Maryville NURS 615 Pharm Exam 2
Questions With 100% Correct Answers
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? -
SOLVED ANSWER-Carbamazepine auto-induces metabolism, leading to lower levels
despite good compliance
What medication treats scabies and lice? - SOLVED ANSWER-Ivermectin and
permethrin cream
Rifampin is used to treat what? - SOLVED ANSWER-TB
Side effects of rifampin? - SOLVED ANSWER-Joint pain because it can precipitate gout
and it is hepatotoxic.
IF patients are hypersensitive to Sulfa, what other medications will they be sensitive to?
- SOLVED ANSWER-Loop Diuretics, thiazide diuretics, and sulfonylureas
Sulfa antibiotics can cause what? - SOLVED ANSWER-Stephen Johnsons Syndrome
and toxic epidermal necrolysis
What are the black box warnings for Carbamazepine? - SOLVED ANSWER-
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
, What lab test should be ordered for patients on Carbamazepine? - SOLVED ANSWER-
CBC every 3-4 months because it can cause decreased WBC, decreased platelets, and
trouble with RBC
What kind of teaching needs to be done with families of patients who have seizure
disorders? - SOLVED ANSWER-Prevention is important, patient safety is important, Do
NOT abruptly stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - SOLVED
ANSWER-Blood dyscrasias
Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
SOLVED ANSWER-Decreased sodium bicarb leading to hyperchloremic metabolic
acidosis
Topiramate treats seizures and what is one common side effect? - SOLVED ANSWER-
Normal side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - SOLVED
ANSWER-Don't get overheated. Topiramate may affect his ability to sweat in the heat.
What should a pregnant patient be told about taking Valproate (Depakote)? - SOLVED
ANSWER-It is a known teratogen and category X medication. It should not be used in
the first trimester, it may be restarted in second trimester.
What patient population should tricyclic antidepressants be used cautiously in? -
SOLVED ANSWER-Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? -
SOLVED ANSWER-He should not use serotonergic drugs like Imitrex. Also, this class
of medication interacts with yogurt, sour cream, soy sauce, etc.
Questions With 100% Correct Answers
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? -
SOLVED ANSWER-Carbamazepine auto-induces metabolism, leading to lower levels
despite good compliance
What medication treats scabies and lice? - SOLVED ANSWER-Ivermectin and
permethrin cream
Rifampin is used to treat what? - SOLVED ANSWER-TB
Side effects of rifampin? - SOLVED ANSWER-Joint pain because it can precipitate gout
and it is hepatotoxic.
IF patients are hypersensitive to Sulfa, what other medications will they be sensitive to?
- SOLVED ANSWER-Loop Diuretics, thiazide diuretics, and sulfonylureas
Sulfa antibiotics can cause what? - SOLVED ANSWER-Stephen Johnsons Syndrome
and toxic epidermal necrolysis
What are the black box warnings for Carbamazepine? - SOLVED ANSWER-
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
, What lab test should be ordered for patients on Carbamazepine? - SOLVED ANSWER-
CBC every 3-4 months because it can cause decreased WBC, decreased platelets, and
trouble with RBC
What kind of teaching needs to be done with families of patients who have seizure
disorders? - SOLVED ANSWER-Prevention is important, patient safety is important, Do
NOT abruptly stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - SOLVED
ANSWER-Blood dyscrasias
Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
SOLVED ANSWER-Decreased sodium bicarb leading to hyperchloremic metabolic
acidosis
Topiramate treats seizures and what is one common side effect? - SOLVED ANSWER-
Normal side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - SOLVED
ANSWER-Don't get overheated. Topiramate may affect his ability to sweat in the heat.
What should a pregnant patient be told about taking Valproate (Depakote)? - SOLVED
ANSWER-It is a known teratogen and category X medication. It should not be used in
the first trimester, it may be restarted in second trimester.
What patient population should tricyclic antidepressants be used cautiously in? -
SOLVED ANSWER-Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? -
SOLVED ANSWER-He should not use serotonergic drugs like Imitrex. Also, this class
of medication interacts with yogurt, sour cream, soy sauce, etc.
