Answer each of the following questions. For multiple-choice questions, please circle the correct response.
Case 1: Spencer, a 21-year-old male
Subjective: The patient presents today for upper back pain, shoulder pain, and a headache.
He is a college athlete and swims competitively. He reports that he slipped and fell on the pool deck last night during practice and hit his head.
He was evaluated by the student health center last night on campus and was determined to not have an active head bleed, but does have cervical whiplash.
Medications: Prozac (fluoxetine) 20mg qd, Ventolin (albuterol) 90 mcg inhaler, and a Multivitamin.
Allergies: Cats, Penicillins, Sulfa drugs.
Objective: HR 100, RR 12, BP 125/70, Temp 98.6 F.
The patient is A&Ox3, there is a notable bruise on this upper back and shoulders from where he fell.
There is also a sizeable muscle spasm of the trapezius muscle bilaterally.
His x-ray in-office ruled out a fracture or slipped disc of the lumbar and thoracic spines.
Plan: Robaxin (methocarbamol) 500mg tabs; Initial dose: 1,500 mg PO QID x2 days, then 1000mg PO QID x3 days.
Aleve (Naproxen sodium) 500mg tabs; 500mg q12 hour po PRN for pain.
Referral to Brattleboro Memorial Hospital Orthopedics.
Problem 1: What is the correct pharmacologic category of Robaxin?
a. Centrally acting muscle relaxant
b. Peripherally acting muscle relaxant
c. Neuroleptic agent
d. Non-steroidal anti-inflammatory drug
Problem 2: Which of the following would be a comparable second option as an alternative to Robaxin based on the pharmacologic category?
a. Feldene (piroxicam
b. Lioresal (baclofen)
c. Voltaren (diclofenac)
d. Cozaar (losartan)
Problem 3: The synthesis of what compound(s) are inhibited, thus resulting in the desired effects of NSAID medications?
a. Leukotrienes
b. Acetylcholine
c. Cortisone
d. Prostaglandins
Problem 4: What are the most common side effects of NSAIDs medications?
a. Asthma exacerbation, rash, and jaundice
b. Nausea, vomiting, and abdominal discomfort
c. Nausea, rash, and sedation
d. Vomiting, sedation, and hypotensive crisis
Problem 5: NSAIDs, such as Aleve, have a black box warning for which of the following:
a. Tendon rupture
b. Increased mortality in elderly patients with dementia
c. Cardiovascular thrombolytic event
d. Increased risk of suicidal thinking
Problem 6: Aleve (Naproxen) is an Analgesic-Antipyretic medication. This means that it can:
a. Increase pain and increase a fever
b. Relieve pain and reduce serum pyrroles
c. Relieve pain and reduce a fever
d. Increase pain and reduce serum pyrroles
Problem 7: On his way out of the exam room, Spencer mentions that he has a large party this evening at this fraternity house. He wants to know if it is OK for him to drink and you respond...
a. No, your Aleve and the alcohol can interact and cause stomach ulcers.
b. No, your Robaxin and alcohol can interact and cause nervous system depression.
c. No, your Aleve and Robaxin can both interact with alcohol and cause potentially fatal problems.
d. Yes, you may drink alcohol tonight.
Problem 8: Individuals taking centrally acting muscle relaxants should be advised that these agents may
a. Cause drowsiness, dizziness, and blurred vision
b. Produce an additive effect when taken in combination with other CNS depressants
c. Impair their ability to drive a vehicle
d. All of these
Problem 9: For his Robaxin (methocarbamol) prescription, how many tablets will you need to call into the pharmacy?
a. 12 tablets
b. 24 tablets
c. 48 tablets
d. 60 tablets
Problem 10: True or False: Robaxin is considered to be a controlled substance?
a. True
b. False
Case 2: Gwendolyn, a 64-year-old female
Subjective: She presents today to follow-up on a recent DEXA scan. It showed worsening osteoporosis.
She is post-menopausal and has been for the past 2 years.
