Pharmacology Final Prep Quiz

Which drug would give the greatest positive inotropic and chronotropic effects, along with vascular constriction?

Torsades des pointes is primarily treated by administering which drug?

Responders are called to a patient complaining of dizziness, nausea, and blurred vision after taking too many Digoxin pills accidentally over a 2-3 day period. Which of the following treatments is appropriate for this patient scenario?

What is the proper treatment for a patient with a suspected cocaine overdose exhibiting chest pain, nervousness, tachycardia, increased blood pressure, and dilated pupils?

Which cardiac drug may cause a paradoxical reaction when administered too slowly, potentially slowing the heart rate even more?

Drugs like perindopril, captopril, and enalapril, used to treat hypertension or CHF, belong to which drug class?

Which antiarrhythmic must be given as a rapid IV push due to its short half-life?

A 62-year-old with general weakness, pedal edema, and a blood pressure of 90/50 presents with ST elevation in Leads II, III, AVF, and V4R and an oxygen saturation of 89%. What is the MOST appropriate field assessment and treatment?

Which of the listed drugs is most accurately classified as a synthetic sympathetic agonist?

The patient with the rhythm shown is in cardiac arrest. Following epinephrine (epi), which of the following drugs is MOST indicated for this rhythm?

Amiodarone prolongs repolarization and the effective refractory period of cardiac muscle by what mechanism?

You are treating a patient with multifocal PVCs occurring at 10-15 per minute. After applying O2, what is the MOST appropriate next step?

Your pt has the following: hypotension, dizziness, or lightheadedness upon standing, presence of a rash, muscle cramps, swelling of the hands, face, or eyes, cough, headache, stomach upset, fatigue, and a loss of taste. The patient is showing side effects of which of the following?

You have a patient in neurogenic shock with a HR of 64 and a blood pressure of 70/40. After attempting a fluid challenge, what is indicated to increase the patient’s blood pressure?

What BEST describes why morphine is given to a patient having a myocardial infarction?

Lidocaine is an example of what type of antidysrhythmic?

Which intervention is MOST appropriate to increase the BP of a 47-year-old hypotensive, bradycardic (HR-55) patient with ST elevation in leads V1 and V2 and chest pain so as to receive nitro and/or morphine?

Which choice represents the class of drugs that reduces BP by reducing circulating blood volume via the kidney?

Your post-arrest patient is now receiving a procainamide loading infusion. Which is an indication to stop the infusion?

Ipratropium is effective for the treatment of asthma because of which of the following actions?

Which medication would be MOST expected for a patient in respiratory distress as a result of ARDS?

Which of the following sounds is corrected with a head-tilt chin lift?

You are called to the scene of a 56-year-old complaining of severe dyspnea. The patient has a history of asthma and right-sided heart failure. Before your arrival, the patient had used a prescribed inhaler containing a beta-agonist and steroids without relief of symptoms. Select the three (3) assessments findings that you would expect to find with this patient? Select All That Apply:

Which choice properly identifies how racemic epinephrine is prepared?

You have a patient who takes the following medications: prednisone, ipratropium bromide, betamethasone, and metaproterenol. What condition would you expect this patient is suffering from?

Which of the following would be most beneficial for a patient with acute congestive heart failure?

You are caring for a patient that is in respiratory distress, and you identify the drug Proventil on the patient’s medication list. What is the action of this drug?

Which of the listed drugs would be most accurately classified as a synthetic sympathetic agonist?

You have given a dose of methylprednisone to your dyspneic asthma patient. Your partner correctly reminds you that the patient could exhibit which of the following serious adverse side effects?

You are treating an asthmatic who also complains of chest pain, and you suspect the patient is experiencing an AMI. Which medication would provide the MOST benefit in treating his asthma attack and be the LEAST likely to negatively impact his AMI?

Which of the following would BEST reduce bronchospasm and edema in anaphylaxis?

Which of the following anatomical structures within the pulmonary system is primarily responsible for the trapped air that an asthmatic experiences?

You are called for an adult patient with severe difficulty in breathing. The family tells you that the patient has a past medical history of right ventricular hypertrophy, COPD, and asthma and that he had used his prescribed inhaler without relief. You find the patient sitting in a reclining chair. He cannot speak, and you cannot hear any breath sounds on auscultation of the chest. Select the treatment options that are appropriate for this patient. Select all that apply.

A 6-month-old infant is being transferred from a doctor's office to a hospital for further treatment of bronchiolitis. The nursing staff has administered blow-by oxygen for 10 minutes prior to arrival. What treatment will be MOST beneficial for this baby?

Albuterol sulfate affects which of the following receptors?

Your 64-year-old patient complains of shortness of breath and generalized weakness and indicates he awoke in severe respiratory distress. He regularly takes Lanoxin and furosemide. The patient is now sitting on the side of his bed upright with his arms supporting his upper body. He has a productive cough and weak peripheral pulses. There is no peripheral edema or jugular venous distension. When you place your stethoscope on the patient’s chest, what do you expect to hear?

Which of the following best describes the purpose of PEEP?

