1. Disease states in addition to hypertension in which C. MI
beta blockade is a compelling indication for the use
of beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia
2. When a patient is on selective-serotonin reuptake in- D. There is no laboratory
hibitors: monitoring required.
A. The complete blood count must be monitored every
three to four months
B. Therapeutic blood levels must be monitored every
six months after a steady state is achieved.
C. Blood glucose must be monitored every three to
four months.
D. There is no laboratory monitoring required.
3. Chemical dependency assessment is integral to the B. Multiple times when
initial assessment of chronic pain. Which of the fol- prescriptions are lost with
lowing raises a "red flag" about potential chemical requests to refill
dependency?
A. Use of more than one drug to treat the pain
B. Multiple times when prescriptions are lost with re-
quests to refill
C. Preferences for treatments that include alternative
medicines
D. Presence of a family member who has abused
drugs
,4. Prescribing for women during their childbearing B. Risk for silent bacteri-
years requires constant awareness of the possibility al or viral infections of the
of: genitalia
A. Pregnancy unless the women is on birth control
B. Risk for silent bacterial or viral infections of the
genitalia
C. High risk for developmental disorders in their in-
fants
D. Decreased risk for abuse during this time
5. First-line therapy for hyperlipidemia is: C. Lifestyle changes
A. Statins
B. Niacin
C. Lifestyle changes
D. Bile acid-binding resins
6. The DEA: A. Registers manufactur-
ers and prescribes con-
A. Registers manufacturers and prescribes controlled trolled substances
substances
B. Regulates NP prescribing at the state level
C. Sanctions providers who prescribe drugs off-label
D. Provides prescribers with a number they can use for
insurance billing
7. Cecilia presents with depression associated with com- D. Duloxetine (Cymbalta)
plaints of fatigue, sleeping all the time, and lack of
motivation. An appropriate initial antidepressant for
her would be:
A. Fluoxetine (Prozac)
B. Paroxetine (Paxil)
, C. Amitriptyline (Elavil)
D. Duloxetine (Cymbalta)
8. Sarah, a forty-two-year-old female, requests a pre- B. Anorexiants may cause
scription for an anorexiant to treat her obesity. A trial tolerance and should only
of phentermine is prescribed. Prescribing precautions be prescribed for six
include understanding that: months.
A. Obesity is a contraindication to prescribing phen-
termine.
B. Anorexiants may cause tolerance and should only
be prescribed for six months.
C. Patients should be monitored for postural hypoten-
sion.
D. Renal function should be monitored closely while
the patient is on anorexiants.
9. Patients with psychiatric illnesses have adherence A. With a longer half-life
rates to their drug regimen between 35% and 60%. so that missed doses pro-
To improve adherence in this population, prescribe duce a longer taper on the
drugs: drug curve
A. With a longer half-life so that missed doses produce
a longer taper on the drug curve
B. In oral formulations that are more easily taken
C. That do not require frequent monitoring
D. Combined with patient education about the need
to adhere even when symptoms are absent
10. The drugs recommended by the American Academy A. Metformin and insulin
of Pediatrics for use in children with diabetes (depend-
ing upon type of diabetes) are:
, A. Metformin and insulin
B. Sulfonylureas and insulin glargine
C. Split-mixed dose insulin and GLP-1 agonists
D.Biguanides and insulin lispro
11. Inadequate vitamin D intake can contribute to the B. Increasing calcium ab-
development of osteoporosis by: sorption from the intestine
A. Increasing calcitonin production
B. Increasing calcium absorption from the intestine
C. Altering calcium metabolism
D. Stimulating bone formation
12. Which of the following is the goal of treatment of C. Reduction or elimina-
acute pain? tion of pain with minimum
adverse reactions
A. Pain at a tolerable level where patient may return to
activities of daily living
B. Reduction of pain with a minimum of drug adverse
effects
C. Reduction or elimination of pain with minimum
adverse reactions
D. Adequate pain relief without constipation or nau-
sea from the drugs
13. Anticholinergic agents, such as benztropine (Co- A. Reduce the chance of
gentin), may be given with a phenothiazine to: tardive dyskinesia.
A. Reduce the chance of tardive dyskinesia.
B. Potentiate the effects of the drug.
C. Reduce the tolerance that tends to occur.
D. Increase CNS depression.