NR 508 / NR508 Advanced Pharmacology Week 7 Quiz Review () | Rated A |Questions and Answers | Chamberlain

NR 508 / NR508 Advanced Pharmacology Week 7 Quiz Review () | Rated A |Questions and Answers | Chamberlain 1. Patients who are treated with greater than 100 grams per week of topical calcipotriene for psoriasis need to be monitored for: a. High vitamin D levels b. Hyperkalemia c. Hypercalcemia d. Hyperuricemia ~ Answer: c. Hypercalcemia 2. Jesse is prescribed tazarotene for his psoriasis. Patient education regarding topical tazarotene includes instructing them: a. That tazarotene is applied in a thin film to the psoriasis plaque lesions b. To apply it liberally to all psoriatic lesions c. To apply tazarotene to nonaffected areas to prevent breakout d. That tazarotene may cause hypercalcemia if it is overused ~ Answer: a. That tazarotene is applied in a thin film to the psoriasis plaque lesions 3. Instructions for the use of selenium sulfide shampoo (Selsun) to treat scalp seborrhea include: a. Shampoo daily and rinse well. b. Worsening of seborrhea for the first week is normal. c. Seborrhea usually clears up after a few weeks of treatment. d. Shampoo twice a week for 2 weeks, then weekly. ~ Answer: d. Shampoo twice a week for 2 weeks, then weekly. 4. Topical diphenhydramine (Benadryl) is available OTC to treat itching. Patients or parents should be instructed regarding the use of topical diphenhydramine that: a. For maximum effectiveness in treating itching, combine topical with oral diphenhydramine. b. Topical diphenhydramine is the treatment of choice in treating poison ivy or poison oak. c. Topical diphenhydramine should not be used in children younger than age 2 years. d. When applying topical diphenhydramine, apply the cream liberally to all areas that itch. ~ Answer: c. Topical diphenhydramine should not be used in children younger than age 2 years. 5. A patient has been prescribed silver sulfadiazine (Silvadene) cream to treat burns on his leg. Normal adverse effects of silver sulfadiazine cream include: a. Transient leukopenia on days 2 to 4 that should resolve b. Worsening of burn symptoms briefly before resolution c. A red, scaly rash that will resolve with continued use d. Hypercalcemia ~ Answer: a. Transient leukopenia on days 2 to 4 that should resolve 6. Instructions for the use of malathion (Ovide) for head lice include: a. Use a blow dryer to dry the hair after applying. b. Malathion (Ovide) is used daily for a week until all lice are dead. c. Rinse the malathion (Ovide) off and shampoo hair after 8 to 12 hours. d. Use gloves to apply the malathion (Ovide). ~ Answer: c. Rinse the malathion (Ovide) off and shampoo hair after 8 to 12 hours. 7. When writing a prescription of permethrin 5% cream (Elimite) for scabies, patient education would include: a. All members of the household and personal contacts should also be treated. b. Infants should have permethrin applied from the neck down. c. The permethrin is washed off after 10 to 20 minutes. d. Permethrin is flammable and to avoid open flame while the medication is applied. ~ Answer: a. All members of the household and personal contacts should also be treated. 8. The Centers for Disease Control recommends all newborn infants receive prophylactic administration of __________ within 1 hour of birth. a. Gentamicin ophthalmic ointment b. Ciprofloxacin ophthalmic drops c. Erythromycin oral suspension d. Erythromycin ophthalmic ointment ~ Answer: d. Erythromycin ophthalmic ointment 9. Conjunctivitis in a child that is accompanied by acute otitis media is treated with: a. Sulfacetamide 10% ophthalmic solution (Bleph-10) b. Bacitracin/polymyxin B (Polysporin) ophthalmic drops c. Ciprofloxacin (Ciloxan) ophthalmic drops d. High-dose oral amoxicillin ~ Answer: d. High-dose oral amoxicillin 10. Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be: a. None, wait for the culture results to determine the course of treatment b. Ciprofloxacin (Ciloxan) ophthalmic drops c. IM ceftriaxone d. High-dose oral amoxicillin ~ Answer: c. IM ceftriaxone 11. Education of women who are being treated with ophthalmic antibiotics for conjunctivitis includes: a. Throwing away eye makeup and purchasing new b. Redness and intense burning is normal with ophthalmic antibiotics c. When applying eye ointment, set the tip of the tube on the lower lid and squeeze in inch d. Use a cotton swab to apply ointment, spreading the ointment all over the lid and in the conjunctival sac ~ Answer: a. Throwing away eye makeup and purchasing new 12. Sadie was prescribed betaxolol ophthalmic drops by her ophthalmologist to treat her glaucoma. Oral beta blockers should be avoided in patients who use ophthalmic beta blockers because: a. There may be an antagonistic reaction between the two. b. The additive effects may include bradycardia. c. They may potentiate each other and cause respiratory depression. d. The additive effects may cause metabolic acidosis. ~ Answer: b. The additive effects may include bradycardia. 13. David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes: a. He should not wear his soft contacts while using the cromolyn eye drops. b. Cromolyn drops are instilled once a day to prevent allergy symptoms. c. Long-term use may cause glaucoma. d. He may experience bradycardia as an adverse effect. ~ Answer: a. He should not wear his soft contacts while using the cromolyn eye drops. 14. Ciprofloxacin otic drops are contraindicated in: a. Children b. Patients with acute otitis externa c. Patients with a perforated tympanic membrane d. Swimmer's ear ~ Answer: c. Patients with a perforated tympanic membrane