Question 1 1 / 1 point
Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
Oral corticosteroids for 2 to 3 weeks
Thickly applied topical intermediate-dose corticosteroids
Isolation of the patient to prevent spread of the dermatitis
Question 2 1 / 1 point
Patrick is a 10-year-old patient who presents with uncomfortable constipation. Along with diet changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate choice of medication for a 10-year-old child would be:
PEG 3350 (Miralax)
Bisacodyl (Dulcolax) suppository
Docusate (Colace) suppository
Polyethylene glycol electrolyte solution
Question 3 1 / 1 point
Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for:
Iron deficiency anemia, vitamin B12 and calcium deficiency
Folate and magnesium deficiency
Elevated uric acid levels leading to gout
Hypokalemia and hypocalcemia
Question 4 1 / 1 point
The drug of choice for treatment of early latent or tertiary syphilis is:
Benzathine penicillin G IM
Question 5 0 / 1 point
The optimal maximum time frame for HRT or estrogen replacement therapy (ERT) is:
Question 6 1 / 1 point
The Best Pharmaceuticals for Children Act:
Includes a pediatric exclusivity rule which extends the patent on drugs studied in children
Establishes a committee that writes guidelines for pediatric prescribing
Provides funding for new drug development aimed at children
Encourages manufacturers specifically to develop pediatric formulations
Question 7 1 / 1 point
Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection. Treatment for her would include:
Metronidazole 2 grams PO x 1 dose
Topical intravaginal metronidazole daily x 7 days
Intravaginal clindamycin daily x 7 days
Azithromycin 2 grams PO x 1 dose
Question 8 1 / 1 point
Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
Appetite and concentration improve in the first 1 to 2 weeks.
Sleep should improve almost immediately upon starting citalopram.
Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic dose.
His dysphoric mood will improve in 1 to 2 weeks.
Question 9 1 / 1 point
Patients who have a poor metabolism phenotype will have:
Slowed metabolism of a prodrug into an active drug, leading to accumulation of Prodrug
Accumulation of inactive metabolites of drugs
A need for increased dosages of medications
Increased elimination of an active drug
Question 10 1 / 1 point
The drug of choice for type 2 diabetics is metformin. Metformin:
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Increases intestinal uptake of glucose
Prevents weight gain associated with hyperglycemia
Question 11 1 / 1 point
The first-line therapy for mild-persistent asthma is:
Low-dose inhaled corticosteroids
Question 12 1 / 1 point
All of the following statements about the Beer’s List are true except:
It is a list of medications or medication classes that should generally be avoided in persons 65 years or older because they are either ineffective or they pose unnecessarily high risk for older persons and a safer alternative is available.
It is derived from the expert opinion of one geriatrician and is not evidence-based.
These criteria have been adopted by the Centers for Medicare and Medicaid Services for regulation of long-term care facilities.
These criteria are directed at the general population of patients over 65 years of age and do not take disease states into consideration.
Question 13 1 / 1 point
It is a long-acting drug with potential for toxicity.
Nitrate tolerance can develop.
Orthostatic hypotension is a common adverse effect.
It must be taken with milk or food.
Question 14 1 / 1 point
True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:
Fever up to 104oF (40.5oC) after previous DTaP vaccine
Family history of seizures after DTaP vaccine
Anaphylactic reaction with a previous dose