1. An ACE inhibitor and what other class of drug may Nondihydropyridine calcium
reduce proteinuria in patients with diabetes better channel blockers
than either drug alone?
2. An appropriate drug for the treatment of depres- escitalopram (Lexapro)
sion with anxiety would be
3. Dwayne was recently started on carbamazepine to Carbamazepine auto-induces
treat seizures. He comes to see you, and you not metabolism, leading to lower
that while his carbamazepine levels had been in the levels in spite of good compli-
therapeutic range, they are now low. The possible ance
cause for the low carbamazepine level is:
4. First line therapy for hyperlipidemia is lifestyle changes
5. genetic testing for VCORC1 mutation to assess po- false
tential warfarin resistance is required prior to pre-
scribing warfarin
6. Goals of treatment when treating hypothyroidism all of the above
with thyroid replacement include:
7. Jack, eight years old, has attention deficit disorder insomnia and decreased ap-
(ADD) and is prescribed methylphenidate (Ritalin). petite
He and his parents should be educated about the
side effects of methylphenidate, which are
8. Medications used in the management of patients all of the above
with COPD include
9. A patient with a COPD exacerbation may require: systemic corticosteroid burts
10. Scott is presenting for follow-up on his lipid panel. Niacin
He had elevated total cholesterol, elevated triglyc-
, erides, and an LDL of 122mg/dL. He has already
implemented diet changes and increased physical
activity. he has mildly elevated liver studies. An ap-
propriate next step for therapy would be;
11. Second-generation antihistamines such as lorata- Are less sedating than
dine (Claritin) are prescribed for seasonal allergies first-generation antihista-
because they: mines
12. A stepwise approach to the pharmacologic manage- Begins with determining the
ment of asthma: severity of the asthma and as-
sessing asthma control
13. Tiotropium bromide (Spiriva) is an inhaled anti- Used for the treatment of
cholinergic: COPD
14. Warfarin resistance may be seen in patients with decreased response to war-
VCORC1 mutation, leading to: farin
15. When starting a patient with hypothyroidism on It may take four to eight
thyroid replacement hormones, patient education weeks to get to euthyroid
would include the following: symptomatically and by lab
testing
16. Which of the following adverse effects may oc- Edema of the hands and feet
cur due to a dihydropyridine- type calcium channel
blocker?
17. Jamie is a thirty-four-year-old pregnant woman with Bile acid-binding resins
familial hyperlipidemia and elevated LDL levels.
What is the appropriate treatment for a pregnant
woman?
18. 6 to 8 weeks
, Dosage changes of conjugated equine estrogen
(Premarin) are made at _ intervals.
19. Jonathan has been diagnosed with strep throat and Azithromycin
needs a prescription for an antibiotic. He says the
last time he had penicillin he developed a red,
blotchy rash. An appropriate antibiotic to prescribe
would be:
20. Sarah is a 25-year-old female who is 8 weeks preg- Amoxicillin (Trimox)
nant and has a urinary tract infection. What would
be the appropriate antibiotic to prescribe for her?
21. John has clonidine, a centrally acting adrenergic Not miss a dose or stop taking
blocker, prescribed for his hypertension. He should: the drug because of potential
rebound hypertension
22. Clonidine has several off-label uses including Both 1 & 2
23. Potentially fatal granulocytopenia has been associ- fever and sore throat
ated with treatment of hyperthyroidism with propy-
lthiouracil. Patients should be taught to report:
24. Elderly patients who are started on levothyroxine Tachycardia and angina
for thyroid replacement should be monitored for:
25. Cost-effectiveness analysis compares two or more Not necessarily therapeuti-
treatments or programs that are cally equivalent
26. When the costs of a specific treatment or interven- Cost-benefit analysis
tion are calculated and then compared with the dol-
lar value of the benefit received it is referred to as:
27. cost- effectiveness analysis