Pharmacology final

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Last updated 4:25 AM on 4/12/23
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1
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Which of the following newer antipsychotic drugs is classified today as being "atypical?"

Select one:

**a.**

**perphenazine**

**b.**

**fluphenazine**

**c.**

**trifluoperazine**

**d.**

**aripiprazole**
d
2
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Fluoxetine is an example of an antidepressant that appears to work through which of the following mechanisms?

Select one:

**a.**

**It blocks norepinephrine receptors in the limbic system.**

**b.**

**It is an agonist at alpha-2 adrenergic receptors in the brain.**

**c.**

**It blocks dopamine receptors and is a beta-adrenergic receptor agonist.**

**d.**

**It inhibits the reuptake of serotonin in the brain.**
d
3
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A child with a bed-wetting problem might be prescribed a(n)

Select one:

**a.**

**tetracyclic antibiotics.**

**b.**

**tricyclic antidepressant.**

**c.**

**Parkinson's agent.**

**d.**

**sleeping agent.**
b
4
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Which of the following atypical antipsychotic drugs is the active metabolite of risperidone?

Select one:

**a.**

**ziprasidone**

**b.**

**paliperidone**

**c.**

**quetiapine**

**d.**

**olanzapine**
b
5
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Which of the following SSRIs is used to treat a severe form of premenstrual syndrome?

Select one:

**a.**

**escitalopram**

**b.**

**sertraline**

**c.**

**citalopram**

**d.**

**fluoxetine**
d
6
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What is the primary indication for using antipsychotics?

Select one:

**a.**

**anxiety**

**b.**

**schizophrenia**

**c.**

**insomnia**

**d.**

**depression**
b
7
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A patient with narcolepsy may be prescribed a

Select one:

**a.**

**sedative.**

**b.**

**stimulant.**

**c.**

**hypnotic.**

**d.**

**SSRI.**
b
8
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With which psychiatric disorder do patients suffer from alternating episodes of major depression and mild-to-severe agitation?

Select one:

**a.**

**mania**

**b.**

**bipolar disorder**

**c.**

**serotonin syndrome**

**d.**

**depression**
b
9
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What is a common side effect from taking antipsychotic medications?

Select one:

**a.**

**insomnia**

**b.**

**hypoglycemia**

**c.**

**weight gain**

**d.**

**suicidal thoughts**
c
10
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Which two neurotransmitters are believed to be most involved with schizophrenia and the drugs used to treat this disorder?

Select one:

**a.**

**norepinephrine and acetylcholine**

**b.**

**histamine and epinephrine**

**c.**

**GABA and serotonin**

**d.**

**dopamine and serotonin**
d
11
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Which of the following drugs is classified as a tricyclic antidepressant and has significant anticholinergic side effects?

Select one:

**a.**

**imipramine**

**b.**

**fluoxetine**

**c.**

**desvenlafaxine**

**d.**

**paroxetine**
a
12
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Which of the following drugs used to treat insomnia is *not* a DEA scheduled controlled substance?

Select one:

**a.**

**temazepam**

**b.**

**zaleplon**

**c.**

**estazolam**

**d.**

**ramelteon**
d
13
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Which of the following is a typical side effect in a patient is taking a therapeutic dose of lithium?

Select one:

**a.**

**slight tremor of hands**

**b.**

**mania**

**c.**

**insomnia**

**d.**

**priapism**
a
14
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What class of drugs is considered to be the standard of care for alcohol (ethanol) detoxification?

Select one:

**a.**

**MAOIs**

**b.**

**benzodiazepines**

**c.**

**hypnotics**

**d.**

**SSRIs**
b
15
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_________ is a very versatile drug because it has multiple unique dosage forms, including a cream used for itching and an oral liquid formulation sometimes prescribed by dentists?

Select one:

**a.**

**lithium**

**b.**

**doxepin**

**c.**

**trazadone**

**d.**

**bupropion**
b
16
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All drugs in the SSRI class have a boxed warning for which of the following conditions?

Select one:

**a.**

**increased risk of suicide**

**b.**

**mortality in older adults**

**c.**

**CNS depression**

**d.**

**narrow-angle glaucoma**
a
17
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Which of the following serotonin and norepinephrine reuptake inhibitors is used to treat diabetic neuropathy?

