Med Test Collaborative

By all of us

Cardiac Question

• 1. What is the action of dobutamine hydrochloride (Dobutrex)?

• A. It is a positive dromotropic drug meaning it increases the conduction of the heart

• B. It is a positive ionotrophic drug, meaning it increases heart contractility

• C. I t is has a negative chronotropic effect, meaning it decreases heart rate

• D. It has a negative ionotropic effect, meaning it decreases heart contractility

Answer

• 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 http://en.wikipedia.org/wiki/Chronotropic .  See the ACLS pocket guide at http://www.globalrph.com/acls_guide.htm .  See globalrph at http://www.globalrph.com/druginforx.htm for more information see http://www.rxlist.com/dobutamine-drug.htm . Definition at http://medical-dictionary.thefreedictionary.com/inotropic .

Question

• Cetrizine (Zyrtec) belongs to which class of drugs?

•     A.  Anti-inflammatory

•     B.  Antihistamine

•     C.  Analgesic

•     D.  Antibiotic

Answer

• Answer B is correct.  It is a widely used antihistamine used to treat allergy symptoms and chronic idiopathic urticaria

• A.  It is not an anti-inflammatory

• C.  It is not an analgesic

• D. It is not an antibiotic

Cardiac

• Intravenous diltiazem hydrochloride  ( Cardizem ) is used to treat which following conditions?

•     A.)  Angina

•     B.)  Atrial fib and flutter

•     C.)  Hypertension

•     D.)  Hypotension

Answer

• Answer B is correct.  IV Cardizem  is used emergently to treat atrial fibrillation and flutter

• A.  Oral Cardizem is used to treat angina

• C.  Oral Cardizem is used to treat hypertension

• D.  IV  Cardizem is not used to treat hypotension

Statins

• What is the primary action of ezetimibe/simvaststin  ( Vytorin) ?

• A.  Lowers total cholesterol

• B.  Increases cholesterol

• C.  Stabilizes blood glucose

• D.  Treats muscle pain

Answer

• Answer A is correct.  Vytorin is used to lower total cholesterol

• B.  It should lower cholesterol, not increase it

• C.  It does not treat blood glucose

• D.  It causes muscle pain in some patients

 

Antihypertensive

• irbesartan  (Avapro's) mechanism of lowering blood pressure is best described as:

• A.  Alpha blocker

• B.  Diuretic

• C.  Beta Blocker

• D.. Angiotension converting enzyme inhibitor (ACE Inhibitor)

•  

Answer

• Answer D is correct.  Avapro inhibits the production of angiotension

• A.  It is not an alpha blocker

• B.  It is not a dieuretic

• C.  It is not a beta blocker

•  

• oxycodone   (Oxycontin) is best described as:

• a.  An inflammatory

• B.  An antibiotic

• C.  An opiate analgesic, schedule 2

• D.  An opiate analgesic, schedule 3

•  

• Answer C is correct. Oxycontin is a schedule 2 narcotic that may be habit forming.

• A.  It is not an antiinflammatory

• B.  It is not an antibiotic

• D.  It is not a schedule 3 drug

• Which lab should be monitored for levothyroxine sodium (Synthroid)?

• A.  CL

• B.  TSH

• C.  Na

• D.. K

Answer

• Answer B is correct.  The thyroid stimulating hormone (TSH) should be monitored.

• A.  CL is not an indication of thyroid function

• C.  Na is not an indication of thyroid function

• D.  K is not an indication of thyroid function

• Which lab should you monitor for a patient taking warfarin sodium (Coumadin)?

• A.  PT/INR

• B.  PSA

• C.  Blood glucose

• D. Vitamin K level

Answer

• Answer A is correct.  INR (international unit) is derived from the PT, and shows Coumadin's effect.

• B.  PSA is the prostate specific antigen• C. Blood glucose is not necessary to monitor

for coumadin patients• D.  Vitamin levels are not monitored, however,

patients should be taught that foods that contain vitamin K decrease warfarin's actions

• Coadministration of ___?____ and Clopidogrel Bisulfate (Plavix) increases the risk of GI bleeding.

