Answers
1. Henry presents to clinic with a significantly swollen, low-dose colchicine
painful great toe and is diagnosed with gout. Of the
following, which would be the best treatment for Hen-
ry?
2. Patient education when prescribing colchicine in- Colchicine always causes
cludes some degree of diarrhea
3. Larry is taking allopurinol to prevent gout. Monitoring BUN, creatinine, and crea-
of a patient who is taking allopurinol includes tinine clearance
4. Phil is starting treatment with febuxostat (Uloric). Edu- Gout may worsen with
cation of patients starting febuxostat includes: therapy
5. Sallie has been taking 10 mg of prednisone per day osteoporosis
for the past six months. She should be assessed for
.
6. Patients whose total dose of prednisone will exceed 1 Omeprazole, a proton
gram will most likely need a second prescription for pump inhibitor to prevent
peptic ulcer disease
7. Daniel has been on 60mg of prednisone for 10 days Develop a tapering sched-
to treat a severe asthma exacerbation. It is time to ule to slowly wean Daniel
discontinue the prednisone. How is prednisone discon- off the prednisone
tinued?
8. Patients with rheumatoid arthritis who are on chronic all of the above
low-doe prednisone will need co-treatment with which
medications to prevent further adverse effects
9. Patients who are on or who will be starting chronic serum glucose
corticosteroid therapy need monitoring of
, 10. Patients who are on chronic long-term corticosteroid reporting black tarry stools
therapy need education regarding or abdominal pain
11. all nonsteroidal anti-inflammatory drugs (NSAIDs0 potential for causing
have an FDA Black Box Warning regarding life-threatening GI bleeds
12. Jamie has fractured his ankle and has received a pre- He should not
scription for acetaminophen and hydrocodone (Vi- take any oth-
codin). Education when prescribing Vicodin includes: er acetaminophen-con-
taining medications
13. When prescribing NSAIDs a complete drug history warfarin, an anticoagulant
should be conducted as NSAIDs interact with these
drugs
14. Josefina is a 2-year-old child with acute otitis media and Josefina needs to be
an upper respiratory infection. Along with an antibi- well-0hydrated while tak-
otic she receives a recommendation to treat the ear ing ibuprofen
pain with ibuprofen. What education would her parent
need regarding ibuprofen?
15. Henry is 82 years old and takes two aspirin every morn- Add a H2 blocker such as
ing to treat the arthritis pain in his back. He states the ranitidine to his therapy
aspirin helps him to "get going" each day. Lately he
has had some heartburn from the aspirin. After ruling
out an acute GI bleed, what would be an appropriate
course of treatment for Henry?
16. The trail period to determine effective anti-inflamma- 4 to 6 days
tory activity when starting a patient on aspirin for
rheumatoid arthritis is
17. tinnitus
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