Med test collaborative


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Med test collaborative

  1. 1. Med Test Collaborative By all of us
  2. 2. Cardiac Question <ul><li>1. What is the action of dobutamine hydrochloride (Dobutrex)? </li></ul><ul><li>A. It is a positive dromotropic drug meaning it increases the conduction of the heart </li></ul><ul><li>B. It is a positive ionotrophic drug, meaning it increases heart contractility </li></ul><ul><li>C. I t is has a negative chronotropic effect, meaning it decreases heart rate </li></ul><ul><li>D. It has a negative ionotropic effect, meaning it decreases heart contractility </li></ul>
  3. 3. Answer <ul><li>Answer: B. Dobutamine's effect is a direct acting inotropic agent (synthetic catecholamine). It improves cardiac output short term, by improving stroke volume (the amount of volume of blood ejected each heart beat).  It may l slightly slightly cause an increase in heart rate (positive chronotropic effect) but it willnot slow down the rate or decrease conductin. See wikipedia at  .  See the ACLS pocket guide at  .  See globalrph at  for more information see  . Definition at  . </li></ul>
  4. 4. Question <ul><li>Cetrizine (Zyrtec) belongs to which class of drugs? </li></ul><ul><li>    A.  Anti-inflammatory </li></ul><ul><li>    B.  Antihistamine </li></ul><ul><li>    C.  Analgesic </li></ul><ul><li>    D.  Antibiotic </li></ul>
  5. 5. Answer <ul><li>Answer B is correct.  It is a widely used antihistamine used to treat allergy symptoms and chronic idiopathic urticaria </li></ul><ul><li>A.  It is not an anti-inflammatory </li></ul><ul><li>C.  It is not an analgesic </li></ul><ul><li>D. It is not an antibiotic </li></ul>
  6. 6. Cardiac <ul><li>Intravenous diltiazem hydrochloride  ( Cardizem ) is used to treat which following conditions? </li></ul><ul><li>    A.)  Angina </li></ul><ul><li>    B.)  Atrial fib and flutter </li></ul><ul><li>    C.)  Hypertension </li></ul><ul><li>    D.)  Hypotension </li></ul>
  7. 7. Answer <ul><li>Answer B is correct.  IV Cardizem  is used emergently to treat atrial fibrillation and flutter </li></ul><ul><li>A.  Oral Cardizem is used to treat angina </li></ul><ul><li>C.  Oral Cardizem is used to treat hypertension </li></ul><ul><li>D.  IV  Cardizem is not used to treat hypotension </li></ul>
  8. 8. Statins <ul><li>What is the primary action of ezetimibe/simvaststin  ( Vytorin) ? </li></ul><ul><li>A.  Lowers total cholesterol </li></ul><ul><li>B.  Increases cholesterol </li></ul><ul><li>C.  Stabilizes blood glucose </li></ul><ul><li>D.  Treats muscle pain </li></ul>
  9. 9. Answer <ul><li>Answer A is correct.  Vytorin is used to lower total cholesterol </li></ul><ul><li>B.  It should lower cholesterol, not increase it </li></ul><ul><li>C.  It does not treat blood glucose </li></ul><ul><li>D.  It causes muscle pain in some patients </li></ul><ul><li>  </li></ul>
  10. 10. Antihypertensive <ul><li>irbesartan  (Avapro's) mechanism of lowering blood pressure is best described as: </li></ul><ul><li>A.  Alpha blocker </li></ul><ul><li>B.  Diuretic </li></ul><ul><li>C.  Beta Blocker </li></ul><ul><li>D.. Angiotension converting enzyme inhibitor (ACE Inhibitor) </li></ul><ul><li>  </li></ul>
