INICET RECALL QUESTIONS NOV 2020
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This document provides a description of an INICET NOV 2020 pharmacology recall, practice, and test project created by Dr. Shivankan Kakkar. It includes 14 slides with questions related to pharmacology to test recall. The slides cover topics like drug dilutions, side effects, treatments for seizures and other conditions, drug interactions, and properties of specific medications. It is copyrighted material intended for medical education and testing pharmacology knowledge.
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Neurology MedicationsDo not change the format of this handout..docx
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Do not change the format of this handout.
Save your name to the document to receive credit and for easier verification.
Answer in 25 words or less if possible.
Use your own words only.
1. Define the below terms as it relates to the neurologic system.
Definition
Clonus
Extinction
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3. Describe the difference between selective serotonin reuptake inhibitors and monoamine oxidase inhibitors?
a. Give an example of each.
b. Discuss the difference in nursing interventions.
4. Describe the difference between atypical antidepressants and mood stabilizers.
a. Give an example of each.
b. Discuss the difference in nursing interventions.
5. What are the drugs of choice for epilepsy in pregnant women?
a. What is the mechanism of action for those drugs?
b. What is one contraindication?
c. What is an appropriate nursing diagnosis?
6. What nursing interventions are appropriate for an epileptic pregnant woman?
7. What nursing education should you give to the patient and their family?
8. Name a medication used to treat ADHD.
a. What is that medication’s mechanism of action?
b. What is one contraindication?
c. What is an appropriate nursing intervention?
9. How could you differentiate between addiction and pseudo-addiction in patients who are taking medications for ADHD?
10. How could you differentiate between addiction and pseudo-addiction in patients who are taking opioids?
11. Describe the parasympathetic nervous system.
12. Describe the sympathetic nervous system.
13. For each generalized seizure state the medication used for treatment and a nursing intervention. Note: some seizures can be treated using the same medication, however you should list a different medication for each.
Seizure
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Absence seizures
Status epilepticus
Tonic clonic
Partial seizures
14. Describe Parkinson’s disease.
15. What two main classes of medications are used for treatment of Parkinson’s disease? Give an example of each class.
Cardiovascular Medications
Do not change the format of this handout.
Save your name to the document to receive credit and for easier verification.
Answer in 25 words or less if possible.
Use your own words only.
1. Define the following terms in your own words.
Afterload
Preload
Cardiac output
Chronotropic
Conductivity
Irritability
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Refractory period.
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2. What is Angina Pectoris? (In your own words please)
Fill in the table below
What is Angina?
What causes it?
Describe the symptoms
3. Angina can be a recurring problem or a sudden, acute health concern. There are different types of angina. Fill in the table below.
Stable angina
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Prinzmetal’s angina
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Neurology MedicationsDo not change the format of this handout..docx
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Do not change the format of this handout.
Save your name to the document to receive credit and for easier verification.
Answer in 25 words or less if possible.
Use your own words only.
1. Define the below terms as it relates to the neurologic system.
Definition
Clonus
Extinction
Myoclonus
Spasticity
Tremor
2. What nursing interventions are appropriate for a postsurgical patient after receiving general anesthesia?
3. Describe the difference between selective serotonin reuptake inhibitors and monoamine oxidase inhibitors?
a. Give an example of each.
b. Discuss the difference in nursing interventions.
4. Describe the difference between atypical antidepressants and mood stabilizers.
a. Give an example of each.
b. Discuss the difference in nursing interventions.
5. What are the drugs of choice for epilepsy in pregnant women?
a. What is the mechanism of action for those drugs?
b. What is one contraindication?
c. What is an appropriate nursing diagnosis?
6. What nursing interventions are appropriate for an epileptic pregnant woman?
7. What nursing education should you give to the patient and their family?
8. Name a medication used to treat ADHD.
a. What is that medication’s mechanism of action?
b. What is one contraindication?
c. What is an appropriate nursing intervention?
9. How could you differentiate between addiction and pseudo-addiction in patients who are taking medications for ADHD?
10. How could you differentiate between addiction and pseudo-addiction in patients who are taking opioids?
11. Describe the parasympathetic nervous system.
12. Describe the sympathetic nervous system.
13. For each generalized seizure state the medication used for treatment and a nursing intervention. Note: some seizures can be treated using the same medication, however you should list a different medication for each.
Seizure
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Nursing Intervention
Absence seizures
Status epilepticus
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Cardiovascular Medications
Do not change the format of this handout.
Save your name to the document to receive credit and for easier verification.
Answer in 25 words or less if possible.
Use your own words only.
1. Define the following terms in your own words.
Afterload
Preload
Cardiac output
Chronotropic
Conductivity
Irritability
Inotropic
Refractory period.
