NUR661 FINAL EXAM STUDY GUIDE
First-line treatment of depression? - Answer Fluoxetine (Prozac)
What is one ADR to educate about when prescribing Amoxicillin to children for middle
ear infections? - Answer Diarrhea
A 12-year-old child has a cough and fever, sx related to rhinorrhea. What is the best
treatment for this? - Answer Symptom management, no abx
What is the difference between Amoxicillin and Augmentin? - Answer Augmentin has an
additive of Clavulanic acid which prevents the cleaving of amoxicillin that occurs from
the beta-lactamase enzyme produced by the bacteria
What are some of the most severe complications of retinoic acid for acne? - Answer
Bone fractures and suicidal ideation
A woman who smokes is asking for contraception. What are the considerations for
prescribing this to her? - Answer Smoking and contraceptives together have
complications and smoking can decrease the effectiveness of the contraceptive. Both
can lead to blood clots as well
What is the treatment for syphilis? - Answer penicillin IM
Best treatment for UTI? What if they are allergic? - Answer Sulfa drugs, if allergic then
cipro
Treatment for TB is initiated. What supplement should be included? - Answer Pyridoxine
(Vitamin B) because Isoniazid can decrease this.
First-line treatment for pneumonia? - Answer Azithromycin
Best treatment for Migraines? - Answer Rizatriptan (sumatriptan)
A 56-year-old pt is complaining of vaginal dryness and pain with sex. What is the best
treatment for this? - Answer Estradiol ring intravaginally
A pt who has been using fast-acting opioids for pain is discontinuing them. What should
be prescribed to them to help with weaning off and preventing withdrawal symptoms? -
Answer Long-acting opioid, Buprenorphine
Complication of omeprazole? - Answer B12 deficiency —> megaloblastic anemia
Treatment of TB? - Answer Isoniazid (INH), rifampin (RIF), ethambutol (EMB),
pyrazinamide (only 2 months)
Prevention of TB in exposed person? - Answer Isoniazid for 6-9 months
A 9 year old child is missing days of school for migraines. What is the best treatment for
this? - Answer Propranolol
, Why do lipid-soluble medications affect women and men differently? - Answer They have
different lipid content
What is one major ADR of combined contraceptive therapy? - Answer Coagulation
disorders
SSRI treatment for depression, education point for someone starting it? - Answer It can
take up to 6-8 weeks to see results
MRSA carrier state treatment? - Answer Mupirocin intranasally
Best drug choice for psoriasis? - Answer Retinoid tazarotene
Stepwise approach for asthma? - Answer MILD: Albuterol (beta agonist) PRN
MILD PERSISTENT: low dose inhaled corticosteroid (fluticasone) daily + albuterol PRN
MODERATE: medium dose inhaled corticosteroid + leukotriene receptor modifier
(montelukast) OR low dose + long-acting beta-agonist (formoterol) (adults)
STEP 5: high dose inhaled corticosteroid + long-acting beta-agonist
STEP 6: high dose inhaled corticosteroid + long-acting beta agonist + oral corticosteroid
(consult asthma specialist
4-year-old with status epilepticus, what is the best treatment? - Answer Rectal diazepam
What are the parameters that you will check on a patient before you start them on
metformin? - Answer CRE/GFR (if below 30, cannot use it), RENAL FXN
Who would you recommend progesterone-only pills to? - Answer Breastfeeding pts, pts
w/ h/o migraines, or any other contraindication for estrogen
Patient is positive for Hep C. What should you check for before you start treatment? -
Answer Check for Hep B
Pt is allergic to eggs, what should you avoid giving them? What would you give instead?
