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25 Cards in this Set
- Front
- Back
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Which of the following medications is in accordance with the American College of Obstetricians and Gynecologists (ACOG) recommendations to treat pre-menstrual migraine with aura in a female patient? (Select ALL that apply.) Answer AAlesse BNor-QD CNora-Be DLybrel ECamila |
BNor-QD CNora-Be
ECamila |
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Which of the following represent possible "triggers" for migraine attacks and should be avoided, if possible, in susceptible patients? (Select ALL that apply.) Answer AChanges in hormone levels BLemon and orange juice CStress DAlcohol EBright lights |
AChanges in hormone levels
CStress DAlcohol EBright lights |
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A patient gave the pharmacist a prescription for Fiorinal. This medicine is used for acute migraine pain, along with some other pain conditions. It contains the following medications: (Select ALL that apply.) Answer AAspirin BAcetaminophen CButalbital DCaffeine ECodeine |
AAspirin
CButalbital DCaffeine |
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Samantha has 2-3 migraines monthly. They reduce her ability to function for 2-3 days. Her daily medications include fosinopril for hypertension and a multivitamin. Choose the correct statement: Answer AShe should start daily therapy with sumatriptan. BShe should start daily therapy with rizatriptan. CShe should begin prophylaxis therapy to reduce her migraine incidence. DShe does not need a daily prophylactic agent since she uses fosinopril. EShe should begin daily therapy with Fiorinal.
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CShe should begin prophylaxis therapy to reduce her migraine incidence. |
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A pharmacist is dispensing eletriptan to a patient who has not used a triptan previously. She should counsel her on the likelihood of this side effect: Answer AElectric shock sensations BChest pressure/heaviness CAlopecia with chronic use DActivation/insomnia ERash, with hives possible
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BChest pressure/heaviness |
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A pharmacist has a prescription for Migranal Nasal Spray for a patient using the following medications: lisinopril, metformin, atenolol, HCTZ, and cimetidine. Select the reasonable option/s: (Select ALL that apply.) Answer ADo not fill; contact the prescriber. BChange the H2RA to Pepcid. CChange the prescription to Cafergot. DFill as written. EFill as written after confirming the patient is pregnant.
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ADo not fill; contact the prescriber. BChange the H2RA to Pepcid. |
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Agnes is hospitalized for a diabetic foot infection. Her current medications include insulin glargine 50 units BID, insulin glulisine as-directed, sertraline 100 mg daily, Zyban 150 mg BID and linezolid 600 mg twice daily. Agnes has been told that she will lose her left foot. The stress has induced a migraine headache. The doctor orders sumatriptan 50 mg x 1 now. Choose the correct statement: Answer ADo not fill; replace with eletriptan. BThis is the safest triptan to use and is first-line, but do not use any others; okay to fill as-written. CDo not fill any triptan at present. DShe should use atenolol instead. EShe should use duloxetine instead. |
CDo not fill any triptan at present. |
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Rosemarie has significant nausea when she is having a migraine headache and cannot tolerate swallowing any pills. She vomits them right back up. Which of the following formulations might provide benefit? (Select ALL that apply.) Answer AMaxalt MLT BSumatriptan injection CSumatriptan nasal spray DZomig ZMT EEletriptan immediate release |
AMaxalt MLT BSumatriptan injection CSumatriptan nasal spray DZomig ZMT |
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A pharmacist will help a patient identify common migraine triggers. Which of the following could be contributing to a migraine? (Select ALL that apply.) Answer AToo much sleep BToo little sleep CStress DSpicy foods, hot red pepper ETomatoes |
AToo much sleep BToo little sleep CStress |
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A pharmacist has a prescription for sumatriptan for a patient using the following medications: rosuvastatin, clopidogrel, aspirin, nitroglycerin SL, metoprolol and irbesartan. Her patient has checked his blood pressure on the store’s machine. It is currently 178/102. Should the pharmacist dispense the sumatriptan? Answer AYes, the patient could have high blood pressure from a migraine. BNo, the patient cannot use sumatriptan with metoprolol. CNo, the patient cannot use sumatriptan with rosuvastatin. DNo, the patient cannot use sumatriptan with irbesartan. ENo, the patient cannot use sumatriptan with this degree of hypertension. |
ENo, the patient cannot use sumatriptan with this degree of hypertension. |
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Bonnie is expecting her first child and has been complaining of frequent headaches. She comes into your pharmacy and she states that she is 20 weeks into the pregnancy and would like to find some relief. You can recommend occasional use of the following product: Answer AAspirin BExcedrin Migraine CAleve DAcetaminophen EMotrin |
DAcetaminophen |
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You are counseling a new patient on the appropriate use of a Zomig Nasal Spray. Please select the following counseling point that does not apply? Answer APrime the nasal spray. BBlow your nose gently before use. CDo not press the plunger until you have put the tip into your nostril. DMay repeat in 2 hours, if needed. ERemove the protective cap. |
APrime the nasal spray. |
