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USMLE Step 1 Pharm
DIT Pharm
134
Medical
Graduate
05/11/2010

Additional Medical Flashcards

 


 

Cards

Term
What is the equation for Volume of Distribution?
Definition
VD = (amt of drug given IV)/ [drug]plasma
Term
What is the equation for clearance?
Definition
Cl = (0.7 X VD)/ half-life
Term
What is the equation for loading dose?
Definition
LD = (steady state conc) x VD
Term
What is the equation for maintenance dose?
Definition
MD = (steady state conc) x CL
Term
Drug class? "--stigmine"
Definition
Anti-cholinesterase
Term
Drug class? Pilocarpine
Definition
Direct cholinergic
Term
Drug class? Echothiophate
Definition
Anti-cholinesterase (Indirect cholinergic)
Term
Drug class? Oxybutynin
Definition
Anti-cholinergic
Term
Drug class? Atropine
Definition
Anti-cholinergic
Term
Drug class? donepezil
Definition
Anti-cholinesterase
Term
Drug class? Pralidoxime
Definition
Cholinesterase regenerator
Term
Drug class? "--chol"
Definition
Direct cholinergic
Term
Drug class? "--trop--" (ipratropium, tropicamide, benztropine, aTROPine)
Definition
Anticholinergic
Term
Drug class? scopolamine
Definition
anticholinergic
Term
Drug class? Edrophonium
Definition
Anticholinesterase (Indirect cholinergic)
Term
Drug class? Tolterodine
Definition
Anticholinergic
Term
What is the MOA of botulinum toxin?
Definition
Inhibits the PRESYNAPTIC release of Ach (causes FLACCID paralysis)
Term
What is the MOA of cocaine, TCA's, and amphetamines?
Definition
Blocks reuptake of NE into the presynaptic cleft
Term
What is the MOA of Guanethidine?
Definition
Blocks the release of NE
Term
What anticholinesterase is used for post-operative ileus?
Definition
Neostigmine
Term
Which receptors stimulate G(q)?
Definition
H1 A1 V1 M1 M3 (HAVe 1 M&M)
Term
Which receptors stimulate G(i)?
Definition
M2 A2 D2 (MAD 2's)
Term
What enzyme does G(q) activate?
Definition
Phospholipase C
Term
Drug class? Hexamethonium
Definition
nicotinic antagonist
Term
How does Hexamethonium affect heart rate?
Definition
Prevents vagal reflax responses to changes in blood pressure (ie. prevents reflex bradycardia caused by NE)
Term
Stimulated Receptors? Clonidine
Definition
A2
Term
Stimulated Receptors? Dopamine
Definition
D1,D2 > B
Term
Stimulated Receptors? Phenylephrine
Definition
A1 > A2
Term
Stimulated Receptors? Albuterol
Definition
B2 > B1
Term
Stimulated Receptors? Norepinephrine
Definition
A1, A2, B1
Term
Stimulated Receptors? Isoproterenol
Definition
B1 = B2
Term
Stimulated Receptors? Epinephrine
Definition
A1, A2, B1, B2
Term
Stimulated Receptors? Dobutamine
Definition
B1 > B2
Term
Stimulated Receptors? Terbutaline
Definition
B2 > B1
Term
What is the most common first line agent for pts in cardiogenic shock?
Definition
dobutamine
Term
Which drug is given subQ for asthma?
Definition
terbutaline (B2 > B1)
Term
What drug is indicated in shock that MAINTAINS RENAL BLOOD FLOW?
