Pharm Unit 8 MN 553
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic
hyperplasia. Doxazosin has been chosen to treat his hypertension because it: Correct Answer: Increases
peripheral vasoconstriction
Decreases detrusor muscle contractility
Lowers supine blood pressure more than standing pressure
*****Relaxes smooth muscle in the bladder neck
Which of the following adverse effects are less likely in a beta1-selective blocker? Correct Answer:
Dysrhythmias
****Impaired insulin release
Reflex orthostatic changes
Decreased triglycerides and cholesterol
Beta blockers have favorable effects on survival and disease progression in heart failure. Treatment
should be initiated when the: Correct Answer: Symptoms are severe
Patient has not responded to other therapies
Patient has concurrent hypertension
*****Left ventricular dysfunction is diagnosed
You are treating a patient with a diagnosis of Alzheimer's disease. The patient's wife mentions difficulty
with transportation to the clinic. Which medication is the best choice? Correct Answer:
******Donepezil
Tacrine
Doxazosin
Verapamil
Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure
medication, she should also have a home prescription for_________ to be used for an episode of status
epilepticus. Correct Answer: IV phenobarbital
******Rectal diazepam (Diastat)
, IV phenytoin (Dilantin)
Oral carbamazepine (Tegretol)
Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that
while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause
for the low carbamazepine levels include: Correct Answer: Dwayne hasn't been taking his
carbamazepine because it causes insomnia.
******Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance.
Dwayne was not originally prescribed the correct amount of carbamazepine.
Carbamazepine is probably not the right antiseizure medication for Dwayne.
Kasey fractured his ankle in two places and is asking for medication for his pain. The appropriate first-
line medication would be: Correct Answer: Ibuprofen (Advil)
*******Acetaminophen with hydrocodone (Vicodin)
Oxycodone (Oxycontin)
Oral morphine (Roxanol)
Jack, age 8, has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin). He and his
parents should be educated about the side effects of methylphenidate, which are: Correct Answer:
Slurred speech and insomnia
Bradycardia and confusion
Dizziness and orthostatic hypotension
Insomnia and decreased appetite
An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be: Correct
Answer: Alprazolam (Xanax)
Diazepam (Valium)
*****Buspirone (Buspar)
Amitriptyline (Elavil)
David is a 34-year-old patient who is starting on paroxetine (Paxil) for depression. David's education
regarding his medication would include: Correct Answer: Paroxetine may cause intermittent diarrhea.
****He may experience sexual dysfunction beginning a month after he starts therapy.
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic
hyperplasia. Doxazosin has been chosen to treat his hypertension because it: Correct Answer: Increases
peripheral vasoconstriction
Decreases detrusor muscle contractility
Lowers supine blood pressure more than standing pressure
*****Relaxes smooth muscle in the bladder neck
Which of the following adverse effects are less likely in a beta1-selective blocker? Correct Answer:
Dysrhythmias
****Impaired insulin release
Reflex orthostatic changes
Decreased triglycerides and cholesterol
Beta blockers have favorable effects on survival and disease progression in heart failure. Treatment
should be initiated when the: Correct Answer: Symptoms are severe
Patient has not responded to other therapies
Patient has concurrent hypertension
*****Left ventricular dysfunction is diagnosed
You are treating a patient with a diagnosis of Alzheimer's disease. The patient's wife mentions difficulty
with transportation to the clinic. Which medication is the best choice? Correct Answer:
******Donepezil
Tacrine
Doxazosin
Verapamil
Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure
medication, she should also have a home prescription for_________ to be used for an episode of status
epilepticus. Correct Answer: IV phenobarbital
******Rectal diazepam (Diastat)
, IV phenytoin (Dilantin)
Oral carbamazepine (Tegretol)
Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that
while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause
for the low carbamazepine levels include: Correct Answer: Dwayne hasn't been taking his
carbamazepine because it causes insomnia.
******Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance.
Dwayne was not originally prescribed the correct amount of carbamazepine.
Carbamazepine is probably not the right antiseizure medication for Dwayne.
Kasey fractured his ankle in two places and is asking for medication for his pain. The appropriate first-
line medication would be: Correct Answer: Ibuprofen (Advil)
*******Acetaminophen with hydrocodone (Vicodin)
Oxycodone (Oxycontin)
Oral morphine (Roxanol)
Jack, age 8, has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin). He and his
parents should be educated about the side effects of methylphenidate, which are: Correct Answer:
Slurred speech and insomnia
Bradycardia and confusion
Dizziness and orthostatic hypotension
Insomnia and decreased appetite
An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be: Correct
Answer: Alprazolam (Xanax)
Diazepam (Valium)
*****Buspirone (Buspar)
Amitriptyline (Elavil)
David is a 34-year-old patient who is starting on paroxetine (Paxil) for depression. David's education
regarding his medication would include: Correct Answer: Paroxetine may cause intermittent diarrhea.
****He may experience sexual dysfunction beginning a month after he starts therapy.
