Deck 12: Perioperative Pharmacology
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Deck 12: Perioperative Pharmacology
1
The movement of a drug through the tissues and cells of the body, including the processes of absorption, distribution, and localization in tissues; biotransformation; and excretion by mechanical or chemical means is called _______________.
A) pharmacodynamics
B) pharmacokinetics
C) metabolism
D) absorption
A) pharmacodynamics
B) pharmacokinetics
C) metabolism
D) absorption
B
2
A ________ tablet is placed between the gum and mucous membrane of the cheek.
A) buccal
B) topical
C) oral
D) sublingual
A) buccal
B) topical
C) oral
D) sublingual
A
3
___________ is the study of movement of drugs through the body (what the body does to the drug).
A) Pharmacokinetics
B) Pharmacodynamics
C) Physiodynamics
D) Physiokinetics
A) Pharmacokinetics
B) Pharmacodynamics
C) Physiodynamics
D) Physiokinetics
A
4
____________ is an undesirable or intolerable reaction to a drug administered at the normal dosage.
A) Toxicity
B) A side effect
C) An adverse reaction
D) Anaphylaxis
A) Toxicity
B) A side effect
C) An adverse reaction
D) Anaphylaxis
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5
After ________ of a drug, the patient is assessed for physiological changes, including adverse reactions.
A) absorption
B) metabolism
C) elimination
D) administration
A) absorption
B) metabolism
C) elimination
D) administration
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6
A drug applied to the skin or mucous membranes is _______.
A) subcutaneous
B) parenteral
C) topical
D) instill
A) subcutaneous
B) parenteral
C) topical
D) instill
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7
Colored dyes are usually dispensed to the sterile field in glass vials. The most common types are gentian violet, methylene blue, and ________.
A) indigo carmine
B) color codes
C) abnormal shades
D) performers
A) indigo carmine
B) color codes
C) abnormal shades
D) performers
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8
Only intravenous solutions are used to________ blood vessels or near open blood vessels.
A) produce
B) irrigate
C) contrast
D) direct
A) produce
B) irrigate
C) contrast
D) direct
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9
To reduce drug error when drugs are being used in the sterile field, each and every drug container and its delivery device must be ____________.
A) used only once
B) closely watched by the surgeon
C) sealed
D) labeled
A) used only once
B) closely watched by the surgeon
C) sealed
D) labeled
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10
Drugs are eliminated or cleared from the body mainly through the __________.
A) lungs
B) kidneys
C) skin
D) heart
A) lungs
B) kidneys
C) skin
D) heart
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11
________ is used for augmentation of labor.
A) Epinephrine
B) Acetic acid
C) Lugol's solution
D) Oxytocin
A) Epinephrine
B) Acetic acid
C) Lugol's solution
D) Oxytocin
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12
The ________ is the one that has been ordered by the surgeon or other health care provider.
A) concentration
B) right drug
C) wrong drug
D) type
A) concentration
B) right drug
C) wrong drug
D) type
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13
Angina, which is chest pain associated with decreased oxygen supply to the heart muscle, is partly treated using ________ drugs.
A) antianginal
B) osmotic
C) aminoglycosides
D) antimicrobials
A) antianginal
B) osmotic
C) aminoglycosides
D) antimicrobials
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14
Exogenous ________ for injection is available in different strengths and differing duration of action.
A) tuberculin
B) Luer-Lok
C) insulin
D) catheter tip
A) tuberculin
B) Luer-Lok
C) insulin
D) catheter tip
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15
_______________stimulate the production of urine by the kidneys.
A) Ophthalmic drugs
B) Colloids
C) Diuretics
D) Contrast mediums
A) Ophthalmic drugs
B) Colloids
C) Diuretics
D) Contrast mediums
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16
The ________ identifies a drug by its molecular structure.
A) generic name
B) drug nomenclature
C) trade name
D) chemical name
A) generic name
B) drug nomenclature
C) trade name
D) chemical name
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17
A(n) ________ is a drug that inhibits blood clot formation but does not dissolve clots.
