Which medication is NOT a brand name for acetaminophen?
Mapap
Cetafen
Aleve
Feverall
Question:
To treat low back pain in a patient
... [Show More] for whom nonsteroidal anti-inflammatory drugs (NSAIDs) are contraindicated, the recommended therapy is:
acetaminophen (Tylenol).
ibuprofen (Motrin).
cyclobenzaprine (Amrix).
tramadol (Ultram).
The patient at highest risk for side effects from cyclobenzaprine (Amrix) is a:
20-year-old man with spasticity and a history of seizures.
40-year-old woman diagnosed with diabetes mellitus.
50-year-old woman with a history of asthma.
70-year-old man diagnosed with benign prostatic hypertrophy.
Question:
When assessing a patient with suspected acetaminophen (Tylenol) overdose, the time of ingestion can be confirmed by checking:
acetaminophen levels now and in 4 hours.
baseline acetaminophen levels.
liver function studies now and in 4 hours.
acetylcysteine levels.
Question:
A patient with severe osteoarthritis is complaining of a pain exacerbation due to weather change. Ketorolac should be avoided in this patient due to a drug-drug interaction with:
diclofenac (Zorvolex).
lisinopril (Zestril).
omega-3 fatty acids.
spironolactone (Aldactone).
.
Question:
The half-life elimination of colchicine (Colcrys), used in the treatment of gout, is approximately:
8 hours.
15 hours.
30 hours.
48 hours.
Question:
Dantrolene (Dantrium) reduces skeletal muscle spasticity by:
interfering with the release of potassium from the sarcoplasmic reticulum.
interfering with the release of calcium from the sarcoplasmic reticulum.
centrally blocking action potentials.
blocking the actin-myosin binding site in striated muscle.
Question:
Which formulation of naproxen would result in fewer GI side effects?
Naprosyn
Naprosyn suspension
Anaprox DS
EC-Naprosyn
Question:
Salicylates, such as aspirin,:
prevent the formation of clots by affecting blood coagulation.
inhibit vitamin K epoxide reductase and prevent blood clots.
inhibit the synthesis of prostaglandin in the process of inflammation.
block the activity of clotting factor X and prevent blood clots.
Question:
When evaluating the effectiveness of baclofen (Lioresal), the LEAST appropriate goal is to:
reduce caregiver challenges such as dressing, feeding, transport, and bathing.
reduce the pain and frequency of muscle contractions.
improve voluntary motor functions such as reaching, releasing and grasping.
significantly reduce muscle spasticity and contractions.
Question:
The concomitant use of aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) can cause:
hypoglycemia.
abnormally high serum levels of potassium.
a decrease in the development of angioedema.
reduced absorption of nonsteroidal anti-inflammatory drugs (NSAIDs).
Question:
Clindamycin (Cleocin) is NOT indicated for the treatment of serious infections, such as septic arthritis, caused by:
Streptococcus pyogenes.
Staphylococcus aureus.
Streptococcus pneumoniae.
Escherichia coli.
Question:
Intra-articular steroid injections are NOT contraindicated:
when the skin over the injection site is infected.
in patients with diabetes.
when skin at the injection site is broken.
in the presence of an osteochondral fracture.
Question:
Patients should be instructed to take tizanidine (Zanaflex):
daily, not exceeding 16 mg daily.
before bedtime only.
with food only.
consistently fasting or nonfasting.
Question:
Before prescribing Dantrolene (Dantrium), a peripherally-acting muscle relaxant, obtain a baseline serum:
blood urea nitrogen (BUN).
complete blood count (CBC).
calcium level.
liver function test.
Question:
The brand name for cyclobenzaprine is:
Elavil.
Amrix.
Skelaxin.
Soma.
Question:
The intra-articular steroid with the longest duration of action is:
dexamethasone acetate (Decadron).
methylprednisolone acetate (Depo-Medrol).
triamcinolone acetonide (Kenalog).
triamcinolone hexacetonide (Aristospan).
Question:
Ketorolac (Toradol), administered intramuscularly, would be indicated for the patient with a complaint of:
shoulder strain with a pain rating of 3.
new onset headache with a pain rating of 7.
dental abscess with a pain rating of 7.
gastrointestinal pain with a pain rating of 3.
Question:
Dosing of acetaminophen (Tylenol) in children weighing less than 50 kg is:
5 mg/kg/dose.
15 mg/kg/dose.
45 mg/kg/day.
60 mg/kg/day.
Question:
The maximum FDA-recommended single dose of oral acetaminophen (Tylenol) in an adult is:
650 mg.
1 gram.
