NUR635 PHARM GCU FINAL EXAM COMPLETE QUESTIONS WITH 100%
VERIFIED ANSWERS
1. What is the first line treatment for a previously healthy person with
community acquired pneumonia?
Answer: Azithromycin (NOT amoxicillin)
2. What are we worried about if you see an SSRI and St. Johns Wart
together on a med list?
Answer: Serotonin Syndrome
3. What is Phenytoin used for?
Answer: Seizures and epilepsy
4. When will you see a hypersensitivity with phenytoin?
Answer: 3-8 weeks after starting treatment - reactions will present:
rash, fever, tender generalized lymphadenopathy, leukocytosis with
atypical lymphocytes, and eosinophilia.
5. What medication can auto induce metabolization?
Answer: Carbamazepine - used for epilepsy, trigeminal neuralgia, acute
manic and mixed episodes of bipolar disorder.
,6. Black box warning for carbamazepine?
Answer: Stevens Johnsons Syndrome
7. How often should we monitor someone who is taking
carbamazepine?
Answer: CBC every 3-4 months - they could end up with agranulocytosis
(low WBC) or blood dyscrasia.
8. What is gabapentin used to treat?
Answer: Neuropathic pain
9. If someone is taking gabapentin and having strange thoughts, what
do you want to ask them?
Answer: If they are having suicidal ideation
10. What is lamotrigine used for?
Answer: Epilepsy or bipolar disorder
11. What reactions are we worried about with someone that is taking
lamotrigine/lamictal?
Answer: Hypersensitivity reaction that would lead to MODS (Multiorgan
Dysfunction Syndrome)
, 12. What does lamotrigine/lamictal do to oral contraceptives?
Answer: Oral contraceptives reduce the levels of lamotrigine, so
lamotrigine needs to be increased.
13. What co morbidities do we need to consider before administering
tricyclic antidepressants?
Answer: Cardiac disease - they reduce HR and prolong QT.
14. How long will it take to see improvement or results after starting an
SSRI?
Answer: 2-6 weeks
15. What side effect does haloperidol cause in patients?
Answer: Extrapyramidal symptoms (EPS)
16. Digoxin is a dysrhythmic. If someone has A-fib and is taking that
concomitantly also taking a beta agonist like albuterol, what is
happening?
Answer: The medications are working against one another. Beta
agonists increase the HR and digoxin decreases the HR.
17. What happens if we give people with pheochromocytoma a beta 2
agonist?
Answer: Puts them at risk for a HTN crisis. (Pheochromocytoma is a
VERIFIED ANSWERS
1. What is the first line treatment for a previously healthy person with
community acquired pneumonia?
Answer: Azithromycin (NOT amoxicillin)
2. What are we worried about if you see an SSRI and St. Johns Wart
together on a med list?
Answer: Serotonin Syndrome
3. What is Phenytoin used for?
Answer: Seizures and epilepsy
4. When will you see a hypersensitivity with phenytoin?
Answer: 3-8 weeks after starting treatment - reactions will present:
rash, fever, tender generalized lymphadenopathy, leukocytosis with
atypical lymphocytes, and eosinophilia.
5. What medication can auto induce metabolization?
Answer: Carbamazepine - used for epilepsy, trigeminal neuralgia, acute
manic and mixed episodes of bipolar disorder.
,6. Black box warning for carbamazepine?
Answer: Stevens Johnsons Syndrome
7. How often should we monitor someone who is taking
carbamazepine?
Answer: CBC every 3-4 months - they could end up with agranulocytosis
(low WBC) or blood dyscrasia.
8. What is gabapentin used to treat?
Answer: Neuropathic pain
9. If someone is taking gabapentin and having strange thoughts, what
do you want to ask them?
Answer: If they are having suicidal ideation
10. What is lamotrigine used for?
Answer: Epilepsy or bipolar disorder
11. What reactions are we worried about with someone that is taking
lamotrigine/lamictal?
Answer: Hypersensitivity reaction that would lead to MODS (Multiorgan
Dysfunction Syndrome)
, 12. What does lamotrigine/lamictal do to oral contraceptives?
Answer: Oral contraceptives reduce the levels of lamotrigine, so
lamotrigine needs to be increased.
13. What co morbidities do we need to consider before administering
tricyclic antidepressants?
Answer: Cardiac disease - they reduce HR and prolong QT.
14. How long will it take to see improvement or results after starting an
SSRI?
Answer: 2-6 weeks
15. What side effect does haloperidol cause in patients?
Answer: Extrapyramidal symptoms (EPS)
16. Digoxin is a dysrhythmic. If someone has A-fib and is taking that
concomitantly also taking a beta agonist like albuterol, what is
happening?
Answer: The medications are working against one another. Beta
agonists increase the HR and digoxin decreases the HR.
17. What happens if we give people with pheochromocytoma a beta 2
agonist?
Answer: Puts them at risk for a HTN crisis. (Pheochromocytoma is a
