PP2 Final Exam: Part 2

Neurological Part 1

100

Name the drug class:

These medications enhance GABA and are used for anxiety, but the priority risk is respiratory depression and sedation.

Extra 100 if you can name antidote for this drug class

Benzodiazepines

Extra 100 points: Flumazenil

200

Name the drug:

This ADHD medication can cause insomnia and weight loss, so it should be taken in the morning.

Methylphenidate

300

Name the drug:

This medication requires avoiding tyramine-rich foods to prevent hypertensive crisis and must be avoided with other serotogenic medications.

Extra 100 points if you can describe serotonin syndrome

Phenelzine (MAOI)

Extra 100 points: This life-threatening condition presents with agitation, hyperreflexia, fever, and sweating.

400

Name the drug:

This medication can cause anticholinergic effects (dry mouth, urinary retention) and is dangerous in overdose due to cardiac dysrhythmias.

Amitriptyline

500

Name disease and medication:

This disease involves demyelination of CNS neurons, leading to weakness and vision problems that is treated with a medication that modifies the immune response and causes flu-like symptoms.

Multiple sclerosis; Interferon beta

Neurological Part 2

100

Name the drug:

This medication requires monitoring for gingival hyperplasia and toxicity (nystagmus, ataxia).

Phenytoin

200

Name the neurotransmitter deficit that causes parkinson's and the medication used for treatment. 

Name the neurotransmitter deficit that causes alzeihmer's and the medication used for treatment.

dopamine; Carbidopa/Levodopa

acetycholine; donepezil 

300

Name the drug:

This medication treats migraines by causing vasoconstriction of cranial vessels.

Extra 100 points if you can name one contraindication of this drug.

Sumatriptan

Extra 100 points: the use of SSRIs or SNRIs- cause serotonin syndrome

400

Name the drug: 

This medication reduces intraocular pressure by increasing aqueous humor outflow.

Eztra 100 points: name #1 side effect

Latanoprost

Extra 100 points: Iris discoloration

500

Lithium treats ______; name the main teaching point...

Chlorpromazine treats ______; name the main side effect of this medication...

bipolar; lithium requires consistent sodium intake and hydration to prevent toxicity, which is indicated by tremor, confusion, and diarrhea.

Psychosis; EPS, such as such as dystonia and tardive dyskinesia.

Hem/Onc

100

This occurs when chemotherapy leaks into surrounding tissue, causing severe tissue damage and necrosis. List the steps nurses perform when this occurs. 

Extravasation

1. Stop infusion 

2. Aspirate contents

3. Remove IV

4. elevate and ice area 

200

Name the drug:

This medication increases platelet production and may cause fluid retention and dysrhythmias.

Oprelvekin

300

Name the drug: 

This medication stimulates red blood cell production and may cause hypertension and thromboembolic events.

Epoetin Alfa

400

Anemia:

1. This type of anemia is caused by iron deficiency and presents with fatigue and pallor.

2. This vitamin deficiency causes megaloblastic anemia and neurological symptoms.

3. This deficiency causes anemia without neurological symptoms and is important in pregnancy.

1. Iron-deficiency anemia

2. Vitamin B12 deficiency

3. Folic acid deficiency

500

Name the drugs:

1. This medication treats iron deficiency. List common side effects.

2. This supplement is essential during pregnancy to prevent neural tube defects.

3. This medication is often given IM for patients with absorption issues.

Extra 100 points if you can name key teaching points when administrating ferrous sulfate (3)

1. Ferrous sulfate- dark stool and constipation 

2. Folic acid

3. Cyanocobalamin

extra 100 points: Take with vitamin C to increase absorption, take on empty stomach, avoid calcium/antacids

Reproductive

100

Name the drug: 

This medication stimulates uterine contractions and requires continuous monitoring for fetal distress and uterine tachysystole.

Oxytocin

priority complication of this drug: uterine hyperstimulation leading to fetal hypoxia.

200

Name the drug: 

This medication is used for contraception and can cause irregular menstrual bleeding and weight gain.

Medroxyprogesterone acetate

This is a key teaching: use backup contraception for the first 7 days after starting.

300

Name the drug:

This medication is used for cervical ripening before labor induction.

Dinoprostone

This complication requires monitoring: uterine tachysystole and fetal distress.

400

Name the drug:

This medication works by vasodilation via PDE-5 inhibition.

Sildenafil

This is an important teaching: seek care for an erection lasting longer than 4 hours (priapism).

500

Name the drug: 

This medication is used for hormone replacement but can cause virilization and liver toxicity.

Testosterone 

This is important teaching: avoid skin-to-skin transfer if using topical formulations.