MN 553 EVALUATION EXAM UPDATED QUESTIONS
AND SOLUTIONS RATED A+
✔✔Iron replacements - ✔✔Iron is best taken on an empty stomach with juice
✔✔MMR - ✔✔One month apart due to only 95% of patients are fully immunized for
measles after the first vaccine, with 99% having immunity after two doses of MMR
✔✔Chronic PPI - ✔✔Require monitoring for iron deficiency anemia, vitamin b12 and
calcium deficiency
✔✔Constipation - ✔✔10 year old constipation medication: Bisacodyl (Dulcolax)
suppository
✔✔Gliptins - ✔✔Different than antidiabetic agents: act on the incretin system to
indirectly increase insulin production
✔✔Ringworm treatment - ✔✔1 st line therapy for ringworm or athlete's foot: OTC topical
azole (clotrimazole, miconazole)
✔✔PCN and Cephalosporins - ✔✔Cross sensitivity and cross-resistance because both
drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase producing
organisms
✔✔Long term antifungals - ✔✔Monitor for ketoconazole: AST, ALT, alkaline
phosphatase, and bilirubin
✔✔Allopurinol - ✔✔Monitor BUN, creatinine, and creatinine clearance
✔✔Conjunctivitis and Otis media - ✔✔Treated with high-dose oral amoxicillin
✔✔Vit B12 - ✔✔Pernicious anemia treatment: Vitamin b12 1,000 mcg IM daily x1 week
- 1,000mg IM weekly for a month
✔✔Angina - ✔✔Medications are started with class I or II symptoms
- Class II: angina with strenuous activity or on walking or climibing stairs after meals
-Isosorbide dinitrate- chronic stable angina.
- Twice a day (7a & 2p) Nitrate tolerance can develop
✔✔Antidepressants - ✔✔SSRI education: appetite and concentration improve in the
first 1 to 2 weeks
, -Never run out of Paxil: shorter half-life and withdrawal syndrome has a faster onset
without taper
✔✔Mild persistent asthma - ✔✔Low-dose inhaled corticosteroids
✔✔Inhaled beta-agonist/Inhaled Corticosteroids - ✔✔Use inhaled beta-agonist first,
followed by the inhaled corticosteroid
✔✔Contact dermatitis - ✔✔Poison ivy or poison oak: oral corticosteroids for 2 to 3
weeks
✔✔Impetigo lesions - ✔✔Cost effective treatment for 2 or 3 lesions on face: Mupirocin
ointment
✔✔Metformin - ✔✔Drug of choice for type 2 DM; Decreases glycogenolysis by the liver
✔✔GERD - ✔✔Appropriate treatment: proton pump inhibitor (omeprazole) for 12 weeks
✔✔PUD with H. Pylori - ✔✔1 st line treatment: proton pump inhibitor BID plus
clarithromycin plus amoxicillin for 14 days
✔✔Cluster Headaches - ✔✔-Prevention includes: Ergotamine nightly before bed
-Migraines (Fiorinal-aspirin and butalbital): assess how often she is using medication
✔✔Stage A heart failure - ✔✔Class 1 recommendations: treatment of thyroid disorders,
especially if they are associated with tachyarrhythmias
✔✔Heart failure - ✔✔Beta blockers
---Safe in later parts of pregnancy for treatment of heart failure ---------Ace inhibitors are
contraindicated
✔✔Bisphosphonates - ✔✔-Role of calcium supplements with this: taken sufficient
amounts to provide foundational elements for bone growth
-Iv form used for all but persons with advancing renal dysfunction
✔✔Cholesterol lowering agents - ✔✔Factors to determine type and intensity of
treatment: Coronary artery disease risk level
✔✔Statins - ✔✔Do not prescribe for someone with 3 first- or second- degree family
members with history of muscle issues when started on statins
✔✔Diuretics - ✔✔Aldosterone inhibitors- do not need K supplements
✔✔TSH - ✔✔-Therapeutic values= 0.05 and 3.0 ideally.