Select one:

**a.**

**citalopram**

**b.**

**venlafaxine**

**c.**

**duloxetine**

**d.**

**levomilnacipran**
c
18
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Which of the following drugs is not a selective serotonin reuptake inhibitor?

Select one:

**a.**

**fluoxetine**

**b.**

**escitalopram**

**c.**

**fluvoxamine**

**d.**

**trazodone**
d
19
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What term is used to describe a mood of hyperactivity, extreme excitement, and excessive elation?

Select one:

**a.**

**mania**

**b.**

**anxiety**

**c.**

**depression**

**d.**

**insomnia**
a
20
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Which monoamine oxidase inhibitor is primarily used as an adjunct in managing Parkinson's disease?

Select one:

**a.**

**phenelzine**

**b.**

**amantadine**

**c.**

**tranylcypromine**

**d.**

**selegiline**
d
21
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Which of the following antianxiety drugs is *not* a benzodiazepine?

Select one:

**a.**

**lorazepam**

**b.**

**oxazepam**

**c.**

**hydroxyzine**

**d.**

**clorazepate**
c
22
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Which of the following medications is available in a regular strength, SR, and XL dosages?

Select one:

**a.**

**valproic acid**

**b.**

**trazodone**

**c.**

**bupropion**

**d.**

**lithium**
c
23
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Low doses of prochlorperazine are commonly used for

Select one:

**a.**

**dry mouth.**

**b.**

**nausea and vomiting.**

**c.**

**pain.**

**d.**

**seasonal allergies.**
b
24
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Which drug used to treat depression is also used for smoking cessation?

Select one:

**a.**

**bupropion**

**b.**

**divalproex**

**c.**

**fluoxetine**

**d.**

**zolpidem**
a
25
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Which of the following is an anticholinergic drug used to treat the Parkinson-like side effects of antipsychotic therapy?

Select one:

**a.**

**buspirone**

**b.**

**bupropion**

**c.**

**lithium**

**d.**

**benztropine**
d
26
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Which of the following medications has been approved for the treatment of shift-work disorder?

Select one:

**a.**

**modafinil**

**b.**

**buspirone**

**c.**

**zolpidem**

**d.**

**solriamfetol**
a
27
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All benzodiazepines belong to which of the following controlled substance schedules?

Select one:

**a.**

**C-III**

**b.**

**C-V**

**c.**

**C-II**

**d.**

**C-IV**
d
28
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Which class of antidepressants are considered second-line treatments because of their many interactions with foods and other drugs?

Select one:

**a.**

**SSNRIs**

**b.**

**MAOIs**

**c.**

**Benzodiazepines**

**d.**

**TCAs**
b
29
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Which of the following drugs used to treat insomnia is a melatonin receptor agonist?

Select one:

**a.**

**triazolam**

**b.**

**trazadone**

**c.**

**ramelteon**

**d.**

**temazepam**
c
30
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Why should patients avoid consuming alcohol while taking atypical antipsychotic medications?

Select one:

**a.**

**Excessive sedation and hallucinations can occur.**

**b.**

**The drug can become inactive and decrease effectiveness.**

**c.**

**It can cause nausea and vomiting.**

**d.**

**It can cause disulfiram-like side effects.**
a
31
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What is the brand name for brinzolamide?

Select one:

**a.**

**Azopt**

**b.**

**Betagan**

**c.**

**Quoliana**

**d.**

**Rescula**
a
32
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Patients with night blindness may have a deficiency in

Select one:

**a.**

**vitamin E.**

**b.**

**vitamin D.**

**c.**

**vitamin C.**

**d.**

**vitamin A.**
d
33
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Carbamide peroxide is contraindicated in patients with all the following *except*

Select one:

**a.**

**vertigo.**

**b.**

**ear drainage.**

**c.**

**a perforated tympanic membrane.**

**d.**

**ear pain.**
a
34
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When erythromycin ophthalmic anti-infective is prescribed to treat conjunctivitis, the typical prescribing includes a frequency of

Select one:

**a.**

**twice daily.**

**b.**

**eight times daily.**

**c.**

**four times daily.**

**d.**

**six times daily.**
d
35
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Treatments for dry eye include all the following *except*

Select one:

**a.**

**fluorometholone.**

**b.**

**cyclosporine.**

**c.**

**propylene glycol.**

**d.**

**dichlorphenamide.**
d
36
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Which of the following ophthalmic agents for glaucoma is available over the counter?

