4157895
Descrição
Quiz por campbellpa2017, atualizado more than 1 year ago
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Criado por campbellpa2017
quase 9 anos atrás
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Questão 1
Questão
Which of the following is/are true regarding antitussive medications?
(select all that apply)
Responda
-
Used to suppress coughing
-
May be used long-term
-
Better for dry (non-productive) cough
-
Not very effective at current OTC doses
-
Contraindicated in children < 6 years old
Questão 2
Questão
Why would antitussives be contraindicated?
Responda
-
They cause gastrointestinal symptoms if used over 7 days.
-
Coughing is a defense mechanism which we don't want to suppress.
-
Patient has a productive cough.
-
Patient is < 2 years old
-
All of the above
-
All but A
Questão 3
Questão
What is the mechanism of action of Codeine and what is it's brand name?
Responda
-
Inhibits cough through direct effect on brainstem cough center. Also might inhibit peripheral afferent neurons that initiate coughing.
-
Competes for H1 receptor sites on respiratory tract to reduce secretion and stop coughing
-
Robitussin AC
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Robitussin DM
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Delsym
Questão 4
Questão
What is the mechanism of Dextromethorphan and what is/are it's brand names?
Responda
-
Soothing to the airway through vaporization.
-
Inhibits cough reflex by a similar mechanism to Codeine (inhibits cough through direct effect on brainstem cough center) but is a non-narcotic.
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Inhibits cough reflex by a similar mechanism to Codeine (inhibits cough through direct effect on brainstem cough center) but is a narcotic and provides stronger action.
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Robitussin AC
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Robitussin DM
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Vicks Vaposteam
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Delsym
Questão 5
Questão
Which two medications are sold as Vicks?
Responda
-
Delsym
-
Menthol
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Carnauba
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Camphor
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Lanolin
Questão 6
Questão
What are some common adverse effects of Codeine?
Responda
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Fatigue
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Abdominal pain
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Drowsiness
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Dizziness
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Ataxia
Questão 7
Questão
What are some common side effects of Dextromethorphan?
Responda
-
Confusion
-
Ataxia
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Irritability
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Nervousness
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Excitement
Questão 8
Questão
What is the primary side effect of Benadryl?
Responda
-
Shortness of Breath
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Ataxia
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Vomiting
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Insomnia
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Drowsiness
Questão 9
Questão
Which drug do the young whippersnappers Robo Trip with?
Responda
-
Robitussin AC
-
Robaxin
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Diphenhydramine
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Dextromethorphan
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Tylenol
Questão 10
Questão
What are some therapeutic benefits of Expectorants?
Responda
-
Compete for H1 receptor sites on respiratory tract to reduce secretion and stop coughing.
-
Facilitate production and ejection of mucus.
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May increase pulmonary function
-
Prevents respiratory passages from being clogged by thick, viscous secretions.
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Reduce secretions from upper airway so as to prevent drainage into the lower respiratory tract.
Questão 11
Questão
Which of the following are Adverse Effects of Decongestants?
Responda
-
Headache
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Dizziness
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Hypertension
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Palpitations
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Seizures
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Nausea
-
Nervousness
Questão 12
Questão
Which of the following are characteristics of decongestants.
Responda
-
Binds to receptors located on blood vessels of nasal mucosa and stimulate vasoconstriction and resulting in drying up of mucosal vasculature and decreased local congestion
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Usually beta-2 adrenergic agonists.
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Usually beta-1 adrenergic agonists.
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Usually alpha-1 adrenergic agonists.
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Almost exclusively systemic medications.
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May be systemic or local medications.
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Almost exclusively local medications
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Can cause CNS depression, avoid excessive use
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Can cause CNS excitation, avoid excessive use
Questão 13
Questão
Which oral decongestant rocks and which one sucks?
Responda
-
Phenylephrine
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Pseudoephedrine
Questão 14
Questão
When is the best time to take an oral decongestant?
Responda
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In the morning to reduce the negative consequences of CNS excitation.
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In the evening to reduce the negative consequences of CNS depression.
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Any time of day as CNS effects are not often seen in decongestants.
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In the evening to help congested patients sleep.
Questão 15
Questão
What is the chief concern with Afrin administration and what is its generic name?
