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Quiz about The 25000 Drug Pyramid Part II
Quiz about The 25000 Drug Pyramid Part II

The $25000 Drug Pyramid Part II Quiz


How much do you know about prescription and over-the-counter drugs? Start at the bottom of the pyramid with easier questions and work your way up to the insanity at the top! Same format as Part I, different drugs.

A multiple-choice quiz by celicadriver. Estimated time: 4 mins.
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Author
celicadriver
Time
4 mins
Type
Multiple Choice
Quiz #
294,161
Updated
Dec 03 21
# Qns
10
Difficulty
Average
Avg Score
7 / 10
Plays
4700
Awards
Top 10% Quiz
Last 3 plays: Guest 76 (7/10), Trinihart (8/10), Minerva928 (7/10).
Question 1 of 10
1. $50. Ibuprofen (Motrin, Advil) is a very common over-the-counter drug. To which therapeutic class does it belong? Hint


Question 2 of 10
2. $100. This drug comes in a dizzying array of dosage forms and strengths, including pink-and-white 25mg capsules. Allergy sufferers will know I am talking about the antihistamine _________________. Hint


Question 3 of 10
3. $250. Many people must take levothyroxine (Levoxyl, Synthroid) on a daily basis. These tablets often have strengths expressed in micrograms. So what exactly is levothyroxine prescribed for? Hint


Question 4 of 10
4. $500. Constipation is a common health issue. Which of these drugs may be recommended by a physician to relieve constipation? Hint


Question 5 of 10
5. $1000. Given to patients with fungal infections, what drug is available in a myriad of dosage forms, including a powder, an oral suspension, and a cream? Hint


Question 6 of 10
6. $2500. Benzodiazepenes like lorazepam (Ativan) have numerous uses. For which condition would Ativan MOST likely be prescribed? Hint


Question 7 of 10
7. $5000. Cardiovascular medications encompass a great number of therapeutic classes. To which class does propranolol (Inderal) belong? Hint


Question 8 of 10
8. $10000. Emesis is a condition we all hope to avoid, if at all possible. Which of the following drugs is NOT an antiemetic agent? Hint


Question 9 of 10
9. $20000. Many drugs appear in combinations - that is, two or more drugs in one. What type of combination is valsartan-hydrochlorothiazide (Diovan HCT)? Hint


Question 10 of 10
10. $25000. Hepatic encephalopathy is a condition wherein problems with the liver lead to a buildup of toxins in the blood and the brain, causing mental impairment. What drug is given to treat this condition? Hint



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quiz
Quiz Answer Key and Fun Facts
1. $50. Ibuprofen (Motrin, Advil) is a very common over-the-counter drug. To which therapeutic class does it belong?

Answer: NSAIDs (Non-steroidal anti-inflammatory drugs)

Ibuprofen comes in 200, 400, 600, and 800mg tablets, as well as an oral suspension. NSAIDs are very useful for relieving the pain and inflammation associated with arthritis and other conditions or injuries. Some other NSAIDs are ketorolac (Toradol), sulindac (Clinoril), meloxicam (Mobic), and naproxen (Aleve). NSAIDs should be taken with food, and never more than the prescribed dose, as they can have negative side effects (sometimes serious) on the digestive system.
2. $100. This drug comes in a dizzying array of dosage forms and strengths, including pink-and-white 25mg capsules. Allergy sufferers will know I am talking about the antihistamine _________________.

Answer: Diphenhydramine (Benadryl)

Diphenhydramine may also be used in the short-term treatment of anxiety or insomnia, but patients can develop a tolerance fairly quickly to the sedating effects of antihistamines. In addition to the 25mg capsules already mentioned, diphenhydramine is available as 50mg capsules, an injection (50mg/ml), tablets (25 and 50mg), and an elixir (often cherry flavored, 12.5mg/5ml). My personal favorite is the topical cream. I always keep a tube handy, as it instantly relieves the itchy red little bug bite bumps I'm always getting.

The little creepy-crawlies around here seem to love to feast on me for some reason.
3. $250. Many people must take levothyroxine (Levoxyl, Synthroid) on a daily basis. These tablets often have strengths expressed in micrograms. So what exactly is levothyroxine prescribed for?

Answer: Hypothyroidism

Hypothyrodism is the condition resulting from insufficient thyroid hormone in the body, causing metabolic problems. The symptoms can include weight gain, fatigue, constipation, depression, and bradycardia (slow heart rate). The hormone levothyroxine, when given as a drug, helps to regulate the body's metabolism and restore the proper balance.

Another drug for hypothyrodism is Armour Thyroid, available as tablets measured in "grains" - a grain being approximately equivalent to 60mg. (The actual measurement is closer to 65mg, but Armour Thyroid labels their 1/2 grain doses as 30mg, 1 grain doses as 60mg, etc.)
4. $500. Constipation is a common health issue. Which of these drugs may be recommended by a physician to relieve constipation?

