Maryville Pharm Exam 3 Elle Review
Terms in this set (119)
Mr. Holloway presents to your (B) Low-dose colchicine. Low-dose colchicine is 1.2 mg
clinic with a significantly followed by 0.6 mg one hour later or 1.8 mg total. High-dose
swollen, painful big toe and colchicine is 1.2 mg followed by 0.6 mg Q4 to Q6 hours or
you diagnose him with gout. 4.8 mg total. The difference between the two is low-dose
Of the following options which is as effective as high-dose with a lower side effect
would be the best treatment profile.
for Mr. Holloway?
a. Acetaminophen with
codeine
b. Low-dose colchicine
c. High-dose colchicine
d. High-dose aspirin
Patient education when (C) Colchicine always causes some degree of diarrhea
prescribing colchicine
includes?
a. Moderate amounts of
alcohol are safe with
colchicine
b. Colchicine may be constipating
c. Colchicine always causes
some degree of diarrhea
d. Mild muscle weakness is
normal
3. You have a patient BUN, creatinine, and creatinine clearance
who is taking allopurinol to
prevent gout. What labs will
you monitor for this patient on
allopurinol?
a. Blood glucose
b. Complete blood count
c. BUN, creatinine, and creatinine
clearance
d. C-reactive protein
,4. Mr. Thompson has just Gout may worsen with therapy
started taking febuxostat
(Uloric) to treat his gout and
he needs to be educated on
what to expect.
a. Feuxostat may cause severe
diarrhea
b. He will need frequent CBC
monitoring
c. He should consume a high-
calcium diet
d. Gout may worsen with therapy
5. Ms. Jensen has been on Osteoporosis. Prednisone can also worsen diabetic control
prednisone for 6 months. and you must educate your patients to report any tarry
Patients who have been on black stools or abdominal pain.
prednisone for some time
should be assessed for
what?
a. Iron deficiency anemia
b. Renal dysfunction
c. Osteoporosis
d. Gout
6. When you place a Omeprazole
patient on prednisone and the
total dose exceeds 1 gram,
what additional drug should
you prescribe?
a. Naproxen, an NSAID for joint
pain
b. Omeprazole, a proton-pump
inhibitor to prevent PUD
c. Metformin, a biguanide
to prevent diabetes
d. Furosemide, a diuretic to
treat fluid retention
7. Janet has fractured Patient should not take any other medications that contain
her ankle and you give her acetaminophen. When you do have a patient who has pain,
a prescription for Vicodin always start with NSAIDs if they are not contraindicated in
(acetaminophen your patient. That way if their pain is not controlled you
+hydrocodone). What can prescribe a medication that is stronger. My pain is a 3
education should you provide on the pain scale, can I get a prescription for Dilaudid?
before they leave your Umm, NO!
clinic?
a. Okay to double dose if the pain
is severe
b. Patient should not take
,any other medications that
contain acetaminophen
c. Vicodin is not habit forming
d. Vicodin may cause loose
stools and therefore
increase fiber intake
8. Margaret has been on 60 Develop a tapering schedule because tapering helps to avoid
mg of prednisone for 10 both recurrent activity of the underlying disease process
days for her severe asthma and possible cortisol deficiency resulting from the
exacerbation. Since she is hypothalamic-pituitary-adrenal axis (HPA) suppression during
breathing much better it is the period of steroid therapy.
time to discontinue the
medication. What should you
know when discontinuing
this drug?
a. Prednisone can be abruptly
discontinued with no adverse
effects
b. Substitute the prednisone
with another anti-
inflammatory such as
ibuprofen
c. Develop a tapering
schedule to slowly wean
Margaret off the
prednisone
d. Transition patient onto
an inhaled
corticosteroid
, 9. Patients who are currently on Serum glucose. FYI: remember steroid therapy will raise
or will start chronic glucose levels even in your nondiabetic patients.
corticosteroid therapy
should be monitored for
what?
a. Stool culture
b. Vitamin B12
c. Serum glucose
d. Folate levels
10. Patients with All of the above. FYI: long term steroid therapy can contribute to
rheumatoid arthritis who are weakened bones.
on a chronic low-dose
prednisone will need co-
treatment with which
medications to prevent
further adverse effects?
a. Vitamin D
b. Calcium supplementation
c. A bisphosphonate
d. All of the above
11. What is the FDA Black Potential for causing life-threatening gastrointestinal
Box Warning for ALL bleeds (and ulceration and perforation of the stomach or
nonsteroidal anti- intestines). NSAIDs can also increase the risk of
inflammatory drugs cardiovascular thrombotic events, MI, and stroke, especially
(NSAIDS)? with extended use. Elderly patients are at greater risk and
a. Increased risk of can happen without any warning symptoms. So EDUCATE,
developing systemic EDUCATE, EDUCATE!
