4157895
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Quiz von campbellpa2017, aktualisiert more than 1 year ago
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Erstellt von campbellpa2017
vor fast 11 Jahre
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Frage 1
Frage
Which of the following is/are true regarding antitussive medications?
(select all that apply)
Antworten
-
Used to suppress coughing
-
May be used long-term
-
Better for dry (non-productive) cough
-
Not very effective at current OTC doses
-
Contraindicated in children < 6 years old
Frage 2
Frage
Why would antitussives be contraindicated?
Antworten
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They cause gastrointestinal symptoms if used over 7 days.
-
Coughing is a defense mechanism which we don't want to suppress.
-
Patient has a productive cough.
-
Patient is < 2 years old
-
All of the above
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All but A
Frage 3
Frage
What is the mechanism of action of Codeine and what is it's brand name?
Antworten
-
Inhibits cough through direct effect on brainstem cough center. Also might inhibit peripheral afferent neurons that initiate coughing.
-
Competes for H1 receptor sites on respiratory tract to reduce secretion and stop coughing
-
Robitussin AC
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Robitussin DM
-
Delsym
Frage 4
Frage
What is the mechanism of Dextromethorphan and what is/are it's brand names?
Antworten
-
Soothing to the airway through vaporization.
-
Inhibits cough reflex by a similar mechanism to Codeine (inhibits cough through direct effect on brainstem cough center) but is a non-narcotic.
-
Inhibits cough reflex by a similar mechanism to Codeine (inhibits cough through direct effect on brainstem cough center) but is a narcotic and provides stronger action.
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Robitussin AC
-
Robitussin DM
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Vicks Vaposteam
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Delsym
Frage 5
Frage
Which two medications are sold as Vicks?
Antworten
-
Delsym
-
Menthol
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Carnauba
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Camphor
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Lanolin
Frage 6
Frage
What are some common adverse effects of Codeine?
Antworten
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Fatigue
-
Abdominal pain
-
Drowsiness
-
Dizziness
-
Ataxia
Frage 7
Frage
What are some common side effects of Dextromethorphan?
Antworten
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Confusion
-
Ataxia
-
Irritability
-
Nervousness
-
Excitement
Frage 8
Frage
What is the primary side effect of Benadryl?
Antworten
-
Shortness of Breath
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Ataxia
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Vomiting
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Insomnia
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Drowsiness
Frage 9
Frage
Which drug do the young whippersnappers Robo Trip with?
Antworten
-
Robitussin AC
-
Robaxin
-
Diphenhydramine
-
Dextromethorphan
-
Tylenol
Frage 10
Frage
What are some therapeutic benefits of Expectorants?
Antworten
-
Compete for H1 receptor sites on respiratory tract to reduce secretion and stop coughing.
-
Facilitate production and ejection of mucus.
-
May increase pulmonary function
-
Prevents respiratory passages from being clogged by thick, viscous secretions.
-
Reduce secretions from upper airway so as to prevent drainage into the lower respiratory tract.
Frage 11
Frage
Which of the following are Adverse Effects of Decongestants?
Antworten
-
Headache
-
Dizziness
-
Hypertension
-
Palpitations
-
Seizures
-
Nausea
-
Nervousness
Frage 12
Frage
Which of the following are characteristics of decongestants.
Antworten
-
Binds to receptors located on blood vessels of nasal mucosa and stimulate vasoconstriction and resulting in drying up of mucosal vasculature and decreased local congestion
-
Usually beta-2 adrenergic agonists.
-
Usually beta-1 adrenergic agonists.
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Usually alpha-1 adrenergic agonists.
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Almost exclusively systemic medications.
-
May be systemic or local medications.
-
Almost exclusively local medications
-
Can cause CNS depression, avoid excessive use
-
Can cause CNS excitation, avoid excessive use
Frage 13
Frage
Which oral decongestant rocks and which one sucks?
Antworten
-
Phenylephrine
-
Pseudoephedrine
Frage 14
Frage
When is the best time to take an oral decongestant?
Antworten
-
In the morning to reduce the negative consequences of CNS excitation.
-
In the evening to reduce the negative consequences of CNS depression.
-
Any time of day as CNS effects are not often seen in decongestants.
-
In the evening to help congested patients sleep.
Frage 15
Frage
What is the chief concern with Afrin administration and what is its generic name?
