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NSAID
Sergio has had cataract surgery. What kind of eye drops
will he likely be given to reduce post-surgical
inflammation?
tramadol
Cody openly and honestly discusses his history of addiction
with his surgeon prior to surgery and asks what pain
medications will have less potential for abuse. What
centrally acting synthetic analog of codeine might the
surgeon select?
duloxetine
Chiara has poorly controlled pain from diabetic neuropathy.
What serotonin norepinephrine reuptake inhibitor might be
given as an adjuvant?
amitriptyline
Landen has peripheral neuropathy from cancer
chemotherapy. After his pain is not well controlled with just
analgesics, his physician suggests the use of a tricyclic
antidepressant as an adjuvant. What drug might he be
given?
corticosteroids
Braxton accidentally splashed a caustic liquid in his eyes.
What topical medication might be prescribed to reduce
inflammation and prevent scar formation?
cardiac abnormalities
After hearing about another opioid-associated overdose
death, your friend wonders why nothing is being done
about this issue. You can inform your friend about the
market withdrawal of propoxyphene due to its association
with overdose deaths and ____.
acetaminophen
Vonda is concerned about the safety of over-the-counter
medications for children. She knows that one particular
drug has been associated with liver toxicity and that the
manufacturers of this drug have voluntarily reduced the
concentration used in children's formulations. What is this
drug?
hypnotic
Ashley has insomnia and her doctor gives her medication
to produce sleep. This type of medication is called a(n)
____.
2 to 3 days
Christian has an eye infection and an ophthalmic antibiotic
preparation has been prescribed. Assuming there is not
microbial resistance, how long should it take to see
improvement?
conjunctivitis
Mackenzie has an eye inflammation commonly that is
called "pink" or "red" eye. She most likely has ____.
atropine
You are reading the consent information for an eye exam
and see that you will be given eye drops that cause
cycloplegia. What is the most likely active substance in the
eye drops?
naloxone
Collin was given an opioid analgesic to help control the
pain from a broken nose, broken teeth, and facial
cyclosporine
Jeffrey has chronic dry eye that causes inflammation of his
eyes and discomfort. What topical preparation might be
prescribed to help relieve his symptoms?
acetazolamide
Jose has angle-closure glaucoma and is about to have
surgery. What IV antiglaucoma medication might he be
given pre-operatively?
NSAIDs
Lizzy has severe chronic pain following an automobile
accident and her pain specialist gives her a coanalgesic to
help control her pain. What class of drugs is often used as
coanalgesics?
constipation
Zara has a morphine pump to help post-surgical control
pain. What side effect occurs in more than 50% of patients
on morphine and often requires treatment?
Suboxone
Rachel is being treated for opioid addiction with a
medication that combines both a pure opioid agonist and a
partial opioid agonist. What is it?
clozapine
Franklin is taking an antipsychotic that acts by blocking
serotonin receptors and transiently blocking dopamine
receptors. What antipsychotic might he be taking?
bupropion
Jenny has severe depression characterized by extreme
fatigue, lethargy, and psychomotor retardation. Which
heterocyclic antidepressant would be most effective with
these symptoms?
atomoxetine
Adrian's mother and father have personal and family
histories of drug addiction. Therefore, Adrian's mother asks
whether there are any nonstimulant medications that can
be used to treat his ADHD. What drug might be suggested?
naltrexone
Tom is a chronic alcoholic who is in recovery. What
medication might he be given that would decrease his
craving for alcohol?
escitalopram
Fifteen-year-old Adan has major depressive disorder. Which
antidepressant is recommended for treating major
depressive disorder in adolescents?
habituation
Jai has become psychologically dependent on marijuana.
What term is applicable when only psychological
dependence is involved?
MAOI
Pauline is taking an antidepressant that is typically
reserved for refractory or atypical depression or those
associated with panic disorder or phobias. She is most
likely taking a(n) ____.
Vyvanse
Lata is preparing a report on the abuse of ADHD
medications in school settings, and is particularly
interested in medications formulated in ways that reduce
the risk of abuse. What prodrug should she include?
lorazepam
Morris, 73 years of age, has been having severe anxiety
following the death of his wife. What benzodiazepine is
venlafaxine
Jillian is taking an antidepressant that inhibits the reuptake
of both serotonin and norepinephrine. This medication is
most likely to be ____.