• A. Niacin 

• B. Citracel

• C. Colace

• D. NSAID's

Answer

• Answer D is correct.  Plavix can potentiate the inhibition of platelet aggregation due to ASA

• Do not take a _____?___ with Venlafaxine Hydrochloride (Effexor XR)

• A. MAOI

• B. weight loss supplement

• C. anti histamine

• D. antibiotic

Answer

• Answer A is correct.  Adverse reactions can occur: nausea, vomiting, hyperthermia with neurolepic malignant syndrome, seizures, death

• Do not give Amoxicillin (Amoxil) to a patient that is allergic to __________?

• A. sulfa

• B.Codeine

• C. PCN

• D. Cipro

Answer

• Answer C is correct.  Amoxicillin is in the same drug family with PCN.

• A patient on Montelukast Sodium  (Singulair) should check his OTC and RX meds for what ingredient?

• A, Benadryl

• B. ePHEDrine

• C. Abilify

• D. EPINEPHrine

Answer

• Answer B is correct.  ePHEDrine will increase stimulation if taken with Singulair

• Fourteen days should elasped between stopping a___?___and starting Paroxetine Hydrochloride (Paxil)

• A. Antibiotic

• B. Heparin

• C. Anti histamine

• D. MAOI

Answer

• Answer D is correct. Taken together could produce adverse reactions: nausea, vomiting, hyperthermia with features resembling neuromalignant syndrome, seizures, death

• You should not administer Oseltamivir Phosphate (Tamiflu) to a patient that has had __?__ within the last 2 weeks.

• A. TB skin test

• B. Hepatitis B vaccine

• C. Nasal flu mist

• D. Pneumonia vaccine

Answer

• Answer C is correct. There is a potential for anti viral drugs to inhibit replication of live vaccine virus.

• Varenicline (Chantix) may alter the effects of?

• A. insulin

• B. Lovenox

• C. Theophylline

• D. A & C

Answer

• 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.

• What lab would you monitor on a patient taking Ezetimibe (Zetia)?

• A. CBC

• B. TSH

• C Glucose

• D. Lipid Panel

• Answer D is correct. Zetia is a cholesterol lowering drug.

• Amitriptylline (Elavil) can cause what lab test to increase or decrease?

• A. TSH

• B. blood glucose

• C. HDL

• D. Cardiac enzymes

• Answer B is correct. Monitor blood glucose levels periodically.

• You may get a false positive reaction on what test when taking Keflex?

• A. LDL

• B. HCG

• C. Blood glucose

• D. Urine glucose

•  

Answer

• Answer D is correct. Don't use Benedict's or Fehlings solution or Clinitest tabs to test urine for glucose.

• Before administration of Digoxin  (Lanoxin) what labs should you check?

• A. Mg, K, Ca

• B. LDL, HDL

• C. HCT HGB

• D. PT, PTT

Answer

• Answer A is correct. Hypomagnesemia. hypokalemia and hypercalcemia may predispose patient to digitalis toxicity.

•  

• The generic name for Vicodin is:

• A. dextran

• B. calcium gluconate

• C. hydrocodone bitartrate

• D. nitrofurantin

Answer

• Answer is C

• The effectiveness of simvastin/Zocor is measured by:• A. decrease serum triglycerides, decrease LDL, and

cholesterol and modest increase in HDL cholesterol.• B. increase serum triglycerides, increase LDL, and

cholesterol and modest decrease in HDL cholesterol.• C. serum triglycerides, LDL and cholesterol remain at the

same level with a modest increase in HDL cholesterol.• D. none of the above

Answer

• Answer is A.   Zocor is an antilipemic, used to help lower the bad cholesterol and increase the god cholesterol

• Levothyroxine sodium (t4) is also known as:

• A. Haldol

• B. Tylenol

• C. Indocin

• D. Synthroid

Answer

• Answer is D

• When taking hydrochlorothiazide you should:

• A. take it with food or milk to avoid GI distress

• B. schedule doses to avoid nocturia and interrupted sleep.