She has a history of a wrist fracture after falling due to vertigo last year, vertigo, vaginal atrophy, iron deficiency anemia, and chickenpox.
Medications: Antivert (meclizine) 25mg tabs, Fosamax (alendronate) 70mg, Calcium carbonate 1,000mg, Vitamin D3 2,000 IU, Lopressor (metoprolol) 25mg, Premarin (conjugated estrogens) vaginal.
Objective:
HR 70, BP 120/70, RR 10, Temp 98.2 F.
A&Ox3, the patient is sweet and pleasant.
Problem 11: Which of the patient's medications is a beta-blocker (beta-adrenergic blocking agent)?
a. Antivert
b. Fosamax
c. Lopressor
d. Premarin
Problem 12: Which of the following are possible side effects of an estrogen prescription?
a. Breast tenderness, spotting, and nausea
b. Spotting, insomnia, and loss of consciousness
c. Breast tenderness, galactorrhea, and erectile dysfunction
d. Spotting, hirsutism, and breast tenderness
Problem 13: Which of the following is not a risk of hormone replacement therapy?
a. Increased risk of blood clots
b. Increased risk of endometrial cancer
c. Increased risk of colorectal cancer
d. Increased risk of deep vein thrombosis
Problem 14: At the end of her office visit, Gwendolyn has had her Fosamax refilled by her doctor. She asks for a reminder on how to take it and you say:
a. Take it first thing in the morning, 30 minutes before eating or drinking anything and with a glass of water and lay down for 60 minutes afterward
b. Take it first thing in the morning, before eating or drinking anything, with a full glass of water, and sit upright for at least 30-60 minutes
c. Take it first thing in the morning, with food, and a full glass of water
d. Bite the pill in half and chew completely before swallowing with a glass of milk
Problem 15: Which of the following medications would not be prescribed for patients used to prevent and/or treat osteoporosis?
a. Boniva (ibandronate)
b. Septra (trimethoprim and sulfamethoxazole
c. Fortical (calcitonin)
d. Evista (Raloxifene)
Problem 16: Which of the patient's medications can be used for the symptomatic treatment of vertigo?
a. Fosamax
b. Lopressor
c. Antivert
d. Premarin
Problem 17: In addition to Vitamin D, which of the following vitamins is fat-soluble?
a. Niacin (B5)
b. Vitamin E
c. Riboflavin (B2)
d. Folic Acid (B9)
Problem 18: Vitamin B5, or Niacin, or Nicotinic acid, can be prescribed for which cardiovascular disease?
a. Hypertension
b. Hyperlipidemia
c. Angina
d. Pernicious anemia
Problem 19: Before taking Fosamax, a patient should have their serum calcium levels checked to rule out hypocalcemia. Inversely, which of the following category of medications does not cause hypercalcemia as a side effect?
a. Glucocorticoids
b. Estrogen
c. Bronchodilators
d. Thiazide diuretics
Problem 20: Which of the following medications, with long-term use, can lead to osteoporosis?
a. Glucocorticoids
b. Estrogen
c. Bronchodilators
d. Thiazide diuretics
Case 3: Karina, 12-month-old female
Note: You may use your cellphone's calculator to complete any calculation questions.
Subjective: Patient presents today for an acute visit regarding a cough x5 days.
Her mom describes it as a whooping sound, and she is worried about whooping cough.
Immunization Hx: 3/3 doses of Hepatitis B, 2/2 doses of Rotavirus, 3/5 doses of DTaP, 3/4 doses of HiB, 3/4 doses of PCV13, 3/4 doses of IPV.
Allergies: Penicillin, Medications: None.
Objective:
Temperature 98.8F, Ht 30", Wt 22.0 lbs. (10 kg).
The patient has a wet, whooping cough.
Plan:
Rx: Azithromycin 10mg/kg on day 1, and then 5 mg/kg daily on days 2-5.