Definition
dopamine
Term
Drug class? "--azine"
Definition
Phenothiazine (neuroleptic, anti-emetic)
Term
Drug class? "--etine"
Definition
SSRI
Term
Drug class? "--ipramine"
Definition
TCA's
Term
Drug class? "--navir"
Definition
Protease inhibitor
Term
Drug class? "--terol"
Definition
B2 agonist
Term
Drug class? "--triptyline"
Definition
TCA
Term
Drug class? "--tropin"
Definition
Pituitary hormone
Term
Drug class? "--dronate"
Definition
bisphosphonates
Term
Drug class? "--mustine"
Definition
Nitrosureas
Term
Drug class? "--curium/curonium"
Definition
NON-DEPOLARIZING neuromuscular blocker
Term
Drug class? "--glitazone"
Definition
Diabetes drug (increases tissue sensitivity)
Term
Drug class? "--dipine"
Definition
dihydroperidine Ca channel blocker
Term
Drug class? "--statin"
Definition
HMGCoA reductase inhibitor
Term
What is the only DEPOLARIZING neuromuscular blocking drug?
Definition
Succinylcholine
Term
What are the 5 classes of drugs used to treat glaucoma?
Definition
1. B-blockers 2. alpha agonists 3. diuretics (acetazolamide, mannitol-acute) 4. prostaglandins 5. cholinergics
Term
In what population must B-blockers be administered with extra caution?
Definition
Diabetics because it can mask the symptoms of hypoglycemia
Term
What 3 drugs are composed of antibodies against TNF?
Definition
1. Etanercept
2. Infliximab
3. Adalimumab
Term
What screening test should be performed before placing a patient on Infliximab?
Definition
PPD test because infliximab can reactivate latent TB
Term
What causes "Gray Baby" syndrome? What causes "Gray Man" syndrome?
Definition
Gray Baby-- Chloramphenicol
Gray Man-- Amiodarone (photosensitivity)
Term
What are 7 drugs that should be avoided in people with sulfa allergies?
Definition
Thiazide diuretics, loop diuretics (furosemide), Bactrim, Sulfasalazine, sulfonureas, sumatriptan
Term
What 2 alpha-adrenergic antagonists are used in the treatment of pheochromocytoma?
Definition
phenoxybenzamine and phentolamine
Term
What is the DOC for anaphylactic shock?
Definition
epinephrine
Term
What is the DOC for cardiogenic shock?
Definition
dobutamine
Term
What is the DOC for septic shock?
Definition
Norepinephrine
Term
What types of adrenergic receptors are found on the beta cells of the pancreas? What effects do these have?
Definition
alpha-2: inhibit insulin
beta: increases insulin
Term
What type of adrenergic receptors are found on the alpha cells of the pancreas?
Definition
alpha-2 to increase glucagon
Term
What 5 drugs (pneumonic?) are known for causing drug-induced Lupus?
Definition
"SHIPP" Sulfonamides, Hydralazine, INH, Pracainamide, Phenytoin
Term
What are the 4 R's of Rifampin?
Definition
1. RNA polymerase inhibitor
2. Revs up P450
3. Red/orange body fluids
4. Rapid resistance (if used alone)
Term
What is the pneumonic for INDUCING cytochrome P450? What does it stand for?
Definition
"BCG PQRS" ...Barbituates, Carbamazepine, Griseofulvin, Phenytoin, Quinidine, Rifampin, St. John's Wort
Term
What is the pneumonic for INHIBITING cytochrome P450? What does it stand for?
Definition
"PICK EGS"...Protease inhibitors, INH, Cimetidine, Ketoconazole, Erithromycin, Grapefruit juice, Sulfonamides
Term
What drug would you use for prophylaxis for someone w/ exposure to meningococcal or H.flu type B meningitis?
