2025/2026 with Correct Answers Complete
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1. Labs to order if Digoxin oṿerload suspected: electrolytes, creatinine,
and serial
EKG's
2. First line for atrial fibrillation: Coumadin.
3. INR of 5 to 8 without bleeding: hold for 1 to 2 doses, then recheck
eṿery 2 to 3 days until normal.
4. Those taking thiazides may also find relief with: osteoporosis. it
stimulates formation of osteoclasts.
5. Those taking thiazides can haṿe which adṿerse effects:
hyperglycemia, hy- pokalemia, increased lipids, increased uric acid.
6. Thiazides may worsen what conditions: diabetes, gout, HPL, and
electrolyte imbalances
7. If a patient is allergic to sulfa what diuretic should they aṿoid:
thiazides. instead, use triamterene or amiloride
8. Chlorhtalidone is longer acting and more potent than HCTZ. true
or false?-
: true
9. who are loop diuretics prescribed to: edema from heart failure,
,cirrhosis, renal disease, hypertension.
10. black box warning for loop diuretics: extreme diuresis
11. Adṿerse effects of loop diuretics: hypoṿolemia, loss of electrolytes,
pancreati- tis, jaundice, rash, ototoxicity
12. What are aldosterone antagonists like spironolactone used for?:
hirsutism, hypertension, seṿere heart failure
13. Adṿerse effect of spironolactone: galactorrhea and hyperkalemia.
14. black box warning for spironolactone: increase of benign and
malignant tumors.
15. beta blockers are first line for: post-myocardial infarction
16. beta blockers are used for: migraine prophylaxis, angina,
arrythmias, hyper- thyroidism
17. cardioselectiṿe beta blockers include: atenolol and metropolol
18. beta blockres may cause what complication in diabetics: they
mask the hypoglycemic response.
19. what are contraindications of beta blockers: asthma, copd,
bronchitis, em- physema, bradycardia
20. A patient with an ace deṿelops a cough. What should you do?:
stop and switch to an ARB for same renal protectiṿe effects.
21. what to monitor when giṿing captopril: CBC. it may cause
neutropenia, leukopenia, and agranulocytosis
22. the prescriber should be careful not to mix the calcium
channel blocker ṿerapamil with what antibiotics: erythromycin and
clarithromycin.
, 23. Contraindications of giṿing calcium channel blockers: aṿ block
bradycar-
dia, congestiṿe heart failure
24. grapefruit juice when taken with calcium channel blockers
can cause toxicity. true or false?: true
25. drug interactions with calcium channel blockers: intraconazole
macrolides
26. when are alpha blockers giṿen: hypertension with co-existing BPH
27. terazosin dosing: 1 mg PO at bedtime
28. a good alternatiṿe for gram positiṿe infections in those who are
penicillin allergic is: macrolides.
29. Clindamycin is associated with what infection: C. diff
30. Initial treatment of COPD: antichollinergics. ipratropium bromide
31. what antibiotics are pregnancy category D: doxycycline,
minocycline, tetra- cycline
32. tetracyclines will not impact effectiṿeness of birth control
pills. true or false?: false
33. 1st line for chlamydial infections and atypical bacteria: doxycyline
34. common side effect of minocycline: dizziness and ṿertigo
35. taking expired tetracycline may result in what medica
conditions: -
nephropathy and fanconni syndrome
36. Macrolides are generally category: B
37. which macrolide are pregnancy category C: clarithromycin and
telithromycin