AND SOLUTIONS RATED A+
✔✔Iron replacements - ✔✔Iron is best taken on an empty stomach with juice
✔✔MMR - ✔✔One month apart due to only 95% of patients are fully immunized for
measles after the first vaccine, with 99% having immunity after two doses of MMR
✔✔Chronic PPI - ✔✔Require monitoring for iron deficiency anemia, vitamin b12 and
calcium deficiency
✔✔Constipation - ✔✔10 year old constipation medication: Bisacodyl (Dulcolax)
suppository
✔✔Gliptins - ✔✔Different than antidiabetic agents: act on the incretin system to
indirectly increase insulin production
✔✔Ringworm treatment - ✔✔1 st line therapy for ringworm or athlete's foot: OTC topical
azole (clotrimazole, miconazole)
✔✔PCN and Cephalosporins - ✔✔Cross sensitivity and cross-resistance because both
drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase producing
organisms
✔✔Long term antifungals - ✔✔Monitor for ketoconazole: AST, ALT, alkaline
phosphatase, and bilirubin
✔✔Allopurinol - ✔✔Monitor BUN, creatinine, and creatinine clearance
✔✔Conjunctivitis and Otis media - ✔✔Treated with high-dose oral amoxicillin
✔✔Vit B12 - ✔✔Pernicious anemia treatment: Vitamin b12 1,000 mcg IM daily x1 week
- 1,000mg IM weekly for a month
✔✔Angina - ✔✔Medications are started with class I or II symptoms
- Class II: angina with strenuous activity or on walking or climibing stairs after meals
-Isosorbide dinitrate- chronic stable angina.
- Twice a day (7a & 2p) Nitrate tolerance can develop
✔✔Antidepressants - ✔✔SSRI education: appetite and concentration improve in the
first 1 to 2 weeks
, -Never run out of Paxil: shorter half-life and withdrawal syndrome has a faster onset
without taper
✔✔Mild persistent asthma - ✔✔Low-dose inhaled corticosteroids
✔✔Inhaled beta-agonist/Inhaled Corticosteroids - ✔✔Use inhaled beta-agonist first,
followed by the inhaled corticosteroid
✔✔Contact dermatitis - ✔✔Poison ivy or poison oak: oral corticosteroids for 2 to 3
weeks
✔✔Impetigo lesions - ✔✔Cost effective treatment for 2 or 3 lesions on face: Mupirocin
ointment
✔✔Metformin - ✔✔Drug of choice for type 2 DM; Decreases glycogenolysis by the liver
✔✔GERD - ✔✔Appropriate treatment: proton pump inhibitor (omeprazole) for 12 weeks
✔✔PUD with H. Pylori - ✔✔1 st line treatment: proton pump inhibitor BID plus
clarithromycin plus amoxicillin for 14 days
✔✔Cluster Headaches - ✔✔-Prevention includes: Ergotamine nightly before bed
-Migraines (Fiorinal-aspirin and butalbital): assess how often she is using medication
✔✔Stage A heart failure - ✔✔Class 1 recommendations: treatment of thyroid disorders,
especially if they are associated with tachyarrhythmias
✔✔Heart failure - ✔✔Beta blockers
---Safe in later parts of pregnancy for treatment of heart failure ---------Ace inhibitors are
contraindicated
✔✔Bisphosphonates - ✔✔-Role of calcium supplements with this: taken sufficient
amounts to provide foundational elements for bone growth
-Iv form used for all but persons with advancing renal dysfunction
✔✔Cholesterol lowering agents - ✔✔Factors to determine type and intensity of
treatment: Coronary artery disease risk level
✔✔Statins - ✔✔Do not prescribe for someone with 3 first- or second- degree family
members with history of muscle issues when started on statins
✔✔Diuretics - ✔✔Aldosterone inhibitors- do not need K supplements
✔✔TSH - ✔✔-Therapeutic values= 0.05 and 3.0 ideally.
