COMLEX Level 2 CE-Questions with 100% Correct
Answers
MONA
Morphine (2-4 mg IV push q5-15mins)
O2 (stay above 94%)
Nitroglycerin (decreases CP)
Aspirin (prevents further clot formation)
ACS initial tx
If systolic BP is <90
When is nitroglycerin contraindicated?
decrease chest pain by causing arterial AND venous dilatation, which decreases the workload
of the heart and reduces myocardial oxygen demand.
Nitroglycerin MOA
acetaminophen
Tylenol trade name
3000 mg/ day
4000 mg/ day (short term, one time pts, selective medically specialized
2000mg/day - elderly, pts at risk for hepatotoxicity (reg alcohol use, malnourished), organ
dysfunction
Acetaminophen (tylenol) max doses per day
10 to 15 mg/kg/dose every 4 to 6 hours
Acetaminophen PEDS dosing
,Controlled (pregnant) human studies show no risk
Pregnancy Category A
No evidence of risk in studies (either no risk in animals but not yet shown in pregnant women
OR adverse effect [other than decreased fertility] in animals but not confirmed in women in
1st tri and no evidence of a risk in later trimesters)
Pregnancy Category B
Risk cannot be ruled out
Either studies in animals have revealed adverse effects on the fetus (teratogenic or
embryocidal effects or other) and there are no controlled studies in women or studies in
women and animals are not available. Drugs should be given only if the potential benefits
justify the potential risk to the fetus.
Pregnancy Category C
Positive evidence of risk
There is positive evidence of human fetal risk, but the benefits from use in pregnant women
MAY BE ACCEPTABLE despite the risk (eg, if the drug is needed in a life-threatening situation
or for a serious disease for which safer drugs cannot be used or are ineffective).
Pregnancy Category D
Contraindicated in pregnancy
Pregnancy Category X
Pain management (temp relief of minor aches, pains, HA)
Fever (temp reduction of fever)
Acetaminophen (Tylenol) indications
, Inhibit synthesis of PGs in CNS and work peripherally to block pain impulse generation;
produces antipyresis from inhibition of hypothalamic heat-regulating center
Acetaminophen MOA
Reduction of fever; management of pain due to headache, sore throat, arthritis, PHYSICAL OR
ATHLETIC OVEREXERTION (eg, sprains/strains), menstrual pain, dental pain, minor
muscle/bone/joint pain, backache, pain due to the common cold and flu
NSAIDs indication
ibuprofen, aspirin indomethicin, naproxen
Common OTC NSAIDs
Avoid NSAIDs in patients with renal insufficiency (CrCl <60 mL/minute),
GI bleeding and platelet dysf
reduced cardiac output, difficult-to-control hypertension hypovolemia,
hyponatremia
aspirin-sensitive asthma
cirrhosis
NSAID contraindications (kidneys, GI, Cardio, resp, liver
3200 mg (acute), 2400 mg (chronic)
Ibuprofen max dose
4000 mg
Aspirin max dose
Cluster Headache
Migraine or HA that is always unilateral, usually begins around the eye or temple
Cluster Headache
Answers
MONA
Morphine (2-4 mg IV push q5-15mins)
O2 (stay above 94%)
Nitroglycerin (decreases CP)
Aspirin (prevents further clot formation)
ACS initial tx
If systolic BP is <90
When is nitroglycerin contraindicated?
decrease chest pain by causing arterial AND venous dilatation, which decreases the workload
of the heart and reduces myocardial oxygen demand.
Nitroglycerin MOA
acetaminophen
Tylenol trade name
3000 mg/ day
4000 mg/ day (short term, one time pts, selective medically specialized
2000mg/day - elderly, pts at risk for hepatotoxicity (reg alcohol use, malnourished), organ
dysfunction
Acetaminophen (tylenol) max doses per day
10 to 15 mg/kg/dose every 4 to 6 hours
Acetaminophen PEDS dosing
,Controlled (pregnant) human studies show no risk
Pregnancy Category A
No evidence of risk in studies (either no risk in animals but not yet shown in pregnant women
OR adverse effect [other than decreased fertility] in animals but not confirmed in women in
1st tri and no evidence of a risk in later trimesters)
Pregnancy Category B
Risk cannot be ruled out
Either studies in animals have revealed adverse effects on the fetus (teratogenic or
embryocidal effects or other) and there are no controlled studies in women or studies in
women and animals are not available. Drugs should be given only if the potential benefits
justify the potential risk to the fetus.
Pregnancy Category C
Positive evidence of risk
There is positive evidence of human fetal risk, but the benefits from use in pregnant women
MAY BE ACCEPTABLE despite the risk (eg, if the drug is needed in a life-threatening situation
or for a serious disease for which safer drugs cannot be used or are ineffective).
Pregnancy Category D
Contraindicated in pregnancy
Pregnancy Category X
Pain management (temp relief of minor aches, pains, HA)
Fever (temp reduction of fever)
Acetaminophen (Tylenol) indications
, Inhibit synthesis of PGs in CNS and work peripherally to block pain impulse generation;
produces antipyresis from inhibition of hypothalamic heat-regulating center
Acetaminophen MOA
Reduction of fever; management of pain due to headache, sore throat, arthritis, PHYSICAL OR
ATHLETIC OVEREXERTION (eg, sprains/strains), menstrual pain, dental pain, minor
muscle/bone/joint pain, backache, pain due to the common cold and flu
NSAIDs indication
ibuprofen, aspirin indomethicin, naproxen
Common OTC NSAIDs
Avoid NSAIDs in patients with renal insufficiency (CrCl <60 mL/minute),
GI bleeding and platelet dysf
reduced cardiac output, difficult-to-control hypertension hypovolemia,
hyponatremia
aspirin-sensitive asthma
cirrhosis
NSAID contraindications (kidneys, GI, Cardio, resp, liver
3200 mg (acute), 2400 mg (chronic)
Ibuprofen max dose
4000 mg
Aspirin max dose
Cluster Headache
Migraine or HA that is always unilateral, usually begins around the eye or temple
Cluster Headache
