question

When steroids are prescribed for long-term therapy, which of the following should be evaluated on a regular basis?

answer

all of the above -blood pressure -weight -electrolyte balance -cardiac function

question

Which of the following statements is NOT true about adverse reactions to insulin?

answer

insulin may cause allergic reactions in most patients

question

Sort the following insulin preparations from the shortest to the longest duration of action 1. Lispro 2. Lantus 3. NPH 4. Regular

answer

1, 4, 3, 2

question

Which of the following is a modified human derivative of insulin and is therefore less antigenic and the preferred insulin for use today?

answer

all of the above - humalog -humulin -novolin

question

signs and symptoms of hyperglycemia/diabetic coma include all of the following EXCEPT

answer

no thirst

question

Which of the following are true of glucocorticoids and other steroids? 1. They are potent anti-inflammatory agents. 2. Their adverse effects include "moon face," "pot belly," and "buffalo hump." 3. They cause the kidney to retain sodium. 4. They may be administered orally, intramuscularly, intravenously, intraarticularly, and topically. 5. They have distinct methods of administration that include alternate-day therapy and declining dosages.

answer

1, 2, 3, 4, and 5

question

Which of the following is NOT true of TSH?

answer

it decreases the uptake of iodine

question

Thyroid replacement therapy is for treatment of hypothyroidism, not for treatment of obesity or for weight loss

answer

True

question

Release of hormones from the anterior pituitary gland is influenced by the hypothalamus and is inhibited by negative feedback

answer

True

question

Which of the following is true of insulin preparations?

answer

both a and b are true -only regular insulin can be administered IV, IM and SC -Humalog is a modified human derivative

question

Common side effects of medications for endocrine diseases include all of the following EXCEPT

answer

no changes in growth and cardiac function

question

Which of the following are true of somatropin? 1. It is also known as growth hormone. 2. It is expensive to prescribe. 3. It should be used for any child who is of short stature. 4. It has a drug interaction with insulin. 5. Variations in its secretion may lead to acromegaly in adults and dwarfism in children.

answer

1, 2, 4 and 5

question

Signs and symptoms of hypoglycemia/insulin shock include all of the following EXCEPT

answer

slow onset

question

glucose absorption inhibitors

answer

all of the above

question

Which of the following statements are true concerning ophthalmic anti-inflammatory and antiinfective agents? 1. Most ophthalmic antiinfective/anti-inflammatory agents are effective on mucous membranes that have been injured or are inflamed. 2. To discourage drug-resistant strains of antiinfectives, antibiotics for ophthalmologic problems should be administered locally. 3. Any topical medication may be used in the eye. 4. With viral infections, both eyes may need to be treated. 5. In irrigating eyes, the head should be turned toward the affected side to prevent cross-contamination of the unaffected eye.

answer

1, 2, 4 and 5

question

Which of the following statements is NOT true? (CH21)

answer

Mydriatics are used to cause pupil constriction for diagnostic tests

question

OTC ophthalmic medications are always safe for use by all people because the FDA has approved the use of these drugs.

answer

False

question

Agents that mimic the sympathetic nervous system bring about pupillary dilation, while cycloplegic agents cause paralysis of the ciliary muscles and prevent accommodation. These medications are used primarily for diagnostic testing.

answer

True

question

Medications used in the ear often contain more than one ingredient so that more than one symptom or condition is treated at one time.

answer

True

question

Medications for ophthalmic conditions may cause systemic effects

answer

True

question

Corticosteroids may cause increased ocular pressure, while ibuprofen may alter color vision and may cause blurred vision

answer

True

question

Match the drugs on the left with their indication for use on the right (Ch21)

answer

-Natacyn: treats fungal eye infections -Erythromycin ointment: neonatal conjunctivitis -Flurbiprofen: inhibits intraocular miosis -Ocusert: glaucoma

question

When using ophthalmic anticholinergics, patients should wear dark glasses in sunshine and use dimmed lights but should have no problems with moving about after dark.

answer

False

question

The following medication will not cause ototoxicity

answer

Methotrexate

question

Eye infections should not be treated with topical anti-inflammatory and anti-infective agents without doing a culture of the secretions

answer

True

question

Otic preparations may be which of the following?

