Guides d'étude, Notes de cours & Résumés

Which of the following drugs interact with warfarin/coumadin? a. Imodium (loperamide) b. Diltiazem Hydrochloride SR (diltiazem) c. trimethoporim-sulfamethoxazole (Bactrim) d. sumatriptan (Imitrex) - Answer-c Sulfa drugs will interact with warfarin (increases the blood level), which results in an elevation of the INR and the risk of bleeding. The following drugs are potent inhibitors of the CYP450 system except: a. Erythromycin (Erythrocin) b. Cimetidine (Tagamet) c. Ceftazidime (Taz...

A nurse practitioner working in a community health clinic sees a male patient who expresses concern about starting a homosexual relationship with a new partner. Which of the following is the best plan to follow during this visit? (Select all that apply.) Contact the patient's partner to schedule HIV testing Educate the patient about using barrier devices during sex Prescribe daily oral PrEP Draw a blood sample for a combination HIV antigen/antibody test Schedule a follow-up appointment in ...

An 18yr old is being followed up for acne by the NP. The facial eat reveals that papule and pustules are present mostly on the forehead and the chin area. The patient has been using prescription topical and OTC medicated soap daily for 6 moths without much improvement. What would you recommend? - Answer-Tetracycline (Sumycin) The following statements are true regarding herpes - Answer-D/T reactivation of latent varicella virus It is more severe in immunocompromised people Infection of the t...

A 30-year-old chef complains of pruritic hives over her chest and arms, but denies difficulty swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? A. Obtain a complete and thorough history B. Recommend an oral antihistamine such as diphenhydramine 25 mg PO QID C. Give an injection of epinephrine 1:1000 intramuscularly stat D. Call 911 - Answer-A) Obtain a complete and thorough history Before prescrib...

It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic - Answer-A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to control her Stae I HTN. Her blood pressure at this visit is 168/96. She is currently complaining of pain in her right hip and on both knees. She has increased her dose of ibuprofen from 400mg 3 times a day to 800mg 3 times a day. She is still in pain and would like something stronger. Which of the following statements is the b...

A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is currently complaining of pain on her right hip and on both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in pain and would like something stronger. Which of the following statements is the best explanation of the effects of ibuprofen (Motrin) on her disease? A...

2. All of the following are infections that affect mostly the labia and vagina except: A) Bacterialvaginosis B) Candidiasis C) Trichomoniasis D) Chlamydia trachomatis - Answer-D) Chlamydia trachomatis Infections that commonly affect the labia and vagina include bacterial vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis commonly affects the cervix, endometrial lining , fallopian tubes, and pelvic cavity. Treatment for mild preeclampsia includes all of the following ex...

MAOIs (monoamine oxidase inhibitors) - Answer-isocarboxide, phenelzine, tranylcypromine ■ Rarely used because of serious food (high tyramine content) and drug interactions - (elevates BP, risk of stroke) ■ Do not combine with SSRIs, TCAs, MAO-B (selegiline/Eldepryl), serotonin receptor agonists (sumatriptan/Imitrex, zolmitriptan (Zomig) Inevitable abortion - Answer-vaginal bleeding with pain, cervical dilation, and/or cervical effacement threatened abortion - Answer-vaginal bleedin...

Beneficence - The obligation to help the patient. Remove harm, prevent harm, promote good. ("do no harm"). Acting in the patient's best interest. Compassionate patient care. What ethical principle Educating an obese patient on the harmful effects of obesity and recommending weight loss. - Beneficence What ethical principle Encouraging a patient to stop smoking and enroll in smoking cessation programs. - Beneficence What ethical principle : Calling the surgeon to get a pr...

A 30 yr old with chief complaint of pruritic hives over her chest and arms but denies difficulty swallowing or breathing. Reports family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? A. Perform a complete and thorough history B. Prescribe an oral antihistamine such as diphenhydramine 25 mg po qi C. Give an injection of epinephrine 1:1000 IM stat D. Call 911 - Answer-A All of the following are infections that affect mostly the labia and ...