You are treating a patient with gouty arthritis who has an inflamed left great toe that is
painful. You inquire about his diet to counsel him. Which food contributes most to a
high purine diet?
beef
bread
eggs
coffee
Give this one a try later!
, Correct answer:
beef
Meat and fish contribute significantly to the risk of developing gout in
susceptible individual as does tea and alcohol. Bread, coffee and dairy
products are low in purine.
Mrs. Hanson is an 80-year-old woman for whom you must prescribe a pain-killing
drug. When prescribing drugs for the elderly, such as Mrs. Hanson which of the
following would NOT be in your plan?
Begin with more than the usual adult dose since absorption may take longer.
Make changes infrequently.
Allow an adequate trial period before discontinuing the drug.
Keep the number of pills needed to achieve the dose low.
Give this one a try later!
Correct answer:
Begin with more than the usual adult dose since absorption may take
longer.
This is not something that you would do for an elderly patient. You would
begin with less than the usual adult dose. Then you might increase the dose
but slowly.
Which of the following supplements would you recommend for a woman who is
trying to get pregnant that has the ability to reduce birth defects by about 50%?
vitamin C
vitamin K
magnesium
folic acid
,Give this one a try later!
Correct Answer:
folic acid
Folic acid taken as a supplement has been recognized as reducing the
occurrence of neural tube defects. All women of childbearing years,
whether pregnant or not, should take 0.4 mg daily of folic acid either alone
or as part of a multivitamin supplement. The dose is increased with
pregnancy.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
About 90% of hip fractures are due to falls.
Give this one a try later!
Correct Answer:
Black women are at higher risk for hip fractures than white women.
It is white women, not black women, who are at higher risk for hip fractures.
Falls are one of the most common adverse events that threaten the quality
of life of older adults. Falls among older adults are not a normal
consequence of aging.
In terms of liver function tests, which of the following test has a normal reference
range of 5 - 50 u/L?
Alkaline Phosphatase
, Serum GGT
Serum ALT
Serum AST
Give this one a try later!
Correct answer:
Serum AST
Serum AST is normal at 5 to 50 u/L. It is present in the liver, heart muscle,
skeletal muscle, kidney and lung. It is not specific for liver injury because it
is also elevated in other conditions such as acute MI.
What is the recommended level for LDL for healthy adults?
<100 mg/dL.
<130 mg/dL.
>40 mg/dL.
<200 mg/dL.
Give this one a try later!
Correct answer:
<100 mg/dL
Expert panels have established several limits for lipid levels. For low density
lipoprotein (LDL), the level is <100 mg/dL for adults. More that this amount
places the individual at risk for cardiovascular disease.
You have a 62-year-old male patient who has just recovered from an acute attack of
gout. You want to prescribe a maintenance medication for this patient. Which of the
following gout medications would you prescribe?
Indometacin
painful. You inquire about his diet to counsel him. Which food contributes most to a
high purine diet?
beef
bread
eggs
coffee
Give this one a try later!
, Correct answer:
beef
Meat and fish contribute significantly to the risk of developing gout in
susceptible individual as does tea and alcohol. Bread, coffee and dairy
products are low in purine.
Mrs. Hanson is an 80-year-old woman for whom you must prescribe a pain-killing
drug. When prescribing drugs for the elderly, such as Mrs. Hanson which of the
following would NOT be in your plan?
Begin with more than the usual adult dose since absorption may take longer.
Make changes infrequently.
Allow an adequate trial period before discontinuing the drug.
Keep the number of pills needed to achieve the dose low.
Give this one a try later!
Correct answer:
Begin with more than the usual adult dose since absorption may take
longer.
This is not something that you would do for an elderly patient. You would
begin with less than the usual adult dose. Then you might increase the dose
but slowly.
Which of the following supplements would you recommend for a woman who is
trying to get pregnant that has the ability to reduce birth defects by about 50%?
vitamin C
vitamin K
magnesium
folic acid
,Give this one a try later!
Correct Answer:
folic acid
Folic acid taken as a supplement has been recognized as reducing the
occurrence of neural tube defects. All women of childbearing years,
whether pregnant or not, should take 0.4 mg daily of folic acid either alone
or as part of a multivitamin supplement. The dose is increased with
pregnancy.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
About 90% of hip fractures are due to falls.
Give this one a try later!
Correct Answer:
Black women are at higher risk for hip fractures than white women.
It is white women, not black women, who are at higher risk for hip fractures.
Falls are one of the most common adverse events that threaten the quality
of life of older adults. Falls among older adults are not a normal
consequence of aging.
In terms of liver function tests, which of the following test has a normal reference
range of 5 - 50 u/L?
Alkaline Phosphatase
, Serum GGT
Serum ALT
Serum AST
Give this one a try later!
Correct answer:
Serum AST
Serum AST is normal at 5 to 50 u/L. It is present in the liver, heart muscle,
skeletal muscle, kidney and lung. It is not specific for liver injury because it
is also elevated in other conditions such as acute MI.
What is the recommended level for LDL for healthy adults?
<100 mg/dL.
<130 mg/dL.
>40 mg/dL.
<200 mg/dL.
Give this one a try later!
Correct answer:
<100 mg/dL
Expert panels have established several limits for lipid levels. For low density
lipoprotein (LDL), the level is <100 mg/dL for adults. More that this amount
places the individual at risk for cardiovascular disease.
You have a 62-year-old male patient who has just recovered from an acute attack of
gout. You want to prescribe a maintenance medication for this patient. Which of the
following gout medications would you prescribe?
Indometacin