answer

b and c -antibiotics -ceruminolytics

question

If the ear is draining, medications should not be instilled in the ear without permission from the physician

answer

True

question

Drugs for vertigo have no significant side effects and can be taken without concern when using machinery or driving a car.

answer

False

question

The rate of medication absorption through the skin depends on which of the following?

answer

all of the above -the form of the drug -the size of the drug molecule -the base of the medication

question

Which of the following is NOT true of topical corticosteroids?

answer

They should be applied thickly so that the medication will stay in contact with the lesion for a longer period of time.

question

Which of the following are true of topical fungal preparations? 1. They may be used on hair, nails, or skin. 2. Most are used to treat Candida and tinea infections. 3. Most are available OTC as well as by prescription. 4. They should be used completely even if symptoms improve. 5. Therapy for fungal infections is long-term.

answer

1, 2, 3, 4 and 5

question

Topical anesthetics are found in all of the following forms EXCEPT

answer

foams and shampoos

question

Topical creams and ointments for pediculosis should be applied to the affected area and left on for 12 hours, and then the area should be thoroughly washed.

answer

True

question

Which of the following is NOT true of skin preparations?

answer

Persons with oily skin should bathe less frequently

question

Which of the following statements is NOT true about treatment of burns?

answer

Sulfonamides should be placed on tissue before débridement to soften the area, but this treatment has no antibacterial effect.

question

Which of the following statements is NOT true of prophylactic agents?

answer

Sunscreens have no effect on premature aging or in precancerous conditions, although these products do prevent cancer.

question

Topical antiinfectives are indicated in superficial wound therapy but are not indicated for deep penetrating wounds

answer

True

question

Oral contraceptives may be used to treat acne in females after menarche and those who have not responded to topical medications.

answer

True

question

Occlusive dressings allow antifungals to remain in contact with the skin for a longer period of time, and these dressings increase the efficacy of the drug.

answer

False

question

Common symptoms of skin disorders include all of the following EXCEPT

answer

fever and eschar

question

Which of the following is NOT true of topical corticosteroid medications?

answer

They should be spread on the affected area and beyond, and the area may be covered for greater absorption.

question

The following agent rapidly diffuses through burns and is effective against bacterial wound invasion

answer

Sulfamylon

question

With skin conditions, topical corticosteroids are less likely to cause systemic responses.

answer

True

question

Common side effects of musculoskeletal medications include

answer

all of the above - nausea and vomiting - pain in abdomen - headache - constipation and diarrhea

question

TNF inhibitors block the immune response to prevent inflammation of joints

answer

True

question

The goal of arthritis therapy includes all of the following EXCEPT

answer

curing the diesase

question

Which of the following is an immunosuppressant agents and a DMARD?

answer

methotrexate

question

Anticholinesterase agents increase muscle tone.

answer

True

question

Which of the following is not a nonsalicylate NSAID?

answer

Tylenol

question

Patient teaching regarding gout should include which of the following?

answer

All of the above should be included

question

Which is NOT true of salicylate NSAIDs?

answer

They are relatively safe and have the advantage over other medications of not causing gastrointestinal symptomatology.

question

Biphosphonates are used to prevent fractures.

answer

True

question

Central-acting and direct-acting muscle relaxants are the drugs of choice for muscle spasticity.

answer

True

question

Which of the following is NOT true of alendronate?

answer

It may be given without regard to Vitamin D

question

Which of the following is NOT true about the cox inhibitor?

answer

The drugs in this category can be safely used by persons who are allergic to penicillin and sulfa drugs.

question

Which of the following is true concerning medications acting on gastrointestinal system tissues?

answer

all of the above statements are true except for d

question

Which of the following is true of oral antiviral agents?

answer

all of the above statements are true

question

Which of the following is NOT true of gastric pump inhibitors?

answer

They are safe for treating ulcers before their confirmed diagnosis

question

Which of the following should not be given to persons with diabetes?

answer

phosphorated carbohydrate solution (Emetrol)

question

Which of the following are indications for laxative use?

answer

all except b -emptying the intestines prior to diagnostic testing -following the administration of anthelmintic medications

question

Which of the following is NOT true concerning medications for H. pylori?

answer

They always include an antacid

question

Which of the following is not true of antispasmodics?

