IPPE Module 2: Quiz Questions &
answers graded A+ updated
MJ has a history of subtherapeutic anticoagulation on warfarin (due to poor adherence) until
the administration time was changed from evening to morning. The patient also frequently skips
meals and takes antacids for reflux. Which of the following statins is optimal for this patient?
A. Pravastatin
B. Atorvastatin
C. Lovastatin
D. Rosuvastatin - correct answer ✔✔B. Atorvastatin
Select the brand name for lovastatin.
A. Lescol
B. Crestor
C. Mevacor
D. Zocor - correct answer ✔✔C. Mevacor
You have identified the cause of the cough. At the next visit, TM wants to change the
medication, as she cannot tolerate the cough. Unfortunately, she missed her follow-up and
returns to you in 6 months. In between appointments she was admitted to the hospital and
diagnosed with type 2 diabetes. Which of the following recommendations is best for TM
assuming no insurance or cost issues?
A. Switch to Lopressor.
B. Switch to Atacand.
, C. Switch to Altace.
D. Switch to Cardizem.
E. Continue her current medication as this side effect usually subsides - correct answer ✔✔B.
Switch to Atacand.
RJ is a 71-year-old woman with a history of ischemic cardiomyopathy who presents to clinic with
symptoms consistent with NYHA class IV HF. Past medical history includes hyperlipidemia,
diabetes mellitus, myocardial infarction, and hypothyroidism. RJ complains of progressive
weight gain (~ 6 lb increase since visit 3 months ago), SOB at rest, two-pillow orthopnea, and
occasional paroxysmal nocturnal dyspnea (PND). Her physical examination is positive for 1+
pitting edema in her ankles and minimal JVD. Vital signs include BP 105/70 mm Hg and HR 91
beats/min. Laboratory results include potassium 3.6 mmol/L, BUN 39 mg/dL, and creatinine 1.4
mg/dL. RJ's current medications are levothyroxine 0.05 mg daily, furosemide 40 mg twice daily,
lisinopril 20 mg daily, atorvastatin 40 mg daily, aspirin 81 mg daily, insulin glargine 46 units at
bedtime, and insulin aspart 6 units before meals. Which of the following represents the ne -
correct answer ✔✔B. Initiate metoprolol succinate 25 mg daily once euvolemia is achieved.
A 16-year-old African American patient is admitted to the hospital for an asthma exacerbation.
The patient was prescribed the following medications: albuterol MDI two puffs prn wheezing,
mometasone DPI one inhalation daily, fexofenadine 180 mg one tablet daily, and formoterol DPI
one capsule bid. Which has demonstrated an increased risk of death when administered as
monotherapy for daily control of asthma?
A. Albuterol
B. Momentasone
C. Fexofenadine
D. Formoterol - correct answer ✔✔D. Formoterol
Select the brand name for ciclesonide.
A. Ventolin
answers graded A+ updated
MJ has a history of subtherapeutic anticoagulation on warfarin (due to poor adherence) until
the administration time was changed from evening to morning. The patient also frequently skips
meals and takes antacids for reflux. Which of the following statins is optimal for this patient?
A. Pravastatin
B. Atorvastatin
C. Lovastatin
D. Rosuvastatin - correct answer ✔✔B. Atorvastatin
Select the brand name for lovastatin.
A. Lescol
B. Crestor
C. Mevacor
D. Zocor - correct answer ✔✔C. Mevacor
You have identified the cause of the cough. At the next visit, TM wants to change the
medication, as she cannot tolerate the cough. Unfortunately, she missed her follow-up and
returns to you in 6 months. In between appointments she was admitted to the hospital and
diagnosed with type 2 diabetes. Which of the following recommendations is best for TM
assuming no insurance or cost issues?
A. Switch to Lopressor.
B. Switch to Atacand.
, C. Switch to Altace.
D. Switch to Cardizem.
E. Continue her current medication as this side effect usually subsides - correct answer ✔✔B.
Switch to Atacand.
RJ is a 71-year-old woman with a history of ischemic cardiomyopathy who presents to clinic with
symptoms consistent with NYHA class IV HF. Past medical history includes hyperlipidemia,
diabetes mellitus, myocardial infarction, and hypothyroidism. RJ complains of progressive
weight gain (~ 6 lb increase since visit 3 months ago), SOB at rest, two-pillow orthopnea, and
occasional paroxysmal nocturnal dyspnea (PND). Her physical examination is positive for 1+
pitting edema in her ankles and minimal JVD. Vital signs include BP 105/70 mm Hg and HR 91
beats/min. Laboratory results include potassium 3.6 mmol/L, BUN 39 mg/dL, and creatinine 1.4
mg/dL. RJ's current medications are levothyroxine 0.05 mg daily, furosemide 40 mg twice daily,
lisinopril 20 mg daily, atorvastatin 40 mg daily, aspirin 81 mg daily, insulin glargine 46 units at
bedtime, and insulin aspart 6 units before meals. Which of the following represents the ne -
correct answer ✔✔B. Initiate metoprolol succinate 25 mg daily once euvolemia is achieved.
A 16-year-old African American patient is admitted to the hospital for an asthma exacerbation.
The patient was prescribed the following medications: albuterol MDI two puffs prn wheezing,
mometasone DPI one inhalation daily, fexofenadine 180 mg one tablet daily, and formoterol DPI
one capsule bid. Which has demonstrated an increased risk of death when administered as
monotherapy for daily control of asthma?
A. Albuterol
B. Momentasone
C. Fexofenadine
D. Formoterol - correct answer ✔✔D. Formoterol
Select the brand name for ciclesonide.
A. Ventolin
