Pharm: Med List Questions
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Questions and Answers

Which neurotransmitter is primarily targeted by ondansetron?

  • Acetylcholine
  • Dopamine
  • Serotonin (correct)
  • Histamine
  • What is the most common adverse effect of ondansetron?

  • QT prolongation (correct)
  • Weight loss
  • Sedation
  • Tardive dyskinesia
  • Which medication is first-line for pregnancy-induced nausea and vomiting?

  • Metoclopramide
  • Promethazine
  • Ondansetron
  • Doxylamine/Pyridoxine (correct)
  • What is a contraindication for scopolamine use?

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

    Which antiemetic can cause tardive dyskinesia with prolonged use?

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

    Which medication is best for anticipatory nausea in chemotherapy patients?

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

    Which medication is a neurokinin-1 (NK1) antagonist?

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

    What is the mechanism of action of dexamethasone in nausea management?

    <p>Reduces inflammation and prostaglandin production</p> Signup and view all the answers

    Which medication is preferred for severe motion sickness?

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

    Which adverse effect is associated with dronabinol?

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

    Which medication is contraindicated in patients with gastrointestinal obstruction?

    <p>Polyethylene glycol</p> Signup and view all the answers

    What is the most commonly recommended medication for treating mild non-infectious diarrhea?

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

    Which medication poses a risk of dependence with long-term use?

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

    Which electrolyte imbalance is most commonly associated with excessive use of saline laxatives?

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

    What is the primary mechanism of action for stimulant laxatives?

    <p>Enhances colonic motility</p> Signup and view all the answers

    Which antiemetic is indicated for gastroparesis?

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

    Which medication can cause dark stools as a common side effect?

    <p>Bismuth subsalicylate</p> Signup and view all the answers

    Which class of medications works the fastest for acute constipation?

    <p>Osmotic laxatives</p> Signup and view all the answers

    What is a significant contraindication for using loperamide?

    <p>Infectious diarrhea</p> Signup and view all the answers

    Which organism is the most prevalent cause of traveler's diarrhea?

    <p>E.coli</p> Signup and view all the answers

    Which medication is classified as a bulk-forming laxative?

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

    What mechanism does docusate sodium primarily use to treat constipation?

    <p>Reduces stool surface tension</p> Signup and view all the answers

    Which class of laxatives is indicated for rapid bowel evacuation?

    <p>Saline laxatives</p> Signup and view all the answers

    What is the most appropriate treatment option for constipation induced by opioids?

    <p>Polyethylene glycol</p> Signup and view all the answers

    Which medication has the quickest onset of action for constipation relief?

    <p>Magnesium hydroxide</p> Signup and view all the answers

    What is a common adverse effect associated with long-term use of stimulant laxatives?

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

    Which contraindication is typically associated with the use of osmotic laxatives like polyethylene glycol?

    <p>GI obstruction</p> Signup and view all the answers

    Which medication is contraindicated in patients with renal failure?

    <p>Magnesium hydroxide</p> Signup and view all the answers

    What is the common side effect of bismuth subsalicylate?

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

    Which medication is contraindicated in children due to the risk of Reye’s syndrome?

    <p>Bismuth subsalicylate</p> Signup and view all the answers

    What is the mechanism of action of probiotics in treating diarrhea?

    <p>Restores gut flora balance</p> Signup and view all the answers

    Which medication is indicated for Clostridium difficile-associated diarrhea?

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

    What is a key adverse effect of diphenoxylate/atropine?

    <p>Anticholinergic effects</p> Signup and view all the answers

    Which dietary recommendation is most appropriate for someone experiencing acute diarrhea?

    <p>Avoid dairy</p> Signup and view all the answers

    Which medication can lead to extrapyramidal symptoms?

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

    Which class of laxative is known for its rapid action in treating acute constipation?

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

    What is the mechanism of action of amoxicillin?

    <p>Inhibits bacterial cell wall synthesis</p> Signup and view all the answers

    Which adverse effect is most commonly associated with metronidazole?

    <p>Disulfiram-like reaction with alcohol</p> Signup and view all the answers

    Which class does clarithromycin belong to?

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

    What is a contraindication for tetracycline use?

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

    What is the mechanism of action of bismuth?

    <p>Forms a protective barrier over ulcers</p> Signup and view all the answers

    Which medication is a calcium carbonate antacid?

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

    What adverse effect is most commonly associated with aluminum hydroxide?

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

    What is the primary adverse effect of long-term cimetidine use?

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

    Which indication is appropriate for metoclopramide?

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

    What is the mechanism of action of omeprazole?

    <p>Blocks H+/K+ ATPase in parietal cells</p> Signup and view all the answers

    What adverse effect is commonly associated with esomeprazole?

    <p>Vitamin B12 deficiency</p> Signup and view all the answers

    Which drug forms a protective barrier over ulcers?

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

    What is a contraindication for misoprostol?

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

    Which infection is amoxicillin commonly used to treat in combination therapy?

    <p>H. pylori</p> Signup and view all the answers

    What is the major interaction of metronidazole?

    <p>Increases warfarin toxicity</p> Signup and view all the answers

    What monitoring is needed for long-term use of omeprazole?

    <p>Vitamin B12 levels</p> Signup and view all the answers

    Which drug class does cimetidine belong to?

    <p>H2 receptor antagonists</p> Signup and view all the answers

    What is a common adverse effect of misoprostol?

    <p>Uterine contractions</p> Signup and view all the answers

    Which medication can cause black stools as a side effect?

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

    What is the primary mechanism of action of tetracycline?

    <p>Inhibits bacterial protein synthesis</p> Signup and view all the answers

    Study Notes

    Nausea and Vomiting

    • Ondansetron's Target: Primarily targets serotonin receptors.
    • Common Ondansetron Side Effect: QT prolongation.
    • First-Line Pregnancy Nausea: Doxylamine/Pyridoxine.
    • Scopolamine Contraindication: Glaucoma.
    • Tardive Dyskinesia Risk: Metoclopramide.
    • Anticipatory Nausea Treatment: Lorazepam.
    • Neurokinin-1 (NK1) Antagonist: Aprepitant.
    • Dexamethasone's Mechanism: Reduces inflammation and prostaglandin production.
    • Severe Motion Sickness Treatment: Scopolamine.
    • Dronabinol Side Effect: Paranoia.

    Constipation

    • Bulk-Forming Laxative: Psyllium.
    • Docusate Sodium Mechanism: Reduces stool surface tension.
    • Rapid Bowel Evacuation: Saline laxatives.
    • Opioid-Induced Constipation Treatment: Polyethylene glycol (PEG).
    • Fastest-Acting Constipation Relief: Magnesium hydroxide.
    • Stimulant Laxative Risk: Dependence.
    • Osmotic Laxative Contraindication: GI obstruction.
    • PEG-ELS Indication: Colonoscopy preparation.
    • Renal Failure Caution: Magnesium hydroxide.
    • Stimulant Laxative Mechanism: Enhances colonic motility.

    Diarrhea

    • Mild Non-Infectious Diarrhea Treatment: Loperamide.
    • Loperamide Contraindication: Infectious diarrhea.
    • C. difficile Infection Treatment: Oral vancomycin.
    • Opioid Receptor Agonists for Diarrhea: Diphenoxylate/Atropine and Loperamide.
    • Bismuth Subsalicylate Side Effect: Dark stools.
    • Probiotics' Mechanism: Restores gut flora balance.
    • Reye's Syndrome Risk Drug: Bismuth subsalicylate (children).
    • Diphenoxylate/Atropine Side Effect: Anticholinergic effects.
    • Traveler's Diarrhea Cause: E. coli.
    • Acute Diarrhea Diet: Avoid dairy.

    Mixed Scenarios

    • Bowel Prep and Constipation Drug: Polyethylene glycol (PEG).
    • Prochlorperazine's Target: Dopamine receptors.
    • Dronabinol Primary Indication: Appetite stimulation.
    • Fastest Acute Constipation Relief: Osmotic laxatives.
    • Saline Laxative Electrolyte Risk: Hypermagnesemia.
    • Bulk-Forming Laxative Counseling: Increase fluid intake.
    • Gastroparesis Treatment: Metoclopramide.
    • Bismuth Subsalicylate Mechanism: Reduces prostaglandin synthesis.
    • Extrapyramidal Symptoms Risk: Prochlorperazine.
    • C. difficile Diarrhea Treatment: Vancomycin.

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    Description

    Explore essential pharmacological concepts related to the management of nausea and constipation. This quiz covers medications, mechanisms, indications, and side effects pertinent to these conditions. Test your knowledge on various treatments from ondansetron to laxatives.

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