Pharmacology

Question 1

A 65 year old man presents with a calf strain, complaining with severe pain after aerobic sexual activity. You tell him to calm down and you will prescribe a centrally acting skeletal muscle relaxant, which influences gamma and alpha neurons. Which drug are you thinking of?

A. Ibuprofen

B. Prednisone

C. Ecstacy

D. Cyclobenzaprine

E. Inflixiab

Answer 1

D. Cyclobenzaprine

Question 2

The man who you are prescribing cyclobenzaprine is asking what the side effects are because he is concerned about keeping pace with his normal sexual activity. He just entered a league where he is seeking placement for extreme sexual practices. What should you tell him?

Answer 2

He may feel drowsy, dizzy, have xerostomia (dry mouth) or a headache

Question 3

A 70 year old woman presents to the free clinic complaining of pain in her wrists when she is crocheting blankets. She has a long history of osteoarthritis and rheumatoid arthitis. What Cox-2 inhibitor can you prescribe to inhibit prostaglandin synthesis?

A. Diclofenac

B. Fentanyl

C. Celecoxib

D. Poop transplantation

E. Methylprednisolone

Answer 3

C. Celecoxib

Question 4

The 65 year old man comes back to your office after taken cyclobenzaprine for a while. He says that the medication has serious side effects when he takes certain substances. What substances is he probably talking about?

Answer 4

alcohol or depressants. cyclobenzaprine has drug-drug interactions with these because it increases anticholinergic effects

Question 5

During medical school you create a god-complex and become a surgeon. While talking to the anasthesiologist about the next penile transplant surgery, he mentions a pre-op anasthetic that binds at mu opioid receptors in the CNS, which activates them. What drug is he talking about?

A. Fentanyl

B. Oxycodone

C. Poop transplantation

D. Celecoxib

E. Cannibus

Answer 5

A. Fentanyl

Question 6

The 70 woman with arthritis comes back to the free clinic having taken celecoxib for a week. Since she’s old and takes a garbage-bag full of medications every day, she inquires about which medications she shouldn’t take with celecoxib. Which drugs are those?

Answer 6

NSAIDS or antihypertensive drugs (weakens the response)

Question 7

Before leaving the room, the lady taking celecoxib asks about the side effects of the medication. She is concerned about the effects on her crocheting skillz. What do you tell her?

Answer 7

Peripheral edema, dizziness, and fever

Question 8

A 15 year old boy presents to the ER because of a penetrating sword wound from a freak accident at the local renaissance festival. Being a neckbeard he is covered in sweat and shame. You patch up the wound and tell him to take this NSAID that treats inflammatory diseases, rheumatoid disorders, pain, dysmenorrhea and osteoarthritis. Which NSAID are you taking about?

A. Tramadol

B. Ibuprofen

C. Carisoprodol

D. Tears from Falkor from the Neverending Story

E. Celecoxib

Answer 8

B. Ibuprofen

Question 9

The neckbeard asks what the side effects are from taking Ibuprofen. What do you tell him?

Answer 9

Edema, dizziness, rask, epigastric pain, and heartburn

Question 10

You are a pharmaceutical scientist looking for a well-versed steroid that can treat a variety of disorders like Chrohns, leukemia, adrenal hyperplasia, dermatitis, and COPD. After testing this experimental drug, you see it bind to glucocorticoid receptors irreversibly and stop COX-2. This supressed inflammation and immune responses. Your PI looks at your work and says “Dude we already have ________ that works just like that!” What steroid is he talking about?

A. Carisoprodol

B. Prednisone

C. Acetaminophen

D. Alalimumab

E. My tears

Answer 10

B. Prednisone

Question 11

After the shaming from your PI about prednisone, you decide to get revenge by slipping some in his whisky ginger he has every day for lunch. What types of side effects might you see in your now drugged PI?

Answer 11

adrenocortical/pituitary unreponsiveness, CHF, Cushings syndrome, glaucoma, enhanced hypothyroidism, acne and moonface

Question 12

A 22 year old female swimmer presents to the ER complaining of extreme latissimus dorsi pain. She has been practicing for 7 hours on her swan dive. You decide to relieve her muscle pain by using a short term drug that is a CNS depressant. It is a depressant of polysynaptic neuron transmission in the spinal cord and brain. What drug are you thinking of?

A. Carisoprodol

B. Baby urine

C. Ibuprofen

D. Etanercept

E. Cyclobenzaprine

Answer 12

A. Carisoprodol

Question 13

In bed #2 in the ER there is a drug chaser complaining of back pain. Ignoring all of OMM and your DO degree, you decide it’s best to just prescribe a drug so you can get back to watching My Little Pony (did I mention you were a brony?) You pick an opioid that treats mild to moderate pain which works on opiate receptors in the CNS. What drug are you prescribing?

A. Codeine

B. Celecoxib

C. Cyclobenzaprine

D. Cyclosporin

E. Cocks inhibitors

Answer 13

A. Codeine

Question 14

Snap back to your surgery career. When talking about fentanyl with the anasthesiologist, he mentions to not take this opioid with alcohol or other opioids. After all, he’s giving you some to abuse for the lols. What side effects might you experience when you get home and load up on fentanyl?

Answer 14

bradycardia, nausea, constipation and dry mouth

Question 15

The 22 year old swimmer gets treated and leaves the ER, but then shows back in a few hours complaining of dizziness, drowsiness and a headache. You mention these are normal side effects. Before leaving, you mention that though she is depressed about her pathetic swan dive, she shouldn’t take carisoprodol with a certain substances. What substances are those?

Answer 15

alcohol or any other CNS depressants.

