Pharmacology & Medication Management Flashcards
7 cards from real COM 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
In the context of OMT, why is it important for the COM to know if a patient uses intranasal corticosteroids?
Answer: They reduce nasal inflammation, potentially restoring nasal breathing capacity relevant to therapy goals
Intranasal steroids reduce mucosal inflammation, which can improve nasal airway patency and support nasal breathing re-education.
Myofunctional therapists should be aware that alpha-1 adrenergic antagonists (e.g., tamsulosin) can cause:
Answer: Orthostatic hypotension that could affect patient positioning during sessions
Alpha-blockers can cause postural hypotension, which is relevant when repositioning patients who have been reclined during OMT sessions.
Clonazepam prescribed for sleep bruxism management acts primarily by:
Answer: Enhancing GABA-A receptor activity to reduce sleep-related muscle hyperactivity
Clonazepam enhances GABA-mediated inhibition, suppressing the motor activity bursts associated with sleep bruxism.
Which drug category should the COM therapist specifically ask about during intake because it can cause tardive dyskinesia involving involuntary orofacial movements?
Answer: Antipsychotics (neuroleptics)
Tardive dyskinesia from long-term antipsychotic use causes involuntary orofacial movements that can complicate or contraindicate standard OMT protocols.
A COM therapist notes a patient's saliva appears thick and ropy. This finding is most consistent with which type of medication side effect?
Answer: Anticholinergic effect reducing serous saliva and leaving mucinous secretions
Anticholinergic drugs reduce watery serous saliva output, leaving behind more viscous mucinous secretions that appear thick and ropy.
When documenting a patient's medication list for OMT, which question is most clinically important to ask beyond prescription medications?
Answer: Whether they take OTC antihistamines, decongestants, or herbal supplements
OTC antihistamines and decongestants significantly affect salivary flow and nasal breathing, and patients often omit them from medication lists.
Bisphosphonate medications (e.g., alendronate) are relevant to OMT practice primarily because of the risk of:
Answer: Medication-related osteonecrosis of the jaw if invasive dental procedures are planned alongside OMT
MRONJ risk requires coordination with the patient's dental team before any invasive procedures that may occur concurrently with OMT.