2 grams.
4 grams.
Question:
Which medication would NOT be appropriate for the treatment of acute gout?
Aspirin (Ecotrin)
Meloxicam (Mobic)
Indomethacin (Indocin)
Naproxen (Aleve)
Question:
A 42-year-old woman was started on naproxen sodium (Aleve) for the treatment of tendinitis in the right ankle. The patient calls 3 days later and reports swelling in both ankles. The nurse practitioner should advise the patient to:
continue naproxen, increase fluid intake and decrease sodium intake.
stop the naproxen sodium, since this is an adverse reaction.
elevate the left ankle and minimize overuse.
Question:
Oral ketorolac (Toradol) should not be taken for more than:
5 days.
7 days.
10 days.
14 days.
Question:
Which medication minimizes bone loss, decreasing the risk for osteoporosis?
Glucocorticoids
Medroxyprogesterone
Thiazide diuretics
Thyroid hormone
Question:
In adults with normal renal function, the half-life elimination of naproxen sodium (Aleve) is approximately:
8 hours.
10 hours.
14 hours.
24 hours.
Question:
Which diagnosis is NOT a contraindication to nonsteroidal anti-inflammatory agents?
Anticoagulant use
Creatinine clearance <60 mL/min
Chronic constipation
Uncontrolled hypertension
Question:
Which adverse event is NOT related to colchicine?
liver failure
pancreatitis
peripheral neuropathy
rhabdomyolysis
Question:
The recommended antidote for acetaminophen toxicity is:
N-acetylcysteine.
naloxone.
charcoal.
paracetamol.
Question:
Symptoms of salicylate (i.e., aspirin) poisoning may include:
ecchymosis, peripheral edema, and chest pain.
abdominal pain, tinnitus and headache.
angioedema, slurred speech, and noise sensitivity.
diarrhea, chills, and fever.
Question:
The brand name for tizanidine is:
Skelaxin.
Amrix.
Soma.
Zanaflex.
Question:
Caution is advised with concomitant use of salicylates and:
amoxicillin (Amoxil).
cephalexin (Keflex).
azithromycin (Zithromax).
celecoxib (Celebrex).
Question:
Baclofen (Lioresal), used in the treatment of spondylosis, may be administered:
orally and intramuscularly.
orally and intrathecally.
orally, intravenously and topically.
orally, intrathecally and topically.
Question:
Patients should be advised to avoid combining tizanidine (Zanaflex) with:
oxycodone.
escitalopram.
tetracycline.
magnesium sulfate.
Question:
Patients should be instructed to avoid abrupt withdrawal of baclofen (Lioresal) to prevent the occurrence of:
hypotonia.
urinary retention.
seizures.
hypothermia.
Question:
The generic name of Toradol, a nonsteroidal anti-inflammatory drug, is:
methadone.
etodolac.
ketorolac.
triamcinolone.
Question:
NSAIDs should be used with caution in the patient who has:
polycythemia vera.
cataracts.
hypertension.
systemic lupus erythematous.
Question:
Raloxifene (Evista) is indicated for the treatment of osteoporosis. It also:
increases the risk for breast cancer.
decreases the risk for breast cancer.
increases risk for heart disease.
decreases the risk for thromboembolic events.
Question:
Which amount of calcium and vitamin D does the National Osteoporosis Foundation recommend to prevent osteoporosis in women 50 years and older?
400 mg of calcium and 400 IU of vitamin D
400 mg of calcium and 800 IU of vitamin D
800 mg of calcium and 800 IU of vitamin D
1,200 mg of calcium and 1,000 IU of vitamin D
Question:
The concomitant use of tizanidine (Zanaflex) and other drugs that inhibit the CYP1A2 enzyme pathway is absolutely contraindicated. Other CYP1A2 inhibitors include:
ketoconazole and clarithromycin.
ciprofloxacin and fluvoxamine.
fluoxetine and indomethacin.
celecoxib and cimetidine (CYP2D6).
Question:
The drug of choice for analgesic and antipyretic use during pregnancy is:
aspirin.
ibuprofen.
acetaminophen.
naproxen.
Question:
For patients taking tizanidine (Zanaflex), diagnostic testing at baseline and when maximum dose is achieved includes:
Hgb, Hct and renal function.
Hgb, Hct and ECG.
AST, ALT and blood pressure.
AST, ALT and platelets.
Question:
The brand name of dantrolene, a skeletal muscle relaxant, is:
Skelaxin.
Amrix.
Dantrium.
Soma.