MAOI (A)
Andie is taking an antidepressant and has been told that
there are a number of foods and herbal preparations she
must avoid because of potentially dangerous side effects.
What type of antidepressant is she likely to be taking?
cardiovascular disease
Seven-year-old Grant's family and physician are
considering pharmacologic treatment of his ADHD with one
of the amphetamine/methylphenidate formulations.
Accordingly, it is particularly important that the physician
screen for personal and family history of ____.
chlorpromazine
Halle is taking an antipsychotic that may cause her to
experience extrapyramidal side effects because it blocks
dopamine receptors and unbalances cholinergic activities.
What antipsychotic might she be taking?
Sinemet
Maeve has Parkinson's with marked bradykinesia which has
not been well-controlled with medications typically
prescribed for mild Parkinson's. What medication might
help her?
selegiline
Jim has been taking a carbidopa-levodopa agent for almost
two years and is experiencing wearing off. What
medication might be useful?
RLS
pramipexole
Thelma has restless leg syndrome that has disrupted her
sleep and left her drowsy during the day. What medication
might be helpful?
as adjuvants
Kristian has generalized epilepsy that is not as wellcontrolled in his opinion. He wonders if he should be
switched to a second-generation anticonvulsant. How are
second-generation anticonvulsants typically used in the
management of epilepsy?
valproic acid
Kody takes a broad-spectrum anticonvulsant, which is likely
to be ____.
unprovoked seizures
Epilepsy is defined as the recurrence of ____.
partial seizures
Clarissa is being treated with oxcarbazepine, a secondgeneration oral anticonvulsant indicated for the treatment
of ____.
ropinirole
Alex, 34 years of age, was recently diagnosed with
Parkinson's. What medication might he be prescribed as a
"levodopa-sparing" strategy?
dantrolene (D)
Delbert has cerebral palsy and experiences painful muscle
contractions. What peripherally-acting muscle relaxant may
help him?
amantadine
Trevor has just been diagnosed with Parkinson's and his
doctor prescribes a single agent that alters dopamine
release and has anticholinergic effects. The efficacy of the
drug tends to wane rather quickly. What drug is it likely to
be?
diazepam
While helping her friend move into a third floor walk-up,
Elisabeth experiences painful muscle spasms in her back.
Her doctor prescribes a centrally acting muscle relaxant.
This medication is most likely ____.
grapefruit
Kassidy's seizures are well-controlled with carbamazepine.
However, what food should she avoid?
tonic-clonic
Rosetta has seizures that are characterized by an abrupt
loss of consciousness, falling, with extension of trunk and
extremities, followed by alternating contractions and
relaxation of the muscles. These are classified as ____.
exercise
Caitlin strained her back and her doctor prescribes a
centrally-acting muscle relaxant during the initial checkup.
After the pain subsides, her doctor is likely to prescribe
____.
succinylcholine
Prior to orthopedic surgery, Azalea meets with the
anesthesiologist who, when explaining the medications
that will be used, mentions that one will paralyze all of her
muscles, including her diaphragm. What agent has this
effect?
Dantrolene (T)
Tanya has multiple sclerosis and sometimes experiences
painful muscle spasms. What muscle relaxant is indicated
for the spasms associated with her condition?
calcitonin-salmon
Carla, 67 years of age, has a history of breast cancer and
thromboembolic disorders, and cannot take hormone
replacement or selective estrogen-receptor modifier
therapy to treat her osteoporosis. What hormonal agent
might be effective?
progestin only
Sarah is breastfeeding her newborn son, and at her sixweek check up, asks her obstetrician about birth control.
What type of oral contraceptive can safely be used by
women who are breastfeeding?
To avoid hemorrhage
Nasir's acute flare-up of ulcerative colitis is being treated
with corticosteroids. Why are corticosteroids recommended
for only brief treatment of ulcerative colitis flare-ups?
endometrial cancer
Tess is post-menopausal and has an intact uterus. She is
very concerned about osteoporosis, as her mother had a
number of painful and debilitating osteoporosis-associated
fractures. What would she risk were she to take estrogenonly hormone replacement?
terbutaline
Magdalena is 27 weeks pregnant with twins and is showing
signs of labor. What medication might she be given to
manage her preterm labor?