Select one:

**a.**

**bimatoprost**

**b.**

**betaxolol**

**c.**

**brinzolamide**

**d.**

**brimonidine**
d
37
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_____ is a drying agent used for the ear.

Select one:

**a.**

**Benzoyl alcohol**

**b.**

**Carbamide peroxide**

**c.**

**Antipyrine-benzocaine**

**d.**

**Isopropyl alcohol / glycerin**
d
38
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Abnormally high intraocular pressure can lead to damage to the

Select one:

**a.**

**optic nerve.**

**b.**

**cataract.**

**c.**

**glaucoma.**

**d.**

**retina.**
a
39
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Cortisporin Otic Solution is a combination medication that contains all the following *except*

Select one:

**a.**

**polymyxin B.**

**b.**

**hydrocortisone.**

**c.**

**acetic acid.**

**d.**

**neomycin.**
c
40
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Patients with age-related macular degeneration benefit by using _____ to decrease the disease progression.

Select one:

**a.**

**Ocuvite**

**b.**

**bimatoprost**

**c.**

**Betagan**

**d.**

**Ocuflox**
a
41
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The ophthalmic solution Xalatan has the generic name

Select one:

**a.**

**travoprost.**

**b.**

**timolol.**

**c.**

**latanoprost.**

**d.**

**levobunolol.**
c
42
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The pharmacy technician should *not* be concerned if the physician prescribes an

Select one:

**a.**

**ophthalmic solution for a patient to use in the ear.**

**b.**

**otic solution for a patient with a tube in the ear.**

**c.**

**otic antibiotic for ear infection.**

**d.**

**ophthalmic solution for an eye infection.**
a
43
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Otic preparations usually serve as adjunct therapy to oral antibiotics for severe ear infections in patients with

Select one:

**a.**

**ruptured eardrum or tubes in their ears.**

**b.**

**otitis externa and media.**

**c.**

**infections in both ears.**

**d.**

**excessive ear wax in the ear canal(s).**
a
44
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A technician should alert the pharmacist if Ciprofloxacin-dexamethasone is prescribed for a patient that has an allergy to

Select one:

**a.**

**aminoglycosides.**

**b.**

**macrolides.**

**c.**

**quinolones.**

**d.**

**sulfonamides.**
c
45
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Tobramycin is classified as a(n) _____ anti-infective.

Select one:

**a.**

**quinolone**

**b.**

**aminoglycoside**

**c.**

**sulfonamide**

**d.**

**macrolide**
b
46
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Swimmer's ear may also be referred to as

Select one:

**a.**

***otitis externa.***

**b.**

***vertigo.***

**c.**

***presbycusis.***

**d.**

***otitis media.***
a
47
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Glaucoma is an eye disorder that involves

Select one:

**a.**

**loss of central vision.**

**b.**

**abnormally high internal eye pressure.**

**c.**

**increased tearing and itching.**

**d.**

**inflammation of the retina.**
b
48
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Which of the following OTC medications is combined with olive oil as a base and applied in the ear to soften earwax?

Select one:

**a.**

**citrate of magnesia**

**b.**

**methylcellulose**

**c.**

**docusate sodium**

**d.**

**Bisacodyl**
c
49
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If a person who gives birth to a newborn has untreated gonorrhea, the newborn is at high risk for

Select one:

**a.**

**narrow-angle glaucoma.**

**b.**

**mycobacterial infection.**

**c.**

**gonococcal conjunctivitis.**

**d.**

**open-angle glaucoma.**
c
50
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To treat otitis media, which of the following combination of drugs are prescribed?