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A patient gave the pharmacist a prescription for Imitrex 50 mg PO at first sign of migraine, repeat x 1 if needed. Which of the following is an appropriate generic substitution for Imitrex? Answer AAlmotriptan BSumatriptan CRizatriptan DEletriptan EZolmitriptan |
BSumatriptan |
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Jeff comes into the pharmacy to drop off a prescription for an antibiotic to treat bronchitis. The patient mentions that he has migraine headaches from time-to-time and that his doctor told him to take something over the counter. The patient reports having a severe reaction to acetaminophen. What OTC product would you recommend for this patient? Answer ATylenol BMotrin CExcedrin Migraine DThe store brand medication labeled "non aspirin" pain reliever. EAxert |
BMotrin |
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Which triptan has the longest duration of action and may be useful in a patient with recurrent migraine? Answer ASumatriptan BEletriptan CAlmotriptan DFrovatriptan ERizatriptan |
DFrovatriptan |
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Shira is an 18 year-old patient with asthma, iron-deficiency anemia, heavy menstrual bleeding and monthly migraines (without aura) that occur right before her period. Shira is in misery when she has a migraine. Choose a reasonable prophylactic option to help control the migraines: Answer ASumatriptan BPropranolol CAlesse DBetaxolol EFioricet
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CAlesse |
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A patient gave the pharmacist a prescription for Maxalt 5 mg PO at first sign of migraine, can repeat x 1 if migraine pain persists. Which of the following is an appropriate generic substitution for Maxalt? Answer AAlmotriptan BSumatriptan CRizatriptan DEletriptan EZolmitriptan |
CRizatriptan |
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India comes to your pharmacy with a prescription for phenelzine (Nardil) to treat her depression. She wants to refill an old prescription on file to help alleviate her migraine symptoms. India cannot recall the name of the migraine medication but she knows that it is a triptan. Which medication can India safely take with phenelzine? Answer AImitrex BMaxalt CRelpax DZomig EAlsuma |
CRelpax |
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A patient gave the pharmacist a prescription for Relpax 20 mg PO at first sign of migraine, repeat x 1 if needed. Which of the following is an appropriate generic substitution for Relpax? Answer AAlmotriptan BSumatriptan CRizatriptan DEletriptan EZolmitriptan |
DEletriptan |
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Charles was recently discharged from the hospital for liver failure. His doctor is aware that Charles has a long history of migraine headaches, but he does not want to exacerbate his current liver condition. What agent is the most reasonable option for this patient? Answer ADivalproex BFelbamate CTopiramate DExcedrin Migraine ETylenol |
CTopiramate |
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A patient takes one dose of Imitrex injection. About 90 minutes later, her migraine is partially relieved but she still has "pounding" pain in her head. She wishes to use a second dose. Choose the correct statement: Answer AShe can use a second dose now; two doses are the maximum. BShe can use up to three doses at any time. CShe can use up to four doses at any time. DShe cannot use any additional headache medication after the dose she has taken. EShe can supplement with an NSAID, but not use more of the triptan-drug. |
AShe can use a second dose now; two doses are the maximum. |
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Amanda complains of frequent migraines at least twice a month. She takes propranolol daily to prevent migraine attacks, but still she reports not having any relief when she has an acute migraine attack. Her doctor prescribed Imitrex STATdose to provide relief at the onset of her migraine symptoms. What is the correct route of administration and the usual injection site? Answer ASC, deltoid BSC, upper outside arm CSC, gluteus maximus DNS, nasal passage ESL, underside of tongue
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BSC, upper outside arm |
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A patient gave the pharmacist a prescription for Fiorinal. Choose the correct statement concerning Fiorinal: Answer AIt contains butalbital (a barbiturate) BIt is a C IV agent CPhysiological dependence risk is low DIt is a C II agent EIt is the preferred treatment for migraine prophylaxis
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AIt contains butalbital (a barbiturate) |
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Choose the correct mechanism of action of sumatriptan: Answer ASerotonin receptor antagonist BSerotonin receptor agonist CDopamine receptor antagonist DDopamine receptor agonist ESerotonin-Dopamine receptor agonists |
BSerotonin receptor agonist |
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A patient is using ibuprofen for acute migraine treatment. He reports that it works fine. He told his doctor that he has occasional migraines which he self-treats with an over-the-counter medicine. His physician is not a good listener, and when the patient left the doctor’s appointment he found that the physician had left a prescription for sumatriptan for him at the front desk. Choose the correct statement: Answer ASome patients find acceptable treatment for migraines with OTC products such as NSAIDs or acetaminophen-aspirin-caffeine combo drugs. BAspirin-butalbital-caffeine is considered the first-line agent for acute migraines. CAll patients receive higher efficacy with the use of prescription agents-these are considered first-line. DHe should use naproxen instead of ibuprofen since ibuprofen lasts too long. EAll of the above |
ASome patients find acceptable treatment for migraines with OTC products such as NSAIDs or acetaminophen-aspirin-caffeine combo drugs. |
