Maryville NURS 615 Pharm Practical Questions and
Answers( latest update 2025
A child on Topiramate that wants to play sports should monitor what? - ✔✔✔Don't get overheated.
Topiramate may affect his ability to sweat in the heat.
Blood levels need to be monitored with Lithium because why? - ✔✔✔Lithium has a narrow therapeutic
range so it is important to recognize toxicity
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? -
✔✔✔Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance
Epi and norepi causes what to break down? - ✔✔✔Fat cells to break down stored fat
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ✔✔✔Blood dyscrasias
Gentamycin is known to cause what? - ✔✔✔Ototoxicity and hearing loss
How fast does Celexa start to demonstrate effects? - ✔✔✔Improved appetitie and concentration in 1-2
weeks.
How long does it take for SSRIs to take effect - ✔✔✔2-6 weeks
IF patients are hypersensitive to Sulfa, what other medications will they be sensitive to? - ✔✔✔Loop
Diuretics, thiazide diuretics, and sulfonylureas
Name 3 things ta Rifampin is prescribed for? - ✔✔✔TB, leprosy, legionella
Patients taking Topiramate need to be monitored for what electrolyte imbalance? - ✔✔✔Decreased
sodium bicarb leading to hyperchloremic metabolic acidosis
, Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? - ✔✔✔He should
not use serotonergic drugs like Imitrex. Also, this class of medication interacts with yogurt, sour cream,
soy sauce, etc.
Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated foods? -
✔✔✔Hypertensive crisis
Phentermine releases what two chemicals? - ✔✔✔Epinephrine and norepinephrine
Rifampin is used to treat what? - ✔✔✔TB
Side effects of rifampin? - ✔✔✔Joint pain because it can precipitate gout and it is hepatotoxic.
SSRIs may cause what onset of action symptoms? - ✔✔✔Nausea, but this will usually resolve in a week.
Sulfa antibiotics can cause what? - ✔✔✔Stephen Johnsons Syndrome and toxic epidermal necrolysis
Tetracycline should be avoided with what foods and medications? - ✔✔✔Calcium ions
milk, yogurt, or other dairy products
Methotrexate
The American Heart Association recommedations for prophylaxis antibiotic use prior to dental care are...
- ✔✔✔1. Prosthetic cardiac valve or prosthetic material used in valve repair
2. Previous Endocarditis
3. The following congenital diseases
I. Unrepaired cyanotic congenital heart disease including palliative shunts and conduits
II. Completely repaired congenital heart disease with prosthetic material device, whether placed
surgically or with a catheter for 6 months following the procedure
Answers( latest update 2025
A child on Topiramate that wants to play sports should monitor what? - ✔✔✔Don't get overheated.
Topiramate may affect his ability to sweat in the heat.
Blood levels need to be monitored with Lithium because why? - ✔✔✔Lithium has a narrow therapeutic
range so it is important to recognize toxicity
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? -
✔✔✔Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance
Epi and norepi causes what to break down? - ✔✔✔Fat cells to break down stored fat
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ✔✔✔Blood dyscrasias
Gentamycin is known to cause what? - ✔✔✔Ototoxicity and hearing loss
How fast does Celexa start to demonstrate effects? - ✔✔✔Improved appetitie and concentration in 1-2
weeks.
How long does it take for SSRIs to take effect - ✔✔✔2-6 weeks
IF patients are hypersensitive to Sulfa, what other medications will they be sensitive to? - ✔✔✔Loop
Diuretics, thiazide diuretics, and sulfonylureas
Name 3 things ta Rifampin is prescribed for? - ✔✔✔TB, leprosy, legionella
Patients taking Topiramate need to be monitored for what electrolyte imbalance? - ✔✔✔Decreased
sodium bicarb leading to hyperchloremic metabolic acidosis
, Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? - ✔✔✔He should
not use serotonergic drugs like Imitrex. Also, this class of medication interacts with yogurt, sour cream,
soy sauce, etc.
Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated foods? -
✔✔✔Hypertensive crisis
Phentermine releases what two chemicals? - ✔✔✔Epinephrine and norepinephrine
Rifampin is used to treat what? - ✔✔✔TB
Side effects of rifampin? - ✔✔✔Joint pain because it can precipitate gout and it is hepatotoxic.
SSRIs may cause what onset of action symptoms? - ✔✔✔Nausea, but this will usually resolve in a week.
Sulfa antibiotics can cause what? - ✔✔✔Stephen Johnsons Syndrome and toxic epidermal necrolysis
Tetracycline should be avoided with what foods and medications? - ✔✔✔Calcium ions
milk, yogurt, or other dairy products
Methotrexate
The American Heart Association recommedations for prophylaxis antibiotic use prior to dental care are...
- ✔✔✔1. Prosthetic cardiac valve or prosthetic material used in valve repair
2. Previous Endocarditis
3. The following congenital diseases
I. Unrepaired cyanotic congenital heart disease including palliative shunts and conduits
II. Completely repaired congenital heart disease with prosthetic material device, whether placed
surgically or with a catheter for 6 months following the procedure
