P3 Top 200 Final

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Which medication has a boxed warning for use in children who are CYP2D6 ultrarapid metabolizers?

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Which medication has a boxed warning for use in children who are CYP2D6 ultrarapid metabolizers?

Codeine

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Which medication has a box warning for CYP3A4/5 drug interactions?

Norco (hydrocodone/acetaminophen)

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Patients should be advise to take mirtazapine (Remeron) :

At bedtime

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Patients should be advised not to chew extended release morphhine due to increase risk of:

Respiratory depression

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Rizatriptan (Maxalt) orally disintegrating tablets should be dissolved

On the tongue

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Which medication is used at onset of migraine headaches

Sumatriptan (Imitrex)

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Patients who are started on trazadone should be counseled on risk of

Priapism

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Complex sleep behaviors is a box warning for patients who take

Ambien (Zolpidem)

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Patients who use chronic opioids like Oxycontin (oxycodone) should be advises to use

Stimulant laxatives

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Which medication has a boxed warning due to the increased risk of mortality inelderly patients with dementia?

Aripiprazole (Abilify)

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Patients started donepezil (Aricept) should be advised to

Take at bedtime

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Which medication has a risk of causing extrapyramidal effects

Lurasidone (Latuda)

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Namenda (memantine) is used to treat

Alzhemier disease

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Which medication can cause metabolic changes like hyperlipidemia and weight gain

Olanzapine (Zyprexa)

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Which medication has a box warning due to the increased risk of suicidality

Quetiapine (Seroquel)

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Which medication has the potential to cause impulse control disorders like gambling urges or compulsive buying?

Pramipexole (Mirapex)

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Patients on Requip (ropinirole) should be advised to avoid:

Discontinuing abruptly

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Which medication is an antipsychotic?

Risperidone (Risperdal)

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Which medication can leave the tablet shell intact in the stool?

Bupropion extended release (Wellbutrin)

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Patients on SSRIs, like citalopram, should invoid NSAIDs due to risk of:

Bleeding

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Patients started Pristiq (desvenlafaxine) should be warned about the increased risk of:

Suicidal Thoughts

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Effexor (venlafaxine) inhibits the reuptake of:

Serotonin and Norepinephrine

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Patients on Cymbalta (duloxetine) should be counseled on:

Risk of withdrawal if stopped abruptly

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Fluoxetine is an inhibitor of which CYP enzyme?

2D6

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Which antidepressant is approved for use in children?

Sertraline (Zoloft)

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Patients started on SSRIs, like escitalopram (Lexapro), should be counseled that mood improvements will be noticed after several:

Weeks

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Which medication inhibits the reuptake of ONLY serotonin:

Paroxetine (Paxil)

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Lamotrigine (Lamictal) levels can be significantly INCREASED by:

Carbamazepine (Tegretol)

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Tegretol (carbamazepine) is a CYP ___

Inducer

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Neurontin (Gabapentin), especially when first started, may cause:

Dizziness

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Patients on levetiracetam (Keppra) should be counseled to monitor for:

Unusual changes in behavior

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Patients started on oxcarbazepine (Trileptal) should be advised to monitor for:

Skin rash

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Which medication should patients drink adequate amounts of fluid while on to reduce the risk of kidney stones?

Topamax (topiramate)

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Which medication can leave the tablet sheel intact in the stool

Bupropion extended release

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Patients on SSRIs, like citalopram, should avoid NSAIDs due to risk of

Bleeding

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Patients started Pristiq (desvenlafaxine) should be warned about the increased of risk of

Suicidal thoughts

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Effexor (venlafaxine) inhibits the reuptake of

Serotonin and norepinepherine

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Patients on Cymbalta (duloxetine) should be counseled on

Risks of withdrawal if stopped abruptly

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Fluoxetine (prozac) is an inhibitor of which CYP enzyme

2D6

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Which antidepressant is approved for use in children?