Responda
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Nasal polyps
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Rebound congestion
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Epistaxis
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Oxymetazoline
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Xylometazoline
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Phenylephrine
Questão 16
Questão
Choose the correct statements regarding Phenylephrine and Pseudoephedrine. (if you get something incorrect, try flipping the statements)
Responda
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Phenylephrine is more bioavailable (90%) than Pseudoephedrine (38%)
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Phenylephrine: a1 adrenergic, weak B adrenergic Pseudoephedrine: a1 and B adrenergic
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Phenylephrine has CNS effects, Pseudoephedrine does not.
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Pseudoephedrine has more efficacy data than Phenylephrine.
-
Patients with heart conditions, asthma, and COPD need to be more cautious with Pseudoephedrine and less so with Phenylephrine
Questão 17
Questão
Which of these is NOT a condition in which we should be cautious when prescribing oral decongestants?
Responda
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Hypertension
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Hyperthyroidism
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Diabetes
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Coronary heart disease
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Diverticulitis
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Elevated intraocular pressure
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Prostatic hypertrophy
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MAOIs
Questão 18
Questão
Which Histamine mediates allergic response and is therefore what our antihistamine drugs target?
Responda
-
H1
-
H2
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H3
-
H4
Questão 19
Questão
Arrange these antihistamine medications in terms of their ability to cross the blood brain barrier, from most crossing to least.
Responda
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Diphenhydramine, Loratidine, Fexofenadine, Cetirizine
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Diphenhydramine, Fexofenadine, Loratidine, Cetirizine
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Diphenhydramine, Cetirizine, Loratidine, Fexofenadine
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Fexofenadine, Diphenhydramine, Cetirizine, Loratidine
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Loratidine, Cetirizine, Fexofenadine, Diphenhydramine
Questão 20
Questão
Which of the following medications are First Generation Antihistamines?
Responda
-
Brompheniramine (Dimetapp)
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Chlorpheniramine (Chlor-Trimeton)
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Clemastine (Tavist)
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Hydroxyzine (Atarax)
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Levocetirizine (Xyzal)
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Dimenhydrinate (Dramamine)
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Diphenhydramine (Benadryl)
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Desloratidine (Clarinex)
Questão 21
Questão
Which of the following are Second Generation Antihistamines?
Responda
-
Cetirizine (Zyrtec)
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Desloratidine (Clarinex)
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Diphenhydramine (Benadryl)
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Fexofenadine (Allegra)
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Dimenhydrinate (Dramamine)
-
Levocetirizine (Xyzal)
-
Loratidine (Claritin)
Questão 22
Questão
While antihistamines are generally used more for allergic rhinitis and congestion, one medication has some efficacy in treating cold related rhinorrhea. Which is it?
Responda
-
Cetirizine (Zyrtec)
-
Fexofenadine (Allegra)
-
Diphenhydramine (Benadryl)
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Loratidine (Claritin)
Questão 23
Questão
What are some precautions and warnings to consider when prescribing antihistamines to patients?
Responda
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Emphysema
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Chronic Bronchitis
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Narrow Angle Glaucoma
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Cardiovascular disease
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Enlarged Prostate Gland
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Increased risk of CVA
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Decrease in milk supply in nursing mothers.
Questão 24
Questão
What are some special considerations to make in elderly and children before prescribing Antihistamines?
Responda
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Elderly patients having a paradoxical hyperactivity.
-
Children having a paradoxical hyperactivity.
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Long half life in elderly, causing extended effect and increased fall risk.
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Long half life in children, causing poor performance in school and social dysfunction.
Questão 25
Questão
When a combination product advertises itself as a Nighttime/PM medication, what is likely in the combination?
Responda
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
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Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
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Diphenhydramine, Chlorpheniramine, or Doxylamine
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Dextromethorphan
-
Antihistamine
Questão 26
Questão
When a combination product advertises itself as a Nondrowsy/AM/Daytime medication, what is likely in the combination?
Responda
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
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Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Dextromethorphan
-
Antihistamine
Questão 27
Questão
When a combination product advertises itself as a Sinus medication, what is likely in the combination?
Responda
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Dextromethorphan
-
Antihistamine
Questão 28
Questão
When a combination product advertises itself as a Cough medication, what is likely in the combination?
Responda
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Dextromethorphan
-
Antihistamine
Questão 29
Questão
When a combination product advertises itself as an Allergy medication, what is likely in the combination?
Responda
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Dextromethorphan
-
Antihistamine
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