Geri Final Exam Chapter Summary
Questions well answered to pass graded
A+
Patient GG is an 82-year-old female with complaints of dysuria
and polyuria. A urinalysis is positive for a urinary tract
infection. She is 55 kg, her serum creatinine is 1.5 mg/dL,
and she has no known drug allergies. Which of the following
is the most appropriate antibiotic regimen?
a. Ciprofloxacin 500 mg bid for 3 days
b. Nitrofurantoin 100 mg bid for 7 days
c. Sulfamethoxazole/trimethoprim 400/80 mg bid for
3 days
d. Sulfamethoxazole/trimethoprim 800/160 mg bid for
3 days - correct answer ✔✔c
Patient ER is a 67-year-old female without any complaints.
She is a functional patient living in the community
with a history of hypertension. Blood work reveals
a low-density lipoprotein (LDL) significantly above goal
for the second time this year, despite lifestyle modification.
Select the most appropriate therapeutic plan at
this time.
a. Consider lifestyle modification for 3 more months
, b. Initiate atorvastatin 80 mg daily
c. No medical intervention at this time
d. Start simvastatin 10 mg daily - correct answer ✔✔d
Patient SL is a 68-year-old male you are seeing for followup
of uncontrolled hypertension. He is currently prescribed
amlodipine 10 mg daily, azilsartan (Edarbi) 40 mg
daily, metoprolol tartrate 50 mg bid, and hydrochlorothiazide
(HCTZ) 25 mg daily, and his blood pressure is consistently
above target. Secondary causes of hypertension
have been ruled out. You ask him about missing doses
and he tells you that it is difficult to take so many tablets
and the brand-name medication is very expensive. Select
the best way to improve this patient's adherence.
a. Discontinue amlodipine and azilsartan and start amlodipine/
valsartan (Exforge) 10/160 mg once daily.
b. Discontinue azilsartan and HCTZ and initiate losartan/
HCTZ 50/25 mg once daily.
c. Discontinue azilsartan and initiate captopril 12.5 mg tid.
d. Discontinue metoprolol tartrate and initiate clonidine
0.1 mg/24-hour patch once weekly. - correct answer ✔✔b
A 71-year-old man with a history of metastatic prostate
cancer, hypertension, and chronic renal failure is admitted
Questions well answered to pass graded
A+
Patient GG is an 82-year-old female with complaints of dysuria
and polyuria. A urinalysis is positive for a urinary tract
infection. She is 55 kg, her serum creatinine is 1.5 mg/dL,
and she has no known drug allergies. Which of the following
is the most appropriate antibiotic regimen?
a. Ciprofloxacin 500 mg bid for 3 days
b. Nitrofurantoin 100 mg bid for 7 days
c. Sulfamethoxazole/trimethoprim 400/80 mg bid for
3 days
d. Sulfamethoxazole/trimethoprim 800/160 mg bid for
3 days - correct answer ✔✔c
Patient ER is a 67-year-old female without any complaints.
She is a functional patient living in the community
with a history of hypertension. Blood work reveals
a low-density lipoprotein (LDL) significantly above goal
for the second time this year, despite lifestyle modification.
Select the most appropriate therapeutic plan at
this time.
a. Consider lifestyle modification for 3 more months
, b. Initiate atorvastatin 80 mg daily
c. No medical intervention at this time
d. Start simvastatin 10 mg daily - correct answer ✔✔d
Patient SL is a 68-year-old male you are seeing for followup
of uncontrolled hypertension. He is currently prescribed
amlodipine 10 mg daily, azilsartan (Edarbi) 40 mg
daily, metoprolol tartrate 50 mg bid, and hydrochlorothiazide
(HCTZ) 25 mg daily, and his blood pressure is consistently
above target. Secondary causes of hypertension
have been ruled out. You ask him about missing doses
and he tells you that it is difficult to take so many tablets
and the brand-name medication is very expensive. Select
the best way to improve this patient's adherence.
a. Discontinue amlodipine and azilsartan and start amlodipine/
valsartan (Exforge) 10/160 mg once daily.
b. Discontinue azilsartan and HCTZ and initiate losartan/
HCTZ 50/25 mg once daily.
c. Discontinue azilsartan and initiate captopril 12.5 mg tid.
d. Discontinue metoprolol tartrate and initiate clonidine
0.1 mg/24-hour patch once weekly. - correct answer ✔✔b
A 71-year-old man with a history of metastatic prostate
cancer, hypertension, and chronic renal failure is admitted
