University of North Carolina at Charlotte_Pharmacology In Health & Illness Pharmacology Cumulative Final EXAM; Comprehensive Notes With 5 TEST MATERIALS, Full Practice Final Exam. All Questions Answered

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- resistance training increases muscle mass - avoid exercise when blood glucose levels are high (over 250mg/dL) o Type I diabetes - avoid jarring exercises if retinopathy/neuropathy is present (hyp... oglycemia causes nerve damage) - avoid exercise at peak insulin times because body is not able to reduce insulin levels (can lead to a hyperglycemic event) - goals= increase aerobic fitness and muscle mass, decrease body fat, increase insulin sensitivity, decrease reliance on exogenous insulin o Type II diabetes - no renal limitations to types of exercise (depends on how long they have been diabetic) - avoid exercise at peak insulin times if given exogenous insulin - goals= increase aerobic fitness and muscle mass, decrease body fat, increase insulin sensitivity, decrease reliance on exogenous insulin, increase ADL PRACTICE EXAM 4 1. A lack of will result in B12 deficiency? 2. Which of these is not a platelet inhibitor? 3. Select the long acting nitrate below? 4. What is the function of fibrin? 5. Thienopyridine drugs inhibit? 6. Heparin acts by combining with? 7. Most coronary artery blood flow occurs during? 8. Which of the following statements about EPO is true? - 9. Which of the drug types below act as vasodilators AND cardiac depressants? 10. In which class of sodium channel blockers will you find Encainide? 11. Which of the following is NOT a systolic factor affecting the O2 demand of the myocardium? 12. Unstable angina can be characterized most accurately by which of the following? 13. Class I anti-arrhythmic drugs are? 14. Which of the side effects below would NOT be expected when taking calcium channel blockers? 15. Protamine sulfate treatment is associated with hypertension risk? 16. When would Dipyridamole NOT be an effective treatment? 17. Which of the following degrees of coronary artery obstruction would likely lead to exercise induced angina without symptoms at rest? 18. In the case of heparin toxicity, which of the following would be prescribed? 19. Select the thrombolytic drug? 20. Which of the following is true about Amyl Nitrite? 21. Beta blocker use increases aldosterone release leading to an increase in blood volume to reduce myocardial oxygen demand? 22. Which of the following would NOT be considered a sign of CHF? 23. Class II antiarrhythmic drugs are? 24. L-Arginine? 25. Class IV antiarrhythmic drugs are? 26. Class IB sodium channel blockers are? 27. How do calcium channel blocking drugs reduce the risk of cardiac 28. Which of the below would you expect to cause a decrease in myocardial 29. Diets low in vitamin K are associated with an increased risk of? 30. High levels of vitamin K effect hemostasis by? 31. Select the calcium channel blocker that has the least influence on coronary dilation? 32. An example of compensatory responses in heart failure would include? 33. Which of the following is best suited for treating an acute angina attack? - Which of the following is NOT an indication for long acting nitrate 34. When taking Prazosin, what is the stimulus for a compensatory response? 1. How do a/b adrenergic blocking drugs differ from anti-adrenergic drugs? 2. Blocking the receptors for epinephrine and norepinephrine can be done by? 3. BuSpar? - Has a high affinity for serotonin receptors 4. Adrenergic drugs primarily effect what in the body? 5. Intermediate acting barbiturates may have a paradoxical effect of? 6. Anti-anxiety drugs are used for? 7. The 3 general types of anti-depressants are? 8. Select the short acting barbiturate from the following? 9. Which class of drugs does not work through the GABA system? 10. Zoloft (sertraline) is a? 11. What part of the central nervous system do barbiturates act through? 12. What is the primary neurotransmitter that the parasympathetic nervous system uses? 13. Which of these drugs is currently banned by the NCAA, IOC, and most pro leagues for its proposed effects of enhancing mental and physical performance and increased awareness? 14. What is an adverse effect of chronically taking Adderall when you don’t have an attention deficit disorder? 15. What is the generic name for Prozac? 16. Nootropics are also referred to as? 17. In addition to norepinephrine, what other neurotransmitter does Wellbutrin inhibit the reuptake of? 18. Peripheral alpha receptor stimulation induces? 19. Which of the following drug classes induces sleep? 20. Which of these is a serious adverse reaction to adrenergic drugs? 21. Cardiac ArrhythmiasWhat do alpha adrenergic receptors regulate? 22. Which of the following beta blockers has substantial intrinsic sympathetic activity? 23. What is ephedrine designed to mimic? - 24. Neo-synephrine acts by? 25. Monoamine Oxidase Inhibitors (MAOI)? - Should never be consumed with alcohol 26. Xanax? 27. Atreza is not used to treat what? 28. What is the action of the TCA drug Tofranil? 29. What is the parasympathetic nervous system composed of? 30. A sympatholytic is? 31. Why shouldn’t someone who is pregnant take barbiturates? 32. Which of the following medical conditions is not a contraindication for adrenergic medication? 33. In the study of Wesnes and Warburton (1983), what effect did temazepam and flurazepam have on reaction time? 34. SSRI antidepressants inhibit the reuptake of what neurotransmitter? 35. The 2 components that determine the type of barbiturate used are? - How long the effects last PRACTICE EXAM 4 1. A lack of will result in B12 deficiency? 2. Which of these is not a platelet inhibitor? 3. Select the long acting nitrate below? 4. What is the function of fibrin? 5. Thienopyridine drugs inhibit? 6. Heparin acts by combining with? 7. Most coronary artery blood flow occurs during? 