WGUD027 PRACTICE TEST 2 ESSENTIAL
CONCEPTS AND REVIEW NOTES
◉ A 28-year-old married female presents to primary care
accompanied by her husband with complaints of weight gain,
fatigue, muscle aches, bloating, constipation, and difficulty
concentrating. The patient explains that she has been experiencing
these symptoms with increasing frequency over the last two months
and reports feeling upset that she has gained 10 pounds over the
past month despite no significant changes in dietary intake or
activity level. The patient holds a bachelor's degree and is employed
full time as an accountant. The patient reports feeling frustrated
with her poor concentration and identifies recent work errors to be
due to this symptom. The patient explains that she and her spouse
plan to start trying to conceive soon, and she is worried that she may
have trouble becoming pregnant. The patient reports using over-the-
counter laxative products over the last week to combat constipation.
The patient repo
Answer: 5.31 mIU/L
◉ A 74- year-old male with Cushing syndrome presents to the
emergency department (ED) with pain in his left leg, and is
diagnosed with a deep vein thrombosis (DVT).What is this patient's
symptoms related to?
Answer: Elevated Von Willebrand factor
,◉ A 42-year-old asthmatic who has been using beta-adrenergic
agonists for several years began to experience premature atrial
contractions (PACs). To treat the PACs, metoprolol (Toprol XL)
therapy was started.What is a likely consequence of this patient
taking metoprolol (Toprol XL)?
Answer: Metoprolol (Toprol XL) worsened asthma symptoms, but
improved the PACs.
-- Beta blockers are widely used in the management of cardiac
conditions and thyrotoxicosis, and to reduce perioperative
complications. Asthma and chronic obstructive pulmonary disease
(COPD) have been classic contraindications to the use of beta
blockers because of their potential for causing bronchospasm.
◉ Which inhaler prescription would support long-acting treatment
for twice-daily use in controlled asthma management?
Answer: Fluticasone propionate/salmeterol (Advair Diskus)
--Fluticasone and salmeterol is a combination of two medicines that
are used to help control the symptoms of asthma and improve
breathing.
◉ A 65-year-old male presents for a visit regarding his type 2
diabetes. He has been dealing with diabetes for the last 15 years. He
has a history of diabetic neuropathy in his feet. Six months ago his
symptoms were mild to almost nonexistent. He currently describes
the neuropathy as painful, and it wakes him up at night. Which
medication would be the first line treatment for this patient?
, Answer: Pregabalin (Lyrica)
◉ A 55-year-old male presents for a new diagnosis of Parkinson's
Disease. He has experienced gait disorders and a pill rolling tremor.
The patient was a former boxer with a history of multiple
concussions. He was started on carbidopa-levodopa (Sinemet),
which has decreased his symptoms. How would an antipsychotic
medication such as haloperidol (Haldol) cause an interaction with
this patient?
Answer: By antagonizing dopamine
◉ A 25-year-old female is 35 weeks pregnant and presents for lower
back pain. She has a history of moderate lower back pain that she
normally controls with stretching, yoga, and ice. The patient reports
not being able to engage in stretching and yoga because of the state
of her pregnancy. Ice use has been ineffective. After a benign exam
and a negative urinalysis, the provider is convinced that the pain is
musculoskeletal. The patient inquires if there are any medications
she can take for the pain. Which medication does the provider tell
the patient she can safely take?
Answer: Acetaminophen (Tylenol)
◉ A nurse is administering medication to a 67-year-old patient in
liver failure, secondary to end-stage cirrhosis. Liver dysfunction can
influence drug pharmacokinetics and pharmacodynamics. Which
pharmacokinetic phase is affected in this patient?
CONCEPTS AND REVIEW NOTES
◉ A 28-year-old married female presents to primary care
accompanied by her husband with complaints of weight gain,
fatigue, muscle aches, bloating, constipation, and difficulty
concentrating. The patient explains that she has been experiencing
these symptoms with increasing frequency over the last two months
and reports feeling upset that she has gained 10 pounds over the
past month despite no significant changes in dietary intake or
activity level. The patient holds a bachelor's degree and is employed
full time as an accountant. The patient reports feeling frustrated
with her poor concentration and identifies recent work errors to be
due to this symptom. The patient explains that she and her spouse
plan to start trying to conceive soon, and she is worried that she may
have trouble becoming pregnant. The patient reports using over-the-
counter laxative products over the last week to combat constipation.
The patient repo
Answer: 5.31 mIU/L
◉ A 74- year-old male with Cushing syndrome presents to the
emergency department (ED) with pain in his left leg, and is
diagnosed with a deep vein thrombosis (DVT).What is this patient's
symptoms related to?
Answer: Elevated Von Willebrand factor
,◉ A 42-year-old asthmatic who has been using beta-adrenergic
agonists for several years began to experience premature atrial
contractions (PACs). To treat the PACs, metoprolol (Toprol XL)
therapy was started.What is a likely consequence of this patient
taking metoprolol (Toprol XL)?
Answer: Metoprolol (Toprol XL) worsened asthma symptoms, but
improved the PACs.
-- Beta blockers are widely used in the management of cardiac
conditions and thyrotoxicosis, and to reduce perioperative
complications. Asthma and chronic obstructive pulmonary disease
(COPD) have been classic contraindications to the use of beta
blockers because of their potential for causing bronchospasm.
◉ Which inhaler prescription would support long-acting treatment
for twice-daily use in controlled asthma management?
Answer: Fluticasone propionate/salmeterol (Advair Diskus)
--Fluticasone and salmeterol is a combination of two medicines that
are used to help control the symptoms of asthma and improve
breathing.
◉ A 65-year-old male presents for a visit regarding his type 2
diabetes. He has been dealing with diabetes for the last 15 years. He
has a history of diabetic neuropathy in his feet. Six months ago his
symptoms were mild to almost nonexistent. He currently describes
the neuropathy as painful, and it wakes him up at night. Which
medication would be the first line treatment for this patient?
, Answer: Pregabalin (Lyrica)
◉ A 55-year-old male presents for a new diagnosis of Parkinson's
Disease. He has experienced gait disorders and a pill rolling tremor.
The patient was a former boxer with a history of multiple
concussions. He was started on carbidopa-levodopa (Sinemet),
which has decreased his symptoms. How would an antipsychotic
medication such as haloperidol (Haldol) cause an interaction with
this patient?
Answer: By antagonizing dopamine
◉ A 25-year-old female is 35 weeks pregnant and presents for lower
back pain. She has a history of moderate lower back pain that she
normally controls with stretching, yoga, and ice. The patient reports
not being able to engage in stretching and yoga because of the state
of her pregnancy. Ice use has been ineffective. After a benign exam
and a negative urinalysis, the provider is convinced that the pain is
musculoskeletal. The patient inquires if there are any medications
she can take for the pain. Which medication does the provider tell
the patient she can safely take?
Answer: Acetaminophen (Tylenol)
◉ A nurse is administering medication to a 67-year-old patient in
liver failure, secondary to end-stage cirrhosis. Liver dysfunction can
influence drug pharmacokinetics and pharmacodynamics. Which
pharmacokinetic phase is affected in this patient?
