasticity and a history of seizures.
40-year-old woman diagnosed with diabetes mellitus.
50-year-old woman with a history of asthma.
70-year-old man diagnosed with benign prostatic hypertrophy. Correct
Explanation:
Cyclobenzaprine (Amrix) is identified in the Beers Criteria as a potentially
inappropriate medication and should be to be avoided in patients 65 years and older
(independent of diagnosis or condition). This is because most muscle relaxants are
poorly tolerated in older adults due to anticholinergic effects. Amrix may also increase
sedation and fracture risk. Cyclobenzaprine (Amrix) has strong anticholinergic
properties. In addition, efficacy is questionable at doses tolerated by geriatric patients.
Although cyclobenzaprine may lower the seizure threshold, it is not a contraindication.
The provider should weigh the risks versus the benefits. [Show Less]