Question 15 1 / 1 point
Gender differences between men and women in pharmacokinetics include:
More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption sites
Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution
Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations
Slower organ blood flow rates so drugs tend to take longer to be excreted
Question 16 1 / 1 point
Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include:
Question 17 1 / 1 point
Developmental variation in renal function has what impact on prescribing for infants and children?
Lower doses of renally excreted drugs may be prescribed to infants younger than age 6 months.
Higher doses of water soluble drugs may need to be prescribed because of increased renal excretion.
Renal excretion rates have no impact on prescribing.
Parents need to be instructed on whether drugs are renally excreted or not.
Question 18 1 / 1 point
When a pharmacoeconomic analysis looks at two or more treatment alternatives that are considered equal in efficacy and compares the costs of each it is referred to as:
Question 19 1 / 1 point
Allison is an 18-year-old college student with type 1 diabetes. She is on NPH twice daily and Novolog before meals. She usually walks for 40 minutes each evening as part of her exercise regimen. She is beginning a 30-minute swimming class three times a week at 1 p.m. What is important for her to do with this change in routine?
Delay eating the midday meal until after the swimming class.
Increase the morning dose of NPH insulin on days of the swimming class.
Adjust the morning insulin injection so that the peak occurs while swimming.
Check glucose level before, during, and after swimming.
Question 20 0 / 1 point
A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most likely treat her with:
Nothing, treatment is best delayed until after her pregnancy ends
Question 21 1 / 1 point
Which of the following is a primary benefit of the use of computerized provider order entry for patient medications?
Reduces time that prescribing drugs takes
Eliminates the need to chart drugs prescribed
Decreases prescribing and transcription errors
Helps keep the number of drugs prescribed to a minimum
Question 22 1 / 1 point
Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:
Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
There is no evidence that cranberry juice helps prevent UTIs.
Cranberry juice only works to prevent UTIs in children.
Question 23 1 / 1 point
Ginseng, which is taken to assist with memory, may potentiate:
Question 24 1 / 1 point
While on testosterone replacement, hemoglobin and hematocrit levels should be monitored. Levels suggestive of excessive erythrocytosis or abuse are:
Hemoglobin 14 g/dl or hematocrit 39%
Hemoglobin 11.5 g/dl or hematocrit 31%
Hemoglobin 13 g/dl or hematocrit 38%
Hemoglobin 17.5 g/dl or hematocrit 54%
Question 25 1 / 1 point
What is the role of calcium supplements when patients take bisphosphonates?
They must be restricted to allow the medication to work.
They must be taken in sufficient amounts to provide foundational elements for bone growth.
They must be taken at the same time as the bisphosphonates.
They only work with bisphosphonates if daily intake is restricted.
Question 26 1 / 1 point
Clinical judgment in prescribing includes:
Factoring in the cost to the patient of the medication prescribed
Always prescribing the newest medication available for the disease process
Handing out drug samples to poor patients
Prescribing all generic medications to cut costs