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Which of the following physical exam findings would help the PMHNP differentiate
anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands
Low BMI
If a patient is depression, low energy, fatigued, you would prescribe
Wellbutrin
Wellbutrin is contraindicated in patients with
, 2
seizure disorder or conditions that increase risk of seizures such as eating disorder.
Which of the following medications has a unique mechanism that is both a norepinephrine
and dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta)
bupropion
CLozaril is metabolized by
cytochrome P450 enzyme CYP1A2
INducers
induce metabolism and therefore decrease serum levels of other drugs that are substrates
Smoking will do what to drug levels
decrease therapeutic levels of the drug
Bull Shit CRAP GPS Induces my rage
Barbituates
St. Johns Wart
Carbamazepine
Rifampicin
Alcohol
Phenytoin
, 3
Griseofulvin
Phenobarbital
Sulphonylureas
If your patient is a smoker you will need ___________doses of their medication.
higher
Inhibitors
inhibit metabolism and therefore increase levels of the drug.
SICKFACES.com for Inhibitors
Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Alcohol
Chloramphenicol
Erythromycin
Sulfonamine
Cipro
Omeprazole
Metronidazole
Which cytochrome enzyme is implicated as a tobacco inducer when an individual is treated
with clozapine
, 4
a. 2D6
b. 1A2
c. 2C19
d. 2C9
1A2
(want A 2 cigarette break)
When treating older adults, you should keep in mind that they are more sensitive to issues
of drug toxicity because of which of the following reasons?
A. Decreased body fat
B. Increased liver capacity
C. Decreased protein binding
D. Increased muscle concentration
Decreased protein binding
For 12 years, a 65 year old patient with bipolar affective disorder has been treated with
lithium 900 mg daily. When oral HCTC 12.5 daily is added for hypertension, the patient
develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum lithium
level is 2.0. The interaction of the lithium and the thiazide diuretic has induced:
A. hypokalemia
B. hyponatremia
C. Increased renal clearance of lithium
D. Decreased renal clearance of lithium
A. decreased renal clearance of lithium