A) hemostatic agent
B) absorbable collagen
C) anticoagulant
D) antineoplastic agent
A) hemostatic agent
B) absorbable collagen
C) anticoagulant
D) antineoplastic agent
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18
Drug delivery devices such as ________ are calibrated in small increments to provide a high level of accuracy.
A) calibrated cups
B) syringes
C) calibrated basins
D) spoons
A) calibrated cups
B) syringes
C) calibrated basins
D) spoons
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19
Knowledge of nerve transmission is basic to an understanding of how anesthetics and other _____ drugs work.
A) CNN
B) CBS
C) ABC
D) CNS
A) CNN
B) CBS
C) ABC
D) CNS
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20
Changes (both intended and unintended) in the body as a result of a drug are called ___________________.
A) pharmacokinetics
B) pharmacodynamics
C) physiodynamics
D) physiokinetics
A) pharmacokinetics
B) pharmacodynamics
C) physiodynamics
D) physiokinetics
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21
A(n) ________ is used as a diagnostic tool to differentiate normal cells from abnormal ones.
A) milliliter
B) stain
C) number system
D) irrigation
A) milliliter
B) stain
C) number system
D) irrigation
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22
True allergy to a drug is mediated by the __________.
A) immune system
B) cooling system
C) liquid system
D) allergy system
A) immune system
B) cooling system
C) liquid system
D) allergy system
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23
The ________ is required to handle and deliver a number of different categories of drugs used on the sterile field.
A) anesthesia provider
B) surgical technologist
C) contrast medium
D) apothecary
A) anesthesia provider
B) surgical technologist
C) contrast medium
D) apothecary
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24
Antacids reduce gastric fluid ________ and volume.
A) patients
B) acidity
C) diabetes
D) adolescents
A) patients
B) acidity
C) diabetes
D) adolescents
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25
Irrigation solutions are maintained at body temperature to prevent ________.
A) hypothermia
B) sickness
C) waste
D) excess
A) hypothermia
B) sickness
C) waste
D) excess
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26
The ________ is a clear, injectable liquid that is radiopaque (opaque on radiographs).
A) iodinated contrast medium
B) diagnostic dye
C) intrathecal
D) topical
A) iodinated contrast medium
B) diagnostic dye
C) intrathecal
D) topical
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27
Macrolides are ________ at low levels and bactericidal in high doses.
A) stimulant
B) liquidity
C) bacteriostatic
D) chemicals
A) stimulant
B) liquidity
C) bacteriostatic
D) chemicals
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28
The ________ has/have developed a list of abbreviations that can lead to drug errors.
A) agents
B) drug administration
C) medical offices
D) Joint Commission
A) agents
B) drug administration
C) medical offices
D) Joint Commission
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29
___________ is/are among the most common drugs used for moderate and severe pain control.
A) Peaks
B) Distribution
C) Opiates
D) Metabolism
A) Peaks
B) Distribution
C) Opiates
D) Metabolism
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30
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Side effects
b.Adverse reactions
c.Toxicity
An undesirable or intolerable reaction to a drug administered at the normal dosage
a.Side effects
b.Adverse reactions
c.Toxicity
An undesirable or intolerable reaction to a drug administered at the normal dosage
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31
A specific protocol (method) is used to receive and deliver drugs to the ________ field.
A) bleeding
B) hemorrhage
C) closure
D) sterile
A) bleeding
B) hemorrhage
C) closure
D) sterile
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32
________ is/are effective against gram-negative bacteria, in which they inhibit protein synthesis.
A) Aminoglycosides
B) Ancef
C) Transdermal
D) Heparin
A) Aminoglycosides
B) Ancef
C) Transdermal
D) Heparin
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33
One method of blocking ________ is to administer a competitive antagonist drug that has an affinity for the postsynaptic receptor.
A) absorption
B) distribution
C) metabolism
D) neurotransmission
A) absorption
B) distribution
C) metabolism
D) neurotransmission
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34
Whole blood contains serum and blood cells plus anticoagulant and ___________.
