1
AN ACE INHIBITOR AND WHAT OTHER CLASS OF DRUG MAY
REDUCE PROTEINURIA IN PATIENTS WITH DIABETES BETTER
THAN EITHER DRUG ALONE?
A. Beta blockers
B. Diuretics
C. Nondihydropyridine calcium channel blockers
D. Angiotensin II receptor blockers
C. Nondihydropyridine calcium channel blockers
ADAM HAS TYPE I DIABETES AND PLAYS TENNIS FOR HIS
UNIVERSITY. HE EXHIBITS KNOWLEDGE DEFICIT ABOUT HIS
INSULIN AND HIS DIAGNOSIS. HE SHOULD BE TAUGHT THAT:
A. He should increase his increase his carbohydrate intake during times of exercise intake during times
ofexercise.
B. Each brand of insulin is equal in bioavailability, so buy the least expensive.
C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.
D. If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to control
hisdiabetes.
A. He should increase his increase his carbohydrate intake during times of exercise intake during times of
exercise.
AGE IS A FACTOR IN DIFFERENT RESPONSES TO PAIN. WHICH OF THE
FOLLOWING AGE-RELATED STATEMENTS ABOUT PAIN IS NOT TRUE?
A. Preterm and newborn infants do not yet have functional pain pathways.
B. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently
alterneuronal organization in the child.
C. Increases in pain threshold in older adults may be related to peripheral neuropathies and changes in
skinthickness.
D. Decreases in pain tolerance are evident in older adults.
A. Preterm and newborn infants do not yet have functional pain pathways.
,2
ALTERATIONS IN DRUG METABOLISM AMONG ASIANS MAY LEAD TO:
A. Slower metabolism of antidepressants, requiring lower doses
B. Faster metabolism of neuroleptics, requiring higher doses
C. Altered metabolism of omeprazole, requiring higher doses
D. Slower metabolism of alcohol, requiring higher doses
A. Slower metabolism of antidepressants, requiring lower doses
AMIODARONE HAS BEEN PRESCRIBED IN A PATIENT WITH A
SUPRAVENTRICULAR DYSRHYTHMIA. PATIENT TEACHING SHOULD
INCLUDE ALL OF THE FOLLOWING EXCEPT:
A. Notify your healthcare provider immediately if you have visual change.
B. Monitor your own blood pressure and pulse daily.
C. Take a hot shower or bath if you feel dizzy.
D. Use a sunscreen on exposed body
surfaces.C. Take a hot shower or bath if you
feel dizzy.
,3
ANTICHOLINERGIC AGENTS, SUCH AS BENZTROPINE (COGENTIN),
MAY BE GIVEN WITH A PHENOTHIAZINE TO:
A. Reduce the chance of tardive dyskinesia.
B. Potentiate the effects of the drug.
C. Reduce the tolerance that tends to occur.
D. Increase CNS depression.
A. Reduce the chance of tardive dyskinesia.
AN APPROPRIATE DRUG FOR THE TREATMENT OF DEPRESSION
WITH ANXIETY WOULD BE:
A. Alprazolam (Xanax)
B. Escitalopram (Lexapro)
C. Buspirone (Buspar)
D. Amitriptyline (Elavil) B.
Escitalopram (Lexapro)
CARA IS TAKING LEVETIRACETAM (KEPPRA) TO TREAT SEIZURES.
ROUTINE EDUCATION FOR LEVETIRACETAM INCLUDES
REMINDING HER:
A. To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures
B. To wear a sunscreen due to photosensitivity from levetiracetam
C. To get an annual eye exam while on levetiracetam
D. To report weight loss if it occurs
A. To not abruptly discontinue levetiracetam due to the risk of withdrawal seizure
, 4
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)
D. Duloxetine (Cymbalta)
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. Multiple times when prescriptions are lost with requests to refill
COMMON MISTAKES PRACTITIONERS MAKE IN TREATING ANXIETY
DISORDERS INCLUDE:
A. Switching medications after an eight-week trial to a twelve-week trial
B. Maximizing dosing of antianxiety medications
C. Encouraging exercise and relaxation therapy before starting medication
D. Thinking a partial response to medication is
acceptableD. Thinking a partial response to medication is
acceptable
AN ACE INHIBITOR AND WHAT OTHER CLASS OF DRUG MAY
REDUCE PROTEINURIA IN PATIENTS WITH DIABETES BETTER
THAN EITHER DRUG ALONE?
