NSG 6005 MIDTERM
The first-line treatment for cough related to a upper respiratory infection in a five-year-old
is:
A.Fluids and symptomatic care
B.Dextromethorphan and guaifenesin syrup (Robitussin DM for kids)
C.Guaifenesin and codeine syrup (Tussin AC)
D.Chlorpheniramine and dextromethorphan syrup (NyQuil for kids)
Pregnant patients with asthma may safely usethroughout their pregnancies.
A.oral terbutaline
B.prednisone
C.inhaled corticosteroids (budesonide)
D.montelukast (Singulair)
A stepwise approach to the pharmacologic management of asthma:
A.Begins with determining the severity of the asthma and assessing asthma control
B.Is used when the asthma is severe and requires daily steroids
C.Allows for each provider to determine his or her personal approach to the care of
asthmatic patients
D.Provides a framework for the management of severe asthmatics but is not as helpful
when patients have intermittent asthma
Infants with reflux are initially treated with:
A.Histamine 2 receptor antagonist (ranitidine)
B.A PPI (omeprazole)
C.Antireflux maneuvers (elevate the head of the bed)
D.Prokinetic (metoclopramide)
Many patients self-medicate with antacids. Which patients should be counseled to
not take calcium carbonate antacids without discussing with their providers or a
pharmacist first?
A.Patients with kidney stones
B.Pregnant patients
, C.Patients with heartburn
D.Postmenopausal women
Second-generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they:
A.Are more effective than first-generation antihistamines
B.Are less sedating than first-generation antihistamines
C.Are prescription products and, therefore, are covered by insurance
D.Can be taken with CNS sedatives, such as alcohol
Decongestants such as pseudoephedrine (Sudafed):
A.Are Schedule III drugs in all states
B.Should not be prescribed or recommended for children under four years of age
C.Are effective in treating the congestion children experience with the common cold
D.May cause drowsiness in patients of all ages
Patients with pheochromocytoma should avoid which of the following classes of
drugs due to the possibility of developing hypertensive crisis?
A.Expectorants
B.Beta 2 agonists
C.Antitussives
D.Antihistamines
Education of patients with COPD who use inhaled corticosteroids includes the following:
A.They should double the dose at the first sign of a upper respiratory infection.
B.They should use the inhaled corticosteroid first and then the bronchodilator.
, C.They should rinse their mouths after use.
D.They should not smoke for at least thirty minutes after use.
Patients taking antacids should be educated regarding these drugs, including letting them
know that:
- They may cause constipation or
diarrhea Many are high in sodium
They should separate antacids from other medications by 1 hour
*All of the above*
Charlotte has diarrhea and is wondering if she can take loperamide (Imodium) for
the diarrhea. Loperamide:
- Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal
complaints.
Bismuth subsalicylate:
- May lead to toxicity if taken with aspirin
Is contraindicated in children with flu-like illness
Has antimicrobial effects against bacterial and viral enteropathogens
*All of the above*
Joe presents with complaints of "heartburn" that is minimally relieved with Tums
(calcium carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An
appropriate first-step therapy would be:
- Ranitidine (Zantac) twice a day
Patients who are on chronic long-term proton pump inhibitor therapy require monitoring
for:
- Iron deficiency anemia, vitamin B12 and calcium deficiency
Michelle is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic
long-term
omeprazole use places her at increased risk for:
- Megaloblastic anemia
Richard 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:
- Bisacodyl (Dulcolax) suppository
Methylnaltrexone is used to treat constipation in:
- Opioid-associated constipation
Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for
folate deficiency anemia is:
A.Oral folic acid 1 to 2 mg/day
B.Oral folic acid 1 gm/day
C.IM folate weekly for at least six months
D.Oral folic acid 400 mcg daily
The American Heart Association and the American College of Cardiology have devised
a classification system for heart failure that can be used to direct treatment. Patients
with symptoms and underlying disease are classified as:
A.Stage A
B.Stage B
C.Stage C
D.Stage D
Disease states in addition to hypertension in which beta blockade is a compelling
indication for the use of beta blockers include:
A.Heart failure
B.Angina
C.MI
D.Dyslipidemia
Which of the following classes of drugs is contraindicated in heart failure?
