Pharm Final Exam Prep
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Questions and Answers

Acromegaly is a condition caused by excessive growth hormone (GH). Which medication would we expect the provider to prescribe?

  • Octreotide (Sandostatin) (correct)
  • Somatropin
  • Pegvisomant
  • Bromocriptine

    • How long does it typically take for thyroid replacement medication to become fully therapeutic?

  • 1-2 days
  • 3-4 weeks (correct)
  • 1-2 months
  • 6 months

    • When administering acyclovir IV, it should be administered slowly over at least or greater than 60 minutes.

    True

    When administering acyclovir IV, it should be administered slowly over at least or greater than 60 minutes.

    <p>True</p> Signup and view all the answers

    Why is it important to complete the full course of treatment for fungal skin infections?

    <p>Stopping treatment too soon can lead to recurrence.</p> Signup and view all the answers

    Why would the patient likely be prescribed an earwax emulsifier?

    <p>To soften earwax to make it easier to remove</p> Signup and view all the answers

    This topical anesthetic eyedrop provides rapid numbing of the cornea and conjunctiva, commonly used for procedures like tonometry or foreign body removal. What is it?

    <p>Proparacaine</p> Signup and view all the answers

    Somatropin has the potential to exacerbate respiratory issues such as asthma; therefore, dose modifications may be needed.

    <p>True</p> Signup and view all the answers

    Levothyroxine (Synthroid) is a synthetic thyroid hormone that is the most common medication used to treat __________. It is dosed in micrograms (mcg).

    <p>Hypothyroidism</p> Signup and view all the answers

    How long after an influenza vaccination is a person considered to have protection?

    <p>2 weeks</p> Signup and view all the answers

    Eardrop administration techniques:

    <p>Kids: pull ear downward</p> Signup and view all the answers

    When a patient has prescriptions for both a steroid eye drop and an antibiotic eye drop, what is one potential complication?

    <p>Immunosuppression from the steroid may make it more difficult to eliminate the eye infection with the antibiotic</p> Signup and view all the answers

    Humatrope (Somatropin) is a form of human growth hormone used to treat growth failure in children and adults who lack natural growth hormone. How would you expect to administer this medication?

    <p>Subcutaneous</p> Signup and view all the answers

    What time of day should patients take their thyroid replacement medication?

    <p>Morning, 30-60 minutes before breakfast</p> Signup and view all the answers

    Which anti-viral drug is used to treat Influenza A?

    <p>Amantadine (Symmetrel)</p> Signup and view all the answers

    This topical antibiotic is often prescribed to treat MRSA skin infections, working by inhibiting bacterial protein synthesis. What is the name of this antibiotic?

    <p>Mupirocin (Bactroban)</p> Signup and view all the answers

    It is a contraindication to use ear drops in the presence of a perforated eardrum.

    <p>True</p> Signup and view all the answers

    When giving multiple eye drops to a patient, the nurse should wait 5-10 minutes in between each drop. If the patient is ordered artificial tears, when should those be given?

    <p>Last</p> Signup and view all the answers

    Which medication is used to treat diabetes insipidus by mimicking antidiuretic hormone (ADH), and patients should be monitored for water intoxication and changes in fluid balance?

    <p>Desmopressin (DDAVP)</p> Signup and view all the answers

    Octreotide is a man-made protein similar to the hormone somatostatin. How does it treat symptoms of gastrointestinal carcinoid tumors?

    <p>Decreases the number of watery diarrheal stools</p> Signup and view all the answers

    Which lab values should be monitored during treatment with anti-thyroid medication?

    <p>All of the above</p> Signup and view all the answers

    Minoxidil (Rogaine) is a medication frequently used to aid in hair thinning in men and women. What are some potential side effects associated with systemic absorption?

    <p>Weight gain</p> Signup and view all the answers

    What is the most common condition of the ear with symptoms including pain, fullness, fever, and fatigue?