Select one:

**a.**

**antibiotics and analgesics**

**b.**

**antivirals and analgesics**

**c.**

**antivirals and sulfonamides**

**d.**

**antibiotics and antivirals**
a
51
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All the following are associated with chronic dry eye, *except*

Select one:

**a.**

**anxiety disorders.**

**b.**

**autoimmune disorders.**

**c.**

**hormonal changes.**

**d.**

**old age.**
a
52
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Which of the following ophthalmic products are contraindicated in patients with cardiac complications and hyperthyroidism?

Select one:

**a.**

**carbonic anhydrase inhibitors**

**b.**

**beta blockers**

**c.**

**analgesics**

**d.**

**prostaglandin analogs**
b
53
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Which of the following drug classes is considered first-line therapy for glaucoma, is most effective, and is prescribed as a once daily dosing?

Select one:

**a.**

**miotics**

**b.**

**alpha receptor agonists**

**c.**

**prostaglandin analogs**

**d.**

**aminoglycosides**
c
54
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Patient with tubes in their ears should only instill _____ and should keep otic preparations sterile to prevent introducing infection in the ears.

Select one:

**a.**

**drying agents**

**b.**

**dissolvers**

**c.**

**suspensions**

**d.**

**solutions**
c
55
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How long should a patient leave contact lenses out after application of eye ointment?

Select one:

**a.**

**60 minutes**

**b.**

**15 minutes**

**c.**

**30 minutes**

**d.**

**5 minutes**
b
56
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Which of the following otic solutions is *only* available as a prescription?

Select one:

**a.**

**Cortisporin**

**b.**

**AuroDri**

**c.**

**Debrox**

**d.**

**Acetasol**
a
57
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What is the term used to describe inflammation caused by bacteria or viruses in the mucous membranes surrounding the eye?

Select one:

**a.**

**conjunctivitis**

**b.**

**carbuncle**

**c.**

**conjunctiva**

**d.**

**cerumen**
a
58
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Which of the following is a malfunction of the semicircular canals, resulting in balance problems and dizziness?

Select one:

**a.**

**otitis media**

**b.**

**vertigo**

**c.**

**presbycusis**

**d.**

**otitis externa**
b
59
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Which of the following eye diseases can lead to blindness if not treated?

Select one:

**a.**

**CMV**

**b.**

**glaucoma**

**c.**

**cataracts**

**d.**

**conjunctivitis**
b
60
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Which of the following drug classes does *not* treat glaucoma?

Select one:

**a.**

**calcium channel blockers**

**b.**

**alpha receptor agonists**

**c.**

**beta blockers**

**d.**

**prostaglandin agonists**
a
61
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What are two lifestyle factors that may contribute to the development of heart disease?

Select one:

**a.**

**cigarette smoking and increasing age**

**b.**

**gender and cigarette smoking**

**c.**

**low blood pressure and gender**

**d.**

**cigarette smoking and diabetes**
d
62
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Which of the following drug classes is *not* used to treat angina?

Select one:

**a.**

**calcium channel blockers**

**b.**

**membrane stabilizing agents**

**c.**

**beta blocker**

**d.**

**metabolic modifier**
b
63
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Which of the following ACE inhibitors used to treat heart failure has an IV dosage form?

Select one:

**a.**

**enalaprilat**

**b.**

**quinapril**

**c.**

**lisinopril**

**d.**

**benazepril**
a
64
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Which of the following is the most common side effect of a calcium channel blocker?

Select one:

**a.**

**diarrhea**

**b.**

**constipation**

**c.**

**nausea and vomiting**

**d.**

**dry cough**
b
65
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Which of the following antihypertensive drugs is an angiotensin II receptor antagonist (ARB)?

Select one:

**a.**

**labetalol**

**b.**

**nitroglycerin**

**c.**

**verapamil**

**d.**

**candesartan**
d
66
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What term refers to an abnormally slow heart rate?

Select one:

**a.**

**atrial fibrillation**

**b.**

**atrial flutter**

**c.**

**bradycardia**

**d.**

**tachycardia**
c
67
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What form of angina is characterized by coronary artery spasm?

