PRESCRIBING
Objective final exam
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Spironolactone (Aldactone) is highly protein Bound and has the duration of:
1) 6 hours
2) 12 hours
3) 24 hours
4)48 hours - ANSWER ✅48 hours
A common side effect of niacin is:
1) hair loss
2) dry mouth
3) joint pain
4) flushing - ANSWER ✅flushing
Negative inotropes are indicated for patients diagnosed with:
1) Hypertension
2) stable angina
3) a fib
4) acute coronary syndrome - ANSWER ✅A-Fib
Direct thrombin inhibitors such as dabigatran (Pradaxa) are not indicated for:
1) the prevention of venous thromboembolism
2) patients with a-fib
3) the treatment of acute coronary syndrome
4) patients with prosthetic heart valves - ANSWER ✅patients with prosthetic
heart valves
, A disadvantage of vitamin K antagonist for anticoagulation is their:
1) decrease the efficacy
2) numerous medication interactions
3) expense and availability
4) predictable pharmacokinetics - ANSWER ✅numerous medication interactions
Reduced doses of lovastatin (Mevacor) are recommended when used
concomitantly with:
1) Losartan (Cozaar)
2) verapamil (Calan)
3) glimepiride (Amaryl)
4) Phenytoin (Dilantin - ANSWER ✅Verapamil
Gemfibrozil (Lopid) should be discontinued if:
1) a mild decrease in hemoglobin is experienced
2) symptoms of biliary colic are present.
3) the patient complains of syncope
4)the patient develops cataracts - ANSWER ✅symptoms of biliary colic are
present.
Ranolazine (Ranexa) exerts antianginal and anti-ischemic effects by:
1) donating nitric oxide to induce relaxation and vasodilation
2)Inhibiting the ability of the calcium to serve as an intracellular messenger
3)blocking voltage-gated potassium channels, terminating action potentials
4) reducing sodium concentrations and calcium influx, thus decreasing oxygen
consumption - ANSWER ✅4) reducing sodium concentrations and calcium
influx, thus decreasing oxygen consumption
Baseline and periodic monitoring for patients receiving hydralazine (Apresoline)
should include serum:
1) liver function test
2) thyroid panel
3) CBC
4)BUN and Creatinine - ANSWER ✅3) CBC
Gemfibrozil (Lopid), for the treatment of hyperglycemia, is classified as a:
1) Bile acid sequestrant
2) Nicotinic Acid
3)Fibric Acid
4) Statin - ANSWER ✅3) Fibric Acid