    <p>Otitis Media (OM)</p> Signup and view all the answers

    This diagnostic dye is commonly used in eye exams to detect corneal abrasions, foreign bodies, or ulcers by fluorescing under blue light. Which dye is it?

    <p>Fluorescein Sodium (AK-Fluor)</p> Signup and view all the answers

    Which medication used to reduce intraocular pressure is given IV?

    <p>Mannitol (Osmitrol)</p> Signup and view all the answers

    Cytomegalovirus is a relatively harmless virus that is commonly treated successfully with ganciclovir (Cytovene)

    <p>True</p> Signup and view all the answers

    What are potential side effects of using the form of Vitamin A tretinoin (Retin-A) for skin smoothing and renewal that should be reported to the provider? (Select all that apply)

    <p>Blistering</p> Signup and view all the answers

    What are potential hazards of the use of otic preparations? (Select all that apply)

    <p>Inner ear irritation</p> Signup and view all the answers

    What is the proper technique for administering eyedrops?

    <p>Tilt your head back, pull down the lower eyelid, and drop the medication into the conjunctival sac.</p> Signup and view all the answers

    Which condition is radioactive iodine used to treat?

    <p>Hyperthyroidism</p> Signup and view all the answers

    Indications for the direct- and indirect-acting miotics include which conditions?

    <p>Noninflammatory secondary glaucomas</p> Signup and view all the answers

    Which antiviral medication is used to treat respiratory syncytial virus (RSV) in hospitalized infants and children?

    <p>Ribavirin</p> Signup and view all the answers

    Patients prescribed this acne medication must enroll in the iPLEDGE program, avoid pregnancy due to teratogenic risks, and be monitored for mood changes and liver function. Which medication is this?

    <p>Isotretinoin</p> Signup and view all the answers

    Eardrops occasionally contain a combination compound of an antibiotic along with a steroid. What are the reasons for this combination? (Select all that apply)

    <p>Reduce inflammation (which can allow the antibiotic to better penetrate)</p> Signup and view all the answers

    Which prostaglandin agonist can cause a change in eye color, specifically by darkening the iris, most noticeably in individuals with hazel or mixed-colored eyes?

    <p>Latanoprost (Xalatan)</p> Signup and view all the answers

    What medication is commonly used to treat acromegaly?

    <p>Octreotide</p> Signup and view all the answers

    Octreotide reduces which symptom?

    <p>Diarrheal stools</p> Signup and view all the answers

    Minoxidil may cause which side effect?

    <p>Tachycardia</p> Signup and view all the answers

    Shellfish allergy contraindicates which prep?

    <p>Povidone-iodine</p> Signup and view all the answers

    Topicort treats atopic dermatitis

    <p>True</p> Signup and view all the answers

    What is the most effective method for preventing HBV infection?

    <p>HBV vaccine</p> Signup and view all the answers

    Influenza protection after vaccination starts after how long?

    <p>two weeks</p> Signup and view all the answers

    Acyclovir should be infused slowly.

    <p>True</p> Signup and view all the answers

    Somatropin is administered by which route?

    <p>subcutaneous</p> Signup and view all the answers

    Levothyroxine is classified as what?

    <p>thyroid hormone</p> Signup and view all the answers

    Albuterol is classified as what?

    <p>bronchodilator</p> Signup and view all the answers

    Guaifenesin is classified as what?

    <p>expectorant</p> Signup and view all the answers

    Diphenhydramine is an antihistamine.

    <p>True</p> Signup and view all the answers

    Ibuprofen is classified as what?

    <p>Non-steroidal anti-inflammatory drug</p> Signup and view all the answers

    Bismuth subsalicylate is classified as what?

    <p>Antacid</p> Signup and view all the answers

    Allopurinol is classified as what?

    <p>xanthine oxidase inhibitor</p> Signup and view all the answers

    Omeprazole is a proton pump inhibitor (PPI)

    <p>True</p> Signup and view all the answers

    Which drug may cause eye color change?

    <p>latanoprost</p> Signup and view all the answers

    Corticosteroids can cause infections.

