1.
Describe how mannitol with cisplatinum leads to altered excretion.
2.
Describe what is considered an 'empty stomach'
3.
Descibe and give examples of the difference between physiological and psychological drug dependence.
4.
Proparcaine is considered a type of treatment pharmacotherapeutic because it treats the adverse effects of tropicamide.
Correct Answer
B. False
Explanation
Proparcaine is a prophylactic because it PREVENTS the adverse effects od dilating drops
Other prophylactics: flu shot
(pg.4)
5.
In terms of tolerance, a drug has ____________ effectiveness over time with ___________ use.
Correct Answer
decreased; repeated
Explanation
pg. 5
6.
Check ALL processes that correspond to pharmacokinetics:
Correct Answer(s)
A. How drugs are absorbed in the body
C. How drugs are biotransformed
D. How drugs are excreted in from the body
Explanation
pg.5
7.
Which of the following does NOT correspond to pharmacodynamics?
Correct Answer
C. How a drug is metabolized in the body
Explanation
Pharmacodynamics--> think TIME
Pharmacokinetics --> think HOW the body deals with/processes a drug
Pharmacogenetics --> relationship btwn genetic factors and drug response
(pg. 5)
8.
Which of the following describes drug idiosyncracy?
Correct Answer
E. 2 of the above
Explanation
pg. 5
9.
Which drug is used to treat bacterial conjunctivits?
Correct Answer
C. Moxifloxacin
Explanation
aka Vigamox
metoprolol tx's HTN
naloxone is an opiate antagonist
impiramide is for bed wetting
(pg. 3-4)
10.
Check ALL the effects associated with opiate withdrawal.
Correct Answer(s)
A. Agitation
B. Piloerection
C. Diarrhea
D. Runny nose
Explanation
Rhinorrhea = runny nose
Other effects include: irritability, insomnia, drug-craving
(pg. 6)
11.
Fluroscein is a:
Correct Answer
A. Diagnostic
Explanation
Other examples of diagnostics: contrast media (x-ray), adenosine
pg. 4
12.
What is another name for adverse drug effect (ADE)?
Correct Answer
A. Adverse drug reaction
Explanation
aka ARDs
pg. 5
13.
Pharmacotherapeutics are chemical entities/compounds that affect the actions of physiological processes, tissues, systems and/or organs
Correct Answer
B. False
Explanation
This is the definition of a DRUG. A pharmacotherapeutics is the use of drugs for therapeutic purposes
Sub-categories: diagnostics, prophylatics, treatments
pg. 4
14.
Most oral medications are absorbed where?
Correct Answer
B. Duodenum
Explanation
Most oral medications are absorbed in the duodenum. The duodenum is the first part of the small intestine and is responsible for receiving partially digested food from the stomach. It has a large surface area and is lined with villi, which increase the absorption capacity. The duodenum also receives bile and pancreatic enzymes, which aid in the digestion and absorption of nutrients and medications. Therefore, the duodenum is the primary site of absorption for oral medications.
15.
Withdrawal from CNS depressants is less life-threatening than withdrawal from opiates.
Correct Answer
B. False
Explanation
Withdrawal from CNS depressants (e.g. alcohol) can lead to life-threatening seizures
Withdrawal from opiates (e.g. heroine) can lead to many unpleasant syndromes, but none that are life-threatening
pg. 6
16.
Some antibiotics such as doxycycline or an oral fluroquinolone can interact with aluminum, magnesium, calcium or iron-containing compounds in a process called:
Correct Answer
D. Chelation
Explanation
Chelation: aluminum, magnesium, calcium or iron-containing compounds can IRREVERSIBLY bind to some antibitoics thereby reducing the amount of drug absorbed
**this is an example of altered absorption
Hint: drugs that end in -cycline or -floxacine have issues with chelators
(pg. 6)
17.
Dicloxacilin should be taken on a full stomach to protect the stomach and intestinal lining.
Correct Answer
B. False
Explanation
Taking dicloxacillin on a full stomach will decrease its effectiveness by 60%
pg. 6
18.
Amoxicillin and clavulanate is an example of what type of drug interaction?
Correct Answer
C. Potentiation
Explanation
Potentiation: a drug which has no principal effect that enhances the effect of a second drog
0+1 = 2
The net result of this example is that a bacteria which may have demonstrated resistance to amoxicillin alone may still be sensitive when clavulanate is added to amxoicillin bc clavulanate protects the amoxicilin from being degraded by some of the beta-lactamase produced by some bacteria
(pg. 7)
19.
The response elicitied by combined drugs is EQUAL to the combined response of the individual drugs is referred to as:
Correct Answer
A. Additive effects
Explanation
1+1 = 2
ex) 2 drugs, each of which has CNS depressant effects will result in twice the CNS-depressant effects
pg. 7
20.
What can occur if a drug that an indv is depedent on is abruptly discontinued?
Correct Answer
C. Withdrawal
Explanation
pg. 6
21.
What type of dependence can occur from opiate narcotic use?
Correct Answer
D. More than one of the above
Explanation
Opiate narcotics can cause both physiological and psychological dependence. They can also cause drug withdrawal but this is not considered a TYPE of dependence.
pg. 6
22.
Altered absorption occurs when a combo of 2 or more drugs _________ the absorption of one or more of the drugs being taken.
Correct Answer
B. Inhibits
Explanation
pg. 6
23.
Synergism refers to both the positive effect in one's treatment and the potential danger in administering a certain combination of drugs.
Correct Answer
B. False
Explanation
The term synergism specifically refers to the intended clinical effects, and NOT the potential adverse effects
pg. 7
24.
Choose which is false or unrelated to antagonism.
Correct Answer
C. Amoxicillin with clavulanate
Explanation
Antagonism example: Naloxone and Morphine
-Net result is that naloxone will reverse the effects of morphine bc naloxone is an opiate antagonist with no other pharm activity. The CNS, cardiovascular and respiratory depressant effects of the drug will be reversed. Naxolone is often given in narcotic opiate overdose situations
(pg. 7)
25.
Displacement of drug A from serum proteins by drug B may ______ the concentration of unbound drug A in the serum
Correct Answer
increases
Explanation
This type of interaction = competition for serum protein binding
Note: albumin is common carrier protein in serum
(pg. 8)
26.
Another name for amoxicillin with clavulanate is:
Correct Answer
C. Augmentin
Explanation
pg. 7
27.
The generic name for Viamox is ________.
Correct Answer
moxifloxacin
Explanation
pg. 8
28.
Vancomycin and gentamicin to treat bacterial endocarditis is an example of what type of drug interaction?
Correct Answer
B. Synergism
Explanation
Synergism: 1+1 = 3
Combo of these meds is more effective in killing the bacteria causing the infection than the effect would be achieved by using either of the antibiotics alone
(pg. 7)
29.
Altered excretion occurs when drugs act on the kidneys or other sites of elimination to ____________ excretion of specific drugs.
Correct Answer
C. Both can occur
Explanation
pg.8
30.
The generic name for a drug is the propreitary name aka the brand name
Correct Answer
B. False
Explanation
This is the definition for the trade name. (e.g. Bayer Asprin)
Generic name is the non-proprietary name or the common name by which the drug is known (e.g. asprin)
pg. 8