Dysrhythmia
Atherosclerosis
2. What is Angina Pectoris? (In your own words please)
Fill in the table below
What is Angina?
What causes it?
Describe the symptoms
3. Angina can be a recurring problem or a sudden, acute health concern. There are different types of angina. Fill in the table below.
Stable angina
Unstable angina
Prinzmetal’s angina
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·
Scenario
1. What steps will you take to assess J.R.?
2. List at least five components of a neurologic examination.
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Part 1 Medical-Surgical caSeS
512
Copyright © 2016 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
6. What is the most sensitive indicator of neurologic change?
Case Study Progress
You complete your neurologic examination and find the following: Glasgow Coma Scale (GCS) score of 15; pupils equal, round, reactive to light; and full sensation intact. J.R. complains of a headache and is somewhat drowsy. His vital signs (VS) are 120/72, 114, 30, 98.7 ° F (37.1 ° C) and SpO2 94%. As the radiology technician performs a portable cross-table lateral cervical spine x-ray examination, J.R. begins to speak incoherently and appears to drift off to sleep.
7. What are the next actions you will take?
Case Study Progress
While waiting for the physician to arrive, you find that J.R. has become unresponsive to verbal stimuli. the right pupil is larger than the left and does not respond to light. J.R. responds to painful stimuli in the manner shown in the illustration.
8. What is this response called and what does it signify?
9. Calculate J.R.'s GCS score. Describe the clinical implications of this score.
10. What is the likely cause of the change in J.R.'s neurologic status?
11. What are your nursing priorities at this time?
12. What immediate actions will you take?
13. His vital signs are now 160/72, 64, 10, 98.7 ° F (37.1 ° C), and Spo2 94%. What is your concern and why?Case Study Progress
the physician arrives and gives the orders shown in the chart.
Physician's Orders
Insert Foley catheter
Insert nasogastric tube to continuous low wall suction
Intubate: Vent settings assist-control 16, V 900 mL, Fi
T
o 0.5, PEEP (positive.
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the nerve cell, known as axonal transport. When this information flow is
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Risk of Side Effects of COMIRNATY Intramuscular Injection for 5 to 11 Years O...
Efficacy of vaccination of the COMIRNATY intramuscular injection for 5 to 11 years old Pfizer BioNTech against coronavirus infectious disease 2019 COVID 19 was high in pediatric trials conducted for the severe acute respiratory syndrome coronavirus 2 SARS CoV 2 variants before omicron wave. Among adults, estimated vaccine effectiveness of 2 BNT162b2 Pfizer BioNTech doses against symptomatic Omicron infection was reduced compared with prior variants. It has been clarified that the incidence of side effects on BNT162b2 is higher in Japanese than in other races. Therefore, we investigated the onset of side effects on the COMIRNATY intramuscular injection for 5 to 11 years old in Japanese children 5 to 11 years old by clinical research. From the results of clinical studies, it was clarified that the incidence of side effects on the COMIRNATY intramuscular injection for 5 to 11 years old in Japanese children is extremely low. Here, we describe the symptoms of side effects on the COMIRNATY intramuscular injection for 5 to 11 years old in Japanese children. Takuma Hayashi | Ikuo Konishi "Risk of Side Effects of COMIRNATY Intramuscular Injection for 5 to 11 Years Old in Children during the Omicron Wave in Japan" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-4 , June 2022, URL: https://www.ijtsrd.com/papers/ijtsrd50149.pdf Paper URL: https://www.ijtsrd.com/medicine/other/50149/risk-of-side-effects-of-comirnaty-intramuscular-injection-for-5-to-11-years-old-in-children-during-the-omicron-wave-in-japan/takuma-hayashi
Case Study Acute Head InjuryDifficulty Advance.docx
Case Study
Acute Head Injury
Difficulty: Advanced
Setting: Hospital
Index Words: head injury, trauma, crisis management, neurologic assessment
Giddens Concepts: Clinical Judgment, Culture, Intracranial Regulation
HESI Concepts: Assessment, Clinical Decision Making, Culture, Intracranial Regulation, Nursing Interventions
J.R. is a 28-year-old man who was doing home repairs. He fell from the top of a 6-foot stepladder, striking his head on a large rock. He experienced a momentary loss of consciousness. By the time his neighbor got to him, he was conscious but bleeding profusely from a laceration over the right temporal area. the neighbor drove him to the emergency department of your hospital. As the nurse, you immediately apply a cervical collar, lay him on a stretcher, and take J.R. to a treatment room.
