Regis NU641 Clinical Adv Pharmacology Final Exam 100% Solved

Clonodine - Answer Has several off-label uses including: alcohol and nicotine withdrawal and post therpautic neuralgia Guanfacine - Answer hypertension drug that has also been approved to use for ADHD Ramelteon (Rozerem) - Answer Insomnia med that does not have inverse risk for patients engaging in activities while somnolent with no memory of having taking pill Common mistakes practitioners make in treating anxiety disorders - Answer General diagnosis and following up to see if treatment goals are being met Xanax - Answer The benzodiazepine with the greatest likelihood of causing dependency s/t it has a short half-life Although a patient sees a neurologist for the management of her partial seizures, why is it important to know her medication regimen? - Answer There are many drug-drug interactions with anticonvulsants Routine education for patient being treated with levetiracetam (Keppra) for seizures - Answer To not abruptly discontinue Keppra due to risk for withdrawal seizures What advice you would give a woman who has been on Depakote for seizure and wants to get pregnant - Answer Valproate is a known teratogen but may be taken after the first trimester if necessary Prior to starting antidepressants, the patient should have lab testing to rule out - Answer hypothyroidism Cholinergic blockers are used to: - Answer Counteract the ERS effects of phenothiazines Control tremors and relax smooth muscles in Parkinson's Disease Inhibit the muscarinic action of Ach on bladder muscle Memantine - Answer A drug used to treat Alzheimer's disease but is not an anticholinergic Verapamil - Answer Preventative therapy for cluster headache Minocycline (PO) - Answer When prescribing for migraines, patient education includes: - Answer Stress reduction and regular sleep are integral to migraine treatment Acetaminophen - Answer Migraines in pregnancy may be safely treated with this When are migraines considered cured? - Answer There is no known cure Nonpharmacologic Therapy for tension headache includes: - Answer biofeedback, stress management, massage therapy Fluoxetine - Answer First-line antidepressant for children with major depression between 8 to 17 years old SSRIs - Answer Contains a black-box warning of suicidal ideation in pediatric and adolescent groups Stimulants (methylphenidate or amphetamine salts) - Answer Are the most effective therapy and are generally first line of treatment of ADHD in children unless contraindications exist Hypercalcemia - Answer Pt treated with more than 100 grams per week of topical calcipotriene for psoriasis need to be monitored for An adolescent female calls the clinic with concerns that her acne is worse 2 weeks after starting topical tretinoin. What would be the appropriate care for her? - Answer Reassure her that the worsening of acne is normal and it should improve with continued use Treatment for Tinea capitis - Answer Oral griseofulvin or Biweekly shampoo with selenium sulfide or ketoconazole for 6 to 8 weeks Treatment for Tinea corporis and tinea pedis - Answer Topical antifungals like miconazole applied twice daily for 4 weeks Treatment of Onychomycosis - Answer Oral griseofulvin, ketoconazole, itraconazole, or terbinafine for several months; topical product is ciclopirox 8% (Penlac) Common treatments and counseling points for scabies - Answer Common therapies: permethrin, ivermectin, crotamiton For permethrin, apply from the neck down, and leave the medication on for at least eight to 10 hours. Often, all household members and other close contacts should be treated. Bedding, clothing, and towels used by infested persons or their household, sexual, and close contacts (as defined above) anytime during the three days before treatment should be decontaminated by washing in hot water and drying in a hot dryer, by dry-cleaning, or by sealing in a plastic bag for at least 72 hours. Reduces Oral contraceptive efficacy - Answer Concomitant use of hepatic enzyme inducers such as rifampin; barrier methods of contraception should be used as backup Long-term use of androgens requires specific laboratory monitoring of: - Answer Calcium, testosterone, PSA, liver function, glucose, & lipids existing pregnancy - Answer A contraindication to using the morning after (Plan B) contraceptive for emergency contraception (EC) To avoid breakthrough bleeding - Answer When a hormonal contraceptive and a hormone replacement therapy drug are taken together, they should be taken at the same time each day A progestin-only type of contraceptive - Answer Can cause irregular menstrual bleeding during the first month of use Effects of estrogen include - Answer regulation of the menstrual cycle and maintaining normal skin structure and blood vessel integrity.