Definition
Rifampin
Term
What's the antidote/treatment for toxicity? Acetominophen
Definition
N-Acetylcysteine
Term
What's the antidote/treatment for toxicity? Salicylates
Definition
NaHCO3 (alkalizing urine), dialysis
Term
What's the antidote/treatment for toxicity? Amphetamines
Definition
NH4Cl (acidifies urine)
Term
What's the antidote/treatment for toxicity? Anticholinesterases/organophosphates (2)
Definition
atropine, pralidoxime
Term
What's the antidote/treatment for toxicity? Antimuscarinic/anticholinergic agents
Definition
Physostigmine salicylate ("phyxes atropine overdose")
Term
What's the antidote/treatment for toxicity? Beta-blockers (3)
Definition
glucagon, atropine, Ca2+
Term
What's the antidote/treatment for toxicity? verapamil (3)
Definition
glucagon, atropine, Ca2+
Term
What's the antidote/treatment for toxicity? Digitalis (if there is tachycardia)
Definition
normalize K+, LIDOCAINE, anti-dig fab, Mg2+
Term
What's the antidote/treatment for toxicity? Digitalis (if there is bradycardia)
Definition
normalize K+, ATROPINE, anti-dig fab, Mg2+
Term
What's the antidote/treatment for toxicity? Iron (transfusions, hemochromatosis)
Definition
Deferoxamine
Term
What's the antidote/treatment for toxicity? Lead (4)
Definition
EDTA, dimercaprol, succimer (kids), penicillamine
Term
What's the antidote/treatment for toxicity? Mercury, arsenic, gold
Definition
Dimercaprol, succimer
Term
What's the antidote/treatment for toxicity? copper, arsenic, gold
Definition
penicillamine
Term
What's the antidote/treatment for toxicity? cyanide (nitroprusside)
Definition
nitrite, hydroxycobalamin, THIOSULFATE
Term
What's the antidote/treatment for toxicity? Methemoglobin
Definition
Methylene Blue, Vitamin C
Term
What's the antidote/treatment for toxicity? Carbon monoxide
Definition
100% O2, hyperbaric O2
Term
What's the antidote/treatment for toxicity? Methanol, ethanol glycol (antifreeze)
Definition
ethanol or FOMEPIZOLE
Term
What's the antidote/treatment for toxicity? opioids
Definition
naloxone
Term
What's the antidote/treatment for toxicity? benzodiazepines
Definition
flumazenil
Term
What's the antidote/treatment for toxicity? TCA's
Definition
NaHCO3 (serum alkalinization)
Term
What's the antidote/treatment for toxicity? Heparin
Definition
protamine
Term
What's the antidote/treatment for toxicity? Warfarin
Definition
Vitamin K, FFP
Term
What's the antidote/treatment for toxicity? tPA, streptokinase
Definition
Aminocaproic acid
Term
What's the antidote/treatment for toxicity? theophylline
Definition
Beta-blockers
Term
What is ethambutol used for and why is it avoided in children?
Definition
It is part of the treatment regimen for TB (RIPE), it's toxicity causes red-green color blindness
Term
First line treatment for psychosis?
Definition
Atypical antipsychotics
Term
What reactions are catalyzed by cytochrome P450? (3)
Definition
Reduction, oxidation, hydrolysis
Term
Side effect of which drug(s)? gingival hyperplasia
Definition
phenytoin
Term
Side effect of which drug(s)? gout (2)
Definition
furosemide and thiazides
Term
Side effect of which drug(s)? osteoporosis (2)
Definition
corticosteroids, heparin
Term
Side effect of which drug(s)? Photosensitivity
Definition
"SAT for a photo"
Sulfonamides, Amiodarone, Tetracyclines
Term
Side effect of which drug(s)? tendon rupture/cartilage damage
Definition
fluoroquinolones
Term
Side effect of which drug(s)? Fanconi's syndrome
Definition
expired tetracyclines, heavy metals
Term
Side effect of which drug(s)? interstitial nephritis (3)
Definition
methicillin, NSAIDs, furosemide
Term
Side effect of which drug(s)? hemorrhagic cystitis
Definition
cyclophosphamide
Term
Side effect of which drug(s)? dizziness, nausea, headache, vision changes, tinnitus
Definition
Quinine, quinidine (cinchonism)
Term
Side effect of which drug(s)? nephrogenic diabetes insipidus (2)
Definition
lithium and demeclocycline
Term