Question:
When treating a fracture, factors that influence acetaminophen (Tylenol) toxicity do NOT include:
excessive intake.
excessive cytochrome P450 activity.
acute alcohol ingestion.
depletion of glutathione stores.
Question:
A commonly reported side effect of tizanidine (Zanaflex), a skeletal muscle relaxant, is:
hypertension.
tachycardia.
incontinence.
somnolence.
Question:
The recommended interval between subacromial intra-articular steroid injections is:
3 weeks.
6 weeks.
12 weeks.
16 weeks.
Question:
A potential side effect related to the use of ketorolac (Toradol) is:
increased urinary output.
increased range of motion.
edema of the lower extremities.
weight loss.
Question:
Ketorolac (Toradol), a nonsteroidal antiinflammatory drug, reduces pain by:
decreasing the synthesis of prostaglandins by irreversibly inhibiting cyclooxygenase-1 enzymes.
increasing synthesis of cylooxygenase-1 enzymes, resulting in increased resistance to prostaglandins.
producing a prodrug that blocks the synthesis of prostaglandins through the destruction of cyclooxygenase-1 and 2 (COX-1 and 2) enzymes.
decreasing the synthesis of prostaglandins by reversibly inhibiting cyclooxygenase-1 and 2 (COX-1 and 2) enzymes.
Question:
Two black box warnings for ibuprofen (Motrin) include increased risk for:
cardiovascular thrombotic events and gastrointestinal bleeding.
gastrointestinal bleeding and hepatoxicity.
cardiovascular thrombotic events and hepatotoxicity.
gastrointestinal bleeding and renal failure.
Question:
When corticosteroids are used in combination with nonsteroidal anti-inflammatory drugs (NSAIDs), patients may develop:
osteoarthritis.
diabetes insipidus.
gastrointestinal bleeding.
hypoglycemia.
Question:
Naproxen (Aleve) is NOT indicated for relief of signs and symptoms associated with:
acute gout.
ankylosing spondylitis.
migraines.
rheumatoid arthritis.
Question:
In a 50-year-old nondiabetic man with moderate inflammation secondary to septic bursitis, the most appropriate therapy is:
clarithromycin (Biaxin).
clindamycin (Cleocin).
erythromycin base (Ery-Tab).
vancomycin (Vancocin).
Question:
Ketorolac (Toradol), a nonsteroidal anti-inflammatory drug, is:
indicated for short-term treatment of moderate pain.
not known to cause renal insufficiency.
indicated for the treatment of moderate pain in children.
indicated for pain following coronary artery bypass graft surgery.
Question:
Allopurinol (Zyloprim) is NOT indicated for the treatment of:
asymptomatic hyperuricemia.
cancer therapy-induced hyperuricemia.
prophylactic gout.
recurrent calcium oxalate calculi.
Question:
The risk for gastrointestinal bleeding may increase with concomitant use of ibuprofen (Motrin) and:
aminoglycosides.
disease-modifying antirheumatic drugs.
ACE inhibitors.
corticosteroids.
Question:
Patients who have difficulty swallowing tizanidine (Zanaflex) capsules should be:
prescribed an elixir.
considered for an intrathecal pump.
instructed that capsule contents can be sprinkled on food.
instructed to crush the tablets and make a slurry.
Question:
Cyclobenzaprine (Fexmid) should not be administered concomitantly with:
antihistamines.
acetylcholinesterase Inhibitors.
antihypertensives.
anticholinergics.
Question:
Colchicine (Colcrys) is an alkaloid that is:
approved for the acute and prophylactic treatment of gout.
approved for gout prophylaxis in patients aged 12 years and older.
known to cause extrapyramidal symptoms with long-term administration.
should be avoided in older adults.
Question:
The maximum recommended daily dose of acetaminophen (Tylenol) for the management of pain associated with a clavicular fracture is:
1 gram.
2 grams.
3 grams.
4 grams.
Question:
Baclofen (Lioresal), a centrally-acting muscle relaxant, is indicated for the treatment of:
restless leg syndrome.
intermittent claudication.
spasticity.
essential tremor.
Question:
The generic name for Advil, sometimes used in the treatment of joint pain, is:
ketoprofen.
meloxicam.
indomethacin.
ibuprofen.
Question:
Initial monotherapy for the treatment of low back pain is:
prednisone (Sterapred).
ibuprofen (Motrin).
cyclobenzaprine (Amrix).
tramadol (Ultram).
Question:
Which muscle relaxant is monitored by the Drug Enforcement Agency and is listed as a Schedule IV medication?
