NU641 Week 5 | Pharmacology in Health Care - Regis university

NU641 Advanced Clinical Pharmacology Week 5 Quiz

Question 1What is pernicious anemia treated with?

Select one:

a.Folic acid supplements b.Thiamine supplements c.Vitamin B12 d.Iron Question 2An adult female has been prescribed iron to treat her anemia. What would education of patients prescribed iron include?

Select one:

a.Take the iron with milk if it upsets their stomach. b.Antacids may help with the nausea and gastrointestinal (GI) upset caused by iron. c.Increase fluids and fiber to treat constipation. d.Iron is best tolerated if it is taken at the same time as their other medications. Question 3Patients who have angina, regardless of class, who are also diabetic, should be on which of the following?

Select one:

a.Nitrates b.Beta blockers c.ACE inhibitors d.Calcium channel blockers Question 4Not all chest pain is caused by myocardial ischemia. Noncardiac causes of chest pain include which of the following?

Select one:

a.Pulmonary embolism b.Pneumonia c.Gastroesophageal reflux d.All of the above Question 5Which of the following drugs has been associated with increased risk for MI in women?

Select one:

a.ASA b.Beta blockers c.Estrogen replacement d.Lipid-lowering agents

Question 6When is ASA used in angina patients?

Select one:

a.All angina patients should be taking ASA unless it is contraindicated for allergy or other medical reasons. b.ASA should only be used in men. c.ASA has no role in angina, but is useful in MI prevention. d.ASA is best used at the time of an angina attack. Question 7Changing a diuretic to the aldosterone antagonist class is frequently beneficial to heart failure patients except in which of the following circumstances?

Select one:

a.When they are advancing to a later stage of failure b.When they have moderate to severe symptoms c.When they have persistent hyperkalemia d.Prior to the advance of renal dysfunction Question 8Once the fluid overload of a heart failure flare is ed, what is the proper role of diuretics?

Select one:

a.They should only be used intermittently when fluid becomes an issue. b.To maintain a baseline level of therapy c.Only the aldosterone agonist class should be used. d.The dosing should be increased aggressively to ensure maintenance of a dry weight status. Question 9Heart failure patients frequently take more than one drug. When are anticoagulants typically used?

Select one:

a.When the patient enters stage III b.Only in cases of diastolic failure c.When there is concurrent AFib d.In all cases Question 10Treatments for heart failure, including drug therapy, are based on the stages developed by the ACC/AHA. What are Stage A patients treated with?

Select one:

a.Drugs for hypertension and hyperlipidemia, if they exist b.Lifestyle management including diet, exercise, and smoking cessation only c.ACE inhibitors to directly prevent the HF only d.No drugs are used in this early stage Question 11A patient is taking warfarin and is asking about what he/she can take for minor aches and pains. What is the best recommendation?

Select one:

a.Ibuprofen 400 mg three times a day b.Acetaminophen, not to exceed 4 grams per day c.Prescription acetaminophen with codeine d.Aspirin 640 mg three times a day

Question 12What does patient education when prescribing clopidogrel include?

Select one:

a.Do not take any herbal products without first discussing this with the provider. b.Monitor urine output closely and contact the provider if it decreases. c.Clopidogrel can be constipating; use a stool softener if needed. d.The patient will need regular anticoagulant studies while on clopidogrel. Question 13When prescribing NSAIDs, a complete drug history should be conducted as NSAIDs interact with which of the following drugs?

Select one:

a.Omeprazole, a proton pump inhibitor b.Combined oral contraceptives c.Diphenhydramine, an antihistamine d.Warfarin, an anticoagulant Question 14Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medication to prevent adverse effects?

Select one:

a.A bisphosphonate b.Calcium supplementation c.Vitamin D d.All of the above Question 15Bisphosphonate administration education includes which of the following?

Select one:

a.Taking it on a full stomach b.Sitting erect for at least 30 minutes afterward c.Drinking it with orange juice d.Taking it with H2 blockers or proton pump inhibitors (PPIs) to protect the stomach Question 16What is the role of calcium supplements when patients take bisphosphonates?

Select one:

a.They must be restricted to allow the medication to work. b.They must be taken in sufficient amounts to provide foundational elements for bone growth. c.They must be taken at the same time as the bisphosphonates. d.They only work with bisphosphonates if daily intake is unrestricted.

Question 17Narcotics are exogenous opiates. They act by which of the following?

Select one:

a.Inhibiting pain transmission in the spinal cord b.Attaching to receptors in the afferent neuron to inhibit the release of substance P c.Blocking neurotransmitters in the midbrain d.Increasing beta-lipoprotein excretion from the pituitary gland

Question 18What should a treatment plan for management of chronic pain include?

Select one:

a.Negotiation with the patient to set personal goals for pain management b.Discussion of ways to improve sleep and stress levels c.An exercise program to improve function and fitness d.All of the above Question 19What is an acceptable first-line treatment for peptic ulcer disease with positive Helicobacter pylori (H. pylori) test?

Select one:

a.Histamine-2 receptor antagonists for 4 to 8 weeks b.PPI bid for 12 weeks until healing is complete c.PPI bid plus clarithromycin plus amoxicillin for 14 days d.PPI bid and levofloxacin for 14 days

Question 20Antacids treat GERD by doing which of the following?

Select one:

a.Increasing lower esophageal tone b.Increasing gastric pH c.Inhibiting gastric acid secretion d.Increasing serum calcium level