A 35-year-old man, recently immigrated from Guatemala, presents with fatigue, lethargy,
and mouth sores. The NP suspects scurvy and prepares which medication? - ANSWER
Ascorbic Acid.
First line drug of choice for CAP in a previously healthy adult would include: - ANSWER
Azithromycin (a macrolide)
1. One month after starting phenytoin for seizures, a 28-year-old male presents with com-
plaints of fever, rash, and swollen lymph nodes. The NP suspects which syndrome? - AN-
SWER Phenytoin hypersensitivity reaction
A patient with previous compliant levels of carbamazepine levels now presents with subther-
apeutic blood levels. The NP suspects? - ANSWER Carbamazepine auto induces metabo-
lism so you go through the drug a lot quicker so it is an expected lab finding.
The NP educates the patient regarding the Black Box warning on carbamazepine by advising
the patient to report signs and symptoms indicative of: - ANSWER Skin Reaction (Steven
Johnson Syndrome and TEN (Toxic Epidermal necrolysis))
Carbamazepine monitoring should include all of the following except: - ANSWER Monthly
Glucose
A patient taking Lamictal presents with fever, cough, and swollen lymph nodes, what does
the NP suspect? - ANSWER Lamictal hypersensitivity reaction.
1
,A young women taking Lamictal for seizures presents to the office requesting birth control.
She has decided she wants daily oral contraceptives. The NP educates the patient regarding
the fact: - ANSWER Lamictal doses will need to be increased while taking oral contracep-
tives.
Tricyclic antidepressants should be avoided in? - ANSWER Heart failure patients.
When educating patients regarding antidepressants, the NP should include: - ANSWER It
may take 2-3 weeks for medications to take effect.
After ordering IM Haldol for the patient, the NP knows to assess for EPS using which tool? -
ANSWER AIMS (abnormal involuntary movement scale) test
Prior to administering albuterol for an acute asthma attack while on digoxin, the NP under-
stands that: - ANSWER Digoxin dose will need to be increased.
The NP opts NOT to give a beta agonist to which patient? - ANSWER History of pheochro-
mocytoma.
The NP educates which patient population regarding salmeterol's Black Box Warning? - AN-
SWER African Americans
The NP believes the patient needs additional education regarding long-acting beta agonist's
Black Box warning when the patient verbalizes? - ANSWER "I take this medication in case
of an asthma attack."
A 72-year-old presents to the clinic with the cc of "I can't pee". Which history does the NP
suspect may be causing this symptoms? - ANSWER Taking Benadryl for seasonal allergies.
Benadryl can cause urinary retention.
2
, A patient recently diagnosed with pneumonia, is also found to have osteoporosis, anemia,
and vitamin B12 deficiency. The NP suspects which TX is causing the patient's issues? - AN-
SWER Long Term PPI therapy
When determining appropriate antimicrobial tx, the NP utilizes which tool to assess local re-
sistance patterns? - ANSWER Antibiogram
After receiving Flagyl for a diverticulitis flare up, the patient calls the clinic complaining of
nausea, vomiting, and ABD pain. The NP focuses on which part of the SOAP note to rule out
a disulfiram reaction? - ANSWER Social history
Which pt should receive fluoroquinolone therapy for CAP (community-acquired pneumonia)
diagnosis? - ANSWER A 44-year-old female with DM.
Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked in African
American) due to risk of: - ANSWER hemolytic anemia
A 16YO presents to the clinic for tx of her acne. The NP prescribes which medication? - AN-
SWER Combination antibiotic and topical.
A teenager comes to the clinic with complaint of headache. The NP suspects minocycline
may be causing the symptoms due to its risk of: - ANSWER Pseudotumor cerbri (in-
creased intracranial pressure)
Which tx is appropriate for a patient with new onset of cluster headaches? - ANSWER
100% oxygen for 15-30 minutes
When should the NP expect to see clinical improvement after starting antibiotic therapy for
a pneumonia patient? - ANSWER 2-3 days
3
and mouth sores. The NP suspects scurvy and prepares which medication? - ANSWER
Ascorbic Acid.