  11. 11. Answer <ul><li>Answer D is correct.  Avapro inhibits the production of angiotension </li></ul><ul><li>A.  It is not an alpha blocker </li></ul><ul><li>B.  It is not a dieuretic </li></ul><ul><li>C.  It is not a beta blocker </li></ul><ul><li>  </li></ul>
  12. 12. <ul><li>oxycodone   (Oxycontin) is best described as: </li></ul><ul><li>a.  An inflammatory </li></ul><ul><li>B.  An antibiotic </li></ul><ul><li>C.  An opiate analgesic, schedule 2 </li></ul><ul><li>D.  An opiate analgesic, schedule 3 </li></ul><ul><li>  </li></ul>
  13. 13. <ul><li>Answer C is correct. Oxycontin is a schedule 2 narcotic that may be habit forming. </li></ul><ul><li>A.  It is not an antiinflammatory </li></ul><ul><li>B.  It is not an antibiotic </li></ul><ul><li>D.  It is not a schedule 3 drug </li></ul>
  14. 14. <ul><li>Which lab should be monitored for levothyroxine sodium (Synthroid)? </li></ul><ul><li>A.  CL </li></ul><ul><li>B.  TSH </li></ul><ul><li>C.  Na </li></ul><ul><li>D.. K </li></ul>
  15. 15. Answer <ul><li>Answer B is correct.  The thyroid stimulating hormone (TSH) should be monitored. </li></ul><ul><li>A.  CL is not an indication of thyroid function </li></ul><ul><li>C.  Na is not an indication of thyroid function </li></ul><ul><li>D.  K is not an indication of thyroid function </li></ul>
  16. 16. <ul><li>Which lab should you monitor for a patient taking warfarin sodium (Coumadin)? </li></ul><ul><li>A.  PT/INR </li></ul><ul><li>B.  PSA </li></ul><ul><li>C.  Blood glucose </li></ul><ul><li>D. Vitamin K level </li></ul>
  17. 17. Answer <ul><li>Answer A is correct.  INR (international unit) is derived from the PT, and shows Coumadin's effect. </li></ul><ul><li>B.  PSA is the prostate specific antigen </li></ul><ul><li>C. Blood glucose is not necessary to monitor for coumadin patients </li></ul><ul><li>D.  Vitamin levels are not monitored, however, patients should be taught that foods that contain vitamin K decrease warfarin's actions </li></ul>
  18. 18. <ul><li>Coadministration of ___?____ and Clopidogrel Bisulfate (Plavix) increases the risk of GI bleeding. </li></ul><ul><li>A. Niacin  </li></ul><ul><li>B. Citracel </li></ul><ul><li>C. Colace </li></ul><ul><li>D. NSAID's </li></ul>
  19. 19. Answer <ul><li>Answer D is correct.  Plavix can potentiate the inhibition of platelet aggregation due to ASA </li></ul>
  20. 20. <ul><li>Do not take a _____?___ with Venlafaxine Hydrochloride (Effexor XR) </li></ul><ul><li>A. MAOI </li></ul><ul><li>B. weight loss supplement </li></ul><ul><li>C. anti histamine </li></ul><ul><li>D. antibiotic </li></ul>
  21. 21. Answer <ul><li>Answer A is correct.  Adverse reactions can occur: nausea, vomiting, hyperthermia with neurolepic malignant syndrome, seizures, death </li></ul>
  22. 22. <ul><li>Do not give Amoxicillin (Amoxil) to a patient that is allergic to __________? </li></ul><ul><li>A. sulfa </li></ul><ul><li>B.Codeine </li></ul><ul><li>C. PCN </li></ul><ul><li>D. Cipro </li></ul>
  23. 23. Answer <ul><li>Answer C is correct.  Amoxicillin is in the same drug family with PCN. </li></ul>
  24. 24. <ul><li>A patient on Montelukast Sodium  (Singulair) should check his OTC and RX meds for what ingredient? </li></ul><ul><li>A, Benadryl </li></ul><ul><li>B. ePHEDrine </li></ul><ul><li>C. Abilify </li></ul><ul><li>D. EPINEPHrine </li></ul>
