Deck 31: Drugs for Muscle Spasm and Bone Disorder

Question 1

The pharmacist is caring for several patients who have undergone back surgeries. Which medications for the list are considered antispasmodic drugs? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Tizanidine
B) Mitoxantrone
C) Methylprednisolone
D) Baclofen
E) Ibuprofen

Answer 1

Tizanidine
Baclofen

Question 2

Which non-depolarizing blocking agents are used to relax the muscles of patients being prepared for longer surgical procedures? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Vecocuronium
B) Atracurium
C) Doxacurium
D) Succinylcholine chloride
E) Diazepam

Answer 2

Vecocuronium
Atracurium
Doxacurium

Question 3

Adverse effect seen with succinylcholine, a depolarizing blocker, would include (select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) diminished blood levels of potassium
B) malignant hyperthermia
C) disappearance of post-operative muscle pain
D) persistent paralysis in some patients

Answer 3

malignant hyperthermia
persistent paralysis in some patients

Question 4

What type of drug is Botulinum toxin type A and botulinum toxin type B?

A) Peripherally acting antispasmodic
B) Indirect-acting antispasmodic
C) Centrally acting antispasmodic
D) Direct-acting antispasmodic

Question 5

A patient taking a muscle relaxant is experiencing side effects from the medication. Which patient symptoms are side effects of muscle relaxants? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Epistaxis
B) Drowsiness
C) Dry mouth
D) Ataxia
E) Diarrhea

Question 6

Which hormone is released when calcium levels in the blood increase?

A) Calcitonin
B) Insulin
C) Parathyroid hormone
D) Calcitriol

Question 7

A patient is taking colchicine for gouty arthritis and furosemide (Lasix) for treatment of congestive heart failure. What should the pharmacist include in the medication teaching for this patient regarding adverse reactions?

A) GI upset is common, and could be intensified.
B) The patient should be monitored for signs of bleeding.
C) Skin rashes are common.
D) The patient should call the physician if there is no improvement in gout symptoms.

Question 8

A patient taking calcium supplements needs to be advised to avoid which foods because of a decreased absorption of calcium? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Nuts
B) Seeds
C) Tofu
D) Ice cream
E) Legumes

Question 9

A patient has been prescribed an IM vitamin D supplement. Which supplement does the pharmacist anticipate will be administered?

A) Calcitriol
B) Calcium gluconate
C) Calcifediol
D) Ergocalciferol

Question 10

The pharmacist explains to the female patient the risk factors for osteoporosis. What risk factors should the pharmacist include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Lack of adequate vitamin D or calcium in the diet
B) Excessive vitamin D or calcium in the diet
C) Tobacco use
D) High alcohol consumption
E) High caffeine consumption

Question 11

The pharmacist is caring for a woman with osteoporosis. Based on this diagnosis, the pharmacist teaches the woman that she is at risk for fractures to occur in which locations?
(Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Hips
B) Skull
C) Fingers
D) Wrists
E) Forearms

Question 12

A patient asks the pharmacist how to prevent gout. Which responses are appropriate by the pharmacist? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Treatment with anti-gout medications
B) Dietary management
C) Avoidance of drugs that worsen gout
D) Decreased fluid intake
E) Using hypoglycemia medications

Question 13

Which therapies for calcium disorders may be prescribed? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Vitamin D supplements
B) Bisphosphonates
C) Calcium supplements
D) NSAIDs
E) Antipyretics

Question 14

The pharmacist is caring for a patient who is prescribed baclofen. The patient asks the pharmacist if there are any adverse effects for the medication. Which list of adverse effects is most appropriate for the pharmacist to share with this patient?

A) Drowsiness, dizziness, weakness, and fatigue
B) Drowsiness, increased appetite, and renal failure
C) Dizziness, weakness, and increased appetite
D) Insomnia, decreased energy, and increased appetite

Question 15

Which statement is true about botulinum toxin type A?

A) Botox can be also taken orally.
B) At lower doses, it is a safe and effective muscle relaxant for patients with dystonia.
C) There are no side effects of Botox.
D) It can only be injected into large muscle groups.

Question 16

A patient has been prescribed raloxifene hydrochloride. What information about side effects should the pharmacist include in the patient teaching about the medication? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Hot flashes
B) Breast pain
C) Sinus headache
D) Vaginal bleeding
E) Endometriosis

Question 17

Pharmacotherapy for muscle spasms may include combinations of anesthetics, anti-inflammatory drugs, and centrally acting skeletal muscle relaxants.

Question 18

Non-pharmacological measures to treat muscle spasms and spasticity include immobilization of the affected muscle, application of heat or cold, and supervised exercises.

Question 19

Nicotinic-blocking drugs interfere with the binding of acetylcholine, thereby preventing voluntary muscle contraction.

Question 20

Dantrolene relieves spasticity by interfering with the release of sodium ions in skeletal muscle.

Question 21

Calcitriol the active form of vitamin D.

Question 22

Osteomalacia, or rickets, is a disorder characterized by softening of bones without alteration of basic bone structure

Question 23

Drug therapy for osteoporosis would include calcium and vitamin D, estrogen, and bisphosphonates.

Question 24

Drug therapy for osteomalacia consists of calcium salts and vitamin B12.

Question 25

In osteoporosis, bone deposition is greater than bone resorption.

Question 26

Rheumatoid arthritis is known as the wear-and-tear disease.

Question 27

Immunosuppressant and disease-modifying drugs are additional therapies used to treat rheumatoid arthritis.

Question 28

Describe the drug treatment of rheumatoid arthritis and osteoarthritis.

Question 29

List non-pharmacological methods to treat muscle spasm.

Question 30

How are bisphosphonates taken by patients?