You are called to evaluate a 3-year-old child that has a respiratory illness. The child is on his hands and knees in his bed. The mother says he has had a bad cough before but never like this. This cough, which sounds like inspiratory stridor to you, came on suddenly tonight. You are aware of the child's position, but also that he is drooling, not swallowing, and has circumoral cyanosis. The mother says the child has never used an inhaler and has no chronic problems. Your best action at this time is to:

You are treating an unresponsive 62-year-old male, breathing at an agonal rate, very shallow with rales and rhonchi present. Which of the following would be included in the initial treatment of this patient? Select all that apply

Which cardiac drug, if administered too slowly, may cause a paradoxical slowing of the heart rate?

A patient presents with hypotension, dizziness upon standing, rash, muscle cramps, and a persistent cough. These symptoms are most likely side effects of which medication?

For a hypotensive and bradycardic patient (HR 55) with ST elevation in leads V1 and V2, which intervention is MOST appropriate to increase blood pressure before administering nitroglycerin or morphine?

A post-arrest patient is receiving a procainamide loading infusion. Which finding indicates that the infusion should be stopped?

You are called for an adult patient with severe difficulty in breathing. The family tells you that the patient has a past medical history of right ventricular hypertrophy, COPD, and asthma and that he had used his prescribed inhaler without relief. You find the patient sitting in a reclining chair. He cannot speak and you cannot hear any breath sounds on auscultation of the chest. Select the treatment options that are appropriate for this patient.

You are called to evaluate a 3-year-old child that has a respiratory illness and inspiratory stridor. The child is drooling, not swallowing, and has circumoral cyanosis. The mother says the child has never used an inhaler and has no chronic problems. Your best action at this time is to:

Your patient is at the end of her second trimester. During transport she begins tonic-clonic seizures. What should you do next?

You are called to treat a 32-year-old female who is pregnant and actively seizing. Her hands, wrists, feet, and ankles appear swollen, and her pulse oximetry is 90%. Which of the following would be included in the treatment of this patient?

You are treating an unresponsive 62-year-old male, breathing at an agonal rate, very shallow with rales and rhonchi present. Which of the following would be included in the initial treatment of this patient? Select all that apply.

You have already placed oxygen by non-rebreather on your pregnant patient that is at the end of her second trimester. During transport she begins tonic-clonic seizures. Which of the following should you do NEXT?

You are called to a private home to care for a 16-year-old-female who was found passed out on the bathroom floor but now has regained consciousness. She is cool and pale, with sweaty skin. Her pulse is 128, BP is 86/44, and respirations are 22 and shallow. She will not answer questions with her mother in attendance. After getting the mother out of the area, the patient states she has had heavy vaginal bleeding while on the toilet. This started just today. The condition that needs the most urgent treatment with this patient is:

Which of the following is released by the posterior pituitary?

You are called to treat a 32-year-old female who is pregnant and actively seizing. Her hands, wrists, feet, and ankles appear swollen, and her pulse oximetry is 90%. Which of the following would be included in the treatment of this patient? Select all that apply.

During the first trimester of pregnancy, which of the following complications can occur?

You have already placed oxygen by non-rebreather on your pregnant patient who is at the end of her second trimester. During transport, she begins tonic-clonic seizures. Referring to the above scenario, what would you expect the patient's blood pressure to be?

Which of the following would properly represent a female who has been pregnant three times, gave birth twice, and had one spontaneous abortion?

Your diabetic patient is unresponsive, pale, cool, and diaphoretic. Which of the following would be MOST appropriate for this patient?

Polydipsia, polyphagia, and polyuria are all symptoms of which of the following?

You are called to the scene of a lethargic 2-year-old female. Your assessment reveals a blood sugar of 48 mg/dl. Which of the following would be the MOST appropriate way to manage this patient?

In the pancreas, glucagon is secreted for the purpose of:

Which of the following would be the most appropriate to administer to a hypoglycemic neonate?

Acetone breath odor is found in which of the following?

Which of the following medications is supplied as a kit that must be combined before administration?

Which of the following reasons explains why IM glucagon is less likely to work in newborns?

Advanced EMS providers can most easily correct which of the following endocrine emergencies?

You are called to treat a 5-year-old hypoglycemic patient who is awake and able to protect their airway. Which of the following is the preferred method to correct the hypoglycemia?

If a patient is hypoglycemic, which of the following physiological processes will occur in an attempt to correct this situation?

You are treating an unresponsive patient who has dry, warm skin, rapid and deep respirations, a rapid, weak pulse, a blood glucose level of 400, and a blood pressure of 70/40. Which of the following is the MOST appropriate intervention for this patient?

Besides assisting in the breakdown of glucose for use by the cells, insulin also helps to:

You are on the scene of an unresponsive 36-year-old, Type I diabetic. The spouse states the patient did not eat breakfast this morning after taking insulin. Assessment of the patient reveals cool and clammy skin, a weak, rapid pulse, a blood sugar of 20, and you are unable to obtain IV access. Treatment for the above patient would include which of the following?

Which of the following is your highest priority in treating a patient with hyperglycemia?

Responders are called to a patient complaining of dizziness, nausea, and blurred vision after taking too many digoxin pills accidentally over a 2-3 day period. Which of the following treatments is appropriate for this patient scenario?