  25. 25. Answer <ul><li>Answer B is correct.  ePHEDrine will increase stimulation if taken with Singulair </li></ul>
  26. 26. <ul><li>Fourteen days should elasped between stopping a___?___and starting Paroxetine Hydrochloride (Paxil) </li></ul><ul><li>A. Antibiotic </li></ul><ul><li>B. Heparin </li></ul><ul><li>C. Anti histamine </li></ul><ul><li>D. MAOI </li></ul>
  27. 27. Answer <ul><li>Answer D is correct. Taken together could produce adverse reactions: nausea, vomiting, hyperthermia with features resembling neuromalignant syndrome, seizures, death </li></ul>
  28. 28. <ul><li>You should not administer Oseltamivir Phosphate (Tamiflu) to a patient that has had __?__ within the last 2 weeks. </li></ul><ul><li>A. TB skin test </li></ul><ul><li>B. Hepatitis B vaccine </li></ul><ul><li>C. Nasal flu mist </li></ul><ul><li>D. Pneumonia vaccine </li></ul>
  29. 29. Answer <ul><li>Answer C is correct. There is a potential for anti viral drugs to inhibit replication of live vaccine virus. </li></ul>
  30. 30. <ul><li>Varenicline (Chantix) may alter the effects of? </li></ul><ul><li>A. insulin </li></ul><ul><li>B. Lovenox </li></ul><ul><li>C. Theophylline </li></ul><ul><li>D. A & C </li></ul>
  31. 31. Answer <ul><li>Answer D is correct. Physiological changes have resulted from smoking cessation with or without treatment with Chantix. These changes may alter effects of certain drugs, two are insulin and theophylline. </li></ul>
  32. 32. <ul><li>What lab would you monitor on a patient taking Ezetimibe (Zetia)? </li></ul><ul><li>A. CBC </li></ul><ul><li>B. TSH </li></ul><ul><li>C Glucose </li></ul><ul><li>D. Lipid Panel </li></ul>
  33. 33. <ul><li>Answer D is correct. Zetia is a cholesterol lowering drug. </li></ul>
  34. 34. <ul><li>Amitriptylline (Elavil) can cause what lab test to increase or decrease? </li></ul><ul><li>A. TSH </li></ul><ul><li>B. blood glucose </li></ul><ul><li>C. HDL </li></ul><ul><li>D. Cardiac enzymes </li></ul>
  35. 35. <ul><li>Answer B is correct. Monitor blood glucose levels periodically. </li></ul>
  36. 36. <ul><li>You may get a false positive reaction on what test when taking Keflex? </li></ul><ul><li>A. LDL </li></ul><ul><li>B. HCG </li></ul><ul><li>C. Blood glucose </li></ul><ul><li>D. Urine glucose </li></ul><ul><li>  </li></ul>
  37. 37. Answer <ul><li>Answer D is correct. Don't use Benedict's or Fehlings solution or Clinitest tabs to test urine for glucose. </li></ul>
  38. 38. <ul><li>Before administration of Digoxin  (Lanoxin) what labs should you check? </li></ul><ul><li>A. Mg, K, Ca </li></ul><ul><li>B. LDL, HDL </li></ul><ul><li>C. HCT HGB </li></ul><ul><li>D. PT, PTT </li></ul>
  39. 39. Answer <ul><li>Answer A is correct. Hypomagnesemia. hypokalemia and hypercalcemia may predispose patient to digitalis toxicity. </li></ul><ul><li>  </li></ul>
  40. 40. <ul><li>The generic name for Vicodin is: </li></ul><ul><li>A. dextran </li></ul><ul><li>B. calcium gluconate </li></ul><ul><li>C. hydrocodone bitartrate </li></ul><ul><li>D. nitrofurantin </li></ul>
  41. 41. Answer <ul><li>Answer is C </li></ul>