arthritis with prolonged
use
b. Risk of life-threatening
rashes, including Stevens-
Johnson
c. Potential for causing life-
threatening
gastrointestinal bleeds
d. Potential for transient
changes in serum glucose
levels
12. If you are getting Warfarin. NSAIDs work by inhibiting the cox enzymes.
ready to prescribe an NSAID, Strathman says to get familiar with the "cox pathway" and
a complete drug history how blocking one part of the cox pathway can lead to build
should be conducted as up of other different products. NSAIDs stimulate platelet
Terms in this set (119)
Mr. Holloway presents to your (B) Low-dose colchicine. Low-dose colchicine is 1.2 mg
clinic with a significantly followed by 0.6 mg one hour later or 1.8 mg total. High-dose
swollen, painful big toe and colchicine is 1.2 mg followed by 0.6 mg Q4 to Q6 hours or
you diagnose him with gout. 4.8 mg total. The difference between the two is low-dose
Of the following options which is as effective as high-dose with a lower side effect
would be the best treatment profile.
for Mr. Holloway?
a. Acetaminophen with
codeine
b. Low-dose colchicine
c. High-dose colchicine
d. High-dose aspirin
Patient education when (C) Colchicine always causes some degree of diarrhea
prescribing colchicine
includes?
a. Moderate amounts of
alcohol are safe with
colchicine
b. Colchicine may be constipating
c. Colchicine always causes
some degree of diarrhea
d. Mild muscle weakness is
normal
3. You have a patient BUN, creatinine, and creatinine clearance
who is taking allopurinol to
prevent gout. What labs will
you monitor for this patient on
allopurinol?
a. Blood glucose
b. Complete blood count
c. BUN, creatinine, and creatinine
clearance
d. C-reactive protein
,4. Mr. Thompson has just Gout may worsen with therapy
started taking febuxostat
(Uloric) to treat his gout and
he needs to be educated on
what to expect.
a. Feuxostat may cause severe
diarrhea
b. He will need frequent CBC
monitoring
c. He should consume a high-
calcium diet
d. Gout may worsen with therapy
5. Ms. Jensen has been on Osteoporosis. Prednisone can also worsen diabetic control
prednisone for 6 months. and you must educate your patients to report any tarry
Patients who have been on black stools or abdominal pain.
prednisone for some time
should be assessed for
what?
a. Iron deficiency anemia
b. Renal dysfunction
c. Osteoporosis
d. Gout
6. When you place a Omeprazole
patient on prednisone and the
total dose exceeds 1 gram,
what additional drug should
you prescribe?
a. Naproxen, an NSAID for joint
pain
b. Omeprazole, a proton-pump
inhibitor to prevent PUD
c. Metformin, a biguanide
to prevent diabetes
d. Furosemide, a diuretic to
treat fluid retention
7. Janet has fractured Patient should not take any other medications that contain
her ankle and you give her acetaminophen. When you do have a patient who has pain,
a prescription for Vicodin always start with NSAIDs if they are not contraindicated in
(acetaminophen your patient. That way if their pain is not controlled you
+hydrocodone). What can prescribe a medication that is stronger. My pain is a 3
education should you provide on the pain scale, can I get a prescription for Dilaudid?
before they leave your Umm, NO!
clinic?
a. Okay to double dose if the pain
is severe
b. Patient should not take
,any other medications that
contain acetaminophen
c. Vicodin is not habit forming
d. Vicodin may cause loose
stools and therefore
increase fiber intake
8. Margaret has been on 60 Develop a tapering schedule because tapering helps to avoid
mg of prednisone for 10 both recurrent activity of the underlying disease process
days for her severe asthma and possible cortisol deficiency resulting from the
exacerbation. Since she is hypothalamic-pituitary-adrenal axis (HPA) suppression during
breathing much better it is the period of steroid therapy.
time to discontinue the
medication. What should you
know when discontinuing
this drug?
a. Prednisone can be abruptly
discontinued with no adverse
effects
b. Substitute the prednisone
with another anti-
inflammatory such as
ibuprofen
c. Develop a tapering
schedule to slowly wean
Margaret off the
prednisone
d. Transition patient onto
an inhaled
corticosteroid
, 9. Patients who are currently on Serum glucose. FYI: remember steroid therapy will raise
or will start chronic glucose levels even in your nondiabetic patients.
corticosteroid therapy
should be monitored for
what?
a. Stool culture
b. Vitamin B12
c. Serum glucose
d. Folate levels
10. Patients with All of the above. FYI: long term steroid therapy can contribute to
rheumatoid arthritis who are weakened bones.
on a chronic low-dose
prednisone will need co-
treatment with which
medications to prevent
further adverse effects?
a. Vitamin D
b. Calcium supplementation
c. A bisphosphonate
d. All of the above
11. What is the FDA Black Potential for causing life-threatening gastrointestinal
Box Warning for ALL bleeds (and ulceration and perforation of the stomach or
nonsteroidal anti- intestines). NSAIDs can also increase the risk of
inflammatory drugs cardiovascular thrombotic events, MI, and stroke, especially
(NSAIDS)? with extended use. Elderly patients are at greater risk and
a. Increased risk of can happen without any warning symptoms. So EDUCATE,
developing systemic EDUCATE, EDUCATE!
arthritis with prolonged
use
b. Risk of life-threatening
rashes, including Stevens-
Johnson
c. Potential for causing life-
threatening
gastrointestinal bleeds
d. Potential for transient
changes in serum glucose
levels
12. If you are getting Warfarin. NSAIDs work by inhibiting the cox enzymes.
ready to prescribe an NSAID, Strathman says to get familiar with the "cox pathway" and
a complete drug history how blocking one part of the cox pathway can lead to build
should be conducted as up of other different products. NSAIDs stimulate platelet
