NSG6005 Week 8 Study Guide Exam Questions With
100% Correct Answers
An ACE inhibitor and what other class of drug may reduce proteinuria in patients
with diabetes better than either drug alone? - ANSWER: Nondihydropyridine calcium
channel blockers
An appropriate drug for the treatment of depression with anxiety would be -
ANSWER: escitalopram (Lexapro)
Dwayne was recently started on carbamazepine to treat seizures. He comes to see
you, and you not that while his carbamazepine levels had been in the therapeutic
range, they are now low. The possible cause for the low carbamazepine level is: -
ANSWER: Carbamazepine auto-induces metabolism, leading to lower levels in spite
of good compliance
First line therapy for hyperlipidemia is - ANSWER: lifestyle changes
genetic testing for VCORC1 mutation to assess potential warfarin resistance is
required prior to prescribing warfarin - ANSWER: false
Goals of treatment when treating hypothyroidism with thyroid replacement include:
- ANSWER: all of the above
Jack, eight years old, 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 - ANSWER: insomnia and decreased appetite
Medications used in the management of patients with COPD include - ANSWER: all of
the above
A patient with a COPD exacerbation may require: - ANSWER: systemic corticosteroid
burts
Scott is presenting for follow-up on his lipid panel. He had elevated total cholesterol,
elevated triglycerides, and an LDL of 122mg/dL. He has already implemented diet
changes and increased physical activity. he has mildly elevated liver studies. An
appropriate next step for therapy would be; - ANSWER: Niacin
Second-generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they: - ANSWER: Are less sedating than first-generation
antihistamines
A stepwise approach to the pharmacologic management of asthma: - ANSWER:
Begins with determining the severity of the asthma and assessing asthma control
, Tiotropium bromide (Spiriva) is an inhaled anticholinergic: - ANSWER: Used for the
treatment of COPD
Warfarin resistance may be seen in patients with VCORC1 mutation, leading to: -
ANSWER: decreased response to warfarin
When starting a patient with hypothyroidism on thyroid replacement hormones,
patient education would include the following: - ANSWER: It may take four to eight
weeks to get to euthyroid symptomatically and by lab testing
Which of the following adverse effects may occur due to a dihydropyridine- type
calcium channel blocker? - ANSWER: Edema of the hands and feet
Jamie is a thirty-four-year-old pregnant woman with familial hyperlipidemia and
elevated LDL levels. What is the appropriate treatment for a pregnant woman? -
ANSWER: Bile acid-binding resins
Dosage changes of conjugated equine estrogen (Premarin) are made at _ intervals. -
ANSWER: 6 to 8 weeks
Jonathan has been diagnosed with strep throat and needs a prescription for an
antibiotic. He says the last time he had penicillin he developed a red, blotchy rash.
An appropriate antibiotic to prescribe would be: - ANSWER: Azithromycin
Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract
infection. What would be the appropriate antibiotic to prescribe for her? - ANSWER:
Amoxicillin (Trimox)
John has clonidine, a centrally acting adrenergic blocker, prescribed for his
hypertension. He should: - ANSWER: Not miss a dose or stop taking the drug because
of potential rebound hypertension
Clonidine has several off-label uses including - ANSWER: Both 1 & 2
Potentially fatal granulocytopenia has been associated with treatment of
hyperthyroidism with propylthiouracil. Patients should be taught to report: -
ANSWER: fever and sore throat
Elderly patients who are started on levothyroxine for thyroid replacement should be
monitored for: - ANSWER: Tachycardia and angina
Cost-effectiveness analysis compares two or more treatments or programs that are -
ANSWER: Not necessarily therapeutically equivalent
When the costs of a specific treatment or intervention are calculated and then
compared with the dollar value of the benefit received it is referred to as: - ANSWER:
Cost-benefit analysis
100% Correct Answers
An ACE inhibitor and what other class of drug may reduce proteinuria in patients
with diabetes better than either drug alone? - ANSWER: Nondihydropyridine calcium
channel blockers
An appropriate drug for the treatment of depression with anxiety would be -
ANSWER: escitalopram (Lexapro)
Dwayne was recently started on carbamazepine to treat seizures. He comes to see
you, and you not that while his carbamazepine levels had been in the therapeutic
range, they are now low. The possible cause for the low carbamazepine level is: -
ANSWER: Carbamazepine auto-induces metabolism, leading to lower levels in spite
of good compliance
First line therapy for hyperlipidemia is - ANSWER: lifestyle changes
genetic testing for VCORC1 mutation to assess potential warfarin resistance is
required prior to prescribing warfarin - ANSWER: false
Goals of treatment when treating hypothyroidism with thyroid replacement include:
- ANSWER: all of the above
Jack, eight years old, 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 - ANSWER: insomnia and decreased appetite
Medications used in the management of patients with COPD include - ANSWER: all of
the above
A patient with a COPD exacerbation may require: - ANSWER: systemic corticosteroid
burts
Scott is presenting for follow-up on his lipid panel. He had elevated total cholesterol,
elevated triglycerides, and an LDL of 122mg/dL. He has already implemented diet
changes and increased physical activity. he has mildly elevated liver studies. An
appropriate next step for therapy would be; - ANSWER: Niacin
Second-generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they: - ANSWER: Are less sedating than first-generation
antihistamines
A stepwise approach to the pharmacologic management of asthma: - ANSWER:
Begins with determining the severity of the asthma and assessing asthma control
, Tiotropium bromide (Spiriva) is an inhaled anticholinergic: - ANSWER: Used for the
treatment of COPD
Warfarin resistance may be seen in patients with VCORC1 mutation, leading to: -
ANSWER: decreased response to warfarin
When starting a patient with hypothyroidism on thyroid replacement hormones,
patient education would include the following: - ANSWER: It may take four to eight
weeks to get to euthyroid symptomatically and by lab testing
Which of the following adverse effects may occur due to a dihydropyridine- type
calcium channel blocker? - ANSWER: Edema of the hands and feet
Jamie is a thirty-four-year-old pregnant woman with familial hyperlipidemia and
elevated LDL levels. What is the appropriate treatment for a pregnant woman? -
ANSWER: Bile acid-binding resins
Dosage changes of conjugated equine estrogen (Premarin) are made at _ intervals. -
ANSWER: 6 to 8 weeks
Jonathan has been diagnosed with strep throat and needs a prescription for an
antibiotic. He says the last time he had penicillin he developed a red, blotchy rash.
An appropriate antibiotic to prescribe would be: - ANSWER: Azithromycin
Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract
infection. What would be the appropriate antibiotic to prescribe for her? - ANSWER:
Amoxicillin (Trimox)
John has clonidine, a centrally acting adrenergic blocker, prescribed for his
hypertension. He should: - ANSWER: Not miss a dose or stop taking the drug because
of potential rebound hypertension
Clonidine has several off-label uses including - ANSWER: Both 1 & 2
Potentially fatal granulocytopenia has been associated with treatment of
hyperthyroidism with propylthiouracil. Patients should be taught to report: -
ANSWER: fever and sore throat
Elderly patients who are started on levothyroxine for thyroid replacement should be
monitored for: - ANSWER: Tachycardia and angina
Cost-effectiveness analysis compares two or more treatments or programs that are -
ANSWER: Not necessarily therapeutically equivalent
When the costs of a specific treatment or intervention are calculated and then
compared with the dollar value of the benefit received it is referred to as: - ANSWER:
Cost-benefit analysis