Pharmacology & Medication Management Flashcards
7 cards from real BHP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Medication Management flashcards as text
A BHP notices a client on methadone maintenance has received a new prescription for clarithromycin. The concern is that clarithromycin may:
Answer: Inhibit CYP3A4 and significantly raise methadone plasma levels
Clarithromycin is a CYP3A4 inhibitor that can increase methadone levels, raising the risk of QT prolongation and respiratory depression.
Which of the following is the correct approach when a client reports they have been crushing and snorting their extended-release oxycodone?
Answer: Document the misuse, notify the prescriber, and initiate a safety plan
Misuse of controlled substances must be documented, reported to the prescriber, and addressed with a safety plan to protect the client and comply with legal obligations.
A client on lithium is started on ibuprofen for back pain. What is the expected effect on lithium levels?
Answer: Lithium levels will increase due to reduced renal excretion caused by NSAIDs
NSAIDs reduce prostaglandin-mediated renal blood flow, decreasing lithium excretion and potentially causing toxicity.
Which of the following best describes the black box warning for antidepressants in patients under 25?
Answer: Increased risk of suicidal thinking and behavior in early treatment
The FDA requires a black box warning that antidepressants may increase suicidal ideation and behavior in children, adolescents, and young adults especially in the initial weeks.
A client is prescribed topiramate as an adjunct for alcohol use disorder. Which common side effect should the BHP discuss with the client?
Answer: Cognitive slowing and word-finding difficulties
Topiramate frequently causes cognitive dulling and word-finding problems, sometimes called 'Dopamax' by patients, which can affect daily functioning.
In medication-assisted treatment (MAT) for opioid use disorder, buprenorphine can only be prescribed in an office-based setting by providers who:
Answer: Have completed a 40-hour training course and obtained a DEA waiver (X-waiver program, now integrated)
Following the Mainstreaming Addiction Treatment (MAT) Act of 2023, buprenorphine prescribing authority is integrated into a standard DEA license, but prior training waiver requirements shaped this access.
A client taking a first-generation antipsychotic develops sudden muscle rigidity, high fever, and autonomic instability. The BHP should suspect:
Answer: Neuroleptic malignant syndrome
Neuroleptic malignant syndrome (NMS) presents with the tetrad of hyperthermia, muscle rigidity, autonomic dysfunction, and altered consciousness — a psychiatric emergency.