Propranolol (Inderal) – Savvy Essay Writers | savvyessaywriters.net
Propranolol (Inderal) – Savvy Essay Writers | savvyessaywriters.net
Question 1 1 / 1 point
Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
Question options:
Topical antipruritics
Oral corticosteroids for 2 to 3 weeks
Thickly applied topical intermediate-dose corticosteroids
Isolation of the patient to prevent spread of the dermatitis
Question 2 1 / 1 point
Patrick is a 10-year-old patient who presents with uncomfortable constipation. Along with diet changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate choice of medication for a 10-year-old child would be:
Question options:
PEG 3350 (Miralax)
Bisacodyl (Dulcolax) suppository
Docusate (Colace) suppository
Polyethylene glycol electrolyte solution
Question 3 1 / 1 point
Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for:
Question options:
Iron deficiency anemia, vitamin B12 and calcium deficiency
Folate and magnesium deficiency
Elevated uric acid levels leading to gout
Hypokalemia and hypocalcemia
Question 4 1 / 1 point
The drug of choice for treatment of early latent or tertiary syphilis is:
Question options:
Ceftriaxone IM
Benzathine penicillin G IM
Oral azithromycin
Oral ciprofloxacin
Question 5 0 / 1 point
The optimal maximum time frame for HRT or estrogen replacement therapy (ERT) is:
Question options:
2 years
5 years
10 years
15 years
Question 6 1 / 1 point
The Best Pharmaceuticals for Children Act:
Question options:
Includes a pediatric exclusivity rule which extends the patent on drugs studied in children
Establishes a committee that writes guidelines for pediatric prescribing
Provides funding for new drug development aimed at children
Encourages manufacturers specifically to develop pediatric formulations
Question 7 1 / 1 point
Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection. Treatment for her would include:
Question options:
Metronidazole 2 grams PO x 1 dose
Topical intravaginal metronidazole daily x 7 days
Intravaginal clindamycin daily x 7 days
Azithromycin 2 grams PO x 1 dose
Question 8 1 / 1 point
Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
Question options:
Appetite and concentration improve in the first 1 to 2 weeks.
Sleep should improve almost immediately upon starting citalopram.
Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic dose.
His dysphoric mood will improve in 1 to 2 weeks.
Question 9 1 / 1 point
Patients who have a poor metabolism phenotype will have:
Question options:
Slowed metabolism of a prodrug into an active drug, leading to accumulation of Prodrug
Accumulation of inactive metabolites of drugs
A need for increased dosages of medications
Increased elimination of an active drug
Question 10 1 / 1 point
The drug of choice for type 2 diabetics is metformin. Metformin:
Question options:
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Increases intestinal uptake of glucose
Prevents weight gain associated with hyperglycemia
Question 11 1 / 1 point
The first-line therapy for mild-persistent asthma is:
Question options:
High-dose montelukast
Theophylline
Low-dose inhaled corticosteroids
Long-acting beta-2-agonists
Question 12 1 / 1 point
All of the following statements about the Beer’s List are true except:
Question options:
It is a list of medications or medication classes that should generally be avoided in persons 65 years or older because they are either ineffective or they pose unnecessarily high risk for older persons and a safer alternative is available.
It is derived from the expert opinion of one geriatrician and is not evidence-based.
These criteria have been adopted by the Centers for Medicare and Medicaid Services for regulation of long-term care facilities.
These criteria are directed at the general population of patients over 65 years of age and do not take disease states into consideration.
Question 13 1 / 1 point
Isosorbide dinitrate is prescribed for a patient with chronic stable angina. This drug is administered twice daily, but the schedule is 7 a.m. and 2 p.m. because:
Question options:
It is a long-acting drug with potential for toxicity.
Nitrate tolerance can develop.
Orthostatic hypotension is a common adverse effect.
It must be taken with milk or food.