Question 16

The drug seeker you prescribed codeine tells you he doesn’t like codeine because it makes him dizzy, drowsy and constipated. He says this really screws up with his acting career. You look closer and realize the patient is Joaquin Phoenix. You tell him to just take the drug because you’re lazy. You do mention he shouldn’t take codeine with certain things. What are those?

Answer 16

other opioid drugs, alcohol and other CNS depressants

Question 17

A 49 year old talking panda presents to the vet complaining of tooth pain from chewing bamboo all day. After 2 minutes of sexual puns, you decide to prescribe the panda an NSAID that gives relief of mild to moderate pain but may cause edema, dizziness and a headache. What drug are you talking about?

A. Nabumetone

B. Sake

C. Carisoprodol

D. Erythromycin

E. Diclofenac

Answer 17

E. Diclofenac

Question 18

You’re Eminem who presents to the ER with moderate to severe pain from choking on mom’s spaghetti. You and your crew decide to choose a non-narcotic analgesic that works on the mu-oioid receptors. After telling the doc you want __________ for the pain, he makes fun of you because “analgesic” has the word “anal” in it. What drug are you, Eminem, talking about?

A. Tramadol

B. COCAINE AWWWWW YISSSSSS

C. Fentanyl

D. Methylprednisolone

E. Celecoxib

Answer 18

B. Cocaine

Jk it’s A. Tramadol

Question 19

You’re a doc working in the free clinic. A man presents with ankylosing sponydylitis, to which you say “cool story, bro.” After threat of suing, you decide to prescribe an NSAID for this diorder, which also treats osteoarthritis and rheumatoid disorders. You explain that it may cause edema, dizziness, drowsiness, headache and nausea. What drug are you talking about?

A. Diclofenac

B. Cyclobenzprine

C. HSV injections

D. Naproxen

E. Prednisone

Answer 19

D. Naproxen

Question 20

After the rant about the word “anal” in “analgesics,” the doc finally decides to prescribe you, Eminem, tramadol. Before leaving you say “I said I’m sorry doctaaaa, I didn’t mean to hurt youuuu, I only want to know the side effects.” The doc explains that taking tramadol for the pain might cause what side effects?

Answer 20

flushing, dizziness, headaches, constipation and nausea

Question 21

You’re a prestigous orthopedic surgeon at Millcreek hospital. After brushing off the nurses who ask you out for dinner, you take your hands out of the bloody patient during a bone marrow transplant surgery. You tell the anasthesiolgist “hey give that anti-inflammatory steroid that binds to glucocorticoud receptors and stops COX-2 synthesis.” What steroid are you talking about?

A. Oxycodone

B. Poop

C. Naproxen

D. Methylprednisolone

E. Tramadol

Answer 21

D. Methylprednisolone

Question 22

A 54 year old woman with rheumatoid arthritis comes barging into your office. She says “Doc this drug is giving me diarrhea! Not to mention the dyspepsia, abdominal pain, pseudoprophyria and photosensitivity!” After commenting on her knowledge of big words and mocking her that she read Web MD, you tell her that those are normal side effects of ________. What NSAID is this?

A. Nabumetone

B. Ibuprofen

C. Carisoprodol

D. Duck face

E. Inflixamab

Answer 22

A. Nabumetone

Question 23

You’re a rock star. After leaving the trailer for the upcoming set, you start to have contipation, dizziness and euphoria. You find a doc in the crowd and ask him what you possibly took to feel this way. You’re drunk and that worsens the symptoms. The doc explains that it’s probably a pain opioid that acts on k-opioid receptors and blocks pain in the cerebral cortex. What drug are you guessing is causing the problems?

A. LSD

B. Meloxicam

C. Oxycodone

D. Diclofenac

E. Tramadol

Answer 23

C. Oxycodone

Question 24

Being a prestigous world-known orthopedic surgeon at Millcreek, you just gave a patient methylprednisolone as an anti-inflammatory after a bone marrow transplant. What drugs are you avoiding because of interactions with this steroid?

Answer 24

corticosteroids, AchE inhibitors, antifungals, floxacins

Question 25

After the bone marrow transplant patient leaves the hospital, he complains of very common side effect of methylprednisolone. What might these be?

Answer 25

hyperglycemia, decreased resistance to infections, weight gain, osteoporosis, glaucoma

Question 26

An 8 year old boy comes into the clinic complaining of wrist pain. He has a long history of juvenile idiopathic arthrits which is severly affecting his Lego building abilities. You explain that though he might think he’s good at Legos, you are the master chief of Legos. You then decide to prescribe an NSAID that treats this condition as well as rheumatoid arthritis and osteoarthritis, because it inhibits COX-1 and COX-2. This decreases prostaglandins and acts as an anti-inflammatory. What drug are you hinting at?

A. Meloxicam

B. Goat milk

C. Goat urine

D. Goat ear wax

E. Goat poop

Answer 26

A. Meloxicam

Question 27

As a pretigious lawyer in NYC, you decide to relax a little by bribing some doc to give you an opioid. You complain of perineal pain from unsuccessful shrimping attempts. You want an agonist to opioid receptors. You then promise not to use MAO inhibitors, drink alcohol (yeah right), or take CNS depressants with the drug because of the drug interactions. What drug do you want?

A. Naproxen

B. Etanercept

C. Snake venom

D. Caisoprodol

E. Hydrocodone

Answer 27

E. Hydrocodone

Question 28

After the decision to give meloxicam to the 8 year old Lego wanna-be, you tell him and his mom to not use antiplatelet drugs or antihypertensive drugs, as they might cause adverse effects. You should also mention that there are certain side effects when taking meloxicam. What might those be, again?

Answer 28

headache, dyspepsia, upper respiratory tract infections, and UTI’s