4 weeks
Abigail just started taking oral contraceptives. How long
should she use backup contraception?
adrenal
Ayla has a severe allergic reaction and is treated with
corticosteroids. What gland produces corticosteroids?
retinopathy
Maddy has Type 1 diabetes. What microvascular
complications might she experience?
adrenal (A)
Armen thinks of androgens as male hormones, so he is
surprised to hear that females also produce them. What
gland produces androgen in both women and men?
nitric oxide
The principal mediator in attaining and maintaining an
erection is ____.
metformin
Clara has been diagnosed with Type 2 diabetes and is
being started on an oral antidiabetic agent. What biguanide
might she be given?
stroke
Jimmy has Type 1 diabetes. What macrovascular
complications might he experience?
pituitary
Brayan has inadequate androgen production, but his
testicles are healthy and intact. The likely cause is a
malfunctioning ____.
Megace
Dina has AIDS and is experiencing profound weight loss
and cachexia. What hormonal medication might help her
with these issues?
Lantus
Josie has just been diagnosed with Type 1 diabetes.
Diabetes therapy with insulin focuses initially on controlling
fasting plasma glucose with the use of a long-acting insulin
analog such as ____.
cognitive disabilities
Routine newborn testing reveals that Kassandra has
congenital hypothyroidism. If congenital hypothyroidism is
untreated, Kassandra might develop ____.
intermediate-acting
Erika will be taking corticosteroids for a relatively long
period of time. In order to reduce the risk of suppressing
her adrenals and causing adrenal atrophy, what type of
corticosteroids are most effective?
hypotension
Garrison has erectile disfunction (ED); angina, for which he
uses sublingual nitroglycerin; and benign prostatic
Depo-Provera
Vinnie is a convicted sex offender who has decided to
attempt management of his sexual urges
pharmacologically. What hormonal medication might be
helpful to him?
pituitary (W)
Three-year-old Wiley is small for his age; testing reveals
that he has very low levels of human growth hormone.
What gland produces human growth hormone?
altephase
Davina is rushed to the hospital shortly after she begins to
experience symptoms of what is diagnosed as an ischemic
stroke. What agent can be administered that will dissolve
the clot?
erythropoiesis-stimulating agents
Bhu is undergoing rigorous chemotherapy for cancer and
has become anemic. What type of medication will increase
her body's production of red blood cells?
nonnarcotic antitussive
albuterol
Darren has asthma and sometimes needs a rescue inhaler.
What is he likely to use?
hypoventilation
Edward has COPD and uses oxygen. What adverse effect
does he risk if an excessively high concentration is used?
propranolol
Mateo takes an antiarrhythmic that acts by inhibiting
adrenergic nerve receptors. He is most likely taking ____.
rescue medications
Short-acting beta agonists are ____.
cigarette smoking
The primary cause of COPD is ____.
propafenone
What antiarrythmic agent has local anesthetic effects,
direct stabilizing action on myocardial membranes, and
beta-adrenergic blocking properties?
benzonatate
Karly is taking a nonnarcotic antitussive that has both
central and peripheral actions. What might she be taking?
verapamil
What antiarrythmic agent acts by slowing AV nodal
conduction and is also used in the treatment of
hypertension and angina?
chronic bronchitis
Yuri has inflammation of bronchial tubes, which leads to
chronic mucus production and a wet cough. What disease
does he have?
theophylline
Clay has COPD and is not responsive to inhaled
bronchodilators. What medication might be used?
statins
Nayeli has just been diagnosed with high cholesterol. What
category of antilipemics is considered to be the first choice
for monotherapy of high cholesterol?
an arrhythmia
Bernice is being treated with adenosine. She likely has ____.
She will not feel tingling when she places it under her
tongue.
Tegan uses sublingual nitroglycerin for angina and has
been warned to store it in a glass container with a tightly
fitting screw top away from heat, because it is so sensitive
propafenone (A)
Abdul is taken to the emergency room and is treated with a
medication that is especially useful in converting and
maintaining atrial fibrillation to sinus rhythm. What is this
drug likely to be?
digoxin
The only clinical drug currently used in the cardiac
glycoside family is ____.
salmeterol
Pearl, who has asthma, uses a beta2 agonist as a
maintenance medication. What medication might she be
taking?
rebound congestion
Jean's doctor suggests that she use a decongestant but
cautions her to limit her use to just a few days. What might
prolonged use cause?
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