    <p>True</p> Signup and view all the answers

    What is a possible side effect of gentamicin?

    <p>Systemic infection</p> Signup and view all the answers

    Which condition do miotics treat?

    <p>Open angle glaucoma</p> Signup and view all the answers

    Isotretinoin can cause severe birth defects.

    <p>True</p> Signup and view all the answers

    Which of the below options should be monitored with desmopressin?

    <p>Urine output</p> Signup and view all the answers

    Topical silver sulfadiazine is contraindicated in patients who have a sulfa allergy.

    <p>True</p> Signup and view all the answers

    Which drug treats impetigo?

    <p>bacitracin</p> Signup and view all the answers

    Thyroid drugs can cause infection risk.

    <p>True</p> Signup and view all the answers

    What is a side effect of anti-thyroid drugs?

    <p>Decreased WBC's</p> Signup and view all the answers

    Levothyroxine is taken at night.

    <p>False</p> Signup and view all the answers

    Which drug is used for hyperthyroidism?

    <p>Propylthiouracil</p> Signup and view all the answers

    Somatropin increases height in children.

    <p>True</p> Signup and view all the answers

    Which below should be monitored for with the use of Isotretinoin?

    <p>Psychosocial changes, suicidal thoughts</p> Signup and view all the answers

    Which of the following drugs is used for glaucoma?

    <p>mannitol</p> Signup and view all the answers

    Which medication can result in tachycardia and fluid retention as a side effect?

    <p>Minoxidil</p> Signup and view all the answers

    What is a critical consideration for patients using povidone-iodine (Betadine) for skin preparation?

    <p>It can cause allergic reactions in individuals with shellfish allergies.</p> Signup and view all the answers

    Which medication primarily reduces bowel symptoms, such as diarrhea, by inhibiting hormone release?

    <p>Octreotide</p> Signup and view all the answers

    What is the primary adverse effect associated with Zidovudine (Retrovir)?

    <p>Bone marrow suppression</p> Signup and view all the answers

    What timing is recommended for taking Levothyroxine to ensure optimal absorption?

    <p>In the morning before food</p> Signup and view all the answers

    Which of the following medications is contraindicated in patients with sulfa allergies?

    <p>Silver Sulfadiazine</p> Signup and view all the answers

    After receiving an influenza vaccine, how long does it typically take for full immunity to develop?

    <p>2 weeks</p> Signup and view all the answers

    Which medication is classified as a short-acting beta-2 agonist bronchodilator?

    <p>Albuterol</p> Signup and view all the answers

    What is the primary function of propylthiouracil (PTU) in the treatment of hyperthyroidism?

    <p>Inhibits thyroid hormone synthesis</p> Signup and view all the answers

    Which medication should be avoided in patients being treated with desmopressin for diabetes insipidus?

    <p>Lithium</p> Signup and view all the answers

    What is a significant side effect associated with the use of latanoprost for glaucoma management?

    <p>Iris darkening</p> Signup and view all the answers

    In which situation is it contraindicated to use eardrops?

    <p>With a perforated eardrum</p> Signup and view all the answers

    What is an essential counseling point for a patient receiving levothyroxine treatment?

    <p>Therapeutic effects may take 3-4 weeks to manifest</p> Signup and view all the answers

    Which medication is specifically indicated for the treatment of shingles?

    <p>Topical acyclovir</p> Signup and view all the answers

    Which of the following medications requires monitoring for mental health changes due to potential teratogenic risks?

    <p>Topical isotretinoin</p> Signup and view all the answers

    What is a critical instruction for applying silver sulfadiazine to burn areas?

    <p>Use a sterile gloved hand and apply thinly</p> Signup and view all the answers

    What is the correct method for administering Timolol for intraocular pressure reduction?

    <p>Deposit into the conjunctival sac carefully.</p> Signup and view all the answers

    Which action should be avoided when using Timolol drops?

    <p>Placing the medication directly onto the pupil.</p> Signup and view all the answers

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