Medication Mastery
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Questions and Answers

Which of the following is the mechanism of action of Warfarin (Coumadin, Jantoven)?

  • Inhibition of factor VIIa
  • Inhibition of factor IIa (correct)
  • Inhibition of factor Xa
  • Inhibition of factor IXa
  • Which of the following is a common side effect of Low Molecular Weight Heparin (Enoxaparin)?

  • Purple toe syndrome (correct)
  • Hematochezia
  • Hemoptysis
  • Melena
  • What is the target International Normalized Ratio (INR) for patients on Warfarin?

  • 3-4
  • 1-2
  • 4-5
  • 2-3 (correct)
  • Which of the following is a potential complication of Low Molecular Weight Heparin?

    <p>Epidural or spinal hematoma</p> Signup and view all the answers

    What is the most appropriate indication for Enoxaparin (Lovenox)?

    <p>Prophylaxis of deep vein thrombosis (DVT)</p> Signup and view all the answers

    Which of the following is a sign or symptom of warfarin-induced bleeding?

    <p>Unexplained bruising (ecchymosis)</p> Signup and view all the answers

    Which of the following is a key symptom of unstable angina?

    <p>Chest pain during rest</p> Signup and view all the answers

    What is the main cause of Myocardial Infarction (MI)?

    <p>Severe atherosclerosis</p> Signup and view all the answers

    Which type of heart failure is characterized by congestion in the lungs?

    <p>Congestive Heart Failure (CHF)</p> Signup and view all the answers

    Which of the following is a characteristic of Atrial Fibrillation (A-Fib)?

    <p>Quivering of the atria</p> Signup and view all the answers

    Which type of calcium channel blocker is Nifedipine?

    <p>DHP CCB</p> Signup and view all the answers

    What is the main function of Nitroglycerin?

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

    Which medication is used to treat dry eyes?

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

    How do immune modulators like hydroxychloroquine work?

    <p>By increasing the pH in parasites to interfere with the degradation of hemoglobin in the blood</p> Signup and view all the answers

    What is the main purpose of mycophenolate mofetil?

    <p>To prevent organ rejection</p> Signup and view all the answers

    Which medication inhibits a protein needed for the production of interleukin-2?

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

    Which medication is used to treat conditions like genital warts and skin cancer?

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

    Which medication blocks leukotriene receptors to prevent airway edema, muscle contractions, and inflammation?

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

    Which of the following medications is used to treat rheumatoid arthritis, Crohn's disease, ulcerative colitis, and plaque psoriasis?

    <p>Adalimumab (Humira)</p> Signup and view all the answers

    Which medication inhibits the production of pro-inflammatory cytokines and is used to treat rheumatoid arthritis?

    <p>Methotrexate (Trexall, Rheumatrex)</p> Signup and view all the answers

    Which medication is used to prevent organ rejection and is also used to treat rheumatoid arthritis?

    <p>Azathioprine (Azasan, Imuran)</p> Signup and view all the answers

    Which medication interferes with DNA synthesis, repair, and blocks cellular replication, thereby stopping unrestricted growth?

    <p>Methotrexate (Trexall, Rheumatrex)</p> Signup and view all the answers

    Which medication is converted to active metabolites that incorporate into replicating DNA, leading to the suppression of the immune response?

    <p>Azathioprine (Azasan, Imuran)</p> Signup and view all the answers

    Which medication carries a black box warning for increased risk of cancer?

    <p>Azathioprine (Azasan, Imuran)</p> Signup and view all the answers

    Which of the following is a Factor Xa Inhibitor used for DVT prophylaxis and treatment, as well as stroke prevention in nonvalvular A-Fib (NVAF)?

    <p>Apixaban (Eliquis)</p> Signup and view all the answers

    Which of the following is a Direct Thrombin Inhibitor used to prevent stroke and systemic embolism in patients with NVAF, as well as for the treatment/prevention of DVT and PE?

    <p>Dabigatran (Pradaxa)</p> Signup and view all the answers

    Which of the following is an anti-platelet medication that inhibits platelet plug formation by inhibiting the binding of ADP to the P2Y12 receptor on platelets?

    <p>Clopidogrel (Plavix)</p> Signup and view all the answers

    Which of the following anti-platelet medications is a prodrug that needs to be activated by CYP2C19?

    <p>Clopidogrel (Plavix)</p> Signup and view all the answers

    Which of the following anti-platelet medications should not be used in patients with a history of stroke or in patients over 75 years old?

    <p>Aspirin-Dipyridamole (Aggrenox)</p> Signup and view all the answers

    Which of the following hematopoietic agents promotes the division of erythroid progenitors in the bone marrow and stimulates red blood cell (RBC) production?

    <p>Epoetin alfa (Epogen, Procrit)</p> Signup and view all the answers

    Study Notes

    Key Facts about Immune Modulators, Antihistamines, and Blood Pressure Medications

    • Immune modulators, such as hydroxychloroquine and mycophenolate mofetil, are used to treat conditions like rheumatoid arthritis and prevent organ rejection.
    • Hydroxychloroquine was previously thought to be effective against COVID-19, but it has been found to be ineffective.
    • Hydroxychloroquine works by increasing the pH in parasites to interfere with the degradation of hemoglobin in the blood.
    • Mycophenolate mofetil is converted to mycophenolic acid, which inhibits an enzyme required for DNA synthesis in B and T-cells, leading to a decreased immune response.
    • Both hydroxychloroquine and mycophenolate mofetil can cause gastrointestinal upset and other side effects.
    • Calcineurin inhibitors, such as cyclosporine and tacrolimus, work by inhibiting a protein needed for the production of interleukin-2, which activates T-cell maturation.
    • Cyclosporine is used to treat dry eyes, while tacrolimus is used to prevent organ rejection.
    • Tacrolimus has an increased risk of cancer and infections, and it should be avoided with grapefruit and live vaccines.
    • Immune modulators, like imiquimod, stimulate the immune response and are used to treat conditions like genital warts and skin cancer.
    • Antihistamines, such as azelastine and olopatadine, block histamine receptors or prevent histamine release, reducing inflammation and allergic symptoms.
    • Leukotriene receptor antagonists, like montelukast, block leukotriene receptors to prevent airway edema, muscle contractions, and inflammation in asthma and allergic rhinitis.
    • Blood pressure medications, including ACE inhibitors, ARBs, calcium channel blockers, diuretics, beta-blockers, and A2 agonists, work by different mechanisms to lower blood pressure and manage cardiovascular conditions.

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    Description

    Test your knowledge about immune modulators, antihistamines, and blood pressure medications with this quiz! Learn key facts about these medications and their uses in treating various conditions. Challenge yourself and enhance your understanding of how these medications work and their potential side effects.

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