Question 30. Question :
A woman who is pregnant and has hyperthyroidism is best managed by a specialty team that will most likely treat her with:
Nothing; treatment is best delayed until after her pregnancy ends.
Question 31. Question :
A twenty-four-year-old male received multiple fractures in a motor vehicle accident that required significant amounts of opioid medication to treat his pain. He is at risk for Type __ ADR when he no longer requires the opioids.
Question 32. Question :
Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they:
Are more effective than first-generation antihistamines
Are less sedating than first-generation antihistamines
Are prescription products and, therefore, are covered by insurance
Can be taken with CNS sedatives, such as alcohol
Question 33. Question :
Steady state is:
The point on the drug concentration curve when absorption exceeds excretion
When the amount of drug in the body remains constant
When the amount of drug in the body stays below the minimum toxic concentration (MTC)
All of the above
Question 34. Question :
Jayla is a nine-year-old who has been diagnosed with migraines for almost two years. She is missing up to a week of school each month. Her headache diary confirms she averages four or five migraines per month. Which of the following would be appropriate?
Prescribe amitriptyline (Elavil) daily, start at a low dose and increase the dose slowly every two weeks until effective in eliminating migraines.
Encourage her mother to give her Excedrin Migraine (aspirin, acetaminophen, and caffeine) at the first sign of a headache to abort the headache.
Prescribe propranolol (Inderal) to be taken daily for at least three months.
Explain that it is rare for a nine-year-old to get migraines and that she needs an MRI to rule out a brain tumor.
Question 35. Question :
Josie is a five-year-old who presents to the clinic with a forty-eight-hour history of nausea, vomiting, and some diarrhea. She is unable to keep fluids down, and her weight is 4 pounds less than her last recorded weight. Besides intravenous (IV) fluids, her exam warrants the use of an antinausea medication. Which of the following would be the appropriate drug to order for Josie?
Question 36. Question :
Long-term use of PPIs may lead to:
Hip fractures in at-risk persons
Vitamin B6 deficiency
All of the above
Question 37. Question :
Many patients self-medicate with antacids. Which patients should be counseled to not take calcium carbonate antacids without discussing with their providers or a pharmacist first?
Patients with kidney stones
Patients with heartburn
IN Postmenopausal women
0 of 2.5
Question 38. Question :
Beta blockers treat hypertension because they:
Reduce peripheral resistance.
Vasoconstrict coronary arteries.
Reduce angiotensin II production.
Question 39. Question :
Precautions that should be taken when prescribing controlled substances include:
Faxing the prescription for a Schedule II drug directly to the pharmacy
Using tamper-proof papers for all prescriptions written for controlled drugs
Keeping any presigned prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed
Question 40. Question :
The tricyclic antidepressants should be prescribed cautiously in patients with:
Question 41. Question :
An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone?
Nondihydropyridine calcium channel blockers
Angiotensin II receptor blockers
Question 42. Question :
Metoclopramide improves GERD symptoms by:
Reducing acid secretion
Increasing gastric pH
Increasing lower esophageal tone
Decreasing lower esophageal tone
Question 43. Question :
Patient education regarding prescribed medication includes:
Instructions written at the high school reading level
Discussion of expected ADRs
How to store leftover medication such as antibiotics
Verbal instructions always in Englis