3P HIGH STAKES EXAM LATEST FOR EXIT EXAM NP 100
REAL EXAM QUESTIONS AND CORRECT ANSWERS|
ALREADY GRADED A+
FM is a 16 yo female who presents to the clinic for a follow up visit with her
psychiatrist. She was diagnosed with ADHD as a small child but stopped taking her
medications 2-3 years ago. She now feels like she needs to be started back on
medications to help her focus with school work. Plan: vyvanse 30mg qam, catapres
0.1mg hs, follow up in 1 month
based off of the plan, which drug related safety concerns are applicable to FM?
hypercalcemia
increased blood pressure
serotonin syndrome
weight loss
extrapyramidal symptoms - ANSWER: weight loss
increased blood pressure
Aphthous ulcers are painful and can interfere with normal food and drink intake,
leading to undesired weight loss in some patients. this study evaluated the benefit of
a new mucosal patch. Aptocaine, for the treatment of paitents with apthous ulcers.
A student t-test could be used to evaluate between group differences for which
criteria?
age
gender
pain scale score
return to baseline oral intake within 24 hours
weight loss > 2 pounds within 72 hours - ANSWER: age (continuous data)
Aphthous ulcers are painful and can interfere with normal food and drink intake,
leading to undesired weight loss in some patients. this study evaluated the benefit of
a new mucosal patch. Aptocaine, for the treatment of paitents with apthous ulcers.
primary outcome is pain relief. Calculate the relative risk for the primary outcome in
this study?
treatment: n=62 (57)
placebo: n=61 (11) - ANSWER: RR = (57/62) / (11/61) = 5
JM is a 62 year old white male, is being seen in the family medicine clinic for
management at his chronic medical conditions. Today he complains of urinary
urgency and frequency, and feeling like his bladder is always full. He also reports
frequent productive cough with copious phlegm. He has no chest pain and no recent
hospitalizations. He has been taking Kadian 20mg PO q12. JM's physician would like
to convert him to a fentanyl patch. He has been taking his current dose of Kadian for
2 months. Which patch dose is most appropriate?
oral morphine dose daily: 60-134 (25 mcg/hr duragesic), 135-224 (50mcg/hr), 225-
214 (75mcg/hr), 315-404 (100 mcg/hr) - ANSWER: JM is not a candidate for fentanyl
patch
,JM is a 62 year old white male, is being seen in the family medicine clinic for
management at his chronic medical conditions. Today he complains of urinary
urgency and frequency, and feeling like his bladder is always full. He also reports
frequent productive cough with copious phlegm. He has no chest pain and no recent
hospitalizations. Which of JM's lab values should the pharmacist address as being
outside the desired target range?
PSA 3.8 (<4)
K 3.8
INR 1.8 (0.9-1.1)
A1c 5.6%
SCr 1.1 (0.5-1.3) - ANSWER: INR
JM is a 62 year old white male, is being seen in the family medicine clinic for
management at his chronic medical conditions. Today he complains of urinary
urgency and frequency, and feeling like his bladder is always full. He also reports
frequent productive cough with copious phlegm. He has no chest pain and no recent
hospitalizations. Which of his medications can worsen his urinary symptoms
Tricor
metoprolol
androgel
diphenhydramine
dronedarone - ANSWER: androgel
diphenhydramine
A group of investigators designed a study to examine a possible link between
quinolone antibiotics and C diff colitis. Patients who were admitted to the hospital
between March 2005 and August 2005.
which study design describes this analysis of C diff colitis and quinolone antibiotics?