Select one:

**a.**

**variant angina**

**b.**

**Prinzmetal's angina**

**c.**

**nocturnal angina**

**d.**

**microvascular angina**
a
68
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Which of the following drugs reduces cholesterol levels by inhibiting HMG-CoA reductase, the enzyme that catalyzes the rate-limiting step in the synthesis of cholesterol?

Select one:

**a.**

**fenofibrate**

**b.**

**atorvastatin**

**c.**

**cholestyramine**

**d.**

**niacin**
b
69
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Which of the following anticoagulant agents is a vitamin K antagonist?

Select one:

**a.**

**heparin**

**b.**

**fondaparinux**

**c.**

**warfarin**

**d.**

**protamine**
c
70
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Beta blockers may be used in combination with what other drug to reduce the risk of death or recurrence following a myocardial infarction?

Select one:

**a.**

**diphenhydramine**

**b.**

**aspirin**

**c.**

**acetaminophen**

**d.**

**ibuprofen**
b
71
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Which of the following anticoagulant drugs is available in tablet form?

Select one:

**a.**

**enoxaparin**

**b.**

**fondaparinux**

**c.**

**warfarin**

**d.**

**idarucizumab**
c
72
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What class of drugs that is used to dissolve clots must be reconstituted in water and then gently swirled, never shaken?

Select one:

**a.**

**thrombolytic agents**

**b.**

**anticoagulant agents**

**c.**

**antiplatelets agents**

**d.**

**beta breakers**
a
73
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Which of the following drugs used for MIs and CVA prevention blocks ADP receptors, reducing platelet adhesion and aggregation?

Select one:

**a.**

**eptifibatide**

**b.**

**aspirin**

**c.**

**clopidogrel**

**d.**

**coumadin**
c
74
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HMG-CoA reductase inhibitors all end in which of the following suffixes?

Select one:

**a.**

***-olol***

**b.**

***-prazole***

**c.**

***-pril***

**d.**

***-statin***
d
75
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What was the first beta blocker approved for treatment of COPD?

Select one:

**a.**

**pindolol**

**b.**

**nadolol**

**c.**

**carvedilol**

**d.**

**acebutolol**
c
76
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Which of the following is *not* a sign of "dig toxicity" in a patient taking digoxin for congestive heart failure?

Select one:

**a.**

**appearance of red halos around objects**

**b.**

**general weakness**

**c.**

**nausea and vomiting**

**d.**

**vertigo**
a
77
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The narrowing of the arteries due to deposits of cholesterol and fat on the inner surface of the vessel is known as

Select one:

**a.**

***thrombus.***

**b.**

***atherosclerosis.***

**c.**

***hyperglycemia***

**d.**

***hypertension.***
b
78
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Which of the following nitrates has an ointment dosage form that is applied to a patient's chest wall?

Select one:

**a.**

**nitroglycerin**

**b.**

**digoxin**

**c.**

**isosorbide mononitrate**

**d.**

**isosorbide dinitrate**
a
79
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What does the systolic blood pressure reading represent?

Select one:

**a.**

**cardiac input**

**b.**

**pressure during the filling of the heart**

**c.**

**total peripheral allowance**

**d.**

**pressure after the heart has emptied**
d
80
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Why do most statins work better if taken in the evening?

Select one:

**a.**

**Most cholesterol is produced during the day.**

**b.**

**The liver is more active at night.**

**c.**

**They can help the patient sleep.**

**d.**

**Most cholesterol is produced at night.**
d
81
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Which thrombolytic agent below binds to fibrin, converts plasminogen to plasmin, and is incompatible with dextrose?

Select one:

**a.**

**alteplase**

**b.**

**reteplase**

**c.**

**urokinase**

**d.**

**tenecteplase**
d
82
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Which of the following drug classes work by eliminating sodium and water from the body?

Select one:

**a.**

**beta-blockers**

**b.**

**potassium channel blockers.**

**c.**

**thiazide diuretics**

**d.**

**alpha-blockers**
c
83
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Treatment of an acute MI often includes oxygen, aspirin, and which of the following drugs?

Select one:

**a.**

**lidocaine**

**b.**

**digoxin**

**c.**

**nitroglycerin**

**d.**

**digoxin immune Fab**
c
84
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Which of the antiplatelet drugs listed below is a glycoprotein antagonist?

