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NUR 521 ADV PHARM EXAM 4 Newest 2025 Complete Questions And Correct Answers (Verified Answers) |Already Graded A+||Brand New!!
When is Fosamax stopped? - ANSWER-Stopped after 3-5 years to reduce risk of atypical femur fractures and osteonecrosis of the jaw
Medications used to treat Paget's disease - ANSWER-*
Biphosphonates (ex: Alendronate)
- Calcitonin (Miacalcin)
Common SE of Miacalcin: - ANSWER-* Nasal irritation
- Rhinitis
- Epistaxis (if nasal spray)
- Nausea
CI of Miacalcin: - ANSWER-* Hypersensitivity to salmon
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- Hypocalcemia
Treatment of Acute Otitis Media (AOM): - ANSWER-* High
dose Amoxicillin
- Alternatives include Augmentin or Cephalosporins
Treatment of Acute Otitis Externa (AOE): - ANSWER-* Topical
ciprofloxacin + hydrocortisone (Cipro HC), Ciprodex, or Orfloxacin
Treatment of Otomycosis: - ANSWER-Antifungal ear drops like
Clotrimazole or Acetic acid solution
Initial treatment of AOE: - ANSWER-* Topical fluoroquinolone
/ Corticosteroid drops (Cipro HC, Ciprodex). If canal swollen, insert wick
Treatment of current AOE: - ANSWER-* Ensure proper ear
hygiene
- Avoid moisture in ears
- Consider culture for resistant organisms
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Plan if no improvement with initial treatment for AOE: -
ANSWER-* Re-evaluate diagnosis
- Assess for fungal infection or resistant bacteria
- Possibly start oral antibiotics
Drug of choice for mild acne: - ANSWER-Topical benzoyl
peroxide or topical retinoid (e.g., tretinoin)
Drug of choice for moderate acne: - ANSWER-Topical
combination therapy (benzoyl peroxide + retinoid +/- antibiotic)
Drug of choice for severe acne: - ANSWER-Oral isotertinoin
Does Tretinoin treat superficial, fine, or deep wrinkles? - ANSWER-Tretinoin primarily treats superficial and fine wrinkles. It does not significantly affect deep wrinkles
Acne medications: - ANSWER-* Isotretinoin
- Tretinoin
- Benzoyl peroxide
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CI of Isotretinoin - ANSWER-* Pregnancy (Category X)
- Liver disease
- Hyperlipidemia
CI of Tretinoin - ANSWER-* Pregnancy (caution)
- Eczema
- Sunburned skin
CI of Benzoyl peroxide: - ANSWER-Hypersensitivity to
ingredients
IPLEDGE system - ANSWER-* IPLEDGE is a mandatory FDA program to prevent fetal exposure to isotretinoin.
* Patients must:
-- Have 2 negative pregnancy tests before starting -- Commit to using 2 forms of birth control -- Undergo monthly pregnancy testing and counseling -- Pharmacies must verify authorization before dispensing.
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