Cdiff yes no
qunolone yes 22 15
quinolone no 8 45
cross sectional study
case control study
case series
cohort study
case report - ANSWER: case control study
cc: im heere for my flu vaccine but my stomach hurts
ZB is a 66 year old white female who presents to her pcp with a 2 -week history of
gastric pain that is worse at night and in between meals. she describes a burning
pain that goes from a 9 out of 10 to a 5 out of 10 when she eats.
meds: hctz, norvasc, crestor, caltrate, ibandronate, glucophage, qsymia,
hydrocodone/apap, klonopin, fexmid
what are the components of the medication ZB is taking for weight loss?
phentermine and fenfluramine
, phentermine and topiramate
naltrexone and bupropion
orilistat and semaglutide
orlistate and liraglutide - ANSWER: Qsymia (topiramate and phentermine ER)
vitamine K antagonists are effective in preventing stroke in patients with atrial
fibrillation but they have several limitations. apixaban is an oral direct factor Xa
inhibitor that has been shown to reduce the risk of stroke from atrial fibrillation
when compared to asa. this study compares apixaban and warfarin for stroke
prevention.
2.13% / year in apixaban and 3.09% in warfarin
What is the relative risk reduction in major bleeding events? - ANSWER: 0.311
JP is a 46 yo male with colorectal cancer, is receiving the following regimen; (ht 6'2",
wt 231 lbs, bsa 2.31 m2)
bevacizumab 5mg / kg IV on day 1
what is the total dose of bevacizumab JP recieves every 14 days?
11.5 mg
924mg
1155 mg
411 mg
525 mg - ANSWER: 525 mg
yb is admitted to the hospital for an acute variceal bleed. she is unable to provide
information about her medical history.
Na 129 (135-145)
WBC 13.6 (4-11)
Hgb 7.8 (12-16)
Hct 23.2 (36-46)
Plt 143 (150-450)
INR 2.8
albumin 2.8 (2.5-5)
which of YB's lab abnormalities indicate chronic liver and reduced synthetic function
of the liver?
leukocytosis and anemia
hyponatremia and leukocytosis
thrombocytopenia and increased creatinine
thrombocytopenia and hyperglycemia
hypoalbuminemia and increased INR - ANSWER: hypoalbuminemia and increased
INR
a patient with alzheimer's disease started on aricept. he should be counseled about
which side effects?
sedation
vision disturbances
risk of seizures
nausea
REAL EXAM QUESTIONS AND CORRECT ANSWERS|
ALREADY GRADED A+
FM is a 16 yo female who presents to the clinic for a follow up visit with her
psychiatrist. She was diagnosed with ADHD as a small child but stopped taking her
medications 2-3 years ago. She now feels like she needs to be started back on
medications to help her focus with school work. Plan: vyvanse 30mg qam, catapres
0.1mg hs, follow up in 1 month
based off of the plan, which drug related safety concerns are applicable to FM?
hypercalcemia
increased blood pressure
serotonin syndrome
weight loss
extrapyramidal symptoms - ANSWER: weight loss
increased blood pressure
Aphthous ulcers are painful and can interfere with normal food and drink intake,
leading to undesired weight loss in some patients. this study evaluated the benefit of
a new mucosal patch. Aptocaine, for the treatment of paitents with apthous ulcers.
A student t-test could be used to evaluate between group differences for which
criteria?
age
gender
pain scale score
return to baseline oral intake within 24 hours
weight loss > 2 pounds within 72 hours - ANSWER: age (continuous data)
Aphthous ulcers are painful and can interfere with normal food and drink intake,
leading to undesired weight loss in some patients. this study evaluated the benefit of
a new mucosal patch. Aptocaine, for the treatment of paitents with apthous ulcers.
primary outcome is pain relief. Calculate the relative risk for the primary outcome in
this study?
treatment: n=62 (57)
placebo: n=61 (11) - ANSWER: RR = (57/62) / (11/61) = 5
JM is a 62 year old white male, is being seen in the family medicine clinic for
management at his chronic medical conditions. Today he complains of urinary
urgency and frequency, and feeling like his bladder is always full. He also reports
frequent productive cough with copious phlegm. He has no chest pain and no recent
hospitalizations. He has been taking Kadian 20mg PO q12. JM's physician would like
to convert him to a fentanyl patch. He has been taking his current dose of Kadian for
2 months. Which patch dose is most appropriate?