• C. increase your sodium intake.

• D. a and b are both correct.

Answer

• Answer is D.

•  

• When using Stadol you need to remember:• A. don't give more than 4mg in a single IM dose.• B. observe neonate for signs of respiratory

depression is used during labor.• C. monitor respirations as it may cause

respiratory distress.• D. all of the above

• answer is D.

• orlistat is which of the following:

• A. narcotic analgesic

• B. contraceptive

• C. antibiotic

• D. non-systemic lipase inhibitor

• answer is D.  Xenical (orlistat) reduces intestinal absorption of dietary fat.

• Boniva is used for:

• A. suppressive prophylaxis and treatment of acute malarial attacks.

• B prevention and treatment of osteoporosis in post menopausal woman.

• C. managment of manifistations of psychotic disorders.

• D. acute rheumatiod arthritis

Answer

• answer is B.

• You would use Clomid if you:

• A. are overweight

• B. have hypokalemia

• C. trying to conceive

• D. have high blood pressure

Answer

• answer is C.

• A possible life-threatening effect of premarin is:

• A. bone marrow depression

• B. respiratory depression

• C. thromboembolic disorders

• D. pulmonary emboli

Answer

• answer is D.

• You need to avoid crushing this medication because of the possibility of tooth staining:

• A. Tylenol

• B Macrobid

• C. Benedryl

• D. Paxil

• answer is B. It is also recommended that you dilute oral suspension in milk, water, or fruit juice and rinse mouth thouroughly after taking.

• Amlodine also called Norvasc is classified as:

• A. an anti inflammatory agent

• B. an antihistamine

• C. a calcium channel blocker

• D an antipsychotic

Answer

• answer is C.  It is used in the treatment of mild to moderate hypertension and stable angina.

• With atorvostatin calcium (Liptor) what labs should you monitor?

• a. liver

• b. kidney

• c. thyroid

Answer

• Answer  a. liver. Med can cause liver failure.

• Patient teaching, with Augmentin, for females of child bearing age, should include

• a. take sun precautions.

• b. turns urine green

• c. decreases efficiency of oral contraceptive.

• Answer c. decreases efficiency of oral contraceptive

• Bimatoprost eye drops teaching should involve?

• a. not to wear sun glasses

• b. may cause sore throat

• c. proper  technique for installing eye drops

Answer

• Answer c. teaching installing eye drop to prevent infection.

• What important teaching should a nurse do for patient and family taking  escitalopram oxalate/ Lexapro?

• a. Monitor for suicidal thoughts

• b. monitor weight gain

• c. monitor skin color

Answer

• Answer a. young adults and adolescents more likely to have suicidal thoughts and act on them.

• Patient teaching about fluticasone propionate/ Advair Diskus should include

• a . turns urine blue

• b. to be used every day not rescue inhaler

• c. prevents headaches

Answer

• Answer b. need to be used every day to work.

• With a patient taking furosemide/Lasix the nurse should monitor

• a. K+ and NA

• b. EKG

• c. Mg and Albumin

Answer

• Answer a.  lasix is not a K+ sparing Diuretic.

• Patient teaching with lovastatin/Mevacor

• a. stay out of sun or use sunscreen.

• b. do not drive

• c. increases allergy to cats

• Answer a. make patient more sun sensitive

• Metopolol  tartate is held if

• a. pulse is less than 50

• b. pulse is more than 100

• c. BP is 140/80

• Answer a. pulse should be greater than 50 beats a min.

• Morphine can be given

• a. IM/Subcut

• b. PO

• c. IV

• d. all the above

Answer

• Answer d. all are good route.

• Ramipril/Altrace an antihypertensive drug is held for

• a. decreases BP

• b. increased pulse rate

• c. increased respiratory rate

Answer

• Answer a. it decreases  BP so must be held if BP below 100/70