Free trial
APEA- Orthopedics PHARM
OBJECTIVE ASSESMENT EXAM
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Probenecid, used in the treatment of gout, works by:
-decreasing the tubular secretion of uric acid and inhibiting the secretion of penicillin.
-destroying uric acid crystals in the renal tubular system and slowing the metabolism of
penicillin.
-increasing the urinary excretion of uric acid and inhibiting the secretion of penicillin.
-promoting the bactericidal activity of penicillin and breaking down uric acid. - ANSWER
✅increasing the urinary excretion of uric acid and inhibiting the secretion of penicillin.
Before prescribing Dantrolene (Dantrium), a peripherally-acting muscle relaxant, obtain
a baseline serum:
blood urea nitrogen (BUN).
complete blood count (CBC).
calcium level.
liver function test. - ANSWER ✅Liver function test
Which of the following is NOT a reason to discontinue allopurinol (Zyloprim)?
Acute gout exacerbation
Dysuria
Jaundice
Skin rash - ANSWER ✅acute gout exacerbation
Patients should be instructed to take tizanidine (Zanaflex):
daily, not exceeding 16 mg daily.
before bedtime only.
with food only.
, consistently fasting or nonfasting. - ANSWER ✅consistently fasting or nonfasting.
do not switch method of administrations- will change absorption of drug
The maximum recommended daily dose of acetaminophen (Tylenol) for the
management of pain associated with a clavicular fracture is:
1 gram.
2 grams.
3 grams.
4 grams. - ANSWER ✅4 grams
Patients should be instructed to avoid abrupt withdrawal of baclofen (Lioresal) to
prevent the occurrence of:
hypotonia.
urinary retention.
seizures.
hypothermia. - ANSWER ✅seizures
Ketorolac (Toradol), a nonsteroidal anti-inflammatory drug, is:
indicated for short-term treatment of moderate pain.
not known to cause renal insufficiency.
indicated for the treatment of moderate pain in children.
indicated for pain following coronary artery bypass graft surgery. - ANSWER
✅indicated for short-term treatment of moderate pain.
When corticosteroids are used in combination with nonsteroidal anti-inflammatory
drugs (NSAIDs), patients may develop:
osteoarthritis.
diabetes insipidus.
gastrointestinal bleeding.
hypoglycemia. - ANSWER ✅gastrointestinal bleeding
Patients may develop increased gastrointestinal symptoms and bleeding because both
products diminish the gastroprotective effects of prostaglandins.
Which of the following is NOT classified as a muscle relaxant:
metaxalone (Skelaxin).
cyclobenzaprine (Amrix).
methocarbamol (Robaxin).
tramadol (Ultram). - ANSWER ✅tramadol (Ultram)
Baclofen (Lioresal), a centrally-acting muscle relaxant, is indicated for the treatment of:
restless leg syndrome.
intermittent claudication.
spasticity.
essential tremor. - ANSWER ✅spasticity