  42. 42. <ul><li>The effectiveness of simvastin/Zocor is measured by: </li></ul><ul><li>A. decrease serum triglycerides, decrease LDL, and cholesterol and modest increase in HDL cholesterol. </li></ul><ul><li>B. increase serum triglycerides, increase LDL, and cholesterol and modest decrease in HDL cholesterol. </li></ul><ul><li>C. serum triglycerides, LDL and cholesterol remain at the same level with a modest increase in HDL cholesterol. </li></ul><ul><li>D. none of the above </li></ul>
  43. 43. Answer <ul><li>Answer is A.   Zocor is an antilipemic, used to help lower the bad cholesterol and increase the god cholesterol </li></ul>
  44. 44. <ul><li>Levothyroxine sodium (t4) is also known as: </li></ul><ul><li>A. Haldol </li></ul><ul><li>B. Tylenol </li></ul><ul><li>C. Indocin </li></ul><ul><li>D. Synthroid </li></ul>
  45. 45. Answer <ul><li>Answer is D </li></ul>
  46. 46. <ul><li>When taking hydrochlorothiazide you should: </li></ul><ul><li>A. take it with food or milk to avoid GI distress </li></ul><ul><li>B. schedule doses to avoid nocturia and interrupted sleep. </li></ul><ul><li>C. increase your sodium intake. </li></ul><ul><li>D. a and b are both correct. </li></ul>
  47. 47. Answer <ul><li>Answer is D. </li></ul><ul><li>  </li></ul>
  48. 48. <ul><li>When using Stadol you need to remember: </li></ul><ul><li>A. don't give more than 4mg in a single IM dose. </li></ul><ul><li>B. observe neonate for signs of respiratory depression is used during labor. </li></ul><ul><li>C. monitor respirations as it may cause respiratory distress. </li></ul><ul><li>D. all of the above </li></ul>
  49. 49. <ul><li>answer is D. </li></ul>
  50. 50. <ul><li>orlistat is which of the following: </li></ul><ul><li>A. narcotic analgesic </li></ul><ul><li>B. contraceptive </li></ul><ul><li>C. antibiotic </li></ul><ul><li>D. non-systemic lipase inhibitor </li></ul>
  51. 51. <ul><li>answer is D.  Xenical (orlistat) reduces intestinal absorption of dietary fat. </li></ul>
  52. 52. <ul><li>Boniva is used for: </li></ul><ul><li>A. suppressive prophylaxis and treatment of acute malarial attacks. </li></ul><ul><li>B prevention and treatment of osteoporosis in post menopausal woman. </li></ul><ul><li>C. managment of manifistations of psychotic disorders. </li></ul><ul><li>D. acute rheumatiod arthritis </li></ul>
  53. 53. Answer <ul><li>answer is B. </li></ul>
  54. 54. <ul><li>You would use Clomid if you: </li></ul><ul><li>A. are overweight </li></ul><ul><li>B. have hypokalemia </li></ul><ul><li>C. trying to conceive </li></ul><ul><li>D. have high blood pressure </li></ul>
  55. 55. Answer <ul><li>answer is C. </li></ul>
  56. 56. <ul><li>A possible life-threatening effect of premarin is: </li></ul><ul><li>A. bone marrow depression </li></ul><ul><li>B. respiratory depression </li></ul><ul><li>C. thromboembolic disorders </li></ul><ul><li>D. pulmonary emboli </li></ul>
  57. 57. Answer <ul><li>answer is D. </li></ul>
  58. 58. <ul><li>You need to avoid crushing this medication because of the possibility of tooth staining: </li></ul><ul><li>A. Tylenol </li></ul><ul><li>B Macrobid </li></ul><ul><li>C. Benedryl </li></ul><ul><li>D. Paxil </li></ul>
  59. 59. <ul><li>answer is B. It is also recommended that you dilute oral suspension in milk, water, or fruit juice and rinse mouth thouroughly after taking. </li></ul>