Side effect of which drug(s)? seizures (3)
Definition
buproprion, INH, imipenem/cilastin
Term
Side effect of which drug(s)? tardive dyskinesia
Definition
high potency neuroleptics
Term
Side effect of which drug(s)? nephro and neurotoxicity
Definition
polymyxins
Term
What drug(s) has the potential side effect? atropine-like side effects (4)
Definition
TCA's, low potency antipsychotics, diphenhydramine, premethazine
Term
What drug(s) has the potential side effect? coronary vasospasm (3)
Definition
cocaine, sumatriptan, ergotamines
Term
What drug(s) has the potential side effect? cutaneous flushing (4--VANC)
Definition
Vancomycin
Adenosine
Niacin
Ca2+ channel blockers
Term
What drug(s) has the potential side effect? Dilated cardiomyopathy (2)
Definition
doxorubicin, danorubicin
Term
What drug(s) has the potential side effect? torsades de pointes
Definition
Anything that prolongs the QT interval(Crazy huge mosquitos with arrhythmias and AIDS)...Haloperidol, macrolides, chloroquine, 1A and III antiarrhythmics, protease inhibitors)
Term
What drug(s) has the potential side effect? agranulocytosis
Definition
3C's, hyperthyroid, leprosy...Clozapine, Carbamazapine, Colchicine, MMU, PTU, dapsone
Term
What drug(s) has the potential side effect? direct Coomb's positive hemolytic anemia (1)
Definition
methyldopa
Term
What drug(s) has the potential side effect? Hemolysis in G6PD pts
Definition
"PAIN IS Definitely Not Fun"...Primaquine, Aspirin (high dose), Isoniazid, Nitrofurantoin, Ibuprofen, Sulfonamides, Dapsone, Naptholene, Fava beans
Term
What drug(s) has the potential side effect? Megaloblastic anemia (3)
Definition
PMS! Phenytoin, Methotrexate, Sulfa drugs
Term
What drug(s) has the potential side effect? Thrombocytopenia (2)
Definition
heparin, H2-blockers
Term
What drug(s) has the potential side effect? pulmonary fibrosis (3)
Definition
BAB...Bleomycin, amiodarone, busulfan
Term
What drug(s) has the potential side effect? Acute cholestatic hepatitis
Definition
Macrolides (erythromycin estolate)
Term
What drug(s) has the potential side effect? focal to massive hepatic necrosis (4)
Definition
"HAVA" valproic acid, halothane, acetominophen, amanita phylloides
Term
What drug(s) has the potential side effect? Hepatitis
Definition
INH
Term
What drug(s) has the potential side effect? tertiary adrenocortical insufficiency
Definition
glucocorticoid withdrawal (HPA suppression)
Term
What drug(s) has the potential side effect? gynecomastia
Definition
"Some Drugs Create Awesome Knockers"...Spironolactone, Digitalis, Cimetidine, Alcohol (chronic), Ketoconazole
Term
What drug(s) has the potential side effect? hot flashes (2)
Definition
Clomiphene and tamoxifen
Term
What drug(s) has the potential side effect? hypOthyroidism
Definition
"LA" Lithium and Amiodarone
Term
What do you give for a bradycardic digitalis overdose?
Definition
atropine and anti-dig
Term
What do you give for a tachycardic digitalis overdose?
Definition
lidocaine and anti-dig fragments
Term
An AA male that goes to Africa develops anemia after taking prophylactic medicine for primary dz prevention, what enzyme is he deficient in?
Definition
G6PD
Term
A patient presents with tinnitis, dizziness, headache, and GI distress, what drug is causing these symptoms?
Definition
Cinchonism (Quinidine, Quinine, Aspirin toxicity)
Term
What drugs are used to treat Parkinson's dz?
Definition
"BALSA"...Bromocriptine, Amantadine, Levodopa (w/carbidopa), Selegiline (and COMTi's), Anti-cholinergics (benztropine)
Term
Which drugs cause gynecomastia?
Definition
"Some Drugs Cause Awesome Knockers"... Spironolactone, Digitalis, Cimetidine, Alcohol (chronic), Ketoconazole
Term
What 3 drugs cause photosensitivity?
Definition
"i SAT for a PHOTO"...Sulfas, Amiodarone, Tetracyclines
Term
What enzyme of the arachidonic pathway do glucocorticoids inhibit?
Definition
Phospholipase A2
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