Sertraline (zoloft)

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Patients started on SSRIs, like escitalopram, should be counseled that mood improvements will be noticed after several:

Weeks

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Which medication inhibits the reuptake of ONLY serotonin?

Paroxetine (Paxil)

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Patients should not abruptly stop

Xanax (alprazolam)

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A common side effect of amitriptyline (Elavil) is

Sedation

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What is the box warning for Klonapin (clonazepam)

Avoid concurrent use with opioids

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Patients on diazepam (Valium) should be counseled to

Avoid alcohol

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What is the box warning from lithium (Eskalith)

Checking levels required

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Lorazepam (Ativan) can be used to treat

Anxiety

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A common side effect of nortriptyline (Pamelor) is

Constipation

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Patients should be advised to take phentermine (Adipex-P)

In the morning

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What is the box warning for Pamelor (nortriptyline)

Increased risk of suicidality

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Patients on buprenorphine/naloxone tablets should be advice to place medication:

Under the tongue and allow to dissolve

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Buspirone (Buspar) is used to treat

Anxiety

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Which medication can increase the risk of cardiovascular events (MI,CVA) in patients?

Focalin (dexmethylphenidate)

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Patients who cannot swallow Adderall (amp/dextro) XR should be advised to

Open capsules, mix in applesauce, swallow without chewing.

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Patients on guanfacine (Intuniv) must be tapered off due to the risk of

Rebound hypertension

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Patients who cannot swallow Vyvanse (lisdexamfetamine) should be advised to

Open capsules, dissolve in yogurt and consume immediately

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Patients on methylphenidate patch should be advised to remove patch after

9 hours

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Close monitoring of growth rate and weight is important for children on which medication?

Vyvanse (lisdexamfetamine)

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Patient who have insomnia should take melatonin

That is USP verified

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Which is an important counseling point regarding ProAir (albuterol) inhaler technique?

Prime before use

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If using more than one puff of Symbicort (budesonide/formoterol), patients should be advised: After first puff...

Wait 1 min, shake inhaler again, administer second puff

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Patients started on Flonase (fluticasone) should be counseled that symptom improvements will be noticed after several

Days

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Patients started on fluticasone (flonase) inhaler should be counseled on risk of:

Oral infections

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Which medication has a boxed warning for risk of behavior and mood related effects?

Montelukast (Singulair)

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Tiotropium (Spiriva) is used to treat

COPD and Asthma

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Atrovent (ipratropium) contains which type of medication?

Anticholinergic and beta 2 agonist

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What are the active ingredients in Breo Ellipta?

Fluticasone/vilanterol

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Patients prescribed Anoro Ellipta (umeclidinium and vilanterol) should be counseld to

Take a quick, forceful breath

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Which medication contains an inhaled corticosteroid and long acting beta 2 agonist?

Advair (fluticasone and salmeterol)

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Which medication has a box warning due to increased risk of serious infections?

Adalimumab (Humira)

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Which medication can be fatal in children less than 2 years old?

Benzonatate (Tessalon)

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Which medication can cause constipation AND black stools?

Ferrous Sulfate (Iron)

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Pts who are preganant or plan on becoming pregnant should take which medication to prevent neural tube defects?

Folic Acid

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Which medication is used for vertigo?

Meclizine (Antivert)

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Patients who are pregnant or plan on becoming pregnant, even patients assigned male at birth, should NOT take which medication?

Methotrexate

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Which medication is used for chemotherapy-induced nausea and vomiting?

Ondansetron (Zofran)

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Which medication can be fatal in children less than 2 years old?

Promethazine (Phenergan)

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Which medication has a box warning due to risk of renal impairment?

Methotrexate (Trexall)

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Which antihistamine should be taken scheduled every night instead of as needed?

Levocetirizine (Xyzal)

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Which drug is a nasal antihistamine?

Azelastine (Asteopro)

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Patients should not use which medication if they have an active, untreated infection:

Prednisolone

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Pts should take prednisone

With meals

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Pts started on Claritin (loratadine) can expect to have symptom improvement after

3 - 4 days

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