Patients with RA who are on chronic low-dose day for the past six months. She should be
prednisone will need co-treatment with which assessed for ________.
medications to prevent further adverse effects?
A. gout
A. A bisphosphonate B. iron deficiency anemia
B. Calcium supplementation C. osteoporosis
C. Vitamin D D. renal dysfunction - ANSWER -C.
D. All of the above - ANSWER -D. All of the osteoporosis
above
Henry is eighty-two years old and takes two
Amber is a twenty-four-year-old who has had aspirin every morning to treat the arthritis pain in
migraines for ten years. She reports a migraine his back. He states that the aspirin helps him to
on average of once a month. The migraines are "get going" each day. Lately, he has had some
effectively aborted with naratriptan (Amerge). heartburn from the aspirin. After ruling out an
When refilling Amber's naratriptan education acute GI bleed, what would be an appropriate
would include which of the following? course of treatment for Henry?
A. Naratriptan will interact with antidepressants, A. Add an H2 blocker such as ranitidine to his
including selective serotonin reuptake inhibitors therapy.
and St John's Wort, and she should inform any B. Discontinue the aspirin and switch him to
providers she sees that she has migraines. Vicodin for the pain.
B. Continue to monitor her headaches; if the C. Decrease the aspirin dose to one tablet daily.
migraine is consistently happening around her D. Have Henry take an antacid fifteen minutes
menses, then there is preventive therapy before taking the aspirin each day. -
available. ANSWER -A. Add an H2 blocker such as
C. Pregnancy is contraindicated when taking a ranitidine to his therapy.
triptan.
D. All the given options are correct. -
ANSWER -D. All the given options are Juanita presents to clinic with a complaint of
correct. headaches off and on for months. She reports
she feels like someone is "squeezing" her head.
She occasionally takes Tylenol for the pain but
Kirk sprained his ankle and is asking for pain usually just "toughs it out." Initial treatment for
medication for his mild-to-moderate pain. The tension headache includes asking her to keep a
appropriate first-line medication would be headache diary and a prescription for ________.
__________.
A. sumatriptan (Imitrex)
A. ibuprofen (Advil) B. naproxen (Aleve)
B. acetaminophen with hydrocodone (Vicodin) C. ergotamine (Ergostat)
C. oxycodone (OxyContin) D. Tylenol with codeine (Tylenol #3) -
D. oral morphine (Roxanol) - ANSWER -A. ANSWER -B. naproxen (Aleve)
ibuprofen (Advil)
Narcotics are exogenous opiates. They act by
Sallie has been taking 10 mg of prednisone per ______.
1/4