Family Practice Exam Pharmacology and Prescribing Flashcards
6 cards from real Family Practice Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Family Practice Exam Pharmacology and Prescribing flashcards as text
A patient on statin therapy develops significant myalgia and a markedly elevated CK. What is the correct next step?
Answer: Discontinue the statin immediately
Statin-induced myopathy with significantly elevated CK requires immediate drug discontinuation to prevent progression to rhabdomyolysis.
Which antihypertensive drug class is absolutely contraindicated in the second and third trimesters of pregnancy?
Answer: ACE inhibitors
ACE inhibitors cause fetal renal dysgenesis, oligohydramnios, and neonatal renal failure when used in the second or third trimester.
A patient on ciprofloxacin develops Achilles tendon pain. What is the most serious complication to warn about?
Answer: Tendon rupture
Fluoroquinolones carry an FDA black-box warning for tendinitis and tendon rupture, most commonly affecting the Achilles tendon.
Which agent is used to immediately reverse opioid-induced respiratory depression in the emergency setting?
Answer: Naloxone
Naloxone is a competitive opioid receptor antagonist that rapidly reverses respiratory depression, sedation, and miosis from opioid overdose.
A type 2 diabetic patient on metformin is found to have a GFR of 28 mL/min. What is the appropriate management?
Answer: Discontinue metformin
Metformin is contraindicated when GFR falls below 30 mL/min due to impaired renal clearance and the risk of fatal lactic acidosis.
Which OTC analgesic is safest for pain management in a patient with stage 3 chronic kidney disease?
Answer: Acetaminophen
Acetaminophen is preferred over NSAIDs in CKD because it does not inhibit renal prostaglandins or further reduce glomerular filtration rate.
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