RUMBLE 2006
Answers to Week 1 Questions
1. What is the best known mechanism of action for the drug Lyrica (Pregabalin)?:

a. Impairs the arachidonic acid pathway

b. Binds directly to cholinergic receptors

c. Modulate activity of A2D calcium channels

d. Glutamate receptor inhibition

Answer C.  Lyrica (pregabalin) binds to and regulates the activity of the A2D receptors and therefore reduces the release of several neurotransmitters from presynaptic terminals.  Lyrica does not completely block calcium channel function or completely block neurotransmitter release.  Click on this link for detailed information:  http://www.lyrica.com/cwpb/appmanager/lyrica/lyricaDesktop?_nfpb=true&_pageLabel=lyrica_pro_mechanismofaction

 

2. Which of the following is true regarding Zyvox (linezolid) ?:

a. First commercially available member of the carbapenem class

b. Highly effective against gram negative bacteria

c. Is only available in IV form

d. Acts by inhibiting protein synthesis in bacteria

Answer D.  Zyvox (linezolid) is a synthetic antibacterial agent of a new class of antibiotics, the oxazolidinones.  Its primary spectrum of activity is in aerobic Gram positive organisms. It is available in Oral and IV formulations and works via inhibition of bacterial protein synthesis.  Click on this link for detailed information:  http://zyvox.com/prescribingInfo.asp

 

3. Lovenox (enoxaparin sodium injection) should not be administered to patients with:

a. Sensitivity to pork

b. Active major bleeding

c. Thrombocytopenia

d. All of the above

Answer D.  Each of the above statements is true.  Click here for additional information:  http://lovenox.com/professional/home.do

 

4. When treating a foot infection in a patient who is undergoing dialysis, the correct dosing regimen for Zosyn (piperacillin/tazobactom) is:

a. 3.375g q24h

b. 4.5g q24h

c. 2.25g q12h

d. 3.375g q12h

Answer C.  Patients who are renally compromised should receive 2.25g q 12h per the drug’s package insert.  Zosyn is a broad spectrum combination antibiotic that is often used for empiric therapy.  Click here for more information:  http://zosyn.com/dosing.asp

 

5. Which of the following can be added to lidocaine injection to yield a better physiologic pH and less painful injection?:

a. Sodium Bicarbonate

b. Bupivacaine

c. Methylparaben

d. Ethyl alcohol

Answer A.  The addition of sodium bicarbonate can make for a more comfortable injection and a more effective nerve block due to the improvement of the pH pKa relationship.  See this PubMed article for some interesting points:   CLICK for ARTICLE

 

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