Random
A pharmacist in Atlanta created invented this product in 1886 and it has become a household name sold in grocery stores, gas stations, restaurants and many more places
What is Coca Cola
Rivaroxaban
Xarelto
Patient is prescribed Lantus 50 units daily. How many pens does patient need for a 90 day supply if there are 3 mls in each pen?
15 pens
This medication has food interactions with foods such as spinach, kale, brussels sprouts, broccoli
Warfarin
This poisonous substance is used as an injection for a range of purposes such as cosmetic to migraines
Botulinum toxin
Dexcom G7 sensors last up to how many days after being applied to back of the arm?
10 days
**Updated version of Dexcom G7 sensors later this year will last up to 15 days now
Humalog
Insulin Lispro
A patient was prescribed Ozempic 2mg/3mL, which is a Tier 3 medication under his insurance. If his copay for Tier 3 medications is 25% co-insurance, how much is his copay for one pen (30 day supply)?
Cash price of Ozempic 2 mg/3 mL (per mL): $374.31
(Assume no deductible)
$280.73 per month
This group of medications are associated with increased risk of tendinitis and tendon rupture
Fluoroquinolones
Sick cows eating spoiled sweet clover and spoiled hay led to discovery of this medication that was also used as an ingredient of rat poison in the 1900s
What is warfarin
This oral antibiotic may change stool to turn red-appearing
What is cefdinir
(due to interaction with iron that gives stool discoloration. Manufacturer recommends to administer at least 2 hours before or after antacids or iron supplements)
Avycaz
What is the equation you would use to calculate creatine clearance in a male patient?
Est. Creatinine Clearance = [[140 - age(yr)]*weight(kg)]/[72*serum Cr(mg/dL)]
(multiply by 0.85 for women)
True or False: If a patient develops a cough with an ACE inhibitor, all drugs along the RAAS system are contraindicated
False- you can try an ARB (<10% cross-reactivity in angioadema. Do not re-challenge if angioedema occurs again after switching to ARB). ACEi prevent the breakdown of bradykinin which stimulate the release of inflammatory markers
This popular class of medication was developed after the discovery of of exendin-4 through the saliva of the Gila monster
GLP1-RA
(Byetta aka exenatide)
Pravastatin 40mg is a ________ intensity statin
Moderate
Clopidogrel
Plavix
A patient takes PO furosemide 40mg daily at home. What is the equivalent dose if giving IV furosemide?
20mg. Ratio is 2:1 (PO:IV)
SGLT2 Inhibitors
This cardiac medication is derived by the foxglove plant.
(Hint: sometimes chronic toxicity associated with vision color changes such as yellow/green vision, visual halos around light)
Digoxin
Acetylcysteine (aka NAC)
-IV vs PO: weight based dosing
-Rumack-Matthew nomogram
-Poison control
Zyvox
Linezolid
Mary is a 78-year-old female with severe rheumatoid arthritis and kidney insufficiency (CrCl: 20 mL/min). She has been taking OxyContin 120 mg twice daily for the past six months, methotrexate, and carbamazepine. Her new insurance plan will not cover OxyContin, but it will cover MS Contin. To how much MS Contin should she be switched?
morphine 30 mg = morphine X mg
oxycodone 20 mg oxycodone 240 mg
X = 360 mg morphine
The 50% dose reduction helps account for incomplete cross tolerance, and in Mary’s case, also kidney insufficiency (morphine has a metabolite eliminated by the kidneys), age, and carbamazepine use (carbamazepine reduces oxycodone levels, but not morphine levels).
This antiseizure medication also used for bipolar disorder has a black box warning of serious rashes including Steven-Johnson syndrome and needs to titrated slowly due to this concern
Lamotrigine
This class of antihypertensive medication was developed after researchers found this peptide in the Brazilian viper venom (B. jararaca)
ACEi