MN 553 FINAL EXAM 1 – QUESTION AND ANSWERS

Saved Conjunctivitis in a child that is accompanied by acute otitis media is treated with: Question 1 options: Sulfacetamide 10% ophthalmic solution (Bleph-10) Bacitracin/polymyxin B (Polysporin) ophthalmic drops Ciprofloxacin (Ciloxan) ophthalmic drops Question 2 (4 points) Saved The drug of choice for treatment of early latent or tertiary syphilis is: Question 2 options: Ceftriaxone IM Oral azithromycin Oral ciprofloxacin Question 3 (4 points) Saved Clinical judgment in prescribing includes: Question 3 options: 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 4 (4 points) Saved When considering which cholesterol-lowering drug to prescribe, which factor determines the type and intensity of treatment? Question 4 options: Total LDL Fasting HDL Fasting total cholesterol Question 5 (4 points) Saved Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all? Question 5 options: Betamethasone, an inhaled corticosteroid Albuterol, a short-acting beta-agonist Montelukast, a leukotriene modifier Question 6 (4 points) Saved A client asks the NP about the differences in drug effects between men and women. What is known about the differences between the pharmacokinetics of men and women? Question 6 options: Body temperature varies between men and women. Muscle mass is greater in women. Proven subjective factors exist between the genders. Question 7 (4 points) Saved The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired pneumonia would be: Question 7 options: Ciprofloxacin Amoxicillin Doxycycline Question 8 (4 points) Saved Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection. Treatment for her would include: Question 8 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 9 (4 points) Saved 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 9 options: PEG 3350 (Miralax) Bisacodyl (Dulcolax) suppository Docusate (Colace) suppository Polyethylene glycol electrolyte solution Question 10 (4 points) Saved Medications are typically started for angina patients when: Question 10 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 11 (4 points) First-line therapy for treating topical fungal infections such as tinea corporis (ringworm) or tinea pedis (athlete’s foot) would be: Question 11 options: OTC topical azole (clotrimazole, miconazole) Oral terbinafine Oral griseofulvin microsize Nystatin cream or ointment Question 12 (4 points) To improve actual effectiveness of oral contraceptives women should be educated regarding: Question 12 options: Use of a back-up method if they have vomiting or diarrhea during a pill packet Doubling pills if they have diarrhea during the middle of a pill pack The fact that they will have a normal menstrual cycle if they miss two pills The fact that mid-cycle spotting is not normal and the provider should be contacted immediately Question 13 (4 points) Class I recommendations for stage A heart failure include: Question 13 options: Aerobic exercise within tolerance levels to prevent the development of heart failure Reduction of sodium intake to less than 2,000 mg/day to prevent fluid retention Beta blockers for all patients regardless of cardiac history Treatme