A. Beta blockers
B. Diuretics
C. Nondihydropyridine calcium channel blockers
D. Angiotensin II receptor blockers
C. Nondihydropyridine calcium channel blockers
ADAM HAS TYPE I DIABETES AND PLAYS TENNIS FOR HIS
UNIVERSITY. HE EXHIBITS KNOWLEDGE DEFICIT ABOUT HIS
INSULIN AND HIS DIAGNOSIS. HE SHOULD BE TAUGHT THAT:
A. He should increase his increase his carbohydrate intake during times of exercise intake during times
ofexercise.
B. Each brand of insulin is equal in bioavailability, so buy the least expensive.
C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.
D. If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to control
hisdiabetes.
A. He should increase his increase his carbohydrate intake during times of exercise intake during times of
exercise.
AGE IS A FACTOR IN DIFFERENT RESPONSES TO PAIN. WHICH OF THE
FOLLOWING AGE-RELATED STATEMENTS ABOUT PAIN IS NOT TRUE?
A. Preterm and newborn infants do not yet have functional pain pathways.
B. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently
alterneuronal organization in the child.
C. Increases in pain threshold in older adults may be related to peripheral neuropathies and changes in
skinthickness.
D. Decreases in pain tolerance are evident in older adults.
A. Preterm and newborn infants do not yet have functional pain pathways.
,2
ALTERATIONS IN DRUG METABOLISM AMONG ASIANS MAY LEAD TO:
A. Slower metabolism of antidepressants, requiring lower doses
B. Faster metabolism of neuroleptics, requiring higher doses
C. Altered metabolism of omeprazole, requiring higher doses
D. Slower metabolism of alcohol, requiring higher doses
A. Slower metabolism of antidepressants, requiring lower doses
AMIODARONE HAS BEEN PRESCRIBED IN A PATIENT WITH A
SUPRAVENTRICULAR DYSRHYTHMIA. PATIENT TEACHING SHOULD
INCLUDE ALL OF THE FOLLOWING EXCEPT:
A. Notify your healthcare provider immediately if you have visual change.
B. Monitor your own blood pressure and pulse daily.
C. Take a hot shower or bath if you feel dizzy.
D. Use a sunscreen on exposed body
surfaces.C. Take a hot shower or bath if you
feel dizzy.
,3
ANTICHOLINERGIC AGENTS, SUCH AS BENZTROPINE (COGENTIN),
MAY BE GIVEN WITH A PHENOTHIAZINE TO:
A. Reduce the chance of tardive dyskinesia.
B. Potentiate the effects of the drug.
C. Reduce the tolerance that tends to occur.
D. Increase CNS depression.
A. Reduce the chance of tardive dyskinesia.
AN APPROPRIATE DRUG FOR THE TREATMENT OF DEPRESSION
WITH ANXIETY WOULD BE:
A. Alprazolam (Xanax)
B. Escitalopram (Lexapro)
C. Buspirone (Buspar)
D. Amitriptyline (Elavil) B.
Escitalopram (Lexapro)
CARA IS TAKING LEVETIRACETAM (KEPPRA) TO TREAT SEIZURES.
ROUTINE EDUCATION FOR LEVETIRACETAM INCLUDES
REMINDING HER:
A. To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures
B. To wear a sunscreen due to photosensitivity from levetiracetam
C. To get an annual eye exam while on levetiracetam
D. To report weight loss if it occurs
A. To not abruptly discontinue levetiracetam due to the risk of withdrawal seizure
, 4
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)
D. Duloxetine (Cymbalta)
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. Multiple times when prescriptions are lost with requests to refill
COMMON MISTAKES PRACTITIONERS MAKE IN TREATING ANXIETY
DISORDERS INCLUDE:
A. Switching medications after an eight-week trial to a twelve-week trial
B. Maximizing dosing of antianxiety medications
C. Encouraging exercise and relaxation therapy before starting medication
D. Thinking a partial response to medication is
acceptableD. Thinking a partial response to medication is
acceptable