answer

they increase peristalsis in the gastrointestinal tract

question

Which of the following is NOT true of stimulant laxatives?

answer

They require 10 to 12 hours to work

question

Which of the following is NOT true of stool softeners?

answer

They include docusate sodium (Colace) and docusate potassium (Dialose)

question

Please match the medications on the ledt with the correct indication on the right

answer

-Sodium bicarbonate: GERD -Bentyl: Irritable bowel -Cepacol: Halitosis -Ursodiol: Reducing cholesterol in bile

question

Which of the following is NOT true about antisecretory medications?

answer

They are safe to give with antacids, especially those containing aluminum

question

Which of the following is NOT true of bowel evacuants?

answer

They are used for normal constipation

question

Match the drugs on the left with the correct indication on the right

answer

-Phazyme: Antiflatulent -Tigan: Antiemetic -Nupercainal: Rectal fissures -Didrex: Anorexiant

question

Which of the following is NOT true concerning antacids?

answer

Chronic use of antacids has no effect systematically

question

Which of the following is NOT true about antiemetics?

answer

They are not effective with motion sickness

question

Cromolyn is for the prophylaxis of asthma.

answer

True

question

Which of the following is NOT true of histamine?

answer

It is not a problem with most upper respiratory inflammatory diseases

question

Which of the following is NOT true of decongestants?

answer

They are very safe for persons who have diabetes mellitus

question

Which of the following is NOT true of combination OTC products?

answer

If a patient has only a runny nose, a combination product is indicated

question

Which of the following is NOT true of expectorants?

answer

They are not found as combination medications

question

Mucokinetic agents are the same drugs as mucolytics that are used to make respiratory secretions more watery for ease of expulsion

answer

True

question

Xanthines are being replaced in asthma therapy by beta1 agonists.

answer

False

question

Mucolytics increase the viscosity of respiratory secretions.

answer

False

question

Which of the following is NOT true of treatment for COPD?

answer

Xanthine derivatives constrict smooth muscle, so sputum may be expectorated.

question

Antitussives are especially effective for the productive cough.

answer

False

question

Which of the following is NOT true of cromolyn sodium?

answer

It is more effective if used after the onset of allergic symptoms caused by histamines.

question

How long should you wait between puffs of a MDI requiring 2 puffs to complete the dose.

answer

1 minute

question

All of the following medication interact with Ventolin except.

answer

Flouroquinolone

question

Which of the following is NOT true of medications to inhibit influenza?

answer

They are substitutes for the influenza vaccine.

question

Xanthine derivatives such as theophylline are not always the drugs of choice for asthma because of the narrow therapeutic range

answer

True

question

Which of the following is NOT a common side effect of circulatory medications?

answer

edema and shortness of breath

question

Antihypertensives receive the same response in all ethnic and cultural groups.

answer

False

question

Which of the following are routes of administration for nitroglycerin?

answer

all of the above

question

Which of the following is NOT true of hemorheologic agents?

answer

all of the above statements are true

question

Which of the following is NOT true of medications used to affect coagulation?

answer

Anticoagulants include vitamin K, heparin, and warfarin.

question

Narrowing of arteries caused specifically by plaque buildup is known as

answer

Atherosclerosis

question

Which of the following is NOT true of anticoagulants?

answer

They may be given over prolonged periods of time without regard to prothrombin times.

question

Which of the following is NOT true of HMG CoA reductase inhibitors?

answer

They may be discontinued when lipoprotein levels are lowered

question

Which of the following is NOT true of adrenergic-inhibiting agents used in hypertension?

answer

They have few side effects and drug interactions

question

Antihypertensives cure hypertension.

answer

False

question

Nicotinic acid reduces LDL and VLDL levels and raises HDL levels but is limited by its side effects.

answer

True

question

Which of the following are NOT symptoms of circulatory disorders?

answer

diuresis and homeostasis

question

Match the drug classes on the left with the statements describing them on the right

answer

-Beta-Adrenergic Blockers: Decreased the heart's rate and force of contraction -Diuretics: Block reabsorption of sodium and chloride in the nephron -Nitrates: Used prophylactically to prevent angina -Calcium Channel Blockers: Dilate large coronary arteries to increase blood flow to the heart

question

TMZ-SMZ is the abbreviation for trimethoprim-sulfonamide.

