An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:
ceptor antagonists for 4 to 8 weeks
nhibitor bid for 12
... [Show More] weeks until healing is complete
nhibitor bid plus clarithromycin plus amoxicillin for 14 days
nhibitor bid and levofloxacin for 14 days
While on testosterone replacement, hemoglobin and hematocrit levels should be monitored. Levels suggestive of
excessive erythrocytosis or abuse are:
4 g/dl or hematocrit 39%
1.5 g/dl or hematocrit 31%
3 g/dl or hematocrit 38%
7.5 g/dl or hematocrit 54%
When determining drug treatment the NP prescriber should:
idence-based guidelines
he drug choice for the specific patient
her experience when prescribing for complex patients
t drug on the market for the condition being treated
Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?
ear-old pregnant woman
r-old healthy adolescent
ar-old female
ar-old diabetic
An Investigational New Drug is filed with the U.S. Food and Drug Administration:
ufacturer has completed phase III trials
rug is discovered
testing of any new drug entity
testing of any new drug entity
When prescribing a tetracycline or quinolone antibiotic it is critical to instruct the patient:
ir regularly prescribed medications while on these antibiotics
need for lots of acidic foods and juices, such as orange juice, to enhance absorption
acids while on these medications, as the antacid decreases absorption
no drug interactions with these antibiotics
Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking
cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:
s per day of cranberry juice cocktail will prevent UTIs.
y juice or cranberry juice extract may decrease UTIs in some patients.
dence that cranberry juice helps prevent UTIs.
e only works to prevent UTIs in children.
Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid includes:
d corticosteroid first, followed by the inhaled beta-agonists.
d beta-agonist first, followed by the inhaled corticosteroid.
ntake to 3 liters per day.
spirin or ibuprofen while using inhaled medications.
Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for
migraines. She has been taking this medication for over 2 years for migraines and states one dose usually works to abort
her migraine. What is the best care for her?
umatriptan (Imitrex) to treat her migraines.
ten she is using Fiorinal and refill her medication.
a beta blocker such as propranolol to prevent her migraine.
turn to the original prescriber of Fiorinal as you do not prescribe butalbital for migraines.
Developmental variation in renal function has what impact on prescribing for infants and children?
f renally excreted drugs may be prescribed to infants younger than age 6 months.
f water soluble drugs may need to be prescribed because of increased renal excretion.
n rates have no impact on prescribing.
o be instructed on whether drugs are renally excreted or not.
Preventative therapy for cluster headaches includes:
axation therapy
ghtly before bed
caine four times a day during “clusters” of headaches
nderal) daily
ACE inhibitors are contraindicated in pregnancy. While treatment of heart failure during pregnancy is best done by a
specialist, which of the following drug classes is considered to be safe, at least in the later parts of pregnancy?
To improve actual effectiveness of oral contraceptives women should be educated regarding:
up method if they have vomiting or diarrhea during a pill packet
if they have diarrhea during the middle of a pill pack
hey will have a normal menstrual cycle if they miss two pills
mid-cycle spotting is not normal and the provider should be contacted immediately
Absolute contraindications that clinicians must consider when initiating estrogen therapy include:
dysfunctional uterine bleeding
rterial thromboemboli within the prior year
ve
Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection.
Treatment for her would include:
2 grams PO x 1 dose
ginal metronidazole daily x 7 days
ndamycin daily x 7 days
grams PO x 1 dose
Jim is being treated for hypertension. Because he has a history of heart attack, the drug chosen is atenolol. Beta blockers
treat hypertension by:
rt rate to improve cardiac output
ular smooth muscle tone
osterone-mediated volume activity
ous humor production
There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins because:
n is similar in both classes of drugs.
ug classes are metabolized in the liver they both produce resistant enzymes.
ses contain a beta-lactam ring that is vulnerable to beta-lactamase-producing organisms.
issue with cross-resistance between the penicillins and cephalosporins.
Drugs that have a significant first-pass effect:
by the enteral (oral) route only
patic circulation
etabolized by the liver and may have little if any desired action
by the liver to more active and fat-soluble forms
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications
should be used cautiously, if at all?
e, an inhaled corticosteroid
inhaled long-acting beta-agonist
ort-acting beta-agonist
leukotriene modifier
Rose is a 3-year-old patient with an upper respiratory infection (URI). Treatment for her URI would include:
mine
ne
ray
Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
hypersensitivity syndrome 3 to 8 weeks after starting treatment
ma throughout therapy
ach visit and consider altering therapy if heart rate is less than 60 bpm
nges, such as red-green blindness, at least annually
Which diuretic agents typically do not need potassium supplementation?
tics
uretics
e inhibitors
supplementation
The dosage of Vitamin B12 to initially treat pernicious anemia is:
balamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month
M monthly
,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month
n 1,000 mcg daily
Pharmacoeconomics is:
he part of the U.S. economy devoted to drug use
he impact of prescription drug costs on the overall economy
f the costs and consequences of any health-care-related treatment or service
f the clinical efficacy of the drug
Why is the consistency of taking paroxetine (Paxil) and never running out of medication more important than with most
other selective serotonin reuptake inhibitors (SSRIs)?
half-life and withdrawal syndrome has a faster onset without taper.
est half-life and the withdrawal syndrome has a faster onset.
ctive in the dopaminergic reward system.
ctivating of SSRI medications and will cause the person to have sudden deep sadness.
Alterations in drug metabolism among Asians may lead to:
lism of antidepressants, requiring lower doses
ism of neuroleptics, requiring higher doses
olism of omeprazole, requiring higher doses
lism of alcohol, requiring higher doses
Conjunctivitis in a child that is accompanied by acute otitis media is treated with:
10% ophthalmic solution (Bleph-10)
ymyxin B (Polysporin) ophthalmic drops
(Ciloxan) ophthalmic drops
amoxicillin
Medications are typically started for angina patients when:
anent EKG changes occur
ass I or II symptoms
ger a trip to the emergency department
n levels become altered
A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the
following statements is true about this adverse response?
e tongue or hoarseness are the most common symptoms.
e related to the decrease in aldosterone production.
dry, hacky cough indicates a high risk for this adverse response.
es time to build up a blood level, it occurs after being on the drug for about 1 week.
Class I recommendations for stage A heart failure include:
e within tolerance levels to prevent the development of heart failure
dium intake to less than 2,000 mg/day to prevent fluid retention
or all patients regardless of cardiac history
yroid disorders, especially if they are associated with Tachyarrhythmias
Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the prescription. This is
considered a loading dose. A loading dose:
ves drug levels in the therapeutic range
to five-half-lives to attain
y renal function
ted to the drug circulating to the target tissues
Patient education for a patient who is [Show Less]