Problem 21: While awaiting her culture results, Karina has been prescribed a course of empiric antibiotics. Is there any concern with her being prescribed azithromycin based on her current medication and allergy list at this time?
a. Yes
b. No
Problem 22: How many milligrams (mg) of medication will she be given on day 1 of her prescription?
Problem 23: You call Karina's pharmacy and discover that they have in stock an azithromycin solution that has the strength of 200mg/5ml. How many milliliters (ml) of medication will she be given on day 1?
Problem 24: How many milliliters (ml) of medication will you need to call into the pharmacy to cover her entire prescription noted above?
Problem 25: At what age (or age range) will Karina receive her next DTaP immunization if she is to remain on schedule?
Problem 26: What type of antibiotic is Azithromycin?
a. Tetracycline
b. Penicillin
c. Cephalosporin
d. Macrolide
Problem 27: Which of the following combination vaccines does not contain DTaP?
a. Kinrix
b. ProQuad
c. Pentacel
d. Pediarix
Problem 28: What is the minimum age that a child must be before being administered DTaP?
a. 6 weeks
b. 12 weeks
c. 7 years
d. 11 years
Problem 29: What is the minimum age that a child must be before being administered Tdap?
a. 6 weeks
b. 12 weeks
c. 7 years
d. 11 years
Problem 30: Which category of antibiotics is generally discouraged for use in children due to the side effect of discoloration of deciduous teeth?
a. Aminoglycoside
b. Tetracycline
c. Quinolone
d. Penicillin
Case 4: Francois, a 42-year-old transmale
Subjective: Presents today for a follow-up regarding hypertension and edema.
Reports that their grandmother passed away recently, causing a significant increase of stress in their life.
Medications: Depo-Testosterone (Testosterone cypionate) 150mg, Lopressor (Metoprolol) 50mg, Thalitone (chlorthalidone) 25mg, Prozac (fluoxetine) 40mg, and a multivitamin.
Objective:
HR 110, BP 165/90, RR 12, Temp 98.4 F.
The patient appears slightly anxious and has a red, flushed face.
Otherwise, A&O x3.
Problem 31: Which of the patient's medications is a diuretic?
a. Depo-testosterone
b. Lopressor
c. Thalitone
d. Prozac
Problem 32: Francois is given an injection of 150mg of Depo-testosterone once a week into the deltoid muscle. Their pharmacy carries a Depo-testosterone at a strength of 200mg/1ml. How many milliliters (ml) will you need to call into the pharmacy for a 1-month (30 days) supply?
Problem 33. In general, what organs do diuretic effect thus causing their ability to decrease blood volume?
a. The heart
b. The blood vessels
c. The lungs
d. The kidneys
Problem 34: Francois asks if their medications are a cure for their hypertension and you correctly say back...
a. No, however, it can help to make you forget about your hypertension
b. No, however, it can help control your blood pressure numbers and prevent other related diseases
c. Yes, it is treating the cause of your hypertension
d. I don't know, I didn't pay attention in pharmacology and I don't know what's going on. Help.
Problem 35: You and Francois are updating their family history and they recall that their grandmother has a history of paroxysmal supraventricular tachycardias (PSVT), a type of arrhythmia. Which of the following medications is not an antiarrhythmic agent?
a. Xylocaine (lidocaine)
b. Nitrostat (nitroglycerin)
c. Inderal (propranolol)
d. Extentabs (quinidine)
Problem 36: Francois' testosterone is administered once weekly through an intramuscular injection. Which of the following is not an appropriate location for an IM injection?
a. The dorsogluteal site
b. The deltoid muscle
c. The vastus lateralis muscle
d. The anterior proximal forearm
Problem 37: What type of antidepressant classification is Prozac (fluoxetine)?
a. SSRI
b. SNRI
c. TCA
d. MAO
Problem 38: True or False: Many antidepressants have been assigned a black box warning for increased risk of worsening depression or the emergence of suicidality.