Cyclobenzaprine (Amrix)
Tizanidine (Zanaflex)
Methocarbamol (Robaxin)
Carisoprodol (Soma)
Question:
When administering allopurinol (Zyloprim) for the treatment of gout, it is important to instruct the patient to:
avoid anti-inflammatory medications.
drink plenty of water daily.
stop at the first sign of gout flare-up.
take with food.
Question:
Probenecid, used in the treatment of gout, works by:
decreasing the tubular secretion of uric acid and inhibiting the secretion of penicillin.
destroying uric acid crystals in the renal tubular system and slowing the metabolism of penicillin.
increasing the urinary excretion of uric acid and inhibiting the secretion of penicillin.
promoting the bactericidal activity of penicillin and breaking down uric acid.
Question:
The medication initially recommended to control pain associated with non-inflammatory osteoarthritis is:
acetaminophen (Tylenol).
cyclobenzaprine (Amrix).
tramadol (Ultram).
prednisone (Sterapred).
Question:
Brand names for naproxen, a nonsteroidal anti-inflammatory drug, do NOT include:
Anaprox.
Aleve.
Naprelan.
Advil.
Question:
Which medication helps the kidneys excrete uric acid?
Allopurinol (Zyloprim)
Colchicine (Colcrys)
Indomethacin (Indocin)
Probenecid
Question:
Corticosteroids, sometimes prescribed to reduce inflammation related to rheumatoid arthritis, should NOT be given in combination with:
live vaccines.
aspirin.
macrolides.
cephalosporins.
.
Question:
Which of the following is NOT classified as a muscle relaxant:
metaxalone (Skelaxin).
cyclobenzaprine (Amrix).
methocarbamol (Robaxin).
tramadol (Ultram).
Question:
The use of carisoprodol (Soma) should be limited to 2-3 weeks, mostly due to the potential for:
renal failure.
physical dependence.
suicide.
deep vein thrombosis.
Question:
Clindamycin (Cleocin) is indicated for the treatment of serious infections of:
the central nervous system.
the joints.
the urinary tract.
sexually transmitted diseases.
Question:
Which of the following is NOT a reason to discontinue allopurinol (Zyloprim)?
Acute gout exacerbation
Dysuria
Jaundice
Skin rash
Question:
Prior to initiating pharmacologic therapy for the treatment of osteoporosis, the nurse practitioner should evaluate baseline serum:
bicarbonate and calcium levels.
calcium and 25 (OH) vitamin D levels.
calcium and phosphorous.
renal and hepatic function.
Question:
The term systemic corticosteroids refers to corticosteroids that are:
instilled in the eyes.
instilled in the ears.
inhaled.
given intramuscularly.
Question:
Acetaminophen (Tylenol) works to reduce pain by:
decreasing prostaglandin synthesis by irreversibly inhibiting cyclooxygenase-1 enzymes.
increasing the synthesis of cylooxygenase-1 enzymes to increase resistance to prostaglandins.
inhibiting the synthesis of prostaglandins in the central nervous system and working peripherally to block pain impulse generation.
decreasing synthesis of prostaglandins by reversibly inhibiting cyclooxygenase-1 and 2 (COX-1 and 2) enzymes.
Question:
Patients who are taking bisphosphonates (i.e., alendronate [Fosamax]) for osteoporosis should be advised to:
take with meals.
take with dairy products.
stay upright for at least 30 minutes.
take with a full glass of mineral water or other beverage.
Question:
Ketorolac (Toradol), for the treatment of moderate pain, is classified as a(n):
analgesic.
opioid partial agonist.
non-steroidal anti-inflammatory drug.
opioid agonist.
Question:
Allopurinol (Zyloprim), used in the treatment of gout, decreases serum uric acid by:
activating xanthine oxidase to stop the production of uric acid.
binding to uric acid to speed up elimination.
inhibiting xanthine oxidase, the enzyme responsible for production of uric acid.
inhibiting oxypurinol production, which converts to uric acid.
Question:
Acetaminophen (Tylenol) is contraindicated in patients who have:
hepatitis.
low body mass index.
migraine headaches.
varicella.
.
Question:
Cyclobenzaprine (Fexmid), a skeletal muscle relaxant, should not be taken consistently for more than:
3 weeks.
8 weeks.
12 weeks.
6 months.
Question:
Ibandronate (Boniva), a biphosphonate, is approved for:
prevention of osteoporosis in men and women.
treatment of osteoporosis in men and women.
prevention and treatment of postmenopausal osteoporosis in women.
prevention and treatment of osteoporosis caused by glucocorticoid use in men and women.
Question:
The generic name for Indocin, used in the treatment of gout, is:
ketoprofen.
meloxicam.
indomethacin.
ibuprofen.