8. Which of the following statements about EPO is true? - 9. Which of the drug types below act as vasodilators AND cardiac depressants? 10. In which class of sodium channel blockers will you find Encainide? 11. Which of the following is NOT a systolic factor affecting the O2 demand of the myocardium? 12. Unstable angina can be characterized most accurately by which of the following? 13. Class I anti-arrhythmic drugs are? 14. Which of the side effects below would NOT be expected when taking calcium channel blockers? 15. Protamine sulfate treatment is associated with hypertension risk? 16. When would Dipyridamole NOT be an effective treatment? 17. Which of the following degrees of coronary artery obstruction would likely lead to exercise induced angina without symptoms at rest? 18. In the case of heparin toxicity, which of the following would be prescribed? 19. Select the thrombolytic drug? 20. Which of the following is true about Amyl Nitrite? 21. Beta blocker use increases aldosterone release leading to an increase in blood volume to reduce myocardial oxygen demand? 22. Which of the following would NOT be considered a sign of CHF? 23. Class II antiarrhythmic drugs are? 24. L-Arginine? 25. Class IV antiarrhythmic drugs are? 26. Class IB sodium channel blockers are? 27. How do calcium channel blocking drugs reduce the risk of cardiac 28. Which of the below would you expect to cause a decrease in myocardial 29. Diets low in vitamin K are associated with an increased risk of? 30. High levels of vitamin K effect hemostasis by? 31. Select the calcium channel blocker that has the least influence on coronary dilation? 32. An example of compensatory responses in heart failure would include? 33. Which of the following is best suited for treating an acute angina attack? - Which of the following is NOT an indication for long acting nitrate 34. When taking Prazosin, what is the stimulus for a compensatory response? TEST 5 MATERIAL ENDOCRINE SECRETIONS AND EXERCISE PPT. • The pituitary gland - lies at base of brain - important in regulating body systems • Growth hormone - somatic hormone - secreted by anterior pituitary - available synthetically - produces growth in children - must be used for closure of the growth plates - treat for children who don’t produce sufficient growth hormone • Growth hormone use o Somatrem (Protropin) - a synthetic growth hormone - identical to the human growth hormone - induces skeletal growth in children - different effect in adults= protein synthesis, release of fatty acids (anabolic effects), inhibits uptake of glucose by muscle, stimulates the uptake of amino acids - a series of tests is necessary to identify GH in body - has metabolic and physiological effects - side effects are uncommon - GH should be used in low dosages - improved lean mass over 6 month period in 24 adults with deficiency - GH is associated with increased muscle mass (protein synthesis) and decreases in fat mass and improvements in bone density • Human growth hormone in sport - Atlanta Olympics known as “growth hormone games” - resembles anabolic actions - very difficult to detect because it is identical to the naturally occurring hormone - due to abuse, Texas has classified hGH as a controlled drug - prohibited to use hGH as aid - reported side effects in those who abuse hGH= diabetes, worsening of CVD, muscle/ joint/bone pain, hypertension, abnormal growth of organs. • Effects of exercise on HGH - both aerobic and resistance training induce hGH in both men and women ( response reduces with age and obesity) - significantly higher hGH levels after exercise - shorter rest + more reps= more hGH - longer rest periods may reduce stimulus for release of hGH PRACTICE EXAM 5 1. Supplementing with 300mg/dl (single dose) of Androstenedione resulted in what change in testosterone? 2. Echinacea? 3. During exercise, if you notice a patient/client feels weak, fatigued, and lightheaded you may think they are? 4. What is a potential reason that HIV negatively affects physical performance? 5. At what blood glucose level, does exercise become contraindicated? 6. When should type 1 diabetics take Meglitinides? 7. What does the evidence suggest on exercising when sick? 8. The purpose of taking Metformin is? - 9. Adrenocorticotropic hormone functions as all of the following except? 10. Growth hormone is secreted by? 11. What is the function of a globulin? 12. Due to the half-life of Humalog, how long after administration should blood glucose be checked? 13. Furosemide is a common drug for those with hypertension because it? 14. DSHEA stands for? 15. Which of the following is NOT a sign or symptom of hypothyroidism? 16. Low levels of is detected by the which stimulates the release of ? 17. A vaccine containing a weakened or killed antigen is less effective? 18. Why should patients avoid exercise during peak insulin times? 19. For which of the following would diuretics not be useful? 20. Sodium bicarbonate may have an ergogenic effect in what kind of exercise? - 21. What type of diuretic is Mannitol? 22. Why would exercise help to lower blood glucose levels? 23. Chromium Picolinate is? 24. What is the difference between active and passive immunity? - whereas passive is already made antibodies 25. Acetazolamide inhibits the actions of what enzyme? 26. Coenzyme Q-10 is also known as? 27. Immunity produced from genetic factors is called? 28. Which of the following is NOT a type of diuretic? 29. Vasopressin deficiency leads to? 30. Desmopressin is used for the treatment of? 31. Diabetic Ketoacidosis can cause all of the following except? 32. What effect do potassium sparing diuretics have on sodium? 33. The glomerulus resides within the , which uses to filter the water and solutes in blood? 34. When training, what is the best way to optimize serum human growth hormone levels? 35. BCAA’s are banned by the IOC? [Show More]

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