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Disease states in addition to hypertension in which beta blockade is a compelling indication for
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the use of beta blockers include:
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A. Heart failure
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B. Angina
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C. MI Il`
D. Dyslipidemia - Correct Answers C. MI
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Il` When a patient is on selective-serotonin reuptake inhibitors:
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A. The complete blood count must be monitored every three to four months
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B. Therapeutic blood levels must be monitored every six months after a steady state is achieved.
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C. Blood glucose must be monitored every three to four months.
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D. There is no laboratory monitoring required. - Correct Answers D. There is no laboratory
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monitoring required.
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Il` Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of
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Il` the following raises a "red flag" about potential chemical dependency?
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Il` A. Use of more than one drug to treat the pain
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B. Multiple times when prescriptions are lost with requests to refill
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C. Preferences for treatments that include alternative medicines
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,D. Presence of a family member who has abused drugs - Correct Answers B. Multiple times
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when prescriptions are lost with requests to refill
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Il` Prescribing for women during their childbearing years requires constant awareness of the
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Il` possibility of: Il`
A. Pregnancy unless the women is on birth control
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B. Risk for silent bacterial or viral infections of the genitalia
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C. High risk for developmental disorders in their infants
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D. Decreased risk for abuse during this time - Correct Answers B. Risk for silent bacterial or viral
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infections of the genitalia
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Il` First-line therapy for hyperlipidemia is:
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A. Statins
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B. Niacin
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C. Lifestyle changes
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D. Bile acid-binding resins - Correct Answers C. Lifestyle changes
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Il` The DEA: Il`
Il` A. Registers manufacturers and prescribes controlled substances
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B. Regulates NP prescribing at the state level
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C. Sanctions providers who prescribe drugs off-label
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D. Provides prescribers with a number they can use for insurance billing - Correct Answers A.
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Registers manufacturers and prescribes controlled substances
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,Il` Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and
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Il` lack of motivation. An appropriate initial antidepressant for her would be:
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A. Fluoxetine (Prozac)
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B. Paroxetine (Paxil)
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C. Amitriptyline (Elavil)
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D. Duloxetine (Cymbalta) - Correct Answers D. Duloxetine (Cymbalta)
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Il` Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her obesity.
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Il` A trial of phentermine is prescribed. Prescribing precautions include understanding that:
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A. Obesity is a contraindication to prescribing phentermine.
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B. Anorexiants may cause tolerance and should only be prescribed for six months.
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C. Patients should be monitored for postural hypotension.
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D. Renal function should be monitored closely while the patient is on anorexiants. - Correct
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Answers B. Anorexiants may cause tolerance and should only be prescribed for six months.
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Il` Patients with psychiatric illnesses have adherence rates to their drug regimen between 35% and
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Il` 60%. To improve adherence in this population, prescribe drugs:
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A. With a longer half-life so that missed doses produce a longer taper on the drug curve
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B. In oral formulations that are more easily taken
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C. That do not require frequent monitoring
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D. Combined with patient education about the need to adhere even when symptoms are absent -
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Correct Answers A. With a longer half-life so that missed doses produce a longer taper on the
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drug curve
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, Il` The drugs recommended by the American Academy of Pediatrics for use in children with diabetes
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Il` (depending upon type of diabetes) are: Il` Il` Il` Il` Il`
A. Metformin and insulin
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B. Sulfonylureas and insulin glargine
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C. Split-mixed dose insulin and GLP-1 agonists
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D.Biguanides and insulin lispro - Correct Answers A. Metformin and insulin
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Il` Inadequate vitamin D intake can contribute to the development of osteoporosis by:
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A. Increasing calcitonin production
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B. Increasing calcium absorption from the intestine
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C. Altering calcium metabolism
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D. Stimulating bone formation - Correct Answers B. Increasing calcium absorption from the
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intestine
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Il` Which of the following is the goal of treatment of acute pain?
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A. Pain at a tolerable level where patient may return to activities of daily living
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B. Reduction of pain with a minimum of drug adverse effects
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C. Reduction or elimination of pain with minimum adverse reactions
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D. Adequate pain relief without constipation or nausea from the drugs - Correct Answers C.
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Reduction or elimination of pain with minimum adverse reactions
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Il` Anticholinergic agents, such as benztropine (Cogentin), may be given with a phenothiazine to:
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Il` A. Reduce the chance of tardive dyskinesia.
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