Question 1

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

Accepted Answer

A)  Serum glucose 
B)  Stool culture 
C)  Folate levels 
D)  Vitamin B12 
A)  Serum glucose 
B)  Stool culture 
C)  Folate levels 
D)  Vitamin B12 A

Question 2

Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?

Accepted Answer

A)  A bisphosphonate 
B)  Calcium supplementation 
C)  Vitamin D 
D)  All of the above 
A)  A bisphosphonate 
B)  Calcium supplementation 
C)  Vitamin D 
D)  All of the above D

Question 3

Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes:

Accepted Answer

A)  Gout may worsen with therapy. 
B)  Febuxostat may cause severe diarrhea. 
C)  He should consume a high-calcium diet. 
D)  He will need frequent CBC monitoring. 
A)  Gout may worsen with therapy. 
B)  Febuxostat may cause severe diarrhea. 
C)  He should consume a high-calcium diet. 
D)  He will need frequent CBC monitoring. A

Question 4

Monitoring a patient on a high-dose aspirin level includes:

Accepted Answer

A)  Salicylate level 
B)  Complete blood count 
C)  Urine pH 
D)  All of the above 
A)  Salicylate level 
B)  Complete blood count 
C)  Urine pH 
D)  All of the above

Question 5

Patients who are on long-term aspirin therapy should have ______ annually.

Accepted Answer

A)  Complete blood count 
B)  Salicylate level 
C)  Amylase 
D)  Urine analysis 
A)  Complete blood count 
B)  Salicylate level 
C)  Amylase 
D)  Urine analysis

Question 6

Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?

Accepted Answer

A)  Patients with asthma are transitioned directly off the prednisone onto inhaled corticosteroids. 
B)  Prednisone can be abruptly discontinued with no adverse effects. 
C)  Develop a tapering schedule to slowly wean Daniel off the prednisone. 
D)  Substitute the prednisone with another anti-inflammatory such as ibuprofen. 
A)  Patients with asthma are transitioned directly off the prednisone onto inhaled corticosteroids. 
B)  Prednisone can be abruptly discontinued with no adverse effects. 
C)  Develop a tapering schedule to slowly wean Daniel off the prednisone. 
D)  Substitute the prednisone with another anti-inflammatory such as ibuprofen.

Question 7

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry?

Accepted Answer

A)  High-dose colchicine 
B)  Low-dose colchicine 
C)  High-dose aspirin 
D)  Acetaminophen with codeine 
A)  High-dose colchicine 
B)  Low-dose colchicine 
C)  High-dose aspirin 
D)  Acetaminophen with codeine

Question 8

Josefina is a 2-year-old child with acute otitis media and an upper respiratory infection. Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen. What education would her parent need regarding ibuprofen?

Accepted Answer

A)  They can cut an adult ibuprofen tablet in half to give Josefina. 
B)  The ibuprofen dose can be doubled for severe pain. 
C)  Josefina needs to be well-hydrated while taking ibuprofen. 
D)  Ibuprofen is completely safe in children with no known adverse effects. 
A)  They can cut an adult ibuprofen tablet in half to give Josefina. 
B)  The ibuprofen dose can be doubled for severe pain. 
C)  Josefina needs to be well-hydrated while taking ibuprofen. 
D)  Ibuprofen is completely safe in children with no known adverse effects.

Question 9

All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning regarding:

Accepted Answer

A)  Potential for causing life-threatening GI bleeds 
B)  Increased risk of developing systemic arthritis with prolonged use 
C)  Risk of life-threatening rashes, including Stevens-Johnson 
D)  Potential for transient changes in serum glucose 
A)  Potential for causing life-threatening GI bleeds 
B)  Increased risk of developing systemic arthritis with prolonged use 
C)  Risk of life-threatening rashes, including Stevens-Johnson 
D)  Potential for transient changes in serum glucose

Question 10

Patients who are on chronic long-term corticosteroid therapy need education regarding:

Accepted Answer

A)  Receiving all vaccinations, especially the live flu vaccine 
B)  Reporting black tarry stools or abdominal pain 
C)  Eating a high carbohydrate diet with plenty of fluids 
D)  Small amounts of alcohol are generally tolerated. 
A)  Receiving all vaccinations, especially the live flu vaccine 
B)  Reporting black tarry stools or abdominal pain 
C)  Eating a high carbohydrate diet with plenty of fluids 
D)  Small amounts of alcohol are generally tolerated.