  60. 60. <ul><li>Amlodine also called Norvasc is classified as: </li></ul><ul><li>A. an anti inflammatory agent </li></ul><ul><li>B. an antihistamine </li></ul><ul><li>C. a calcium channel blocker </li></ul><ul><li>D an antipsychotic </li></ul>
  61. 61. Answer <ul><li>answer is C.  It is used in the treatment of mild to moderate hypertension and stable angina. </li></ul>
  62. 62. <ul><li>With atorvostatin calcium (Liptor) what labs should you monitor? </li></ul><ul><li>a. liver </li></ul><ul><li>b. kidney </li></ul><ul><li>c. thyroid </li></ul>
  63. 63. Answer <ul><li>Answer  a. liver. Med can cause liver failure. </li></ul>
  64. 64. <ul><li>Patient teaching, with Augmentin, for females of child bearing age, should include </li></ul><ul><li>a. take sun precautions. </li></ul><ul><li>b. turns urine green </li></ul><ul><li>c. decreases efficiency of oral contraceptive. </li></ul>
  65. 65. <ul><li>Answer c. decreases efficiency of oral contraceptive </li></ul>
  66. 66. <ul><li>Bimatoprost eye drops teaching should involve? </li></ul><ul><li>a. not to wear sun glasses </li></ul><ul><li>b. may cause sore throat </li></ul><ul><li>c. proper  technique for installing eye drops </li></ul>
  67. 67. Answer <ul><li>Answer c. teaching installing eye drop to prevent infection. </li></ul>
  68. 68. <ul><li>What important teaching should a nurse do for patient and family taking  escitalopram oxalate/ Lexapro? </li></ul><ul><li>a. Monitor for suicidal thoughts </li></ul><ul><li>b. monitor weight gain </li></ul><ul><li>c. monitor skin color </li></ul>
  69. 69. Answer <ul><li>Answer a. young adults and adolescents more likely to have suicidal thoughts and act on them. </li></ul>
  70. 70. <ul><li>Patient teaching about fluticasone propionate/ Advair Diskus should include </li></ul><ul><li>a . turns urine blue </li></ul><ul><li>b. to be used every day not rescue inhaler </li></ul><ul><li>c. prevents headaches </li></ul>
  71. 71. Answer <ul><li>Answer b. need to be used every day to work. </li></ul>
  72. 72. <ul><li>With a patient taking furosemide/Lasix the nurse should monitor </li></ul><ul><li>a. K+ and NA </li></ul><ul><li>b. EKG </li></ul><ul><li>c. Mg and Albumin </li></ul>
  73. 73. Answer <ul><li>Answer a.  lasix is not a K+ sparing Diuretic. </li></ul>
  74. 74. <ul><li>Patient teaching with lovastatin/Mevacor </li></ul><ul><li>a. stay out of sun or use sunscreen. </li></ul><ul><li>b. do not drive </li></ul><ul><li>c. increases allergy to cats </li></ul>
  75. 75. <ul><li>Answer a. make patient more sun sensitive </li></ul>
  76. 76. <ul><li>Metopolol  tartate is held if </li></ul><ul><li>a. pulse is less than 50 </li></ul><ul><li>b. pulse is more than 100 </li></ul><ul><li>c. BP is 140/80 </li></ul>
  77. 77. <ul><li>Answer a. pulse should be greater than 50 beats a min. </li></ul>
  78. 78. <ul><li>Morphine can be given </li></ul><ul><li>a. IM/Subcut </li></ul><ul><li>b. PO </li></ul><ul><li>c. IV </li></ul><ul><li>d. all the above </li></ul>
  79. 79. Answer <ul><li>Answer d. all are good route. </li></ul>
  80. 80. <ul><li>Ramipril/Altrace an antihypertensive drug is held for </li></ul><ul><li>a. decreases BP </li></ul><ul><li>b. increased pulse rate </li></ul><ul><li>c. increased respiratory rate </li></ul>
  81. 81. Answer <ul><li>Answer a. it decreases  BP so must be held if BP below 100/70 </li></ul>