MSN 571 Midterm EXAM 2022

MSN 571 Midterm EXAM 2022 What is the first line therapy when treating hyperlipidemia? A. Bile Acide Sequestrants B. Statin Therapy C. Lifestyle modifications D. Niacin A patient asks you how does the statin drugs work. How would you respond? A. “It inhibits the absorption of dietary cholesterol in the small intestine” B. “it inhibits hydroxymethyl lutaryl- coenzyme A (HMG-CoA) reductase to reduce the biosynthesis of cholesterol in the liver” C. “it binds to bile in the intestinal track forming an insoluble complex that is excreted in the feces” D. “It stimulates the biliary system to increase the excretion of dietary cholesterol” Which drug is the most effective for lowering low density lipoprotein (LDL) cholesterol? A. Atorvastatin B. Gemfibrozil C. Ezetimibe D. Cholestyramine A patient tells you that she gets red after taking her niacin. What advice do you give her? A. Discontinue the medication B. Drink plenty of water C. premedicate with aspirin You are managing a stable middle-aged adult with emphysema. In addition to reinforcing smoking cessation and medication schedules which annual intervention will you recommend? A. Pneumococcal polysaccharide vaccine (PPSV23) B. Pneumococcal conjugate vaccine (PCV13) C. Quadrivalent inactivated influenza vaccine (QIV) D. Live attenuated influenza vaccine (LAV) A patient who is taking OTC proton pump inhibitors was recently placed on an oral antifungal for a fungal infection. After a week, the patient reported that the fungal infection has not improved. Which antifungal medication was the patient taking? A. Fluconazole B. Caspofungin C. Intraconazole D. Amphotericin B A patient diagnosed with hepatitis B begins treatment with Adefovir and ask how long the drug therapy will last. what time frame will the prescriber give the patient? A. Until nephrotoxicity occurs B. A lifetime C. 48 weeks D. An indefinite, prolonged period of time When prescribing acyclovir patients should be educated regarding the: A. Need to drink lots of fluids during treatment B. High risk of developing diarrhea C. ? D. ? Idarucizumab is used to reverse the activity of which antithrombotic drug in cases of bleeding? A. Dalteparin B. Warfarin C. Alteplase D. Dabigatran The patient is receiving anticoagulant therapy period the INR value for the patient today is 1.5. In response to this, what will you do? A. ? B. ? C. ? D. Prescribe an additional dose of warfarin Warfarin’s primary mechanism of action is inhibition of the synthesis of vitamin K dependent clotting factors. These factors include which of the following? A. Factors II, IX, and X and proteins C and S B. Factors VII, IX, X, and XII and protein 5 C. Factors II, VII, VIII, and XII and proteins C and S D. Factors II, VII, VIII, and X and protein C In which of the following patients will you prescribe appropriate therapy for lice infestation? A. Spinosad to a 6 year old patient with head lice B. Lindane to a 105lb patient with lice C. Malathion to a 3 year old patient with head lice D. Ivermectin to a 12kg patient with lice Tretinoin is commonly employed in the treatment of which of the following? A. Psoriasis B. Seborrheic dermatitis C. Acne