a. True
b. False
Problem 39: Many medications can cause orthostatic hypotension as a side effect. Which of the following is the best definition of Orthostatic Hypotension?
a. A sudden decrease in blood pressure and respiratory rate when going from standing to laying down quickly
b. A sudden increase in blood pressure and respiratory rate when going from standing to laying down quickly
c. A sudden decrease in systolic and diastolic blood pressure with a change in body position
d. A sudden increase in systolic and diastolic blood pressure with a change in body position
Problem 40: There are various classes of drugs used in the treatment of hypertension. The classification _____ reduces nerve impulses to the heart and blood vessels.
a. Diuretics
b. Antiarrhythmics
c. Beta-blockers
d. Angiotensin-converting enzymes
Case 5: Sahita, a 33-year-old female
Subjective: The patient is here today for a follow-up regarding a recent diagnosis of Early Onset Parkinson's Disease.
Her symptoms include involuntarily motor movements, memory loss, confusion, and balance difficulties.
Her medical history includes exposure to heavy pesticides during her work as a farmer, chickenpox, migraines, and 1 pregnancy.
Medication List: Sinemet (carbidopa/levodopa) 25mg/100mg, Osmolex (amantadine) 100mg, Celexa (citalopram) 40mg, Micronor (norethindrone acetate), and a Multivitamin.
Allergy List: Sulfa drugs, penicillins, and ragweed.
Objective: On inspection, the patient has a shuffling gait, a fine tremor of the extremities, and muscular rigidity; Vitals are WNL.
Problem 41: True or False: From a pharmacologic standpoint, there is a cure for Parkinson's Disease
a. True
b. False
Problem 42: Which of the following vitamins, commonly found in multivitamins, is contraindicated in patients living with Parkinson's Disease and those taking a medication with Levodopa as an ingredient?
a. B1, Thiamine
b. B6, Pyridoxine
c. B9, Folic Acid
d. B12, Cobalamin
Problem 43: What type of medication classification is the patient's Celexa?
a. Hypoglycemic
b. Selective serotonin reuptake inhibitors
c. Sedative
d. Proton Pump Inhibitor
Problem 44: Extrapyramidal symptoms (EPS) are drug-induced movements that can cause symptoms such as dystonia, akathisia, and parkinsonism. Which of the following drugs can cause EPS
a. Prolixin (fluphenazine)
b. Tobradex (tobramycin)
c. Vagifem (estradiol hemihydrate)
d. Demadex (torsemide)
Problem 45: Which of the patient's medications also has efficacy for the treatment of influenza A?
a. carbidopa/levodopa
b. amantadine
c. citalopram
d. norethindrone
Problem 46: The patient's birth control, Micronor (norethindrone) is a synthetic version of what hormone?
a. Estrogen
b. Progesterone
c. Testosterone
d. Luteinizing hormone
Problem 47: True or False: Oral contraceptive medications are classified as either a monophasic, biphasic, triphasic, or quadphasic?
a. True
b. False
Problem 48: Which of the following set of symptoms are correct for that of an estrogen medication?
a. Breakthrough bleeding, spotting, and breast tenderness
b. Spotting, insomnia, and hypocalcemia
c. Breakthrough bleeding, orthostatic hypotension, and jaundice
d. Spotting, serotonin syndrome, and hypertensive crisis
Problem 49: Celexa has a black box warning for which of the following?
a. Gastrointestinal bleeding
b. Tendon rupture
c. Dependency
d. Suicidality
Problem 50: When taking a medication containing estrogen, a patient has an increased risk of developing cardiovascular problems, such as blood clots, deep vein thrombosis (DVT), a clot on the lung, a stroke or a heart attack. Name at least 3 of the 5 warning signs from the acronym ACHES.
Case 6: Terry, a 55-year-old male
Subjective: The patient presents today for a follow-up regarding hypertension, chronic kidney disease, hyperuricemia, and type 2 diabetes.
He works as a truck driver and lives a sedentary lifestyle.