Question:
Baclofen (Lioresal), a centrally-acting muscle relaxant, is indicated for the treatment of symptoms related to:
rheumatic disorders.
Huntington's chorea.
multiple sclerosis.
Parkinson disease.
Question:
The most common adverse reaction to cyclobenzaprine (Fexmid) is:
blurred vision.
bradycardia.
xerostomia.
tremors.
Question:
The onset of analgesic action of naproxen sodium (Aleve) occurs within:
15 minutes.
45 minutes.
75 minutes.
90 minutes.
Question:
Bisphosphonates, used in the treatment of osteoporosis,:
increase renal tubular reabsorption of calcium.
increase gastrointestinal calcium absorption.
inhibit bone resorption by osteoclasts.
stimulate osteoblast function.
Question:
The most significant adverse reaction associated with the overuse of acetaminophen (Tylenol) is:
decreased serum bilirubin.
increased serum calcium.
decreased ammonia levels.
increased serum alkaline phosphatase.
Question:
Acetaminophen (Tylenol) for the treatment of osteoarthritic pain is classified as a(n):
salicylate.
nonopioid analgesic.
non-steroidal anti-inflammatory drug.
anti-inflammatory agent.
Question:
The generic name for Lioresal is:
bethanechol.
baclofen.
betaxolol.
methocarbamol.
Question:
Acetaminophen (Tylenol) does NOT produce:
analgesia.
antipyresis effects.
potentiated opioid analgesia.
anti-inflammatory activity.
Question:
The mechanism of action of NSAIDs is to:
decrease synthesis of prostaglandins by reversibly inhibiting cyclooxygenase-1 and 2 (COX-1 and 2) enzymes.
decrease synthesis of prostaglandins by irreversibly inhibiting cyclooxygenase-1 enzymes.
increase synthesis of cylooxygenase-1 enzymes, resulting in increased resistance to prostaglandins.
produce a prodrug that blocks the synthesis of prostaglandins through the destruction of cyclooxygenase-1 and 2 (COX-1 and 2) enzymes.
Question:
The maximum daily dose of ibuprofen (Motrin), sometimes used for relief of moderate low back pain, is:
800 mg.
1,600 mg.
1,800 mg.
2,400 mg.
Question:
Cyclobenzaprine (Fexmid) and tizanidine (Zanaflex) are classified as:
peripherally-acting smooth muscle relaxants.
centrally-acting smooth muscle relaxants.
peripherally-acting skeletal muscle relaxants.
centrally-acting skeletal muscle relaxants.
Question:
The generic name for Robaxin is:
cyclobenzaprine.
tizanidine.
carisoprodol.
methocarbamol.
Question:
Cyclobenzaprine (Fexmid), a skeletal muscle relaxant, is indicated in the treatment of:
bladder spasms.
temporomandibular joint disorder.
cervicalgia.
lateral epicondylitis .
Question:
Patients taking acetaminophen (Tylenol) should be advised to avoid:
alcohol.
aspartame.
fava beans.
red meats.
Question:
The most common side effect associated with ketorolac (Toradol) for the treatment of moderate musculoskeletal pain is:
hypotension.
bradycardia.
xerostomia.
gastrointestinal pain.
Question:
Caution is advised with the concomitant administration of angiotensin-converting enzyme (ACE) inhibitors and nonsteroidal antiinflammatory drugs (NSAIDs) because:
NSAIDs potentiate the effects of ACE inhibitors, causing hypotension.
ACE inhibitors decrease the effect of NSAIDs on prostaglandin synthesis.
NSAIDs enhance the photosensitizing effect of ACE inhibitors.
the combination may significantly decrease renal function.
Question:
The best initial medication for the treatment of acute gout in the great toe of a patient with a creatinine clearance of 50 mL/min is:
aspirin.
colchicine.
indomethacin.
intraarticular steroid.
Question:
Glucocorticoids, sometimes used to treat rheumatoid arthritis,:
increase immunity.
suppress inflammation.
regulate salt and water balance.
prevent the breakdown of proteins.
Question:
The generic name for Soma is:
cyclobenzaprine.
tizanidine.
carisoprodol.
methocarbamol.
Question:
A nonsteroidal anti-inflammatory drug (NSAID) that can be administered orally and intramuscularly is:
ibuprofen (Motrin).
ketoprofen (Orudis).
ketorolac (Acuvail).
diclofenac (Cambia).
Question:
Oral ibuprofen (Motrin) has a bioavailability of:
40%.
60%.
80%.
100%. [Show Less]