answer

False

question

Which of the following are NOT common side effects of medications for urinary tract disorders?

answer

enuresis and incontinence

question

Which of the following statements about fluid and electrolyte balance is NOT true?

answer

Infants and obese persons have less fluid in their bodies than normal adults.

question

Lower urinary tract infections are associated with all of the following symptoms EXCEPT

answer

headache

question

DDVAP acts in much the same manner as antidiuretic hormone.

answer

True

question

Common foods that may irritate the urinary bladder include all of the following EXCEPT

answer

milk and milk products

question

Which of the following is NOT true of urinary tract antispasmodics?

answer

They are indicated for use in children under the age of 5 to relieve enuresis

question

Upper urinary tract infections are associated with all of the following symptoms EXCEPT

answer

burning and frequency of urination

question

Which of the following is NOT true of urinary tract antiseptics?

answer

They are the first choice in treating UTIs

question

Magnesium deficiencies maybe caused by all of following except

answer

lack of sunlight

question

Major electrolytes that need replacement include all of the following EXCEPT

answer

chlorides

question

Skin rashes may occur as a side effect of UTI medications

answer

True

question

Nausea, malaise, weakness, headaches and drowsiness are all signs of depletion of which electrolyte.

answer

Sodium

question

Which of the following is NOT true of urinary tract analgesics?

answer

Pyridium will not stain clothing.

question

Which of the following is NOT a symptom of sexually transmitted diseases?

answer

congenital malformations

question

Which of the following is NOT true of testosterone replacement therapy?

answer

The treatment and dosage are the same for all males, regardless of the diagnosis.

question

Which of the following is NOT true about forms of contraception?

answer

All IUDs provide long-term contraception of 8 years and are intrauterine progesterone inserts

question

Which of the following medication classes is NOT used to treat premenstrual syndrome?

answer

progesterone and calcium

question

Which of the following is true of sildenafil (Viagra)?

answer

all of the above statements are true

question

Adjusting the estrogen and progestin content of oral contraceptives will not change the side effects encountered with them.

answer

False

question

Which of the following does NOT apply to postcoital contraception?

answer

Emergency contraceptive pills (ECPs) are either estrogen pills or progestin pills, not combination medications.

question

Estrogens and progestins are often found together in replacement therapy

answer

True

question

Which of the following is NOT a common side effect of medications for the reproductive tract?

answer

vaginal itch

question

Which of the following is NOT true of estrogens?

answer

They do not change the shape of the cornea and have no effect on the fitting of contact lenses

question

Which of the following is NOT a common symptom of female reproductive tract diseases?

answer

frequency and urgency of urination

question

Which of the following is NOT true of oral contraceptives?

answer

All oral contraceptives are combinations of estrogen and progestins

question

Uses of estrogen include which of the following?

answer

all of the above

question

Common side effects of medications for neurological conditions include all of the following EXCEPT

answer

muscle turgidity or spasticity

question

Beta-blockers are the drugs of choice in migraine headache prophylaxis.

answer

True

question

Which of the following is NOT needed in patient teaching with analgesics?

answer

Medication may be stopped at any time owing to the dangers of physical dependence and habituation

question

Which of the following is NOT true about the use of CNS stimulants as anorexiants and for narcolepsy?

answer

They may be taken after 6:00 PM in persons desiring to lose weight and for narcolepsy without causing excessive stimulation

question

Which of the following is NOT true of adrenergic agonists?

answer

They are not sympathomimetic medications and do not simulate the "fight-or-flight" response of the body.

question

Which of the following is NOT true of sedatives and hypnotics?

answer

The generally accepted rule for therapy with hypnotics or sedatives is short-term use at the moderate to high dosage for as long as needed

question

Which of the following is NOT true of central nervous system stimulants?

answer

They may be prescribed over long periods of time for obesity.

question

Which of the following is NOT true of anesthetics?

answer

Allied health professionals in an ambulatory care setting have no responsibility in preparing a patient for general anesthesia; this is the responsibility of the surgeon and anesthetist

question

Which of the following statements is NOT true? (CH29)

answer

Catecholamines are produced and stored in the brain to increase the stimulation of the autonomic nervous system.