A) gelfoam
B) preservative
C) thrombin
D) bone wax
A) gelfoam
B) preservative
C) thrombin
D) bone wax
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35
The most extreme form of ________ is anaphylactic shock, which can lead to death.
A) uterotropics
B) pitressin
C) sensitivity
D) isoproterenol
A) uterotropics
B) pitressin
C) sensitivity
D) isoproterenol
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36
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Side effects
b.Adverse reactions
c.Toxicity
Occurs when the therapeutic dosage of a drug is exceeded
a.Side effects
b.Adverse reactions
c.Toxicity
Occurs when the therapeutic dosage of a drug is exceeded
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37
Antifungal drugs are used for ________ and systemic fungal disease.
A) anaphylactic
B) superficial
C) antibiotics
D) tuberculin
A) anaphylactic
B) superficial
C) antibiotics
D) tuberculin
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38
The patient may be started on _______ antibiotics a few hours before surgery, to prevent postoperative infection.
A) scheduled
B) intravenous
C) solid
D) liquid
A) scheduled
B) intravenous
C) solid
D) liquid
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39
One of the most common sources of drug error is failure to properly label syringes and other drug _________ devices.
A) delivery
B) routine
C) traveler
D) ringer
A) delivery
B) routine
C) traveler
D) ringer
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40
Penicillin was developed during the early ________.
A) 1940s
B) 1950s
C) 1960s
D) 1970s
A) 1940s
B) 1950s
C) 1960s
D) 1970s
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41
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Intramuscular (IM)
a.Parenteral
b.Oral
c.Topical
Intramuscular (IM)
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42
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Intraosseous (IO)
a.Parenteral
b.Oral
c.Topical
Intraosseous (IO)
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43
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Heparin
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Heparin
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44
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Intravenous
a.Parenteral
b.Oral
c.Topical
Intravenous
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45
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Used as a direct topical application to areas of active bleeding to control the bleeding
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Used as a direct topical application to areas of active bleeding to control the bleeding
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46
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Ingestion
a.Parenteral
b.Oral
c.Topical
Ingestion
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47
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Side effects
b.Adverse reactions
c.Toxicity
Patients who are prescribed drugs with a narrow therapeutic range are tested at regular intervals for blood levels of the drug to prevent this
a.Side effects
b.Adverse reactions
c.Toxicity
Patients who are prescribed drugs with a narrow therapeutic range are tested at regular intervals for blood levels of the drug to prevent this
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48
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Side effects
b.Adverse reactions
c.Toxicity
Not expected but may be predictable in some individuals
a.Side effects
b.Adverse reactions
c.Toxicity
Not expected but may be predictable in some individuals
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49
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Gelfoam
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Gelfoam
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50
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Intradermal (ID)
a.Parenteral
b.Oral
c.Topical
Intradermal (ID)
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51
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Instillation
a.Parenteral
b.Oral
c.Topical
Instillation
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52
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Used to prevent postoperative wound infections
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Used to prevent postoperative wound infections
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53
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Intraperitoneal
a.Parenteral
b.Oral
c.Topical
Intraperitoneal
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54
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Sublingual
a.Parenteral
b.Oral
c.Topical
Sublingual
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55
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Bacitracin
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Bacitracin
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56
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Subcutaneous (SQ)
a.Parenteral
b.Oral
c.Topical
Subcutaneous (SQ)
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57
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Vaginal
a.Parenteral
b.Oral
c.Topical
Vaginal
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58
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Thrombin
a.Antibiotic
b.Diagnostic imaging agent
c.Hemostatic
d.Anticoagulant
Thrombin
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59
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Inhalant
a.Parenteral
b.Oral
c.Topical
Inhalant
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60
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Transdermal
a.Parenteral
b.Oral
c.Topical
Transdermal
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61
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Intraspinal
a.Parenteral
b.Oral
c.Topical
Intraspinal
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62
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Buccal
a.Parenteral
b.Oral
c.Topical
Buccal
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63
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Rectal
a.Parenteral
b.Oral
c.Topical
Rectal
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64
Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Parenteral
b.Oral
c.Topical
Nasal
a.Parenteral
b.Oral
c.Topical
Nasal
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