Question 11

When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these drugs:

Accepted Answer

A)  Omeprazole, a proton pump inhibitor 
B)  Combined oral contraceptives 
C)  Diphenhydramine, an antihistamine 
D)  Warfarin, an anticoagulant 
A)  Omeprazole, a proton pump inhibitor 
B)  Combined oral contraceptives 
C)  Diphenhydramine, an antihistamine 
D)  Warfarin, an anticoagulant

Question 12

Patient education when prescribing colchicine includes:

Accepted Answer

A)  Colchicine may be constipating. 
B)  Colchicine always causes some degree of diarrhea. 
C)  Mild muscle weakness is normal. 
D)  Moderate amounts of alcohol are safe with colchicine. 
A)  Colchicine may be constipating. 
B)  Colchicine always causes some degree of diarrhea. 
C)  Mild muscle weakness is normal. 
D)  Moderate amounts of alcohol are safe with colchicine.

Question 13

Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes:

Accepted Answer

A)  It is okay to double the dose of Vicodin if the pain is severe. 
B)  Vicodin is not habit-forming. 
C)  He should not take any other acetaminophen-containing medications. 
D)  Vicodin may cause diarrhea; increase his fluid intake. 
A)  It is okay to double the dose of Vicodin if the pain is severe. 
B)  Vicodin is not habit-forming. 
C)  He should not take any other acetaminophen-containing medications. 
D)  Vicodin may cause diarrhea; increase his fluid intake.

Question 14

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

Accepted Answer

A)  Black tarry stools 
B)  Vomiting 
C)  Tremors 
D)  Tinnitus 
A)  Black tarry stools 
B)  Vomiting 
C)  Tremors 
D)  Tinnitus

Question 15

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:

Accepted Answer

A)  48 hours 
B)  4 to 6 days 
C)  4 weeks 
D)  2 months 
A)  48 hours 
B)  4 to 6 days 
C)  4 weeks 
D)  2 months

Question 16

Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes:

Accepted Answer

A)  Complete blood count 
B)  Blood glucose 
C)  C-reactive protein 
D)  BUN, creatinine, and creatinine clearance 
A)  Complete blood count 
B)  Blood glucose 
C)  C-reactive protein 
D)  BUN, creatinine, and creatinine clearance

Question 17

Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for:

Accepted Answer

A)  Gout 
B)  Iron deficiency anemia 
C)  Osteoporosis 
D)  Renal dysfunction 
A)  Gout 
B)  Iron deficiency anemia 
C)  Osteoporosis 
D)  Renal dysfunction

Question 18

Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states the aspirin helps him to "get going" each day. Lately he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry?

Accepted Answer

A)  Add an H2 blocker such as ranitidine to his therapy. 
B)  Discontinue the aspirin and switch him to Vicodin for the pain. 
C)  Decrease the aspirin dose to one tablet daily. 
D)  Have Henry take an antacid 15 minutes before taking the aspirin each day. 
A)  Add an H2 blocker such as ranitidine to his therapy. 
B)  Discontinue the aspirin and switch him to Vicodin for the pain. 
C)  Decrease the aspirin dose to one tablet daily. 
D)  Have Henry take an antacid 15 minutes before taking the aspirin each day.

Question 19

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

Accepted Answer

A)  Metformin, a biguanide to prevent diabetes 
B)  Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease 
C)  Naproxen, an NSAID to treat joint pain 
D)  Furosemide, a diuretic to treat fluid retention 
A)  Metformin, a biguanide to prevent diabetes 
B)  Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease 
C)  Naproxen, an NSAID to treat joint pain 
D)  Furosemide, a diuretic to treat fluid retention

Exam 25: Drugs Used in Treating Inflammatory Processes

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?

Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes:

Monitoring a patient on a high-dose aspirin level includes:

Patients who are on long-term aspirin therapy should have ______ annually.

Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry?

Josefina is a 2-year-old child with acute otitis media and an upper respiratory infection. Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen. What education would her parent need regarding ibuprofen?

All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning regarding:

Patients who are on chronic long-term corticosteroid therapy need education regarding:

When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these drugs:

Patient education when prescribing colchicine includes:

Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes:

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:

Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes:

Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for:

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Eye and Ear Disorders

Anemia

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hypertension

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Sexually Transmitted Infections and Vaginitis

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Women As Patients

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

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