question

Which of the following is NOT true of local anesthetics?

answer

The onset of most local anesthetics is slow, and they last for prolonged periods of time.

question

Medications to treat migraine headache include all of the following EXCEPT

answer

all are used

question

Groups of drugs that are used to treat seizures include which of the following?

answer

a, b and c

question

Which of the following is NOT true of endorphins and enkephalins?

answer

Endorphins are part of the blood-brain barrier.

question

Which of the following is NOT true of parasympathomimetic medications?

answer

Cholinergic medications have few side effects and are considered safe for use in most patients

question

Which of the following is NOT true about the use of CNS stimulants as anorexiants and for narcolepsy?

answer

They may be taken after 6:00 PM in persons desiring to lose weight and for narcolepsy without causing excessive stimulation.

question

Mental health is concerned with which of the following aspects of a person? 1. physical health 2. cognitive health and affective being 3. behavioral and social health 4. the environment

answer

1, 2, 3 and 4

question

Psychotherapeutic agents were first introduced in the ______. Before that time, psychotic patients were institutionalized.

answer

1950s

question

Antipsychotics are also called

answer

a and c (major tranquilizers and neuroleptics)

question

Antipsychotics include

answer

a, b and c - phenothiazines, such as chlorpromazine - butyrophenone derivatives, such as haloperidol - atypical medications, such as clozapine

question

Common signs and symptoms of mental disorders include all of the following EXCEPT`

answer

proper work ethics and work skills

question

A person who is in contact with reality but is fearful and has difficulty adjusting to surroundings is considered to have

answer

neurosis

question

Antipsychotic medications are used for

answer

a, b and c -relief of the symptoms of psychosis or severe neurosis -therapeutic treatment of nausea and vomiting -potentiation of analgesics

question

Mood disorders, also called affective disorders, include depression. The Monoamine Theory of Depression theorizes that a depressed person is lacking which chemicals?

answer

a and c -serotonin - norepinephrine

question

Side effects of antipsychotics include

answer

a, b and c -postural hypotension, changes in heart rate, and vertigo - insomnia, agitation, restlessness, and headaches - confusion, drowsiness, weakness, and photosensitivity

question

Which of the following is NOT important in patient education with antipsychotic medications?

answer

assure the patient that antipsychotics are not addictive

question

The side effects of smoking cessation include all of the following EXCEPT

answer

decreased appetite, nausea and diarrhea

question

Which is NOT true of drugs used with alcoholism?

answer

Disulfiram should be given to a person who abuses alcohol whether the person desires to stop consuming alcohol or not.

question

The half-life of cocaine is fairly long, leading to toxicity and the chance of acute intoxication.

answer

False

question

Which of the following is NOT true of abused central nervous system stimulants?

answer

there is an antidote for amphetamine and cocaine toxicity that stops the toxic effects with few side effects

question

Which of the following is NOT a hallucinogen, psychedelic, or psychomimetic?

answer

marijuana

question

Which of the following medications do NOT interact with nicotine?

answer

all of the above interact with nicotine

question

Which of the following is NOT true of nicotine?

answer

it produces complex and predictable actions on the body

question

The fastest-acting nicotine substitute is the nasal spray.

answer

True

question

Which of the following is NOT true of opiate and opioid abuse?

answer

all of the above statements are true

question

Which of the following is NOT true of central nervous system depressants?

answer

Withdrawal from barbiturates and benzodiazepines should be done rapidly to prevent long-term withdrawal signs and symptoms.

question

Which of the following is NOT a sign or symptom of drug abuse/misuse that should be recognized by allied health professionals?

answer

keeping medical appointments and maintaining good health practices

question

What is NOT a source of inhalants commonly used for euphoria and hallucinations?

answer

all of the above are sources of inhalants.

question

Which of the following is NOT true of abused central nervous system stimulants?

answer

There is an antidote for amphetamine and cocaine toxicity that stops the toxic effects with few side effects.

question

Which of the following is NOT a side effect of antipsychotic agents?

answer

all are side effects

question

Antipsychotics are contraindicated in

answer

all of the above

HSC 3147 – Exam 3 (Ch20-31) – Flashcards

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