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Medication Management Q&A: Pharmacology Review, Exams of Nursing

A concise question-and-answer review of various medications and their uses, focusing on pharmacology. It covers topics such as migraine and tension headaches, alcohol and opioid withdrawal treatments, gout management, and fibromyalgia medications. The document also addresses specific drug mechanisms, contraindications, and black box warnings, making it a valuable resource for medical students or healthcare professionals studying or reviewing pharmacology concepts. It includes key points about drug actions, side effects, and management strategies for various conditions. This material is useful for exam preparation and quick reference.

Typology: Exams

2024/2025

Available from 05/19/2025

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PC707 Module 5 Questions | 100% Correct
Answers | Verified | Latest 2025/2026
Version
Describe a migraine headache - ✔✔Unilateral, throbbing, pulsatile, lasts 4-72 hours, includes nausea and
vomiting, light sensitivity, may have auras, more common in women, and genetically linked. There are
migraine variants that include focal neurologic findings
Describe a tension headache - ✔✔Most common headache; treated effectively with NSAIDs
Describe a cluster headache - ✔✔"Ice pick headache", unilateral, severe pain behind one eye, nasal
congestion with rhinorrhea, occur in clusters over weeks to months, often at night, more common in
men and blacks
Describe a rebound headache - ✔✔Occur due to overuse of medications to treat headache pain. The
medication causes worsening of the pain. Treatment entails discontinuing all pain medications
What medications are used for abortive treatment of migraines? - ✔✔Triptans, Ergots, analgesics,
NSAIDs, antiemetics, combination products
What are the indications for prophylactic migraine treatment? - ✔✔>2 headaches per month, attacks
last >24 hours, cause major disruption in ADLs for 3+ days a month, abortive therapies fail or are
overused, use of abortive medications 2x+ per week
What medications are used for prophylactic treatment of migraines? - ✔✔TCAs, BBLs, triptans, AEDs
(Divalproex)
Describe Serotonin 1B/1D receptor agonists - ✔✔- Sumatriptan (Imitrex)
- causes intracerebral vasoconstriction
-Used for abortive migraines
- Can cause chest tightness
- Teratogenic
- Do not take with ergots or other triptans
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PC707 Module 5 Questions | 100% Correct

Answers | Verified | Latest 2025/

Version

Describe a migraine headache - ✔✔Unilateral, throbbing, pulsatile, lasts 4 - 72 hours, includes nausea and vomiting, light sensitivity, may have auras, more common in women, and genetically linked. There are migraine variants that include focal neurologic findings Describe a tension headache - ✔✔Most common headache; treated effectively with NSAIDs Describe a cluster headache - ✔✔"Ice pick headache", unilateral, severe pain behind one eye, nasal congestion with rhinorrhea, occur in clusters over weeks to months, often at night, more common in men and blacks Describe a rebound headache - ✔✔Occur due to overuse of medications to treat headache pain. The medication causes worsening of the pain. Treatment entails discontinuing all pain medications What medications are used for abortive treatment of migraines? - ✔✔Triptans, Ergots, analgesics, NSAIDs, antiemetics, combination products What are the indications for prophylactic migraine treatment? - ✔✔>2 headaches per month, attacks last >24 hours, cause major disruption in ADLs for 3+ days a month, abortive therapies fail or are overused, use of abortive medications 2x+ per week What medications are used for prophylactic treatment of migraines? - ✔✔TCAs, BBLs, triptans, AEDs (Divalproex) Describe Serotonin 1B/1D receptor agonists - ✔✔- Sumatriptan (Imitrex)

  • causes intracerebral vasoconstriction
  • Used for abortive migraines
  • Can cause chest tightness
  • Teratogenic
  • Do not take with ergots or other triptans

Describe ergot alkaloids - ✔✔- Ergotamine

  • suppresses CHRP to block inflammation
  • can cause toxicity What is the purpose of adding epi to lido? - ✔✔Causes vasoconstriction, allows lido effects to last longer, decreases risk of toxicity from lido What medications are used to assist in ETOH withdrawal? - ✔✔Benzos, Carbamazepine (AED), clonidine, BBLs Describe Disulfiram (antabuse) aversion therapy - ✔✔Used to refrain from drinking, causes acetaldehyde syndrome when any ETOH is involved. Patient must avoid all ETOH even sauces/cough syrups/ alcohol applied to skin (i.e. perfume) Describe Naltrexone (Revia) - ✔✔Pure opioid agonist, decreases cravings of ETOH and blocks the reinforcing effects of ETOH, does not cause aversion Describe acamprosate (Campral) - ✔✔Reduces unpleasant feelings brought on by avoiding ETOH, does not cause aversion, not safe in pregnancy What medication can help manage withdrawal symptoms? - ✔✔Clonidine (for both ETOH and opioid) What medications are used for long-term opioid addiction management? - ✔✔Opioid agonists (methadone), opioid agonist-antagonists (buprenorphine), opioid antagonists (Naltrexone) What is the only COX- 2 available on the market? - ✔✔Celecoxib (Celebrex) Where should epinephrine NEVER be used? - ✔✔Fingers, toes, ears, nose (and genitalia) What should you recommend if a patient experiences gout attacks when just starting xanthine oxidase inhibitors (Allopurinol)? - ✔✔Continue Allopurinol and add NSAIDs or colchicine