Question

7. On his way out of the exam room, Spencer mentions that he has a large party this evening at this fraternity house. He wants to know if it is OK for him to drink and you respond... a. No, your Aleve and the alcohol can interact and cause stomach ulcers. b. No, your Robaxin and alcohol can interact and cause nervous system depression. c. No, your Aleve and Robaxin can both interact with alcohol and cause potentially fatal problems. d. Yes, you may drink alcohol tonight. 8. Individuals taking centrally acting muscle relaxants should be advised that these agents may a. Cause drowsiness, dizziness, and blurred vision b. Produce an additive effect when taken in combination with other CNS depressants c. Impair their ability to drive a vehicle d. All of these 9. For his Robaxin (methocarbamol) prescription, how many tablets will you need to call into the pharmacy? a. 12 tablets b. 24 tablets C. 48 tablets d. 60 tablets 10. True or False: Robaxin is considered to be a controlled substance? a True b. False Case 2: Gwendolyn, a 64-year-old female Subjective . She presents today to follow-up on a recent DEXA scan It showed worsening osteoporosis • She is post-menopausal and has been for the past 2 years She has a history of a wrist fracture after falling due to vertigo last year, vertigo, vaginal atrophy, iron deficiency anemia, and chickenpox Medications: Antivert (meclizine) 25mg tabs, Fosamax (alendronate) 70mg, Calcium carbonate 1.000mg, Vitamin D3 2,000 IU, Lopressor (metoprolol) 25mg. Premarin (conjugated estrogens) vaginal Objective: • HR 70, BP 120/70, RR 10. Temp 98.2 F A&Ox3, the patient is sweet and pleasant 11. Which of the patient's medications is a beta-blocker (beta-adrenergic blocking agent)? a. Antivert b. Fosamax c. Lopressor d. Premarin 12. Which of the following are possible side effects of an estrogen prescription? a Breast lendemess, spotting, and nausea b. Spotting, insomnia, and loss of consciousness c. Breast tendemess, galactorrhea, and erectile dysfunction d. Spotting. hirsutism, and breast tenderness 13. Which of the following is not a risk of hormone replacement therapy? a. Increased risk of blood clots b. Increased risk of endometrial cancer c. Increased risk of colorectal cancer d. Increased risk of deep vein thrombosis 14. At the end of her office visit, Gwendolyn has had her Fosamax refilled by her doctor. She asks for a reminder on how to take it and you say: a. Take it first thing in the morning. 30 minutes before eating or drinking anything and with a glass of water and lay down for 60 minutes afterward b. Take it first thing in the morning, before eating or drinking anything, with a full glass of water, and sit upright for at least 30-60 minutes c. Take it first thing in the morning, with food, and a full glass of water d. Bite the pill in half and chew completely before swallowing with a glass of milk

Answer 1

Answer: No, your robaxin and alcohol can interact with each other and can cause nervous system depression.

( Robaxin causes nervous system depression and can cause drowsiness.)

Answer: All of these

( It causes drowsiness, fatigue, depression)

Answer: 12 tablets

Answer: False

( Robaxin is not controlled substance as it is used for muscles relaxant)