Answer: Docusate (Colace)

Laxatives are categorized by their mechanisms of action. Docusate is a stool softener that is easily recognizable as a bright red capsule or a red oral liquid. Other types of laxatives include bulk-forming agents, osmotic agents, bowel evacuants, saline laxatives, and stimulants.

When deciding on an over-the-counter medication for constipation or any condition, always carefully read and follow the directions and warnings on the package, and ask your doctor or pharmacist if you are unsure of anything.
5. $1000. Given to patients with fungal infections, what drug is available in a myriad of dosage forms, including a powder, an oral suspension, and a cream?

Answer: Nystatin (Mycostatin)

Topical or oral fungal infections are nuisances indeed, but a fungus inside the body and in the bloodstream is cause for alarm - these systemic infections can be life threatening, and call for some heavy-duty I.V. drugs like amphotericin B (AmBisome), and micafungin (Mycamine).

The "Myco" in Mycostatin may have helped you on this question, if you already knew that the prefix "myco-" is derived from a Greek word meaning "fungus." Nystatin might have a "statin" in its name, but don't be misled into believing it's a statin drug for low cholesterol - it is antifungal only.
6. $2500. Benzodiazepenes like lorazepam (Ativan) have numerous uses. For which condition would Ativan MOST likely be prescribed?

Answer: Anxiety

Benzodiazepines are not only anxiolytics, but have they many other uses, such as pre-anesthetic sedation, anticonvulsant, and the treatment of insomnia and panic attacks. You can easily spot them in a lineup, since their generic names end in -pam or -lam.

They are potentially habit-forming, and are therefore controlled substances in the U.S. Some other drugs in this class are alprazolam (Xanax), triazolam (Halcion), midazolam (Versed), and diazepam (Valium).
7. $5000. Cardiovascular medications encompass a great number of therapeutic classes. To which class does propranolol (Inderal) belong?

Answer: Beta blockers

Beta blockers are frequently included in drug therapy for hypertension (high blood pressure). The generic names of drugs in this class usually end in -olol. Some other beta blockers are metoprolol (Lopressor, Toprol XL), carvedilol (Coreg), and (notice the "beta" in this last one) labetalol (Normodyne).
8. $10000. Emesis is a condition we all hope to avoid, if at all possible. Which of the following drugs is NOT an antiemetic agent?

Answer: Nimodipine (Nimotop)

Drugs that stop emesis (vomiting) usually treat nausea as well. Since patients suffering from N&V (nausea and vomiting) can't always keep everything down (including pills and water for swallowing the pills), alternative dosage forms are usually available. Ondansetron comes in injectable form, as well as orally disintegrating tablets that melt in the mouth and start working immediately. Promethazine is available as a suppository.

Dronabinol is a lovely little relative of marijuana. Don't get too excited - it is ONLY given to cancer patients suffering from N&V related to chemotherapy treatments. Pharmacy personnel everywhere struggle mightily when handling this drug, as the capsules are perfectly spherical - believe me, these things BOUNCE and ROLL! It once took me two hours to find a dropped dose, and yes, I was under suspicion until it was found!

Incidentally, nimodipine - the odd one out - is given to help the brain recover from the trauma of a stroke.
9. $20000. Many drugs appear in combinations - that is, two or more drugs in one. What type of combination is valsartan-hydrochlorothiazide (Diovan HCT)?

Answer: Angiotensin II-receptor antagonist / diuretic

Drugs whose generic names end in "-artan" are usually angiotensin II-receptor antagonists. Diovan HCT is prescribed for hypertension. Each ingredient works in a different way to lower the patient's blood pressure.

Many combination drugs may be dispensed as their separate ingredients (convenient for pharmacies for a number of reasons, but often less convenient for patients). Some combinations, though, are almost always dispensed as a single drug. Two examples are carbidopa-levodopa (an anti-Parkinson's agent) and sulfamethoxazole-trimethoprim (an antibiotic).
10. $25000. Hepatic encephalopathy is a condition wherein problems with the liver lead to a buildup of toxins in the blood and the brain, causing mental impairment. What drug is given to treat this condition?

Answer: Lactulose (Constulose)

Lactulose is a liquid laxative, as the treatment for hepatic encephalopathy is to induce diarrhea. The theory is that the faster material moves through the digestive system, the less time bacteria will have to convert that material to harmful toxins.

If you answered all ten questions correctly, congratulations are in order... But I'm afraid the only prizes are bragging rights and/or 100 FunTrivia points (plus bonus points, where applicable). The $25000 was, sadly, a metaphorical prize contrived to provide additional structure to this quiz. At any rate, I hope you enjoyed the quiz and learned something new.

Clarification of some details in this quiz were provided by Don A. Ballington and Mary M. Laughlin's Pharmacology for Technicians, 3rd edition, and Harold M. Silverman's The Pill Book, 12th edition. Thanks also to Robert A. for the inspiration for question 10.
Source: Author celicadriver

This quiz was reviewed by FunTrivia editor crisw before going online.
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