Antworten
-
Nasal polyps
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Rebound congestion
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Epistaxis
-
Oxymetazoline
-
Xylometazoline
-
Phenylephrine
Frage 16
Frage
Choose the correct statements regarding Phenylephrine and Pseudoephedrine. (if you get something incorrect, try flipping the statements)
Antworten
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Phenylephrine is more bioavailable (90%) than Pseudoephedrine (38%)
-
Phenylephrine: a1 adrenergic, weak B adrenergic Pseudoephedrine: a1 and B adrenergic
-
Phenylephrine has CNS effects, Pseudoephedrine does not.
-
Pseudoephedrine has more efficacy data than Phenylephrine.
-
Patients with heart conditions, asthma, and COPD need to be more cautious with Pseudoephedrine and less so with Phenylephrine
Frage 17
Frage
Which of these is NOT a condition in which we should be cautious when prescribing oral decongestants?
Antworten
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Hypertension
-
Hyperthyroidism
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Diabetes
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Coronary heart disease
-
Diverticulitis
-
Elevated intraocular pressure
-
Prostatic hypertrophy
-
MAOIs
Frage 18
Frage
Which Histamine mediates allergic response and is therefore what our antihistamine drugs target?
Antworten
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H1
-
H2
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H3
-
H4
Frage 19
Frage
Arrange these antihistamine medications in terms of their ability to cross the blood brain barrier, from most crossing to least.
Antworten
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Diphenhydramine, Loratidine, Fexofenadine, Cetirizine
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Diphenhydramine, Fexofenadine, Loratidine, Cetirizine
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Diphenhydramine, Cetirizine, Loratidine, Fexofenadine
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Fexofenadine, Diphenhydramine, Cetirizine, Loratidine
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Loratidine, Cetirizine, Fexofenadine, Diphenhydramine
Frage 20
Frage
Which of the following medications are First Generation Antihistamines?
Antworten
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Brompheniramine (Dimetapp)
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Chlorpheniramine (Chlor-Trimeton)
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Clemastine (Tavist)
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Hydroxyzine (Atarax)
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Levocetirizine (Xyzal)
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Dimenhydrinate (Dramamine)
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Diphenhydramine (Benadryl)
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Desloratidine (Clarinex)
Frage 21
Frage
Which of the following are Second Generation Antihistamines?
Antworten
-
Cetirizine (Zyrtec)
-
Desloratidine (Clarinex)
-
Diphenhydramine (Benadryl)
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Fexofenadine (Allegra)
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Dimenhydrinate (Dramamine)
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Levocetirizine (Xyzal)
-
Loratidine (Claritin)
Frage 22
Frage
While antihistamines are generally used more for allergic rhinitis and congestion, one medication has some efficacy in treating cold related rhinorrhea. Which is it?
Antworten
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Cetirizine (Zyrtec)
-
Fexofenadine (Allegra)
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Diphenhydramine (Benadryl)
-
Loratidine (Claritin)
Frage 23
Frage
What are some precautions and warnings to consider when prescribing antihistamines to patients?
Antworten
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Emphysema
-
Chronic Bronchitis
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Narrow Angle Glaucoma
-
Cardiovascular disease
-
Enlarged Prostate Gland
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Increased risk of CVA
-
Decrease in milk supply in nursing mothers.
Frage 24
Frage
What are some special considerations to make in elderly and children before prescribing Antihistamines?
Antworten
-
Elderly patients having a paradoxical hyperactivity.
-
Children having a paradoxical hyperactivity.
-
Long half life in elderly, causing extended effect and increased fall risk.
-
Long half life in children, causing poor performance in school and social dysfunction.
Frage 25
Frage
When a combination product advertises itself as a Nighttime/PM medication, what is likely in the combination?
Antworten
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
-
Dextromethorphan
-
Antihistamine
Frage 26
Frage
When a combination product advertises itself as a Nondrowsy/AM/Daytime medication, what is likely in the combination?
Antworten
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Dextromethorphan
-
Antihistamine
Frage 27
Frage
When a combination product advertises itself as a Sinus medication, what is likely in the combination?
Antworten
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Dextromethorphan
-
Antihistamine
Frage 28
Frage
When a combination product advertises itself as a Cough medication, what is likely in the combination?
Antworten
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Dextromethorphan
-
Antihistamine
Frage 29
Frage
When a combination product advertises itself as an Allergy medication, what is likely in the combination?
Antworten
-
Diphenhydramine, Chlorpheniramine, or Doxylamine
-
Pseudoephedrine, Phenylephrine (decongestant) but no antihistamine
-
Pseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
-
Dextromethorphan
-
Antihistamine
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