Quiz_________________?
12 CDC guidelines for prescribing opioids -
Answer✅
Opioids are not first line therapy
establish goals for pain and function
Discuss risks and benefits
Use immediate release opioids when starting
Use the lowest effective dose
Prescribe short durations for acute pain
Evaluate benefits and harms frequently
Use strategies to migrate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzo prescribing
Offer treatment for opioid use disorder
Quiz_________________?
1st line treatment of osteoporosis -
1
, Answer✅
alendronate
Quiz_________________?
A 41 year old patient comes into the clinic complaining of increased heart rate after starting
nitro patches for stable angina. What would an appropriate response be?
1. lets lower the dose and frequency of use
2. I will prescribe a BB to help with this
3. Next time this happens, lie down and practice deep breathing, this will bring your heart
rate down -
Answer✅
2- I will prescribe a BB to help with this
Quiz_________________?
A 55 year old male comes into the clinic with a gouty arthritis. He states that he has one
flareup a year. Your response is:
1. I will prescribe you glucocorticoids to help with inflammation
2. Lets start you on prophylactic therapy colchicine.
3. It will be helpful to take an NSAID to start with to help relive some inflammation. I'll
prescribe naproxen. -
Answer✅
3- in patients with infrequent flareups, being less than three per year, treatment of
symptoms is all thats needed. NSAIDS are the first line agent for relieving pain of an acute
gout attack.
Quiz_________________?
2
, A patient comes in stating that he tried NSAIDS to relieve a gouty attack but it hasnt
helped. He asks, "what are my options?" He further states that he has attacks every few
years but when he does NSAIDS do not help. Your response is:
1. I can prescribe a glucocorticoid (prednisone) and that will bring down the inflammation
and pain.
2. Have your tried increasing your dosage of NSAIDS and drink plenty of water?
3. Lets start by making some changes in your diet, can you tell me what you eat regularly? -
Answer✅
1
3- can also be correct but BEST answer
Quiz_________________?
A patient with HF develops fibrotic changes, what should the provider do next? -
Answer✅
ensure that a patient is on an ARB (valsartan) as this inhibits fibrosis (aldosterone
antagonist)
Quiz_________________?
A person who is depend on a pure opioid agonist should NEVER receive an opioid agonist
antagonist -
Answer✅
true
Quiz_________________?
ACE inhibitors MOA -
Answer✅
3
, Angiotensin Converting Enzyme Inhibitors (ACE-I) prevent the conversion of angiotensin I
to angiotensin II, which disrupts the renin-angiotensin-aldosterone system (RAAS).
1. reduce levels of angiotensin II (through inhibition of ACE)
2. increasing levels of bradykinin (through inhibition of kinase 11)
End in -pril
Quiz_________________?
adverse effects for bisphosphonates -
Answer✅
osteonecrosis of the jaw and hip fracture, Esophagitis
Quiz_________________?
adverse effects of CCBs in elderly patients -
Answer✅
gingival hyperplasia (overgrowth of gum tissue) and chronic eczematous rash
Quiz_________________?
adverse effects of colchicine -
Answer✅
nausea, vomiting, diarrhea, myelosuppression, myopathy, rhabdomyolysis
Quiz_________________?
adverse effects of digoxin -
Answer✅
4
12 CDC guidelines for prescribing opioids -
Answer✅
Opioids are not first line therapy
establish goals for pain and function
Discuss risks and benefits
Use immediate release opioids when starting
Use the lowest effective dose
Prescribe short durations for acute pain
Evaluate benefits and harms frequently
Use strategies to migrate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzo prescribing
Offer treatment for opioid use disorder
Quiz_________________?
1st line treatment of osteoporosis -
1
, Answer✅
alendronate
Quiz_________________?
A 41 year old patient comes into the clinic complaining of increased heart rate after starting
nitro patches for stable angina. What would an appropriate response be?
1. lets lower the dose and frequency of use
2. I will prescribe a BB to help with this
3. Next time this happens, lie down and practice deep breathing, this will bring your heart
rate down -
Answer✅
2- I will prescribe a BB to help with this
Quiz_________________?
A 55 year old male comes into the clinic with a gouty arthritis. He states that he has one
flareup a year. Your response is:
1. I will prescribe you glucocorticoids to help with inflammation
2. Lets start you on prophylactic therapy colchicine.
3. It will be helpful to take an NSAID to start with to help relive some inflammation. I'll
prescribe naproxen. -
Answer✅
3- in patients with infrequent flareups, being less than three per year, treatment of
symptoms is all thats needed. NSAIDS are the first line agent for relieving pain of an acute
gout attack.
Quiz_________________?
2
, A patient comes in stating that he tried NSAIDS to relieve a gouty attack but it hasnt
helped. He asks, "what are my options?" He further states that he has attacks every few
years but when he does NSAIDS do not help. Your response is:
1. I can prescribe a glucocorticoid (prednisone) and that will bring down the inflammation
and pain.
2. Have your tried increasing your dosage of NSAIDS and drink plenty of water?
3. Lets start by making some changes in your diet, can you tell me what you eat regularly? -
Answer✅
1
3- can also be correct but BEST answer
Quiz_________________?
A patient with HF develops fibrotic changes, what should the provider do next? -
Answer✅
ensure that a patient is on an ARB (valsartan) as this inhibits fibrosis (aldosterone
antagonist)
Quiz_________________?
A person who is depend on a pure opioid agonist should NEVER receive an opioid agonist
antagonist -
Answer✅
true
Quiz_________________?
ACE inhibitors MOA -
Answer✅
3
, Angiotensin Converting Enzyme Inhibitors (ACE-I) prevent the conversion of angiotensin I
to angiotensin II, which disrupts the renin-angiotensin-aldosterone system (RAAS).
1. reduce levels of angiotensin II (through inhibition of ACE)
2. increasing levels of bradykinin (through inhibition of kinase 11)
End in -pril
Quiz_________________?
adverse effects for bisphosphonates -
Answer✅
osteonecrosis of the jaw and hip fracture, Esophagitis
Quiz_________________?
adverse effects of CCBs in elderly patients -
Answer✅
gingival hyperplasia (overgrowth of gum tissue) and chronic eczematous rash
Quiz_________________?
adverse effects of colchicine -
Answer✅
nausea, vomiting, diarrhea, myelosuppression, myopathy, rhabdomyolysis
Quiz_________________?
adverse effects of digoxin -
Answer✅
4
