Maryville Pharm Exam 2 Questions With
Correct Answers
42-year-old female requests a prescription for an anorexiant to treat her
| | | | | | | | | |
obesity. A trial of phentermine is prescribed. Prescribing precautions
| | | | | | | | |
include:
|
1. Understanding that obesity is a contraindication to prescribing
| | | | | | | |
phentermine
|
2. Anorexiants may cause tolerance and should only be prescribed for
| | | | | | | | | |
six months
| |
3. Patients should be monitored for postural hypotension
| | | | | | |
4. Renal function should be monitored closely while on anorexiants -
| | | | | | | | | |
CORRECT ANSWER✔✔-2. Anorexiants may cause tolerance and should
| | | | | | | |
only be prescribed for six months
| | | | | |
Before prescribing phentermine, a thorough drug history should be
| | | | | | | |
taken including assessing for the use of serotonergic agents such as
| | | | | | | | | | |
selective serotonin reuptake inhibitors (SSRIs) and St. John's Wort due
| | | | | | | | | |
to:
|
1. Additive respiratory depression risk
| | | |
2. Additive effects affecting liver function
| | | | |
3. The risk of serotonin syndrome
| | | | |
,4. The risk of altered cognitive functioning - CORRECT ANSWER✔✔-3.
| | | | | | | | |
The risk of serotonin syndrome
| | | | |
A three-year-old child has a history of status epilepticus. Along with her
| | | | | | | | | | |
routine antiseizure medication, she should also have a home
| | | | | | | | |
prescription for _________ to be used for an episode of status
| | | | | | | | | | |
epilepticus.
|
1. IV phenobarbital
| |
2. Rectal diazepam (Diastat)
| | |
3. IV phenytoin (Dilantin)
| | |
4. Oral carbamazepine (Tegretol) - CORRECT ANSWER✔✔-2. Rectal
| | | | | | |
diazapam
|
A child is prescribed phenytoin for seizures. Monitoring includes
| | | | | | | |
assessing:
|
1. For phenytoin hypersensitivity syndrome three to eight weeks after
| | | | | | | | |
starting treatment
| |
2. For pedal edema throughout therapy
| | | | |
3. Heart rate at each visit, as therapy may have to be altered if heart rate
| | | | | | | | | | | | | | |
is less than
| | |
60 beats per minute (bpm)
| | | |
, 4. For vision changes, such as red-green blindness, at least annually -
| | | | | | | | | | |
CORRECT ANSWER✔✔-1. For phenytoin hypersensitivity syndrome
| | | | | |
three to eight weeks after starting treatment
| | | | | | |
A child, Dwayne, has recently started on carbamazepine to treat
| | | | | | | | |
seizures. He comes to see you and you note that while his
| | | | | | | | | | | |
carbamazepine levels had been in the therapeutic range, they are now
| | | | | | | | | | |
low. The possible cause for the low carbamazepine levels may be:
| | | | | | | | | | |
1. Dwayne hasn't been taking his carbamazepine because it causes
| | | | | | | | |
insomnia.
|
2. Carbamazepine autoinduces metabolism, leading to lower levels in
| | | | | | | |
spite of good compliance.
| | | |
3. Dwayne was not originally prescribed the correct amount of
| | | | | | | | |
carbamazepine.
|
4. Carbamazepine is probably not the right antiseizure medication for
| | | | | | | | |
Dwayne. - CORRECT ANSWER✔✔-2. Carbamazepine autoinduces
| | | | | |
metabolism, leading to lower levels in spite of good compliance.
| | | | | | | | | |
Carbamazepine has a black box warning due to life threatening: | | | | | | | | |
1. Renal toxicity, leading to renal failure
| | | | | |
2. Hepatotoxicity, leading to liver failure
| | | | |
3. Dermatologic reaction, including Steven's Johnson and toxic
| | | | | | |
epidermal necrolysis
| |
Correct Answers
42-year-old female requests a prescription for an anorexiant to treat her
| | | | | | | | | |
obesity. A trial of phentermine is prescribed. Prescribing precautions
| | | | | | | | |
include:
|
1. Understanding that obesity is a contraindication to prescribing
| | | | | | | |
phentermine
|
2. Anorexiants may cause tolerance and should only be prescribed for
| | | | | | | | | |
six months
| |
3. Patients should be monitored for postural hypotension
| | | | | | |
4. Renal function should be monitored closely while on anorexiants -
| | | | | | | | | |
CORRECT ANSWER✔✔-2. Anorexiants may cause tolerance and should
| | | | | | | |
only be prescribed for six months
| | | | | |
Before prescribing phentermine, a thorough drug history should be
| | | | | | | |
taken including assessing for the use of serotonergic agents such as
| | | | | | | | | | |
selective serotonin reuptake inhibitors (SSRIs) and St. John's Wort due
| | | | | | | | | |
to:
|
1. Additive respiratory depression risk
| | | |
2. Additive effects affecting liver function
| | | | |
3. The risk of serotonin syndrome
| | | | |
,4. The risk of altered cognitive functioning - CORRECT ANSWER✔✔-3.
| | | | | | | | |
The risk of serotonin syndrome
| | | | |
A three-year-old child has a history of status epilepticus. Along with her
| | | | | | | | | | |
routine antiseizure medication, she should also have a home
| | | | | | | | |
prescription for _________ to be used for an episode of status
| | | | | | | | | | |
epilepticus.
|
1. IV phenobarbital
| |
2. Rectal diazepam (Diastat)
| | |
3. IV phenytoin (Dilantin)
| | |
4. Oral carbamazepine (Tegretol) - CORRECT ANSWER✔✔-2. Rectal
| | | | | | |
diazapam
|
A child is prescribed phenytoin for seizures. Monitoring includes
| | | | | | | |
assessing:
|
1. For phenytoin hypersensitivity syndrome three to eight weeks after
| | | | | | | | |
starting treatment
| |
2. For pedal edema throughout therapy
| | | | |
3. Heart rate at each visit, as therapy may have to be altered if heart rate
| | | | | | | | | | | | | | |
is less than
| | |
60 beats per minute (bpm)
| | | |
, 4. For vision changes, such as red-green blindness, at least annually -
| | | | | | | | | | |
CORRECT ANSWER✔✔-1. For phenytoin hypersensitivity syndrome
| | | | | |
three to eight weeks after starting treatment
| | | | | | |
A child, Dwayne, has recently started on carbamazepine to treat
| | | | | | | | |
seizures. He comes to see you and you note that while his
| | | | | | | | | | | |
carbamazepine levels had been in the therapeutic range, they are now
| | | | | | | | | | |
low. The possible cause for the low carbamazepine levels may be:
| | | | | | | | | | |
1. Dwayne hasn't been taking his carbamazepine because it causes
| | | | | | | | |
insomnia.
|
2. Carbamazepine autoinduces metabolism, leading to lower levels in
| | | | | | | |
spite of good compliance.
| | | |
3. Dwayne was not originally prescribed the correct amount of
| | | | | | | | |
carbamazepine.
|
4. Carbamazepine is probably not the right antiseizure medication for
| | | | | | | | |
Dwayne. - CORRECT ANSWER✔✔-2. Carbamazepine autoinduces
| | | | | |
metabolism, leading to lower levels in spite of good compliance.
| | | | | | | | | |
Carbamazepine has a black box warning due to life threatening: | | | | | | | | |
1. Renal toxicity, leading to renal failure
| | | | | |
2. Hepatotoxicity, leading to liver failure
| | | | |
3. Dermatologic reaction, including Steven's Johnson and toxic
| | | | | | |
epidermal necrolysis
| |
