REGIS NU641 CLINICAL ADV PHARMACOLOGY
FINAL EXAM: COVERING WEEKS 9 – 15 QUESTIONS
WITH 100% CORRECT ANSWERS 2023
Clonodine - Correct Answer Has several off-label uses including: alcohol and nicotine withdrawal and post therpautic neuralgia Guanfacine - Correct Answer hypertension drug that has also been approved to use for ADHD Ramelteon (Rozerem) - Correct Answer 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 - Correct Answer General diagnosis and following up to see if treatment goals are being met Xanax - Correct Answer 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? - Correct Answer There are many drug- drug interactions with anticonvulsants Routine education for patient being treated with levetiracetam (Keppra) for seizures - Correct Answer 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 - Correct Answer 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 - Correct Answer hypothyroidism Cholinergic blockers are used to: - Correct Answer 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 - Correct Answer A drug used to treat Alzheimer's disease but is not an anticholinergic Verapamil - Correct Answer Preventative therapy for cluster headache Minocycline (PO) - Correct Answer 1 / 2
When prescribing for migraines, patient education includes: - Correct Answer Stress reduction and regular sleep are integral to migraine treatment Acetaminophen - Correct Answer Migraines in pregnancy may be safely treated with this When are migraines considered cured? - Correct Answer There is no known cure
Nonpharmacologic Therapy for tension headache includes: - Correct Answer
biofeedback, stress management, massage therapy Fluoxetine - Correct Answer First-line antidepressant for children with major depression between 8 to 17 years old SSRIs - Correct Answer Contains a black-box warning of suicidal ideation in pediatric and adolescent groups Stimulants (methylphenidate or amphetamine salts) - Correct Answer Are the most effective therapy and are generally first line of treatment of ADHD in children unless contraindications exist Hypercalcemia - Correct Answer 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? - Correct Answer Reassure her that the worsening of acne is normal and it should improve with continued use Treatment for Tinea capitis - Correct Answer Oral griseofulvin or Biweekly shampoo with selenium sulfide or ketoconazole for 6 to 8 weeks Treatment for Tinea corporis and tinea pedis - Correct Answer Topical antifungals like miconazole applied twice daily for 4 weeks Treatment of Onychomycosis - Correct Answer Oral griseofulvin, ketoconazole, itraconazole, or terbinafine for several months; topical product is ciclopirox 8% (Penlac) Common treatments and counseling points for scabies - Correct Answer Common
therapies: permethrin, ivermectin, crotamiton
For permethrin, apply from the neck down, and leave the medication on for at least eight to 10 hours. Often, all household members and other close contacts should be treated.Bedding, clothing, and towels used by infested persons or their household, sexual, and close contacts (as defined above) anytime during the three days before treatment should be decontaminated by washing in hot water and drying in a hot dryer, by dry- cleaning, or by sealing in a plastic bag for at least 72 hours.
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