Regis NU641 Clinical Adv Pharmacology Final Exam Q&A
Regis NU641 Clinical Adv
Pharmacology Final Exam Q&A
Clonodine – Has several off-label uses including: alcohol and nicotine
withdrawal and post therpautic neuralgia
Guanfacine – hypertension drug that has also been approved to use
for ADHD
Ramelteon (Rozerem) – Insomnia med that does not have inverse
risk for patients engaging in activities while somnolent with no memory of
having taking pill
Common mistakes practitioners make in treating anxiety disorders –
General diagnosis and following up to see if treatment goals are being met
Xanax – The benzodiazepine with the greatest likelihood of causing
dependency s/t it has a short half-life
Although a patient sees a neurologist for the management of her partial
seizures, why is it important to know her medication regimen? –
There are many drug-drug interactions with anticonvulsants
Routine education for patient being treated with levetiracetam (Keppra) for
seizures – To not abruptly discontinue Keppra due to risk for
withdrawal seizures
What advice you would give a woman who has been on Depakote for seizure
and wants to get pregnant – Valproate is a known teratogen but may
be taken after the first trimester if necessary
Prior to starting antidepressants, the patient should have lab testing to rule
out – hypothyroidism
Cholinergic blockers are used to: – Counteract the ERS effects of
phenothiazines
Control tremors and relax smooth muscles in Parkinson’s Disease
Inhibit the muscarinic action of Ach on bladder muscle
Memantine – A drug used to treat Alzheimer’s disease but is not an
anticholinergic
Verapamil – Preventative therapy for cluster headache
Minocycline (PO) –
When prescribing for migraines, patient education includes: – Stress
reduction and regular sleep are integral to migraine treatment
Acetaminophen – Migraines in pregnancy may be safely treated with
this
When are migraines considered cured? – There is no known cure
Nonpharmacologic Therapy for tension headache includes: –
biofeedback, stress management, massage therapy
Fluoxetine – First-line antidepressant for children with major
depression between 8 to 17 years old
SSRIs – Contains a black-box warning of suicidal ideation in pediatric
and adolescent groups
Stimulants (methylphenidate or amphetamine salts) – Are the most
effective therapy and are generally first line of treatment of ADHD in children
unless contraindications exist
Hypercalcemia – Pt treated with more than 100 grams per week of
topical calcipotriene for psoriasis need to be monitored for
An adolescent female calls the clinic with concerns that her acne is worse 2
weeks after starting topical tretinoin. What would be the appropriate care for
her? – Reassure her that the worsening of acne is normal and it
should improve with continued use
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