oral morphine dose daily: 60-134 (25 mcg/hr duragesic), 135-224 (50mcg/hr), 225-
214 (75mcg/hr), 315-404 (100 mcg/hr) - ANSWER: JM is not a candidate for fentanyl
patch
,JM is a 62 year old white male, is being seen in the family medicine clinic for
management at his chronic medical conditions. Today he complains of urinary
urgency and frequency, and feeling like his bladder is always full. He also reports
frequent productive cough with copious phlegm. He has no chest pain and no recent
hospitalizations. Which of JM's lab values should the pharmacist address as being
outside the desired target range?
PSA 3.8 (<4)
K 3.8
INR 1.8 (0.9-1.1)
A1c 5.6%
SCr 1.1 (0.5-1.3) - ANSWER: INR
JM is a 62 year old white male, is being seen in the family medicine clinic for
management at his chronic medical conditions. Today he complains of urinary
urgency and frequency, and feeling like his bladder is always full. He also reports
frequent productive cough with copious phlegm. He has no chest pain and no recent
hospitalizations. Which of his medications can worsen his urinary symptoms
Tricor
metoprolol
androgel
diphenhydramine
dronedarone - ANSWER: androgel
diphenhydramine
A group of investigators designed a study to examine a possible link between
quinolone antibiotics and C diff colitis. Patients who were admitted to the hospital
between March 2005 and August 2005.
which study design describes this analysis of C diff colitis and quinolone antibiotics?
Cdiff yes no
qunolone yes 22 15
quinolone no 8 45
cross sectional study
case control study
case series
cohort study
case report - ANSWER: case control study
cc: im heere for my flu vaccine but my stomach hurts
ZB is a 66 year old white female who presents to her pcp with a 2 -week history of
gastric pain that is worse at night and in between meals. she describes a burning
pain that goes from a 9 out of 10 to a 5 out of 10 when she eats.
meds: hctz, norvasc, crestor, caltrate, ibandronate, glucophage, qsymia,
hydrocodone/apap, klonopin, fexmid
what are the components of the medication ZB is taking for weight loss?
phentermine and fenfluramine
, phentermine and topiramate
naltrexone and bupropion
orilistat and semaglutide
orlistate and liraglutide - ANSWER: Qsymia (topiramate and phentermine ER)
vitamine K antagonists are effective in preventing stroke in patients with atrial
fibrillation but they have several limitations. apixaban is an oral direct factor Xa
inhibitor that has been shown to reduce the risk of stroke from atrial fibrillation
when compared to asa. this study compares apixaban and warfarin for stroke
prevention.
2.13% / year in apixaban and 3.09% in warfarin
What is the relative risk reduction in major bleeding events? - ANSWER: 0.311
JP is a 46 yo male with colorectal cancer, is receiving the following regimen; (ht 6'2",
wt 231 lbs, bsa 2.31 m2)
bevacizumab 5mg / kg IV on day 1
what is the total dose of bevacizumab JP recieves every 14 days?
11.5 mg
924mg
1155 mg
411 mg
525 mg - ANSWER: 525 mg
yb is admitted to the hospital for an acute variceal bleed. she is unable to provide
information about her medical history.
Na 129 (135-145)
WBC 13.6 (4-11)
Hgb 7.8 (12-16)
Hct 23.2 (36-46)
Plt 143 (150-450)
INR 2.8
albumin 2.8 (2.5-5)
which of YB's lab abnormalities indicate chronic liver and reduced synthetic function
of the liver?
leukocytosis and anemia
hyponatremia and leukocytosis
thrombocytopenia and increased creatinine
thrombocytopenia and hyperglycemia
hypoalbuminemia and increased INR - ANSWER: hypoalbuminemia and increased
INR
a patient with alzheimer's disease started on aricept. he should be counseled about
which side effects?
sedation
vision disturbances
risk of seizures
nausea
