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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1

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

Codeine

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2

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

Norco (hydrocodone/acetaminophen)

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3

Patients should be advise to take mirtazapine (Remeron) :

At bedtime

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4

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

Respiratory depression

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5

Rizatriptan (Maxalt) orally disintegrating tablets should be dissolved

On the tongue

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6

Which medication is used at onset of migraine headaches

Sumatriptan (Imitrex)

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7

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

Priapism

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8

Complex sleep behaviors is a box warning for patients who take

Ambien (Zolpidem)

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9

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

Stimulant laxatives

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10

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

Aripiprazole (Abilify)

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11

Patients started donepezil (Aricept) should be advised to

Take at bedtime

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12

Which medication has a risk of causing extrapyramidal effects

Lurasidone (Latuda)

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13

Namenda (memantine) is used to treat

Alzhemier disease

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14

Which medication can cause metabolic changes like hyperlipidemia and weight gain

Olanzapine (Zyprexa)

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15

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

Quetiapine (Seroquel)

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16

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

Pramipexole (Mirapex)

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17

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

Discontinuing abruptly

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18

Which medication is an antipsychotic?

Risperidone (Risperdal)

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19

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

Bupropion extended release (Wellbutrin)

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20

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

Bleeding

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21

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

Suicidal Thoughts

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22

Effexor (venlafaxine) inhibits the reuptake of:

Serotonin and Norepinephrine

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23

Patients on Cymbalta (duloxetine) should be counseled on:

Risk of withdrawal if stopped abruptly

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24

Fluoxetine is an inhibitor of which CYP enzyme?

2D6

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25

Which antidepressant is approved for use in children?

Sertraline (Zoloft)

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26

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

Weeks

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27

Which medication inhibits the reuptake of ONLY serotonin:

Paroxetine (Paxil)

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28

Lamotrigine (Lamictal) levels can be significantly INCREASED by:

Carbamazepine (Tegretol)

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29

Tegretol (carbamazepine) is a CYP ___

Inducer

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30

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

Dizziness

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31

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

Unusual changes in behavior

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32

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

Skin rash

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33

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

Topamax (topiramate)

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34

Which medication can leave the tablet sheel intact in the stool

Bupropion extended release

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35

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

Bleeding

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36

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

Suicidal thoughts

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37

Effexor (venlafaxine) inhibits the reuptake of

Serotonin and norepinepherine

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38

Patients on Cymbalta (duloxetine) should be counseled on

Risks of withdrawal if stopped abruptly

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39

Fluoxetine (prozac) is an inhibitor of which CYP enzyme

2D6

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40

Which antidepressant is approved for use in children?

Sertraline (zoloft)

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41

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

Weeks

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42

Which medication inhibits the reuptake of ONLY serotonin?

Paroxetine (Paxil)

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43

Patients should not abruptly stop

Xanax (alprazolam)

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44

A common side effect of amitriptyline (Elavil) is

Sedation

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45

What is the box warning for Klonapin (clonazepam)

Avoid concurrent use with opioids

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46

Patients on diazepam (Valium) should be counseled to

Avoid alcohol

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47

What is the box warning from lithium (Eskalith)

Checking levels required

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48

Lorazepam (Ativan) can be used to treat

Anxiety

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49

A common side effect of nortriptyline (Pamelor) is

Constipation

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50

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

In the morning

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51

What is the box warning for Pamelor (nortriptyline)

Increased risk of suicidality

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52

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

Under the tongue and allow to dissolve

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53

Buspirone (Buspar) is used to treat

Anxiety

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54

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

Focalin (dexmethylphenidate)

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55

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

Open capsules, mix in applesauce, swallow without chewing.

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56

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

Rebound hypertension

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57

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

Open capsules, dissolve in yogurt and consume immediately

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58

Patients on methylphenidate patch should be advised to remove patch after

9 hours

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59

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

Vyvanse (lisdexamfetamine)

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60

Patient who have insomnia should take melatonin

That is USP verified

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61

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

Prime before use

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62

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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63

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

Days

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64

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

Oral infections

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65

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

Montelukast (Singulair)

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66

Tiotropium (Spiriva) is used to treat

COPD and Asthma

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67

Atrovent (ipratropium) contains which type of medication?

Anticholinergic and beta 2 agonist

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68

What are the active ingredients in Breo Ellipta?

Fluticasone/vilanterol

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69

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

Take a quick, forceful breath

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70

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

Advair (fluticasone and salmeterol)

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71

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

Adalimumab (Humira)

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72

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

Benzonatate (Tessalon)

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73

Which medication can cause constipation AND black stools?

Ferrous Sulfate (Iron)

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74

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

Folic Acid

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75

Which medication is used for vertigo?

Meclizine (Antivert)

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76

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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77

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

Ondansetron (Zofran)

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78

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

Promethazine (Phenergan)

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79

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

Methotrexate (Trexall)

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80

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

Levocetirizine (Xyzal)

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81

Which drug is a nasal antihistamine?

Azelastine (Asteopro)

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82

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

Prednisolone

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83

Pts should take prednisone

With meals

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84

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

3 - 4 days

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85

Pts on cetirizine (Zyrtec) may experience:

Drowsiness

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86

Children given Benadryl (diphenhydramine) may experience:

Paradoxical excitability

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87

Which medication is an antihistamine used for anxiety?

Hydroxyzine

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88

Long-term use of which medication can cause osteoporosis?

Methylprednisolone (medrol)

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89

High doses of acetaminophen can cause:

Liver injury

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90

Which medication can cause constipation?

Dicyclomine (Bentyl)

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91

Medications like diclofenac can cause:

GI upset

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92

Which medication is a stool softener

Docusate (Colace)

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93

Pepcid (famotidine) is what class?

H2 antagonist

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94

Pts prescribed naproxen (Aleve) should be advised to take:

With food

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95

Pts started on omperazole (Prilosec) should be advised to take

1 hour prior to meal

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96

How would you counsel a patient on how to take sulcrafate (carafate)?

Shake well, take on empty stomach, do not take medications within 2-4 hours of sucralfate

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97

Which medication can be used safely with clopidogrel (Plavix)?

Pantoprazole (Protonix)

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98

Which medication has a box warning against abrupt discontinuation?

Baclofen (Lioresol)

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99

Pantoprazole (Protonix) is what class?

Proton pump inhibitor

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100

Pts prescribed Zyloprim (Allopurinol) shoudl be advised to take:

After a meal

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