Kenneth is taking warfarin and is asking about what he can take for minor aches and
pains. The best recommendation is:
1. Ibuprofen 400 mg three times a day
2. Acetaminophen, not to exceed 4 grams per day
3. Prescribe acetaminophen with codeine
4. Aspirin 640 mg three times a day - (correct answer)2. Acetaminophen, not to exceed
4 grams per day
Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was
discharged on warfarin. She asks her primary care provider NP why she was getting
both medications while in the hospital. The best response is to:
1. Contact the hospitalist as this is not the normal guideline for prescribing these two
medications and she may have had a more complicated case.
2. Explain that warfarin is often started while a patient is still on heparin because
warfarin takes a few days to reach effectiveness.
3. Encourage the patient to contact the Customer Service department at the hospital as
this was most likely a medication error during her admission.
4. Draw anticoagulation studies to make sure she does not have dangerously high
bleeding times. - (correct answer)2. Explain that warfarin is often started while a patient
is still on heparin because warfarin takes a few days to reach effectiveness.
The safest drug to use to treat pregnant women who require anticoagulant therapy is:
1. Low-molecular-weight heparin
2. Warfarin
3. Aspirin
4. Heparin - (correct answer)4. Heparin
The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should
be considered in which patients?
, 1. Pregnant women
2. Elderly men
3. Overweight or obese patients
4. Patients with multiple comorbidities - (correct answer)3. Overweight or obese patients
Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the
clinic to review his medications. He is healthy with only mild hypertension that is well
controlled. He asks about getting "a shot" to prevent blood clots like his friend Ralph did
before international travel. The correct respond would be:
1. Administer one dose of low-molecular weight heparin 24 hours before travel.
2. Prescribe one dose of warfarin to be taken the day of travel.
3. Consult with a hematologist regarding a treatment plan for Cecil.
4. Explain that Cecil is not at high risk of a blood clot and provide education about how
to prevent blood clots while traveling. - (correct answer)4. Explain that Cecil is not at
high risk of a blood clot and provide education about how to prevent blood clots while
traveling.
Robert, age 51 years, has been told by his primary care provider (PCP) to take an
aspirin a day. Why would this be recommended?
1. He has arthritis and this will help with the inflammation and pain.
2. Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
3. Aspirin acidifies the urine and he needs this for prostrate health.
4. He has a history of GI bleed, and one aspirin a day is a safe dosage. - (correct
answer)2. Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also
takes aspirin four or more times a day for arthritis pain. What are the symptoms of
aspirin toxicity for which she would need to be evaluated?
1. Tinnitus
2. Diarrhea
pains. The best recommendation is:
1. Ibuprofen 400 mg three times a day
2. Acetaminophen, not to exceed 4 grams per day
3. Prescribe acetaminophen with codeine
4. Aspirin 640 mg three times a day - (correct answer)2. Acetaminophen, not to exceed
4 grams per day
Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was
discharged on warfarin. She asks her primary care provider NP why she was getting
both medications while in the hospital. The best response is to:
1. Contact the hospitalist as this is not the normal guideline for prescribing these two
medications and she may have had a more complicated case.
2. Explain that warfarin is often started while a patient is still on heparin because
warfarin takes a few days to reach effectiveness.
3. Encourage the patient to contact the Customer Service department at the hospital as
this was most likely a medication error during her admission.
4. Draw anticoagulation studies to make sure she does not have dangerously high
bleeding times. - (correct answer)2. Explain that warfarin is often started while a patient
is still on heparin because warfarin takes a few days to reach effectiveness.
The safest drug to use to treat pregnant women who require anticoagulant therapy is:
1. Low-molecular-weight heparin
2. Warfarin
3. Aspirin
4. Heparin - (correct answer)4. Heparin
The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should
be considered in which patients?
, 1. Pregnant women
2. Elderly men
3. Overweight or obese patients
4. Patients with multiple comorbidities - (correct answer)3. Overweight or obese patients
Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the
clinic to review his medications. He is healthy with only mild hypertension that is well
controlled. He asks about getting "a shot" to prevent blood clots like his friend Ralph did
before international travel. The correct respond would be:
1. Administer one dose of low-molecular weight heparin 24 hours before travel.
2. Prescribe one dose of warfarin to be taken the day of travel.
3. Consult with a hematologist regarding a treatment plan for Cecil.
4. Explain that Cecil is not at high risk of a blood clot and provide education about how
to prevent blood clots while traveling. - (correct answer)4. Explain that Cecil is not at
high risk of a blood clot and provide education about how to prevent blood clots while
traveling.
Robert, age 51 years, has been told by his primary care provider (PCP) to take an
aspirin a day. Why would this be recommended?
1. He has arthritis and this will help with the inflammation and pain.
2. Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
3. Aspirin acidifies the urine and he needs this for prostrate health.
4. He has a history of GI bleed, and one aspirin a day is a safe dosage. - (correct
answer)2. Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also
takes aspirin four or more times a day for arthritis pain. What are the symptoms of
aspirin toxicity for which she would need to be evaluated?
1. Tinnitus
2. Diarrhea
