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C. MI - answer ✔✔-Disease states in addition to hypertension in which beta blockade is a
compelling indication for the use of beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia
D. There is no laboratory monitoring required. - answer ✔✔-When a patient is on selective-
serotonin reuptake inhibitors:
A. The complete blood count must be monitored every three to four months
B. Therapeutic blood levels must be monitored every six months after a steady state is achieved.
C. Blood glucose must be monitored every three to four months.
D. There is no laboratory monitoring required.
B. Multiple times when prescriptions are lost with requests to refill - answer ✔✔-Chemical
dependency assessment is integral to the initial assessment of chronic pain. Which of the
following raises a "red flag" about potential chemical dependency?
,A. Use of more than one drug to treat the pain
B. Multiple times when prescriptions are lost with requests to refill
C. Preferences for treatments that include alternative medicines
D. Presence of a family member who has abused drugs
B. Risk for silent bacterial or viral infections of the genitalia - answer ✔✔-Prescribing for women
during their childbearing years requires constant awareness of the possibility of:
A. Pregnancy unless the women is on birth control
B. Risk for silent bacterial or viral infections of the genitalia
C. High risk for developmental disorders in their infants
D. Decreased risk for abuse during this time
C. Lifestyle changes - answer ✔✔-First-line therapy for hyperlipidemia is:
A. Statins
B. Niacin
C. Lifestyle changes
D. Bile acid-binding resins
A. Registers manufacturers and prescribes controlled substances - answer ✔✔-The DEA:
A. Registers manufacturers and prescribes controlled substances
B. Regulates NP prescribing at the state level
C. Sanctions providers who prescribe drugs off-label
D. Provides prescribers with a number they can use for insurance billing
,D. Duloxetine (Cymbalta) - answer ✔✔-Cecilia presents with depression associated with
complaints of fatigue, sleeping all the time, and lack of motivation. An appropriate initial
antidepressant for her would be:
A. Fluoxetine (Prozac)
B. Paroxetine (Paxil)
C. Amitriptyline (Elavil)
D. Duloxetine (Cymbalta)
B. Anorexiants may cause tolerance and should only be prescribed for six months. - answer ✔✔-
Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her
obesity. A trial of phentermine is prescribed. Prescribing precautions include understanding
that:
A. Obesity is a contraindication to prescribing phentermine.
B. Anorexiants may cause tolerance and should only be prescribed for six months.
C. Patients should be monitored for postural hypotension.
D. Renal function should be monitored closely while the patient is on anorexiants.
A. With a longer half-life so that missed doses produce a longer taper on the drug curve -
answer ✔✔-Patients with psychiatric illnesses have adherence rates to their drug regimen
between 35% and 60%. To improve adherence in this population, prescribe drugs:
A. With a longer half-life so that missed doses produce a longer taper on the drug curve
B. In oral formulations that are more easily taken
C. That do not require frequent monitoring
D. Combined with patient education about the need to adhere even when symptoms are absent
, A. Metformin and insulin - answer ✔✔-The drugs recommended by the American Academy of
Pediatrics for use in children with diabetes (depending upon type of diabetes) are:
A. Metformin and insulin
B. Sulfonylureas and insulin glargine
C. Split-mixed dose insulin and GLP-1 agonists
D.Biguanides and insulin lispro
B. Increasing calcium absorption from the intestine - answer ✔✔-Inadequate vitamin D intake
can contribute to the development of osteoporosis by:
A. Increasing calcitonin production
B. Increasing calcium absorption from the intestine
C. Altering calcium metabolism
D. Stimulating bone formation
C. Reduction or elimination of pain with minimum adverse reactions - answer ✔✔-Which of the
following is the goal of treatment of acute pain?
A. Pain at a tolerable level where patient may return to activities of daily living
B. Reduction of pain with a minimum of drug adverse effects
C. Reduction or elimination of pain with minimum adverse reactions
D. Adequate pain relief without constipation or nausea from the drugs
A. Reduce the chance of tardive dyskinesia. - answer ✔✔-Anticholinergic agents, such as
benztropine (Cogentin), may be given with a phenothiazine to: