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Dwayne has classic tinea capitis. Treatment for tinea on the scalp is:
A. Rubbing in miconazole cream well for four weeks
B. Intake of oral griseofulvin for six to eight weeks
C. Shampooing with ketoconazole shampoo daily for six weeks
D. Using ciclopirox cream daily for four weeks -ANSWER-B. Intake of
oral griseofulvin for six to eight weeks
A potentially life-threatening adverse response to ACE inhibitors is
angioedema. Which of the following statements is true about this
adverse response?
A. Swelling of the tongue and hoarseness are the most common
symptoms.
B. It appears to be related to a decrease in aldosterone production.
C. The presence of a dry, hacky cough indicates a high risk for this
adverse response.
D. Because it takes time to build up a blood level, it occurs after being
on the drug for about one week. -ANSWER-A. Swelling of the tongue
and hoarseness are the most common symptoms.
,Scott is presenting for follow-up on his lipid panel. He had elevated
total cholesterol, elevated triglycerides, and an LDL of 122 mg/dL. He
has already implemented diet changes and increased physical activity.
He has mildly elevated liver studies. An appropriate next step for
therapy would be:
A. Atorvastatin (Lipitor)
B. Niacin (Niaspan)
C. Simvastatin and ezetimibe (Vytorin)
D. Gemfibrozil (Lopid) -ANSWER-B. Niacin (Niaspan)
Diagnostic criteria for diabetes include:
A. Fasting blood glucose greater than 140 mg/dl on two occasions
B. Postprandial blood glucose greater than 140 mg/dl
C. Fasting blood glucose 100 to 125 mg/dl on two occasions
D. Symptoms of diabetes plus a casual blood glucose greater than 200
mg/dl -ANSWER-Symptoms of diabetes plus a casual blood glucose
greater than 200 mg/dl
A nineteen-year-old male was started on risperidone. Monitoring for
risperidone includes observing for common side effects, including:
,A. Bradykinesia, akathisia, and agitation
B. Excessive weight gain
C. Hypertension
D. Potentially fatal agranulocytosis -ANSWER-A. Bradykinesia, akathisia,
and agitation
Amiodarone has been prescribed in a patient with a supraventricular
dysrhythmia. Patient teaching should include all of the following
except:
A. Notify your healthcare provider immediately if you have visual
change.
B. Monitor your own blood pressure and pulse daily.
C. Take a hot shower or bath if you feel dizzy.
D. Use a sunscreen on exposed body surfaces. -ANSWER-C. Take a hot
shower or bath if you feel dizzy.
Incorporating IT into a patient encounter takes skill and tact. During the
encounter, the provider can make the patient more comfortable with
the IT the provider is using by:
A. Turning the screen around so the patient can see material being
recorded
B. Not placing the computer screen between the provider and the
patient
, C. Both A and B
D. Neither A nor B -ANSWER-C. Both A and B
Jack, eight years old, has attention deficit disorder (ADD) and is
prescribed methylphenidate (Ritalin). He and his parents should be
educated about the side effects of methylphenidate, which are:
A. Slurred speech and insomnia
B. Bradycardia and confusion
C. Dizziness and orthostatic hypotension
D. Insomnia and decreased appetite -ANSWER-D. Insomnia and
decreased appetit
Josie is a five-year-old who presents to the clinic with a forty-eight-hour
history of nausea, vomiting, and some diarrhea. She is unable to keep
fluids down, and her weight is 4 pounds less than her last recorded
weight. Besides intravenous (IV) fluids, her exam warrants the use of an
antinausea medication. Which of the following would be the
appropriate drug to order for Josie?
A. Prochlorperazine (Compazine)
B. Meclizine (Antivert)
C. Promethazine (Phenergan)
D. Ondansetron (Zofran) -ANSWER-D. Ondansetron (Zofran)