Question 14 1 / 1 point
True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:
Question options:
Fever up to 104oF (40.5oC) after previous DTaP vaccine
Family history of seizures after DTaP vaccine
Adolescent pregnancy
Anaphylactic reaction with a previous dose
Question 15 1 / 1 point
Gender differences between men and women in pharmacokinetics include:
Question options:
More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption sites
Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution
Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations
Slower organ blood flow rates so drugs tend to take longer to be excreted
Question 16 1 / 1 point
Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include:
Question options:
Heart failure
Angina
Myocardial infarction
Dyslipidemia
Question 17 1 / 1 point
Developmental variation in renal function has what impact on prescribing for infants and children?
Question options:
Lower doses of renally excreted drugs may be prescribed to infants younger than age 6 months.
Higher doses of water soluble drugs may need to be prescribed because of increased renal excretion.
Renal excretion rates have no impact on prescribing.
Parents need to be instructed on whether drugs are renally excreted or not.
Question 18 1 / 1 point
When a pharmacoeconomic analysis looks at two or more treatment alternatives that are considered equal in efficacy and compares the costs of each it is referred to as:
Question options:
Cost-minimization analysis
Cost-of-illness analysis
Cost-effectiveness analysis
Cost-benefit analysis
Question 19 1 / 1 point
Allison is an 18-year-old college student with type 1 diabetes. She is on NPH twice daily and Novolog before meals. She usually walks for 40 minutes each evening as part of her exercise regimen. She is beginning a 30-minute swimming class three times a week at 1 p.m. What is important for her to do with this change in routine?
Question options:
Delay eating the midday meal until after the swimming class.
Increase the morning dose of NPH insulin on days of the swimming class.
Adjust the morning insulin injection so that the peak occurs while swimming.
Check glucose level before, during, and after swimming.
Question 20 0 / 1 point
A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most likely treat her with:
Question options:
Methimazole
Propylthiouracil (PTU)
Radioactive iodine
Nothing, treatment is best delayed until after her pregnancy ends
Question 21 1 / 1 point
Which of the following is a primary benefit of the use of computerized provider order entry for patient medications?
Question options:
Reduces time that prescribing drugs takes
Eliminates the need to chart drugs prescribed
Decreases prescribing and transcription errors
Helps keep the number of drugs prescribed to a minimum
Question 22 1 / 1 point
Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:
Question options:
Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
There is no evidence that cranberry juice helps prevent UTIs.
Cranberry juice only works to prevent UTIs in children.
Question 23 1 / 1 point
Ginseng, which is taken to assist with memory, may potentiate:
Question options:
Aricept
Insulin
Digoxin
Propranolol
Question 24 1 / 1 point
While on testosterone replacement, hemoglobin and hematocrit levels should be monitored. Levels suggestive of excessive erythrocytosis or abuse are:
Question options:
Hemoglobin 14 g/dl or hematocrit 39%
Hemoglobin 11.5 g/dl or hematocrit 31%
Hemoglobin 13 g/dl or hematocrit 38%
Hemoglobin 17.5 g/dl or hematocrit 54%
Question 25 1 / 1 point
What is the role of calcium supplements when patients take bisphosphonates?
Question options:
They must be restricted to allow the medication to work.
They must be taken in sufficient amounts to provide foundational elements for bone growth.
They must be taken at the same time as the bisphosphonates.
They only work with bisphosphonates if daily intake is restricted.
Question 26 1 / 1 point
Clinical judgment in prescribing includes:
Question options:
Factoring in the cost to the patient of the medication prescribed
Always prescribing the newest medication available for the disease process
Handing out drug samples to poor patients
Prescribing all generic medications to cut costs
Question 27 1 / 1 point
The most cost-effective treatment for two or three impetigo lesions on the face is:
Question options:
Mupirocin ointment
Retapamulin (Altabax) ointment
Topical clindamycin solution
Oral amoxicillin/clavulanate (Augmentin)
Question 28 1 / 1 point
Medications are typically started for angina patients when:
Question options:
The first permanent EKG changes occur
The start of class I or II symptoms
The events trigger a trip to the emergency department
When troponin levels become altered
Question 29 0 / 1 point
Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
Question options:
For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting…