·
Scenario
1. What steps will you take to assess J.R.?
2. List at least five components of a neurologic examination.
3. What types of injuries may J.R. have sustained?
4. What complication common to each of these diagnoses concerns you most?
5. Identify at least six findings that would indicate this complication is occurring.
Part 1 Medical-Surgical caSeS
512
Copyright © 2016 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
6. What is the most sensitive indicator of neurologic change?
Case Study Progress
You complete your neurologic examination and find the following: Glasgow Coma Scale (GCS) score of 15; pupils equal, round, reactive to light; and full sensation intact. J.R. complains of a headache and is somewhat drowsy. His vital signs (VS) are 120/72, 114, 30, 98.7 ° F (37.1 ° C) and SpO2 94%. As the radiology technician performs a portable cross-table lateral cervical spine x-ray examination, J.R. begins to speak incoherently and appears to drift off to sleep.
7. What are the next actions you will take?
Case Study Progress
While waiting for the physician to arrive, you find that J.R. has become unresponsive to verbal stimuli. the right pupil is larger than the left and does not respond to light. J.R. responds to painful stimuli in the manner shown in the illustration.
8. What is this response called and what does it signify?
9. Calculate J.R.'s GCS score. Describe the clinical implications of this score.
10. What is the likely cause of the change in J.R.'s neurologic status?
11. What are your nursing priorities at this time?
12. What immediate actions will you take?
13. His vital signs are now 160/72, 64, 10, 98.7 ° F (37.1 ° C), and Spo2 94%. What is your concern and why?Case Study Progress
the physician arrives and gives the orders shown in the chart.
Physician's Orders
Insert Foley catheter
Insert nasogastric tube to continuous low wall suction
Intubate: Vent settings assist-control 16, V 900 mL, Fi
T
o 0.5, PEEP (positive.
Are Vitamin D Levels Associated with COVID 19 Prevalence and Outcomes
Since December 2019, coronavirus infection disease 2019 COVID 19 due to a new coronavirus, severe acute respiratory syndrome type 2 SARS CoV2 infection, occurred mainly in Wuhan City, Hubei Province, China, and spread worldwide throughout a short period of time. The COVID 19 pandemic is shaking the world. To date, the route of infection, treatment methods, and the process since infection have not been clarified. Therefore, various researches and studies are being carried out at a rapid pace in research institutions around the world to clarify the novel coronavirus. Vitamin D helps to balance calcium and helps maintain bone health. Vitamin D is considered to be physiologically effective for enhancing immunity, cancer, diabetes, autism, and making the body easy to conceive. Recent studies have reported an association between the amount of vitamin D in the body and the severity of COVID 19. In this review, we provide a compact, comprehensive description of the relationship between vitamin D and COVID 19. Takuma Hayashi | Ikuo Konishi "Are Vitamin D Levels Associated with COVID-19 Prevalence and Outcomes?" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd31433.pdf Paper Url :https://www.ijtsrd.com/medicine/other/31433/are-vitamin-d-levels-associated-with-covid19-prevalence-and-outcomes/takuma-hayashi
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INICET RECALL QUESTIONS NOV 2020
- 1. INICET NOV 2020 Project Name: INICET NOV 2020 Description: RECALL, PRACTICE, TEST Author: Dr Shivankan Kakkar, MD Copyright: DOCTORU
- 2. INICET NOV 2020 Pharmacology Recall Shivankan Kakkar, MD www.shivankankakkar.wordpress.com www.doctoru.weebly.com Slide 1
- 3. Identify the WRONG combination of dilution of epinepherine and its route of administration ? Submit Slide 2
- 4. Which of the following drugs causes the least sexual side effects? Submit Slide 3
- 5. Which of the following drugs are used for absence seizures? Submit Slide 4
- 6. The mechanism of anti-migraine drug causing angina like symptoms is Submit Slide 5
- 7. A child presented with complaints of cough and sore throat. He was prescribed an antibiotic but later presented with rash.The case was diagnosed as that of Infectious Mononucleosis. Which drug was most likely prescribed to the patient? Submit Slide 6
- 8. Which of the following drugs reduces mortality in COVID-19 patients? Submit Slide 7
- 9. A combination of codeine and dextromethorphan is being launched as an anti-tussive. What is TRUE for this combination? Submit Slide 8
- 10. A patient presents with seizures. His CT head reveals multiple parenchymal cysts. Which of the following are CORRECT regarding management in this case? Submit Slide 9
- 11. Which statement is INCORRECT regarding drugs used in GOUT? Submit Slide 10
- 12. Which of the following drugs worsens myasthenia gravis? Submit Slide 11
- 13. Which of the following is TRUE about Disulfiram? Submit Slide 12
- 14. Which drug promotes bone formation among the following? Submit Slide 13
- 15. What are the disadvantages of the pressurized metered dose inhaler (pMDI)? Submit Slide 14