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Quiz: The first-line drug choice for a previously healthy adult patient
diagnosed with community-acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline
Ans: 2.Azithromycin
Quiz: Zainab is taking lamotrigine (Lamictal) and presents to the clinic with
fever and lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5
days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens
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, Ans: 2. Ruling out a hypersensitivity reaction that may lead to multi-organ
failure
Quiz: Jake, a 45-year-old patient with schizophrenia, was recently hospitalized
for acute psychosis due to medication noncompliance. He was treated with IM
long-acting haloperidol. Besides monitoring his schizophrenia symptoms, the
patient should be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal
symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do not
care for mentally ill patients
Ans: 2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
Quiz: Digoxin levels need to be monitored closely when the following
medication is started:
1. Loratadine
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, 2. Diphenhydramine
3. Ipratropium
4. Albuterol
Ans: 4. Albuterol
Quiz: Harold, a 42-year-old African American, has moderate persistent
asthma. Which of the following asthma medications should be used cautiously,
if at all?
A.Betamethasone, an inhaled corticosteroid
B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier
Ans: B.Salmeterol, an inhaled long-acting beta-agonist
Quiz: Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
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, 3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma
Ans: 1. Used for the treatment of chronic obstructive pulmonary disease
(COPD)
Quiz: Christy has exercise-induced and mild persistent asthma and is
prescribed two puffs of albuterol 15 minutes before exercise and as needed for
wheezing. One puff per day of beclomethasone (QVAR) is also prescribed.
Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more
than eight puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her
corticosteroid MDI to facilitate bronchodilation
Ans: 2. Beclomethasone needs to be used every day to treat her asthma
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