Question 1
pts
Your patient has polycystic ovarian syndrome (PCOS) and does not desire future
pregnancy.
According to the Lehne's Pharmacotherapeutics for Advanced Practice Providers, the
best
pharmacological treatment combination for PCOS is:
A testosterone reducing drug, an antidepressant
Clomid, Metformin, Retin A for acne
Antidepressant, an IUD, a mood stabilizer
Correct!
Oral birth control pills, Glucophage, Spironolactone
Question 2
pts
Your healthy young patient is very anxious and does not want to take controlled drugs.
An effective short term rapid onset anti-anxiety medication for this patient in an
outpatient setting
who does not want to take any controlled drug is:
Paxil 250 mg at hs
Valium 5 mg BID prn
Correct!
Propranolol 40 mg BID prn anxiety
,Xanax 0.25 mg TID prn
Question 3
0..5 pts
Your patient has osteoarthritis and takes NSAIDs daily for pain, drinks alcohol daily,
takes 81 mg of
aspirin daily, and takes a beta blocker for hypertension.
Today he complains of GI distress.
After completing history taking and performing your examination on this otherwise
healthy patient,
you diagnose him with GERD.
What is the next step for you to take?
Correct!
Stop NSAIDs, aspirin & alcohol; start Omeprazole 20 mg every day X 2 weeks
Stop NSAIDs, aspirin & alcohol; start Omeprazole 80 mg BID X 2 months
Continue taking NSAIDs, aspirin & alcohol in moderation, but start Omprazole 40 mg
BID X 2 weeks
Refer the patient to gastroenterologist stat
Question 4
pts
Your patient has a long history of osteoarthritis and joint pain and takes daily NSAIDs for
the pain.
He also takes an ACE Inhibitor for HTN.
He is now on hemodialysis in Stage 5 Renal Failure and has chronic hyperkalemia.
, You know:
ACEI's are safe as long as this patient is getting dialysis
Correct!
ACEI's are renal-protective but increase K levels, so they must be stopped.
The nephrologist will make this patient's medication decisions
NSAIDS are safe at low doses for this patient as long as he is getting dialysis
Question 5
pts
Your patient has a long history of osteoarthritis and joint pain and takes daily NSAIDs for
that pain.
He also takes an ACE Inhibitor for HTN.
He is now on hemodialysis in Stage 5 Renal Failure and has chronic hyperkalemia.
You know:
You need to add Lasix to promote diuresis.
The nephrologist will manage this patients medications.
Correct!
NSAIDs are toxic to the kidneys and must be stopped. Order acetaminophen for mild to
moderate pain.
Add aldactone to prevent the elevation of potassium.
pts
Your patient has polycystic ovarian syndrome (PCOS) and does not desire future
pregnancy.
According to the Lehne's Pharmacotherapeutics for Advanced Practice Providers, the
best
pharmacological treatment combination for PCOS is:
A testosterone reducing drug, an antidepressant
Clomid, Metformin, Retin A for acne
Antidepressant, an IUD, a mood stabilizer
Correct!
Oral birth control pills, Glucophage, Spironolactone
Question 2
pts
Your healthy young patient is very anxious and does not want to take controlled drugs.
An effective short term rapid onset anti-anxiety medication for this patient in an
outpatient setting
who does not want to take any controlled drug is:
Paxil 250 mg at hs
Valium 5 mg BID prn
Correct!
Propranolol 40 mg BID prn anxiety
,Xanax 0.25 mg TID prn
Question 3
0..5 pts
Your patient has osteoarthritis and takes NSAIDs daily for pain, drinks alcohol daily,
takes 81 mg of
aspirin daily, and takes a beta blocker for hypertension.
Today he complains of GI distress.
After completing history taking and performing your examination on this otherwise
healthy patient,
you diagnose him with GERD.
What is the next step for you to take?
Correct!
Stop NSAIDs, aspirin & alcohol; start Omeprazole 20 mg every day X 2 weeks
Stop NSAIDs, aspirin & alcohol; start Omeprazole 80 mg BID X 2 months
Continue taking NSAIDs, aspirin & alcohol in moderation, but start Omprazole 40 mg
BID X 2 weeks
Refer the patient to gastroenterologist stat
Question 4
pts
Your patient has a long history of osteoarthritis and joint pain and takes daily NSAIDs for
the pain.
He also takes an ACE Inhibitor for HTN.
He is now on hemodialysis in Stage 5 Renal Failure and has chronic hyperkalemia.
, You know:
ACEI's are safe as long as this patient is getting dialysis
Correct!
ACEI's are renal-protective but increase K levels, so they must be stopped.
The nephrologist will make this patient's medication decisions
NSAIDS are safe at low doses for this patient as long as he is getting dialysis
Question 5
pts
Your patient has a long history of osteoarthritis and joint pain and takes daily NSAIDs for
that pain.
He also takes an ACE Inhibitor for HTN.
He is now on hemodialysis in Stage 5 Renal Failure and has chronic hyperkalemia.
You know:
You need to add Lasix to promote diuresis.
The nephrologist will manage this patients medications.
Correct!
NSAIDs are toxic to the kidneys and must be stopped. Order acetaminophen for mild to
moderate pain.
Add aldactone to prevent the elevation of potassium.