A.Nitrates
B.Long-acting dihydropyridines
C.Calcium channel blockers
D.Alpha-beta blockers
The first-line treatment for cough related to a upper respiratory infection in a five-year-old
is:
A.Fluids and symptomatic care
B.Dextromethorphan and guaifenesin syrup (Robitussin DM for kids)
C.Guaifenesin and codeine syrup (Tussin AC)
D.Chlorpheniramine and dextromethorphan syrup (NyQuil for kids)
Pregnant patients with asthma may safely usethroughout their pregnancies.
A.oral terbutaline
B.prednisone
C.inhaled corticosteroids (budesonide)
D.montelukast (Singulair)
A stepwise approach to the pharmacologic management of asthma:
A.Begins with determining the severity of the asthma and assessing asthma control
B.Is used when the asthma is severe and requires daily steroids
C.Allows for each provider to determine his or her personal approach to the care of
asthmatic patients
D.Provides a framework for the management of severe asthmatics but is not as helpful
when patients have intermittent asthma
Infants with reflux are initially treated with:
A.Histamine 2 receptor antagonist (ranitidine)
B.A PPI (omeprazole)
C.Antireflux maneuvers (elevate the head of the bed)
D.Prokinetic (metoclopramide)
Many patients self-medicate with antacids. Which patients should be counseled to
not take calcium carbonate antacids without discussing with their providers or a
pharmacist first?
A.Patients with kidney stones
B.Pregnant patients
, C.Patients with heartburn
D.Postmenopausal women
Second-generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they:
A.Are more effective than first-generation antihistamines
B.Are less sedating than first-generation antihistamines
C.Are prescription products and, therefore, are covered by insurance
D.Can be taken with CNS sedatives, such as alcohol
Decongestants such as pseudoephedrine (Sudafed):
A.Are Schedule III drugs in all states
B.Should not be prescribed or recommended for children under four years of age
C.Are effective in treating the congestion children experience with the common cold
D.May cause drowsiness in patients of all ages
Patients with pheochromocytoma should avoid which of the following classes of
drugs due to the possibility of developing hypertensive crisis?
A.Expectorants
B.Beta 2 agonists
C.Antitussives
D.Antihistamines
Education of patients with COPD who use inhaled corticosteroids includes the following:
A.They should double the dose at the first sign of a upper respiratory infection.
B.They should use the inhaled corticosteroid first and then the bronchodilator.
, C.They should rinse their mouths after use.
D.They should not smoke for at least thirty minutes after use.
Patients taking antacids should be educated regarding these drugs, including letting them
know that:
- They may cause constipation or
diarrhea Many are high in sodium
They should separate antacids from other medications by 1 hour
*All of the above*
Charlotte has diarrhea and is wondering if she can take loperamide (Imodium) for
the diarrhea. Loperamide:
- Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal
complaints.
Bismuth subsalicylate:
- May lead to toxicity if taken with aspirin
Is contraindicated in children with flu-like illness
Has antimicrobial effects against bacterial and viral enteropathogens
*All of the above*
Joe presents with complaints of "heartburn" that is minimally relieved with Tums
(calcium carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An
appropriate first-step therapy would be:
- Ranitidine (Zantac) twice a day
Patients who are on chronic long-term proton pump inhibitor therapy require monitoring
for:
- Iron deficiency anemia, vitamin B12 and calcium deficiency
Michelle is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic
long-term
omeprazole use places her at increased risk for:
- Megaloblastic anemia
Richard 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:
- Bisacodyl (Dulcolax) suppository
Methylnaltrexone is used to treat constipation in:
- Opioid-associated constipation
Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for
folate deficiency anemia is:
A.Oral folic acid 1 to 2 mg/day
B.Oral folic acid 1 gm/day
C.IM folate weekly for at least six months
D.Oral folic acid 400 mcg daily
The American Heart Association and the American College of Cardiology have devised
a classification system for heart failure that can be used to direct treatment. Patients
with symptoms and underlying disease are classified as:
A.Stage A
B.Stage B
C.Stage C
D.Stage D
Disease states in addition to hypertension in which beta blockade is a compelling
indication for the use of beta blockers include:
A.Heart failure
B.Angina
C.MI
D.Dyslipidemia
Which of the following classes of drugs is contraindicated in heart failure?
A.Nitrates
B.Long-acting dihydropyridines
C.Calcium channel blockers
D.Alpha-beta blockers
