Leik - /
FNP
/
Review
/
Exam Questions With Correct Answers
/ / / / /
Which /of /the /following /drugs /interact /with /warfarin/coumadin?
a. /Imodium /(loperamide)
b. /Diltiazem /Hydrochloride /SR /(diltiazem)
c. /trimethoporim-sulfamethoxazole /(Bactrim)
d. /sumatriptan /(Imitrex) /- /verified /answer(s)-✔✔c
Sulfa
/drugs
/will
/interact
/with
/warfarin
/(increases /the /blood /level), /which /results /in /an /elevation /of /the /INR /and /the /risk /of /bleeding.
The /following /drugs /are /potent /inhibitors /of /the /CYP450 /system /except:
a. /Erythromycin /(Erythrocin)
b. /Cimetidine /(Tagamet)
c. /Ceftazidime /(Tazicef)
d. /Diltiazem /(Cardizem) /- /verified /answer(s)-✔✔a
Erythromycin
/acts
,/as
/inhibitors
/slow /down /drug /clearance, /increasing /drug /concentration. /This /may /lead /to /drug /overdose.
A
/57
/year
/old
/patient
/comes
/to
/the
/clinic
/for
/her
/routine
/physical.
/She
/has
/no
/new
/complaints.
/The
/only
/medication
/that
/she
/takes
/is /digoxin /(Lanoxin) /for /her /atrial /fibrillation. /Which /of /the /following /electrolyte /levels /should
/be /monitored /in /this /patient?
a. /potassium, /calcium, /chloride
b. /magnesium, /calcium, /chloride
c. /potassium, /calcium, /magnesium
d. /magnesium, /calcium, /phosphate /- /verified /answer(s)-✔✔c
,Monitor /digoxin /level, /EKG, /electrolytes /(potassium, /magnesium, /and /calcium)
A
/48
/year
/old
/female
/patient
/comes
/to
/the /clinic /today /to /discuss /her /ongoing /use /off /Lithium. /She /states /that /she /has /begun /feeling
/very
/tired
/and
/feels
/cold
/during
/the
/day.
/She
/thinks
/that
/her
/increase
/in /Lithium /dose /is /causing /her /symptoms. /What /should /the /nurse /practitioner /order?
a. /TSH
b. /CBC
c. /LFT
d. /BUN /- /verified /answer(s)-✔✔a
Patients
/taking
/lithium
/have
, /an
/increased
/risk
/of
/developing
/hypothyroidism
/by
/decreasing
/the
/production
/of
/T4.
/Levothyroxine
/replacement
/therapy
/concurrently
/with /lithium /administration /especially /in /the /presence /of /clinically /overt /hypothyroidism.
A
/patient
/has
/recently
/been
/prescribed
/omeprazole
/(Prilosec)
/for
/GERD.
/He
/also
/takes
/lisinopril
/(Zestril).
/His
/PMH
/includes /migraines, /hypertension, /and /chronic /kidney /disease. /The /nurse /practitioner /notes:
FNP
/
Review
/
Exam Questions With Correct Answers
/ / / / /
Which /of /the /following /drugs /interact /with /warfarin/coumadin?
a. /Imodium /(loperamide)
b. /Diltiazem /Hydrochloride /SR /(diltiazem)
c. /trimethoporim-sulfamethoxazole /(Bactrim)
d. /sumatriptan /(Imitrex) /- /verified /answer(s)-✔✔c
Sulfa
/drugs
/will
/interact
/with
/warfarin
/(increases /the /blood /level), /which /results /in /an /elevation /of /the /INR /and /the /risk /of /bleeding.
The /following /drugs /are /potent /inhibitors /of /the /CYP450 /system /except:
a. /Erythromycin /(Erythrocin)
b. /Cimetidine /(Tagamet)
c. /Ceftazidime /(Tazicef)
d. /Diltiazem /(Cardizem) /- /verified /answer(s)-✔✔a
Erythromycin
/acts
,/as
/inhibitors
/slow /down /drug /clearance, /increasing /drug /concentration. /This /may /lead /to /drug /overdose.
A
/57
/year
/old
/patient
/comes
/to
/the
/clinic
/for
/her
/routine
/physical.
/She
/has
/no
/new
/complaints.
/The
/only
/medication
/that
/she
/takes
/is /digoxin /(Lanoxin) /for /her /atrial /fibrillation. /Which /of /the /following /electrolyte /levels /should
/be /monitored /in /this /patient?
a. /potassium, /calcium, /chloride
b. /magnesium, /calcium, /chloride
c. /potassium, /calcium, /magnesium
d. /magnesium, /calcium, /phosphate /- /verified /answer(s)-✔✔c
,Monitor /digoxin /level, /EKG, /electrolytes /(potassium, /magnesium, /and /calcium)
A
/48
/year
/old
/female
/patient
/comes
/to
/the /clinic /today /to /discuss /her /ongoing /use /off /Lithium. /She /states /that /she /has /begun /feeling
/very
/tired
/and
/feels
/cold
/during
/the
/day.
/She
/thinks
/that
/her
/increase
/in /Lithium /dose /is /causing /her /symptoms. /What /should /the /nurse /practitioner /order?
a. /TSH
b. /CBC
c. /LFT
d. /BUN /- /verified /answer(s)-✔✔a
Patients
/taking
/lithium
/have
, /an
/increased
/risk
/of
/developing
/hypothyroidism
/by
/decreasing
/the
/production
/of
/T4.
/Levothyroxine
/replacement
/therapy
/concurrently
/with /lithium /administration /especially /in /the /presence /of /clinically /overt /hypothyroidism.
A
/patient
/has
/recently
/been
/prescribed
/omeprazole
/(Prilosec)
/for
/GERD.
/He
/also
/takes
/lisinopril
/(Zestril).
/His
/PMH
/includes /migraines, /hypertension, /and /chronic /kidney /disease. /The /nurse /practitioner /notes:
