11/8/2024 12:08 PM
Leik Book Exam Questions And Answers
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What drugs should you keep in mind when thinking about drug-drug interactions? - answer✔-
macrolides
-antifungals
-Cimetidine (Tagamet)
-Citalopram
Which drugs have a narrow therapeutic range? - answer✔-Coumadin
-Digoxin
-Theophylline
-Carbamazepine
-Levothyroxine
-Lithium
Black box warning with TZD's: - answer✔Can cause or exacerbate CHF
s/s of digoxin toxicity: - answer✔-early: anorexia, NV, abd pain
-arrhythmia, confusion, visual changes
Digoxin therapeutic range: - answer✔0.5-2
What foods have high levels of vitamin K? - answer✔-mayo
-canola oil
-soybean oil
Patients with HTN and osteoporosis benefit from what drug class? - answer✔Thiazides
Thiazide adverse effects: - answer✔-hyperglycemia
-elevated TG and LDL
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-elevated uric acid
-hypokalemia
Patients with what kind of allergy should avoid Thiazides? - answer✔serious sulfa allergy
Adverse electrolytes with loop diuretics: - answer✔-hypokalemia
-hyponatremia
-low chlorine
Blackbox warning with aldosterone antagonists: - answer✔-increased risk of benign and malignant
tumors
What drug is first line treatment in Raynaud's? - answer✔CCB
Do not mix verapamil with: - answer✔erythromycin and clarithromycin
Possible drug interaction of CCB with: - answer✔-intraconazole
-macrolides
Most common reported side effect of CCB: - answer✔constipation
Aspirin given post MI or stroke/TIA is considered _____ prevention. - answer✔tertiary
Finasteride FDA category and dose: - answer✔-Category X
-5mg PO daily.
Why should you avoid mixing warfarin and sulfa drugs? - answer✔Can increase INR and bleeding risk.
5 rights of medication administration: - answer✔-patient
-drug
-dose
-time
-route
Leading cause of death for all ages/genders: - answer✔-heart disease
-cancer
-lung disease
Leading cause of cancer death: - answer✔-lung cancer
leading cause of cancer deaths in men and women: - answer✔lung cancer
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Leading cause of death in adolescents: - answer✔-accidents/injury (car accidents) 48%
-homicide 13%
-suicide 11%
most common cause of death in person 1-19 years old: - answer✔unintentional injury
Most common cancer: - answer✔skin cancer
most common type of skin cancer: - answer✔basal cell
most common cancer in men: - answer✔prostate
most common cancer in women: - answer✔breast
Sensitivity on screening test: - answer✔-detect individuals have the disease
-positives
Specificity on screening test: - answer✔-detect individuals who do not have the disease
-negatives
Examples of primary prevention: (prevention of disease/injury) - answer✔-eating health
-exercise
-gun safety
Examples of secondary prevention: (early detection of disease to minimize damage) - answer✔-pap
smears
-mammograms
-STI screening
-alcohol abuse screen
Examples of tertiary prevention: (rehab, support groups) - answer✔-support groups
-preexisting disease education
USPSTF mammogram screening: - answer✔-start at age 50 then every 2 years
-no indicated after age 75, individualized
american cancer society recommends mammograms starting when? - answer✔age 40
USPSTF cervical cancer screening: - answer✔-Start at age 21 then every 3 years until age 65
-no routine screening after age 65
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-hysterectomy with cervix removal: no routine screening
USPSTF colorectal cancer screening: - answer✔-start at age 50 until 75
-age 75-85 may be individualized
-not indicated after age 85
Acceptable colorectal cancer screening methods: - answer✔-FOBT x 3 annually
-flexible sigmoidoscopy every 5 years
-colonoscopy every 10 years
What age should you screen males for lipid disorders? - answer✔-35+
-20 to 35 if increased risk of heart disease
What age should you screen females for lipid disorders? - answer✔-45+
-20-45 if increased risk of heart disease
What is the recommendation for prostate screening? - answer✔not recommended
What factors increase your risk of heart disease? - answer✔-HTN
-family hx of MI or stroke
USPSTF skin cancer guidelines: - answer✔-ages 10-24 with fair skin
Education to prevent skin cancer: - answer✔-avoid sunlight from 10a-4p
-use SPF 15 or higher
-protective clothing
-wide brimmed hat
USPSTF recommends starting depression screen at age: - answer✔12-18 years
USPSTF obesity screen starts at what age: - answer✔-6 years old
USPSTF when to screen for STI? - answer✔at onset of sexual activity
Risk factors for breast cancer: - answer✔-older age 50+ (most common)
-history of breast cancer
-2+ first-degree relatives with breast cancer
-early menarche, late menopause, nulliparity