His medical history includes gout, hyperlipidemia, and low back pain.
Medications: Glucophage (metformin) 1,000mg, Diovan (valsartan) 80mg, Zyloprim (allopurinol) 200mg, Glucotrol (glipizide) 10mg, Welchol (colesevelam) 3750mg.
Objective:
Vitals: HR 88, BP 140/85, RR 12, Temp 98.6 F.
Problem 51: Which of the patient's medications is an anti-lipidemic agent?
a. Diovan
b. Metformin
c. Glucotrol
d. Welchol
Problem 52: Which of the patient's medications works by preventing angiotensin II from reaching its receptors, thus causing vasodilation?
a. Diovan
b. Zyloprim
c. Glucotrol
d. Welchol
Problem 53: Zyloprim (allopurinol) is used for the prevention of uric acid accumulation in the body, to help reduce the risk of acute gout flares. Which mechanism of action best describes that of Zyloprim?
a. Increases urinary excretion of gout
b. Prevents formation of uric acid in the body
c. Breaks down uric acid in the body
d. Reduces the degree of inflammation
Problem 54: What type of antidiabetic agent is Glucophage?
a. Sulfonylurea
b. Biguanide
c. Thiazolidinedione
d. Alpha-glucosidase inhibitor
Problem 55: Terry mentions that he used to be on a different medication before switched to Diovan. What type of antihypertensive agent is notoriously known for causing a dry cough?
a. Beta-blocker
b. Calcium channel blocker
c. ACE Inhibitor
d. Thiazide diuretic
Case 7: Asmita, a 13-year-old female
Subjective: She has recently been diagnosed with Type 1 Diabetes and started on a short-acting and long-acting insulin medications.
Medical History includes: Chickenpox, Strep throat.
Allergies: NKDA.
Medications: Humalog (insulin lispro) 12 units, Lantus (insulin glargine) 13 units, and a kid's chewable sugar-free gummy multivitamin.
Objective:
HT: 60" (152 cm), 100 lbs. (45 kg), BP 120/80, HR 89, RR 14.
Problem 56: Asmita asks why she can't take the new diabetic drug for those living with Type 2 diabetes that she sees on TV commercials. Which of the following is the best explanation for you to give Asmita?
a. "The cells that make insulin have been destroyed in your body, so drugs won't work. You can only receive shots of insulin."
b. "I don't see why you couldn't. Let's talk to the doctor."
c. "The new medications don't work as effectively as the old ones."
d. "Type 1 diabetes only responds minimally to medication."
Problem 57: Which of the following medications is long-acting insulin?
a. Humalog
b. Lantus
c. Novolog
d. Rosiglitazone
Problem 58: When administering a subcutaneous and/or intramuscular injection, you would gently pull back on the plunger to:
a. Reduce discomfort to the patient
b. Make sure that you are in the right site
c. Make sure that you have the right medicine
d. Ascertain that the needle is not in a blood vessel
Problem 59: Lantus Insulin is supplied as 100 units/1ml, and the bottle dispensed by the pharmacy contains 10ml of medication. Asmita has been instructed to inject 13 units qd subq. How many bottle(s) of Lantus will you need to call into the pharmacy for a 1-month (30 days) supply?
Problem 60: Humalog Insulin is supplied as 100 units/1ml and the bottle dispensed by the pharmacy contains 5ml of medication. Asmita has been instructed to inject 12 units tid pc subq. How many bottles of Humalog will you need to call into the pharmacy for a 1-month (30 days) supply?
Case 8: Héctor, a 63-year-old male
Subjective: The patient presents today for acute abdominal pain.
His pain started 3 days ago - He is also experiencing nausea, dark-colored stools, and epigastric pain.
He reports that he has been extremely stressed at work recently.
He also reports a history of low back pain which he is self-managing. He reports he is taking 800mg of ibuprofen every 4 hours. He has been doing this for the past 2 weeks.