Select one:

**a.**

**abciximab**

**b.**

**ticlopidine**

**c.**

**aspirin**

**d.**

**clopidogrel**
a
85
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Which of the following is a common side effect while taking ACE inhibitors?

Select one:

**a.**

**constipation**

**b.**

**risk of hypoglycemia**

**c.**

**a persistent, annoying cough**

**d.**

**excessive flatulence**
c
86
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What term describes the electrical signal that causes a muscle to contract?

Select one:

**a.**

**myocardium**

**b.**

**depolarization**

**c.**

**pacemaker**

**d.**

**potassium ion**
b
87
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Patients on warfarin therapy should maintain consistent intake of which of the following foods?

Select one:

**a.**

**cheese**

**b.**

**steak**

**c.**

**grapefruit**

**d.**

**kale**
d
88
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Which of the following is a beta blocker that is commonly used in the treatment of angina?

Select one:

**a.**

**isosorbide dinitrate**

**b.**

**amlodipine**

**c.**

**labetalol**

**d.**

**digoxin**
c
89
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Which of the following is not a thrombolytic agent?

Select one:

**a.**

**digoxin**

**b.**

**reteplase**

**c.**

**alteplase**

**d.**

**tenecteplase**
a
90
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In what part of the heart do the pacemaker cells generate a normal cardiac rhythm?

Select one:

**a.**

**superior vena cava**

**b.**

**aortic semilunar valve**

**c.**

**tricuspid valve**

**d.**

**sinoatrial (SA) node**
d
91
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What is the purpose of antitussives?

Select one:

**a.**

**to reduce inflammation in the bronchial tube**

**b.**

**to aid in breaking up mucous**

**c.**

**to improve contractility of the diaphragm**

**d.**

**to suppress dry and nonproductive coughs**
d
92
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Which of the following is *not* a leukotriene inhibitor used to treat asthma?

Select one:

**a.**

**montelukast**

**b.**

**zileuton**

**c.**

**cromolyn**

**d.**

**zafirlukast**
c
93
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Which of the following gives correct instructions for using nicotine gum?

Select one:

**a.**

**Chew gum after smoking a cigarette.**

**b.**

**Chew gum for 4 hours before discarding.**

**c.**

**Chew and swallow one piece per normal cigarette use.**

**d.**

**Chew and "park" in the cheek.**
d
94
New cards
Which of the following is *not* a class of drugs used to treat asthma?

Select one:

**a.**

**beta agonists**

**b.**

**monoclonal antibody**

**c.**

**corticosteroids**

**d.**

**SSRI**
d
95
New cards
Which of the following medications is *not* a corticosteroid?

Select one:

**a.**

**budesonide**

**b.**

**fluticasone**

**c.**

**mometasone**

**d.**

**albuterol**
d
96
New cards
Which of the following medications is mostlikely to be used to treat or stop an acute asthma attack?

Select one:

**a.**

**fluticasone**

**b.**

**levalbuterol**

**c.**

**ipratropium**

**d.**

**albuterol**
d
97
New cards
What term is used for the major mechanism by which pulmonary pathogens gain access to the normally sterile lower airways and alveoli?

Select one:

**a.**

**osmosis**

**b.**

**wheezing**

**c.**

**invasion**

**d.**

**aspiration**
d
98
New cards
Many OTC sleeping pills contain which antihistamine?

Select one:

**a.**

**fexofenadine**

**b.**

**diphenhydramine**

**c.**

**cetirizine**

**d.**

**phenylephrine**
b
99
New cards
Patient are advised to rinse their mouth thoroughly with water after using corticosteroids to prevent which of the following effects?

Select one:

**a.**

**cavities**

**b.**

**discoloration of teeth**

**c.**

**fungal infection**

**d.**

**bacterial infection**
c
100
New cards
Which of the following is a common dosage for an albuterol inhaler?

Select one:

**a.**

**1 puff in the morning and at night**

**b.**

**2 puffs in the morning**

**c.**

**2-4 puffs every 2 hours**

**d.**

**1-2 puffs 3-4 times a day as needed**
d

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