Pharm 615 Test 3 Questions with Verified Correct
Answer
Beta-blockers (BBs) are generally contraindicated in which patient?
1 ] The patient who has unstable asthma
2 ] The patient who has had a myocardial infarction (MI)
3 ] The patient who has hypertension
4 ] The patient who has stable Type II diabetes
1 ] The patient who has unstable asthma
Rationale: bbs are generally contraindicated for patients with unstable bronchospastic disorders
such as asthma.
[Page reference: 898]
Which drug inhibits the enzyme that converts T4 to T3, has iodine as a major component,
and has a risk for patients with an underlying predisposition to thyroid disease to develop
thyrotoxicosis or hypothyroidism?
1 ] Enalapril
2 ] Amiodarone
3 ] Digoxin
4 ] Hydralazine
2 ] Amiodarone
, Rationale:
Amiodarone inhibits the enzyme that converts T4 to T3. And iodine is a major component of this
drug. Therefore, about 5% of patients with an underlying predisposition to thyroid disease may
develop thyrotoxicosis or hypothyroidism. If this drug must be used to treat the rhythm
disturbance. Careful monitoring and treatment of the thyroid disorder must be undertaken.
Page reference: 303
A frail, 78-year-old female patient with a history of type 2 diabetes mellitus (DM), obesity,
chronic obstructive pulmonary disease, and coronary artery disease is returning for a
follow-up evaluation. She has a previous history of hypoglycemia. Her current medication
regimen includes a maximum dose of a biguanide and a dipeptidyl peptidase-4 (DPP-4)
inhibitor. Her HbA1c is 7.8%. Which action is most appropriate for the APN to take?
1 ] Prescribe no additional medication.
2 ] Prescribe rapid-acting insulin (RAI) before meals.
3 ] Prescribe nasally inhaled human insulin.
4 ] Prescribe a sulfonylurea.
1 ] Prescribe no additional medication.
Rationale:
According to the American diabetic association (ADA) guidelines, a less stringent a1c goal of
less than 8% may be appropriate for a patient with extensive comorbid conditions.
Reference page: 524
Answer
Beta-blockers (BBs) are generally contraindicated in which patient?
1 ] The patient who has unstable asthma
2 ] The patient who has had a myocardial infarction (MI)
3 ] The patient who has hypertension
4 ] The patient who has stable Type II diabetes
1 ] The patient who has unstable asthma
Rationale: bbs are generally contraindicated for patients with unstable bronchospastic disorders
such as asthma.
[Page reference: 898]
Which drug inhibits the enzyme that converts T4 to T3, has iodine as a major component,
and has a risk for patients with an underlying predisposition to thyroid disease to develop
thyrotoxicosis or hypothyroidism?
1 ] Enalapril
2 ] Amiodarone
3 ] Digoxin
4 ] Hydralazine
2 ] Amiodarone
, Rationale:
Amiodarone inhibits the enzyme that converts T4 to T3. And iodine is a major component of this
drug. Therefore, about 5% of patients with an underlying predisposition to thyroid disease may
develop thyrotoxicosis or hypothyroidism. If this drug must be used to treat the rhythm
disturbance. Careful monitoring and treatment of the thyroid disorder must be undertaken.
Page reference: 303
A frail, 78-year-old female patient with a history of type 2 diabetes mellitus (DM), obesity,
chronic obstructive pulmonary disease, and coronary artery disease is returning for a
follow-up evaluation. She has a previous history of hypoglycemia. Her current medication
regimen includes a maximum dose of a biguanide and a dipeptidyl peptidase-4 (DPP-4)
inhibitor. Her HbA1c is 7.8%. Which action is most appropriate for the APN to take?
1 ] Prescribe no additional medication.
2 ] Prescribe rapid-acting insulin (RAI) before meals.
3 ] Prescribe nasally inhaled human insulin.
4 ] Prescribe a sulfonylurea.
1 ] Prescribe no additional medication.
Rationale:
According to the American diabetic association (ADA) guidelines, a less stringent a1c goal of
less than 8% may be appropriate for a patient with extensive comorbid conditions.
Reference page: 524
