MN 553 Unit 5 Quiz - Question and Answers | LATEST ANSWERS

Question 1 0 / 1 point Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for: Question options: Excessive sedation Tachycardia and angina Weight gain Cold intolerance Question 2 1 / 1 point Potentially fatal granulocytopenia has been associated with treatment of hyperthyroidism with propylthiouracil. Patients should be taught to report: Question options: Tinnitus and decreased salivation Fever and sore throat Hypocalcemia and osteoporosis Laryngeal edema and difficulty swallowing Question 3 1 / 1 point Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it: Question options: Substitutes for insulin usually secreted by the pancreas Decreases glycogenolysis by the liver Increases the release of insulin from beta cells Decreases peripheral glucose utilization Question 4 1 / 1 point Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms of hypoglycemia include: Question options: “Fruity” breath odor and rapid respiration Diarrhea, abdominal pain, weight loss, and hypertension Dizziness, confusion, diaphoresis, and tachycardia Easy bruising, palpitations, cardiac dysrhythmias, and coma Question 5 1 / 1 point Sulfonylureas may be added to a treatment regimen for type 2 diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels. Sulfonylureas have been moved to Step 2 therapy because they: Question options: Increase endogenous insulin secretion Have a significant risk for hypoglycemia Address the insulin resistance found in type 2 diabetics Improve insulin binding to receptors Question 6 0 / 1 point Treatment with insulin for type 1 diabetics: Question options: Starts with a total daily dose of 0.2 to 0.4 units per kg of body weight Divides the total doses into three injections based on meal size Uses a total daily dose of insulin glargine given once daily with no other insulin required Is based on the level of blood glucose Question 7 1 / 1 point The American Heart Association states that people with diabetes have a 2- to 4-fold increase in the risk of dying from cardiovascular disease. Treatments and targets that do not appear to decrease risk for micro- and macro-vascular complications include: Question options: Glycemic targets between 7% and 7.5% Use of insulin in type 2 diabetics Control of hypertension and hyperlipidemia Stopping smoking Question 8 1 / 1 point Drugs used to treat diabetic peripheral neuropathy include: Question options: Metoclopramide Cholinergic agonists Cardioselective beta blockers Gabapentin Question 9 0 / 1 point The goals of therapy when prescribing hormone replacement therapy (HRT) include reducing: Question options: Cardiovascular risk Risk of stroke or other thromboembolic event Breast cancer Vasomotor symptoms Question 10 0 / 1 point Inadequate vitamin D intake can contribute to the development of osteoporosis by: Question options: Increasing calcitonin production Increasing calcium absorption from the intestine Altering calcium metabolism Stimulating bone formation Question 11 1 / 1 point The drug recommended as primary prevention of osteoporosis in men over age 70 years is: Question options: Alendronate (Fosamax) Ibandronate (Boniva) Calcium carbonate Raloxifene (Evista) Question 12 1 / 1 point In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for: Question options: A calcium channel blocker A beta blocker Liothyronine An alpha blocker Question 13 0 / 1 point When starting a patient on levothyroxine for hypothyroidism the patient will need follow-up measurement of thyroid function in: Question options: 2 weeks 4 weeks 2 months 6 months Question 14 1 / 1 point Treatment of a patient with hypothyroidism and cardiovascular disease consists of: Question options: Levothyroxine Liothyronine Liotrix Methimazole Question 15 1 / 1 point Men who use transdermal testosterone gel (AndroGel) should be advised to avoid: Question options: Washing their hands after applying the gel Wearing occlusive clothing while using the gel Exposure to estrogens while using the gel Skin-to-skin contact with pregnant women while using the gel Question 16 1 / 1 point A 22-year-old woman receives a prescription for oral contraceptives. Education for this patient includes: Question options: Counseling regarding decreasing or not smoking while taking oral contraceptives Advising a monthly pregnancy test for the first 3 months she is taking the contraceptive Advising that she may miss two pills in a row and not be concerned about pregnancy Recommending that her next follow-up visit is in 1 year for a refill and annual exam Question 17 0 / 1 point A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her symptoms with the lowest adverse effects she should be prescribed: Question options: Low-dose oral estrogen A low-dose estrogen/progesterone combination A vaginal estradiol ring Vaginal progesterone cream Question 18 1 / 1 point Ashley comes to the clinic with a request for oral contraceptives. She has successfully used oral contraceptives before and has recently started dating a new boyfriend so would like to restart contraception. She denies recent intercourse and has a negative urine pregnancy test in the clinic. An appropriate plan of care would be: Question options: Recommend she return to the clinic at the start of her next menses to get a Depo Provera shot. Prescribe oral combined contraceptives and recommend she start them at the beginning of her next period and use a back-up method for the first 7 days. Prescribe oral contraceptives and have her start them the same day as the visit with a back-up method used for the first 7 days. Discuss the advantages of using the topical birth control patch and recommend she consider using the patch. Question 19 1 / 1 point Women who are prescribed progestin-only contraception need education regarding which common adverse drug effects? Question options: Increased migraine headaches Increased risk of developing blood clots Irregular vaginal bleeding for the first few months Increased risk for hypercalcemia Question 20 1 / 1 point Oral emergency contraception (Plan B) is contraindicated in women who: Question options: Had intercourse within the past 72 hours May be pregnant Are taking combined oral contraceptives Are using a diaphragm