Medications: Advil (ibuprofen) 800mg, Inderal (propranolol) 40mg, Valium (diazepam) 2mg, Allegra (fexofenadine) 180 mg.
Objective:
RR 14, BP 135/85, HR 97, Temp 99.2 F.
Patient's abdominal exam is WNL other than vague discomfort.
Patient's exam is negative for acute appendicitis.
Assessment & Plan
Gastric Ulcer -
Pepcid (omeprazole) 40mg ER capsules: 1 cap po qd x8 weeks
Cytotec (misoprostol) 200 mcg tablets: 1 tab po qid x8 weeks
Tylenol (acetaminophen) 325mg tablets: 1 tab po prn for pain, NTE 3,000 a day
Discontinue ibuprofen
Problem 61: What type of antiulcer agent is Prilosec (omeprazole)?
a. Antacid
b. H1-receptor antagonist
c. H2-receptor antagonist
d. Proton pump inhibitor
Problem 62: What type of bacteria is a common cause of gastric ulcers?
a. Methicillin-resistant Staphylococcus aureus
b. Clostridium difficile
c. Rhinovirus
d. Helicobacter pylori
Problem 63: True or False: NSAID medications carry a black box warning for the development of gastrointestinal adverse events including bleeding, ulceration, and perforation
a. True
b. False
Problem 64: True or False: Cytotec can increase the absorption of medications such as tetracyclines, ranitidine, and ciprofloxacin
a. True
b. False
Problem 65: Which of the following medications is an example of an H2-receptor antagonist?
a. Pepcid (famotidine)
b. Claritin (loratadine)
c. Cholac (lactulose)
d. Zosyn (piperacillin)
Héctor has a few questions regarding his medications and his doctor asks you to answer them as she has to so see her next patient. You agree and answer Héctor's questions below.
Problem 66: Héctor states that he believes his doctor told him he has to take his Cytotec a certain way with his Pepcid, but he cannot remember. Which medication should be taken first?
a. Cytotec
b. Pepcid
c. Take them at the same time
d. Timing does not matter
Problem 67: Héctor states that in the past when he has taken Pepcid, he becomes severely constipated. He states that he has some Dulcolax (bisacodyl) at home from his previous doctor and wants to know what type of laxative agent this is. You say...
a. A saline laxative
b. A bulk-forming laxative
c. An osmotic laxative
d. A stimulant laxative
Problem 68: Worried about the opposite side effect happening, he wants to know a medication he can buy over the counter as an anti-diarrheal agent. Which medication below is an anti-diarrhea agent?
a. GoLYTELY (polyethylene glycol)
b. Tagamet (cimetidine)
c. Imodium (Loperamide)
d. Xylocaine (lidocaine)
Problem 69: Héctor wants to know, for the future, the maximum number of times he can take his 800mg of ibuprofen within 24 hours. You say:
a. 3 doses
b. 4 doses
c. 5 doses
d. 6 doses
Problem 70: Héctor states that his brother has been put on Inderal (propranolol) as well, however, he does not have an arrhythmia or high blood pressure. You let him know that propranolol can also be used to symptomatically treat:
a. Hypothyroidism
b. Hyperthyroidism
c. Hypogonadism
d. Hypoparathyroidism
Note: Pretend you are working the triage line at work. Each question below is a phone call you receive from a patient.
Problem 71: Fadia calls because she had a wet, hacking cough for the past few days. She bought some over-the-counter cold medicine, but she is confused by the definition of an expectorant. You explain to her that it is...
a. An agent used to stimulate and decreases the thickness of respiratory tract secretions
b. An agent used to the viscosity of respiratory tract fluids
c. An agent that prevents or relieves cough
d. An agent used in the treatment of tuberculosis
Problem 72: Fadia says, "thank you," and has one more follow-up question. She has the following four medications in her medicine cabinet at home and wants to know which is an expectorant.
a. Tessalon (benzonatate)
b. Robitussin (guaifenesin)
c. Sudafed (pseudoephedrine)
d. Theo-24 (theophylline)
Problem 73: Jordan calls because he has been having allergy symptoms. He states that he has some fexofenadine at home that his doctor prescribed last year, and he does not know if it will be helpful with his allergies. You explain that Allegra (fexofenadine) is a/an:
a. Antihistamine
b. Decongestant
c. Antitussive
d. Expectorant
Problem 74. Jordan asks for a reminder about common side effects of antihistamines and you explain that adverse reactions to antihistamines are:
a. Drowsiness, dryness of mouth, dizziness, epigastric distress
b. Diarrhea, constipation, hypotension
c. Anorexia, nausea, and vomiting
d. All of the above
Problem 75: Olivia calls because she is having pain while urinating, increased urinary frequency, and has some lower pelvic pain. She denies any new recent sexual contacts but does report a significant history of recurring urinary tract infections. You look in her medical record and confirm this. She is wondering if she can get a refill of her antibiotic that worked last time and you examine her medication list and see the following. Which is a commonly prescribed antibiotic for urinary tract infections?
a. Aldactone (spironolactone)
b. Bactrim SD (trimethoprim and sulfamethoxazole)
c. Provera (medroxyprogesterone acetate)
d. Denavir (penciclovir)
Problem 76: Olivia's doctor approves the refill and you send it to the pharmacy. Her doctor prescribes Bactrim DS 800mg/160mg tablets. Sig: 1 tab po q12hr x5d. How many tablets do you need to call into the pharmacy for them to dispense?
a. 5 tablets
b. 10 tablets
c. 15 tablets
d. 20 tablets
Problem 77: Olivia states that she has an extremely important work meeting that she is presenting today to obtain a new client for her company. She recalls in the past she has taken something over the counter that helps to reduce pain in the urethra. You say it was likely:
a. Tofranil (imipramine)
b. Rimso-50 (dimethyl sulfoxide)
c. Oxytrol (oxybutynin)
d. AZO Standard (phenazopyridine)
Problem 78: Forrest calls because he was recently working in his garden and he came in contact with poison ivy. He has some over-the-counter medication which is helpful, but he is wondering about a steroid taper. You check in with his doctor who prescribes the following steroid taper:
Rx: Medrol (methylprednisolone) 4mg tablets
Sig:
Day 1: 8 mg PO before breakfast, 4 mg after lunch and after dinner, and 8 mg at bedtime
Day 2: 4 mg PO before breakfast, after lunch, and after dinner and 8 mg at bedtime
Day 3: 4 mg PO before breakfast, after lunch, after dinner, and at bedtime
Day 4: 4 mg PO before breakfast, after lunch, and at bedtime
Day 5: 4 mg PO before breakfast and at bedtime
Day 6: 4 mg PO before breakfast
What is the dispense amount that you will need to call into the pharmacy?
Problem 79: Forrest asks for a reminder about some of the side effects of methylprednisolone other than nausea, vomiting, and a headache. You say:
Problem 80: Forrest has one last question. His daughter has recently prescribed an MAO inhibitor medication for the treatment of depression. When providing instructions on how to take this medication, you remind the patient to have his daughter:
a. Avoid chocolate and cheese
b. Take frequent naps
c. Take the medication with milk
d. Avoid walking without assistance
Bonus Questions:
Question 1: Identify three drugs that require serum (blood) test monitoring on a routine basis:
Question 2: If a patient has been prescribed Nitrostat (nitroglycerin) for the symptomatic treatment of angina, briefly in your own words, describe how this medication works to achieve the desired effects:
Question 3: If a patient has been prescribed a SABA and a LABA inhaler, explain the difference between the two in your own words as if you were speaking to the patient. Which is used daily and which is used as a rescue inhaler?
Question 4: Provide an example of a SABA and a LABA inhaler (brand name or generic):
SABA: _______________ LABA: _______________
Question 5: We learned several different medications that end in -azole. Name three systems, or classifications of any three of these drugs.
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