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15 Cards in this Set
- Front
- Back
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Which of the following agents used for dementia should be taken with food regardless of whether GI side effects are present? Answer AAricept BRazadyne CExelon DNamenda EGinkgo biloba |
CExelon |
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A patient gave the pharmacist a prescription for Namenda 5 mg twice daily #60. Which of the following is an appropriate generic substitution for Namenda? Answer AMemantine BAricept CCognex DTacrine ERazadyne
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AMemantine |
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Select the mechanism of action of memantine: Answer ADecarboxylase inhibitor BNorepinephrine reuptake inhibitor CAdrenergic DAnticholinergic ENMDA-receptor antagonist
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ENMDA-receptor antagonist |
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A patient gave the pharmacist a prescription for Razadyne ER 8 mg once daily #30. Which of the following is an appropriate generic substitution for Razadyne? Answer ATacrine BCognex CRivastigmine DGalantamine EMemantine |
DGalantamine |
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Select the mechanism of action of donepezil: Answer ADecarboxylase inhibitor BNorepinephrine reuptake inhibitor CAcetylcholinesterase Inhibitor DAnticholinergic ENMDA-receptor antagonist |
CAcetylcholinesterase Inhibitor |
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Why are patients instructed to take donepezil in the evening? Answer ADonepezil is activating. BDonepezil is sedating. CDonepezil causes nausea. DDonepezil causes urinary retention. EDonepezil can be taken at any time; it doesn't really matter. |
CDonepezil causes nausea. |
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A patient receives a score of 20 on an MMSE. Which medication is likely to be initiated? Answer ALevodopa-carbidopa BTrihexyphenidyl CDonepezil DEntacapone EDarifenacin |
CDonepezil |
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Sam is a 79 year-old male who has been using rivastigmine for one year. His wife reports that it initially was helpful. Now, she is not sure. She states Sam is forgetful to the point that he cannot remember the grandchildren’s names. She has asked the physician for a stronger medicine. She presents to the pharmacy with a prescription for memantine. Choose the correct statement regarding memantine: Answer AThe brand name is Exelon. BThe brand name is Comtan. CMemantine is dosed initially at 20 mg PO QHS. DMemantine is approved for moderate-severe disease EMemantine causes significant GI side effects and should be taken with food. |
DMemantine is approved for moderate-severe disease |
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A caregiver is picking up a new prescription of Namenda for her patient. The pharmacist will counsel the caregiver on this medication. Which of the following statements are correct? (Select ALL that apply.) Answer AThis medication comes in different forms, such as a capsule and an oral solution, which may be easier to administer. BIf using the XR formulation, it should be taken with food or drink. CIf there is any difficulty swallowing the extended-release capsule, you can open it and sprinkle the contents on applesauce. DThe common side effects are headache, racing heart and shortness of breath. EThis medication can reverse the symptoms of memory loss if taken regularly. |
AThis medication comes in different forms, such as a capsule and an oral solution, which may be easier to administer. BIf using the XR formulation, it should be taken with food or drink. CIf there is any difficulty swallowing the extended-release capsule, you can open it and sprinkle the contents on applesauce. |
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A patient gave the pharmacist a prescription for Exelon 1.5 mg BID #60. Which of the following is an appropriate generic substitution for Exelon? Answer ATacrine BDonepezil CRivastigmine DGalantamine EMemantine |
CRivastigmine |
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A patient with dementia has nausea whenever he uses his rivastigmine medication. His wife asks the pharmacist for assistance. What medication would be useful to reduce the nausea? (Select ALL that apply.) Answer AThe Exelon patch BMemantine ODT CGalantamine ODT DThe tacrine patch EAricept ODT |
AThe Exelon patch
EAricept ODT |
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Select the indications for the use of donepezil: (Select ALL that apply.) Answer AFor mild-to-severe Alzheimer's Disease BFor wearing off associated with rivastigmine therapy CFor moderate to-severe disease in combination with memantine DFor wearing off associated with galantamine therapy EFor moderate to-severe disease in combination with rivastigmine
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AFor mild-to-severe Alzheimer's Disease
CFor moderate to-severe disease in combination with memantine |
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A patient will begin therapy with the Exelon patch. Which of the following are correct counseling statements? (Select ALLthat apply.) Answer AApply the patch once weekly; choose a day of the week that it is easy to remember. BApply on the back, upper arm or chest, and always change the site from day-to-day so that the skin does not become irritated. CPrior to applying the patch, lubricate the skin well to reduce the risk of irritation with a product such as Cetaphil or Lubriderm. DRemove the patch prior to an MRI procedure or your skin will burn. ERemove the protective liner from one side of the patch, and place the sticky side on your skin, then remove the second side of the liner. |
BApply on the back, upper arm or chest, and always change the site from day-to-day so that the skin does not become irritated.
ERemove the protective liner from one side of the patch, and place the sticky side on your skin, then remove the second side of the liner. |
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Mason is a 75 year-old African American male who had a stroke 12 months ago. His other medical conditions include heart failure and mild memory impairment. Mason's medications include clopidogrel, aspirin, an ACE inhibitor, a beta blocker (Toprol XL), a loop diuretic (Bumex), potassium, Aleve and ginkgo biloba. He presents to the emergency room with blood coming from his penis and a nosebleed. Choose the agents that Mason is taking that can increase the risk of bleeding: (Select ALL that apply.) Answer AGinkgo biloba BClopidogrel CAspirin DBumex EAleve |
AGinkgo biloba BClopidogrel CAspirin
EAleve |
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Andy is a 70 year-old male with difficulty falling asleep. He went to the pharmacy and purchased diphenhydramine. What possible side effect might Andy experience from the use of this medicine? Answer ADiarrhea BUrinary frequency CConfusion DExcessive tearing EExcessive saliva and drooling
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CConfusion |
