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True or false? Hyperkalemia increases the effect of digoxin.
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False. hyperkalemia decreases digoxin's activity, while hypokalemia, hypomagnesemia, and hypercalcemia all increase digoxin toxicity.
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Which antispasmodic blocks the release of Ca 2+from the SR and is used in the treatment of malignant hyperthermia?
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Dantrolene
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Which overdose carries a higher mortality rate, that of benzodiazepines or barbiturates?
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Barbiturate overdose and benzodiazepine withdrawal carry the highest mortality rates.
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What antiviral agent is used in the treatment of drug-induced Parkinson's disease?
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Amantadine
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Are the following responses associated with histamines H1 or H2 receptor activation? • Edema
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H 1
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Are the following responses associated with histamines H1 or H2 receptor activation? • Gastric acid secretion
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H 2
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Are the following responses associated with histamines H1 or H2 receptor activation? • SA nodal activity
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H 2
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Are the following responses associated with histamines H1 or H2 receptor activation? • Pain and pruritus
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H 1
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Are the following responses associated with histamines H1 or H2 receptor activation? • Bronchial smooth muscle activity
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H 1
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Are the following responses associated with histamines H1 or H2 receptor activation? • Inotropic action and automaticity
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H 2
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True or false? The lack of dopamine production in the substantia nigra leads to the extrapyramidal dysfunction, characteristically seen in patients with Parkinson's disease.
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True. The lack of dopamine leads to an excess of ACh, hence extrapyramidal dysfunction.
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Which PG maintains patency of the ductus arteriosus and is used in the treatment of primary pulmonary HTN?
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PGI 2
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Which CNS ACh receptor or receptors are excitatory? Inhibitory?
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M 1 and nicotinic receptors are excitatory in the CNS and M 2 receptor is inhibitory.
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True or false? Beta2-Adrenergic agents are used in the management of an acute asthmatic attack.
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True. They are useful in the early-phase response to an asthmatic attack.
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Do local anesthetics bind to the activated or inactivated sodium channels?
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Inactivated
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What is the drug of choice for treating Tourette syndrome?
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Pimozide
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What mosquito is responsible for the transmission of malaria?
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Anopheles mosquito
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What enzyme is inhibited by disulfiram?
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Acetaldehyde dehydrogenase
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Which diuretic is used as an adrenal steroid antagonist?
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Spironolactone
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What drug is given transdermally for chronic pain but can cause chest wall rigidity if given IV?
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Fentanyl
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What is the drug of choice for penicillin-resistant gonococcal infections?
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Spectinomycin
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What is the DOC for treating torsade de pointes?
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Magnesium
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Is heparin contraindicated in pregnancy?
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No. Heparin is safe in pregnancy, but warfarin is contraindicated in pregnancy because of its ability to cross the placenta.
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What oral antifungal agent is used to treat dermatophyte infections by disrupting microtubule structure and depositing keratin?
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Griseofulvin
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Which anticonvulsant can cause teratogenic craniofacial abnormalities and spina bifida?
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Carbamazepine
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What are the three Beta-lactamase inhibitors?
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1. Clavulanic acid 2. Sulbactam 3. Tazobactam
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Which anticonvulsant used in the treatment of bipolar disorder is refractory to lithium?
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Carbamazepine
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Are antineoplastic agents that work on actively proliferating cells schedule or dose dependent?
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Schedule dependent; antineoplastic agents that work on nonproliferating cells are dose dependent
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Which class of diuretics is used to treat metabolic alkalosis, acute mountain sicknesses, and glaucoma and to aid in the elimination of acidic drug overdoses?
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Carbonic anhydrase inhibitors (acetazolamide and dorzolamide)
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What estrogen receptor agonist in bone is used in the treatment and prevention of osteoporosis?
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Raloxifene
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Which tetracycline is used in the treatment of SIADH?
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Demeclocycline
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How is the eye affected by use of opioids?
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With opioid use the pupils become pinpoint (miosis) because of increased cholinergic activity.
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Name the antimicrobial agent whose major side effect is listed. • Grey baby syndrome
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Chloramphenicol
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Name the antimicrobial agent whose major side effect is listed. • CN VIII damage (vestibulotoxic)
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Aminoglycosides
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Name the antimicrobial agent whose major side effect is listed. • Teratogenicity
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Metronidazole
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Name the antimicrobial agent whose major side effect is listed. • Cholestatic hepatitis
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Erythromycin
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Name the antimicrobial agent whose major side effect is listed. • Hemolytic anemia
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Nitrofurantoin
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Name the antimicrobial agent whose major side effect is listed. • Dental staining in children
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Tetracycline
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Name the antimicrobial agent whose major side effect is listed. • Altered folate metabolism
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Trimethoprim
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Name the antimicrobial agent whose major side effect is listed. • Auditory toxicity
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Vancomycin
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Name the antimicrobial agent whose major side effect is listed. • Cartilage abnormalities
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Quinolones
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What are the two side effects of opioids to which the user will not develop tolerance?
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Constipation and miosis
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Which anticonvulsant is also used in the treatment of bipolar disorder and for migraine headaches?
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Valproic acid
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What antitubercular agent causes loss of red-green visual discrimination?
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Ethambutol
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Name the insulin preparation based on the peak effect and duration of action. • Peak, 8 to 16 hours; duration, 24 to 36 hours
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Ultralente
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Name the insulin preparation based on the peak effect and duration of action. • Peak, 0.5 to 3 hours; duration, 5 to 7 hours
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Regular insulin
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Name the insulin preparation based on the peak effect and duration of action. • Peak, 8 to 12 hours; duration, 18 to 24 hours
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Lente or NPH insulin (neutral protamine Hagedorn insulin)
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Name the insulin preparation based on the peak effect and duration of action. • Peak, 0.3 to 2 hours; duration, 3 to 4 hours
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Lispro insulin
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Is digoxin or digitoxin renally eliminated?
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Digoxin is renally eliminated; digitoxin is hepatically eliminated.
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What is the drug of choice for steroid-induced osteoporosis?
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Alendronate
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