NEW MN 553 EXAM
STUDY GUIDE AND FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS
Goals when treating tuberculosis include: Question options:
A. Completion of recommended therapy
B. Negative purified protein derivative at the end of therapy
C. Completely normal chest x-ray
D. All of the above -- ANSWER--A. Completion of recommended therapy
A potentially life-threatening adverse response to angiotensin-converting
enzyme inhibitors is angioedema. Which of the following statements is true
about this adverse response? Question options:
A. Swelling of the tongue or hoarseness are the most common symptoms.
B. It appears to be related to the decrease in aldosterone production.
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,C. Presence of a dry, hacky cough indicates a high risk for this adverse
response.
D. Because it takes time to build up a blood level, it occurs after being on the
drug for about 1 week. -- ANSWER--A. Swelling of the tongue or hoarseness
are the most common symptoms.
Jamison has been prescribed citalopram (Celexa) to treat his depression.
Education regarding how quickly selective serotonin reuptake inhibitor (SSRI)
antidepressants work would be: Question options:
A. Appetite and concentration improve in the first 1 to 2 weeks.
B. Sleep should improve almost immediately upon starting citalopram.
C. Full response to the SSRI may take 2 to 4 months after he reaches the full
therapeutic dose.
D. His dysphoric mood will improve in 1 to 2 weeks. -- ANSWER--A.
Appetite and concentration improve in the first 1 to 2 weeks.
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is
taking allopurinol includes:Question options:
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,A. Complete blood count
B. Blood glucose
C. C-reactive protein
D. BUN, creatinine, and creatinine clearance -- ANSWER--D. BUN,
creatinine, and creatinine clearance
Patients who are prescribed exogenous androgens need to be warned that
decreased libido: Question options:
A. Is an unusual side effect of androgens and should be reported to the
provider
B. Is treated with increased doses of androgens, so the patient should let the
provider know if he is having problems
C. May be a sign of early prostate cancer and he should make an
appointment for a prostate screening exam
D. May occur with androgen therapy -- ANSWER--D. May occur with
androgen therapy
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, A woman who is pregnant and has hyperthyroidism is best managed by a
specialty team who will most likely treat her with: Question options:
A. Methimazole
B. Propylthiouracil (PTU)
C. Radioactive iodine
D. Nothing, treatment is best delayed until after her pregnancy ends --
ANSWER--B. Propylthiouracil (PTU)
The dosage of Vitamin B12 to initially treat pernicious anemia is: Question
options:
A. Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then
weekly x 1 month
B. Vitamin B12 IM monthly
C. Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for
a month
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STUDY GUIDE AND FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS
Goals when treating tuberculosis include: Question options:
A. Completion of recommended therapy
B. Negative purified protein derivative at the end of therapy
C. Completely normal chest x-ray
D. All of the above -- ANSWER--A. Completion of recommended therapy
A potentially life-threatening adverse response to angiotensin-converting
enzyme inhibitors is angioedema. Which of the following statements is true
about this adverse response? Question options:
A. Swelling of the tongue or hoarseness are the most common symptoms.
B. It appears to be related to the decrease in aldosterone production.
Page | 1
,C. Presence of a dry, hacky cough indicates a high risk for this adverse
response.
D. Because it takes time to build up a blood level, it occurs after being on the
drug for about 1 week. -- ANSWER--A. Swelling of the tongue or hoarseness
are the most common symptoms.
Jamison has been prescribed citalopram (Celexa) to treat his depression.
Education regarding how quickly selective serotonin reuptake inhibitor (SSRI)
antidepressants work would be: Question options:
A. Appetite and concentration improve in the first 1 to 2 weeks.
B. Sleep should improve almost immediately upon starting citalopram.
C. Full response to the SSRI may take 2 to 4 months after he reaches the full
therapeutic dose.
D. His dysphoric mood will improve in 1 to 2 weeks. -- ANSWER--A.
Appetite and concentration improve in the first 1 to 2 weeks.
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is
taking allopurinol includes:Question options:
Page | 2
,A. Complete blood count
B. Blood glucose
C. C-reactive protein
D. BUN, creatinine, and creatinine clearance -- ANSWER--D. BUN,
creatinine, and creatinine clearance
Patients who are prescribed exogenous androgens need to be warned that
decreased libido: Question options:
A. Is an unusual side effect of androgens and should be reported to the
provider
B. Is treated with increased doses of androgens, so the patient should let the
provider know if he is having problems
C. May be a sign of early prostate cancer and he should make an
appointment for a prostate screening exam
D. May occur with androgen therapy -- ANSWER--D. May occur with
androgen therapy
Page | 3
, A woman who is pregnant and has hyperthyroidism is best managed by a
specialty team who will most likely treat her with: Question options:
A. Methimazole
B. Propylthiouracil (PTU)
C. Radioactive iodine
D. Nothing, treatment is best delayed until after her pregnancy ends --
ANSWER--B. Propylthiouracil (PTU)
The dosage of Vitamin B12 to initially treat pernicious anemia is: Question
options:
A. Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then
weekly x 1 month
B. Vitamin B12 IM monthly
C. Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for
a month
Page | 4