First line drug of choice for CAP in a previously healthy adult would include: - ANSWER
Azithromycin (a macrolide)
1. One month after starting phenytoin for seizures, a 28-year-old male presents with com-
plaints of fever, rash, and swollen lymph nodes. The NP suspects which syndrome? - AN-
SWER Phenytoin hypersensitivity reaction
A patient with previous compliant levels of carbamazepine levels now presents with subther-
apeutic blood levels. The NP suspects? - ANSWER Carbamazepine auto induces metabo-
lism so you go through the drug a lot quicker so it is an expected lab finding.
The NP educates the patient regarding the Black Box warning on carbamazepine by advising
the patient to report signs and symptoms indicative of: - ANSWER Skin Reaction (Steven
Johnson Syndrome and TEN (Toxic Epidermal necrolysis))
Carbamazepine monitoring should include all of the following except: - ANSWER Monthly
Glucose
A patient taking Lamictal presents with fever, cough, and swollen lymph nodes, what does
the NP suspect? - ANSWER Lamictal hypersensitivity reaction.
1
,A young women taking Lamictal for seizures presents to the office requesting birth control.
She has decided she wants daily oral contraceptives. The NP educates the patient regarding
the fact: - ANSWER Lamictal doses will need to be increased while taking oral contracep-
tives.
Tricyclic antidepressants should be avoided in? - ANSWER Heart failure patients.
When educating patients regarding antidepressants, the NP should include: - ANSWER It
may take 2-3 weeks for medications to take effect.
After ordering IM Haldol for the patient, the NP knows to assess for EPS using which tool? -
ANSWER AIMS (abnormal involuntary movement scale) test
Prior to administering albuterol for an acute asthma attack while on digoxin, the NP under-
stands that: - ANSWER Digoxin dose will need to be increased.
The NP opts NOT to give a beta agonist to which patient? - ANSWER History of pheochro-
mocytoma.
The NP educates which patient population regarding salmeterol's Black Box Warning? - AN-
SWER African Americans
The NP believes the patient needs additional education regarding long-acting beta agonist's
Black Box warning when the patient verbalizes? - ANSWER "I take this medication in case
of an asthma attack."
A 72-year-old presents to the clinic with the cc of "I can't pee". Which history does the NP
suspect may be causing this symptoms? - ANSWER Taking Benadryl for seasonal allergies.
Benadryl can cause urinary retention.
2
, A patient recently diagnosed with pneumonia, is also found to have osteoporosis, anemia,
and vitamin B12 deficiency. The NP suspects which TX is causing the patient's issues? - AN-
SWER Long Term PPI therapy
When determining appropriate antimicrobial tx, the NP utilizes which tool to assess local re-
sistance patterns? - ANSWER Antibiogram
After receiving Flagyl for a diverticulitis flare up, the patient calls the clinic complaining of
nausea, vomiting, and ABD pain. The NP focuses on which part of the SOAP note to rule out
a disulfiram reaction? - ANSWER Social history
Which pt should receive fluoroquinolone therapy for CAP (community-acquired pneumonia)
diagnosis? - ANSWER A 44-year-old female with DM.
Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked in African
American) due to risk of: - ANSWER hemolytic anemia
A 16YO presents to the clinic for tx of her acne. The NP prescribes which medication? - AN-
SWER Combination antibiotic and topical.
A teenager comes to the clinic with complaint of headache. The NP suspects minocycline
may be causing the symptoms due to its risk of: - ANSWER Pseudotumor cerbri (in-
creased intracranial pressure)
Which tx is appropriate for a patient with new onset of cluster headaches? - ANSWER
100% oxygen for 15-30 minutes
When should the NP expect to see clinical improvement after starting antibiotic therapy for
a pneumonia patient? - ANSWER 2-3 days
3