- Answer Flu vaccine, recombinant needs to be used
Alternate treatment for Osteoporosis besides bisphosphinates? - Answer Selective
estrogen receptor modifiers
What is one folic acid deficiency manifestation? - Answer Glossitis (swelling of the
tongue)
What is the best treatment for males with metabolic syndrome? - Answer Testosterone
replacement
Why is metformin the first line treatment for DM? - Answer Does not cause hypoglycemia
What is the synthetic cannabinoid that is approved for N/V treatment? - Answer
First-line treatment of depression? - Answer Fluoxetine (Prozac)
What is one ADR to educate about when prescribing Amoxicillin to children for middle
ear infections? - Answer Diarrhea
A 12-year-old child has a cough and fever, sx related to rhinorrhea. What is the best
treatment for this? - Answer Symptom management, no abx
What is the difference between Amoxicillin and Augmentin? - Answer Augmentin has an
additive of Clavulanic acid which prevents the cleaving of amoxicillin that occurs from
the beta-lactamase enzyme produced by the bacteria
What are some of the most severe complications of retinoic acid for acne? - Answer
Bone fractures and suicidal ideation
A woman who smokes is asking for contraception. What are the considerations for
prescribing this to her? - Answer Smoking and contraceptives together have
complications and smoking can decrease the effectiveness of the contraceptive. Both
can lead to blood clots as well
What is the treatment for syphilis? - Answer penicillin IM
Best treatment for UTI? What if they are allergic? - Answer Sulfa drugs, if allergic then
cipro
Treatment for TB is initiated. What supplement should be included? - Answer Pyridoxine
(Vitamin B) because Isoniazid can decrease this.
First-line treatment for pneumonia? - Answer Azithromycin
Best treatment for Migraines? - Answer Rizatriptan (sumatriptan)
A 56-year-old pt is complaining of vaginal dryness and pain with sex. What is the best
treatment for this? - Answer Estradiol ring intravaginally
A pt who has been using fast-acting opioids for pain is discontinuing them. What should
be prescribed to them to help with weaning off and preventing withdrawal symptoms? -
Answer Long-acting opioid, Buprenorphine
Complication of omeprazole? - Answer B12 deficiency —> megaloblastic anemia
Treatment of TB? - Answer Isoniazid (INH), rifampin (RIF), ethambutol (EMB),
pyrazinamide (only 2 months)
Prevention of TB in exposed person? - Answer Isoniazid for 6-9 months
A 9 year old child is missing days of school for migraines. What is the best treatment for
this? - Answer Propranolol
, Why do lipid-soluble medications affect women and men differently? - Answer They have
different lipid content
What is one major ADR of combined contraceptive therapy? - Answer Coagulation
disorders
SSRI treatment for depression, education point for someone starting it? - Answer It can
take up to 6-8 weeks to see results
MRSA carrier state treatment? - Answer Mupirocin intranasally
Best drug choice for psoriasis? - Answer Retinoid tazarotene
Stepwise approach for asthma? - Answer MILD: Albuterol (beta agonist) PRN
MILD PERSISTENT: low dose inhaled corticosteroid (fluticasone) daily + albuterol PRN
MODERATE: medium dose inhaled corticosteroid + leukotriene receptor modifier
(montelukast) OR low dose + long-acting beta-agonist (formoterol) (adults)
STEP 5: high dose inhaled corticosteroid + long-acting beta-agonist
STEP 6: high dose inhaled corticosteroid + long-acting beta agonist + oral corticosteroid
(consult asthma specialist
4-year-old with status epilepticus, what is the best treatment? - Answer Rectal diazepam
What are the parameters that you will check on a patient before you start them on
metformin? - Answer CRE/GFR (if below 30, cannot use it), RENAL FXN
Who would you recommend progesterone-only pills to? - Answer Breastfeeding pts, pts
w/ h/o migraines, or any other contraindication for estrogen
Patient is positive for Hep C. What should you check for before you start treatment? -
Answer Check for Hep B
Pt is allergic to eggs, what should you avoid giving them? What would you give instead?
- Answer Flu vaccine, recombinant needs to be used
Alternate treatment for Osteoporosis besides bisphosphinates? - Answer Selective
estrogen receptor modifiers
What is one folic acid deficiency manifestation? - Answer Glossitis (swelling of the
tongue)
What is the best treatment for males with metabolic syndrome? - Answer Testosterone
replacement
Why is metformin the first line treatment for DM? - Answer Does not cause hypoglycemia
What is the synthetic cannabinoid that is approved for N/V treatment? - Answer
