REGIS NU641 All Quizzes Latest 2020 October (100% Graded)

Week 3 Quiz

Question 1Abrupt withdrawal of beta blockers can be life threatening. Patients at highest risk for serious consequences of rapid withdrawal are those with:

a.angina.

 b.coronary artery disease.

 c.both A and B.

 d.neither A or B.

Question 2Angina is produced by an imbalance between myocardial oxygen supply (MOS) and myocardial (MOD) in the myocardium. Which of the following drugs help to  this imbalance by increasing MOS?

 a.Calcium channel blockers

 b.Beta blockers

 c.Angiotensin-converting-enzyme (ACE) inhibitors

 d.Aspirin (ASA)

Question 3Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating hypertension in diabetic patients because they:

 a.improve insulin sensitivity.

 b.improve renal hemodynamics.

 c.reduce the production of angiotensin II.

 d.All of the above

Question 4Angiotensin-converting-enzyme (ACE) inhibitors are a central part of the treatment of heart failure (HF) because they have more than one action to address the pathological changes in this disorder. Which of the following pathological changes that take place in HF are NOT addressed by ACE inhibitors?

 a.Changes in the structure of the left ventricle so that it dilates, hypertrophies, and uses energy less efficiently

 b.Reduced formation of cross-bridges so that contractile force decreases

 c.Activation of the sympathetic nervous system that increases heart rate and preload

 d.Decreased renal blood flow that decreases oxygen supply to the kidneys

Question 5As patients with hyperlipidemia and angina age, they may find their nitro glycerin tablets “do not work as well.” This is a function of:

 a.faulty memory.

 b.forgetting how to use the drugs.

 c.blunted coronary artery dilation due to calcified plaques.

 d.myocardial atrophy of aging.

 

 

 

 

Week 6 Quiz

Question 1A young adult will be traveling to Mexico with her church group over spring break to build houses. She is concerned she may develop traveler’s diarrhea. Advice includes following normal food and water precautions as well as taking:

 a.loperamide four times a day throughout the trip.

 b.bismuth subsalicylate before each meal and at bedtime.

 c.prescription diphenoxylate with atropine if she gets diarrhea.

 d.calcium carbonate (Tums) four times a day for stomach upset.

Question 2An elderly person has been prescribed lactulose for the treatment of chronic constipation. Monitoring with long-term treatment would include:

 a.electrolytes, including potassium and chloride.

 b.bone mineral density for osteoporosis.

 c.magnesium level.

 d.liver function.

Question 3An acceptable first-line treatment for peptic ulcer disease with a positive Helicobacter pylori (H. pylori) test is:

 a.histamine-2 receptor antagonists for 4 to 8 weeks.

 b.proton pump inhibitor (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 4After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is:

 a.testing for H. pylori eradication with a serum enzyme-linked immunosorbent assay (ELISA) test.

 b.endoscopy by a specialist.

 c.a proton pump inhibitor (PPI) for 8 to 12 weeks until healing is complete.

 d.all of the above.

Question 5A patient with mild gastroesophageal reflux disease (GERD) is started on ________ first.

 a.antacids

 b.histamine-2 receptor antagonists

 c.prokinetics

 d.proton pump inhibitors (PPIs)

 

 

 

Week 8 Quiz

Question 1Human papillomavirus (HPV) vaccine (Gardasil):

 a.Is a live virus vaccine that provides immunity to six strains of HPV virus

b.Has a common adverse effect of syncope within 15 minutes of giving the vaccine

 c.Should not be given to males younger than age 12 years

 d.May be given to pregnant women

Question 2The most common adverse effect of the transdermal nicotine replacement patch is:

 a.Nicotine toxicity

 b.Tingling at the site of patch application

 c.Skin irritation under the patch site

d.Life-threatening dysrhythmias

Question 3If a patient is exhibiting signs of nicotine toxicity when using transdermal nicotine, they should remove the patch and:

 a.Wash the area thoroughly with soap and water.

b.Flush the area with clear water.

 c.Reapply a new patch in eight hours.

 d.Take acetaminophen for the headache associated with toxicity.

Question 4Which formulation of nitrate may be most cost effective for the patient who rarely has the need for dosing?

 a.Oral

 b.Sublingual tablets

 c.Sublingual spray

d.Transdermal patches

Question 5Diagnosis of heart failure cannot be made by symptoms alone because many disorders share the same symptoms. The most specific and sensitive diagnostic test for Heart Failure is:

 a.Chest x-rays that show cephalization and measure heart size

 b.Two-dimensional echocardiograms that identify structural anomalies and cardiac dysfunction

c.Complete blood count, blood urea nitrogen, and serum electrolytes that facilitate staging for end-organ damage

 d.Measurement of brain natriuretic peptide to distinguish between systolic and diastolic dysfunction

Question 6James is a 45-year-old patient with a very high cardiovascular (CV) risk profile, an LDL level of 120, and normal triglycerides. Appropriate first-line therapy for James may include diet counseling, increased physical activity, and:

 a.A statin

b.Niacin

 c.Sterols

 d.A fibric acid derivative

Question 7Treatments for heart failure, including drug therapy, are based on the stages developed by the ACC/AHa) Stage A patients are treated with:

 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 heart failure only

 d.No drugs are used in this early stage

Question 8Sharlene is a 65-year-old patient who has been on a lipid-lowering diet and using plant sterol margarine daily for the past three months. Her LDL is 135 mg/dL. An appropriate treatment for her would be:

 a.A statin

 b.Niacin

 c.A fibric acid derivative

 d.Determined by her risk factors

Question 9A lipid profile done on a newly diagnosed hypertensive patient shows a triglyceride level of 650 mg/dL, total cholesterol 240 mg/dL, LDL 145 mg/dL, and an HDL of 35 mg/dL. What is the best intervention for this patient?

 a.Educate the patient about lifestyle changes that will help lower cholesterol levels

b.Initiate a prescription of pravastatin (Pravachol)

 c.Recommend that the patient exercise at least every other day and avoid eating fatty or fried foods

 d.Initiate a prescription of nicotinic acid (Niacin, Niaspan)

Question 10Before starting therapy with a statin, the following baseline laboratory values should be evaluated:

 a.Complete blood count

 b.Liver function [alanine aminotransferase/aspartate aminotransferase (ALT/AST)] and creatine kinase

 c.C-reactive protein

 d.All of the answers are

 

 

Week 11 Quiz

Question 1Clonidine has several off-label uses, including:

 a.alcohol and nicotine withdrawal.

 b.postherpetic neuralgia.

 c.both a and b.

 d.neither a nor b.

Question 2Which of the following drugs used to treat Alzheimer disease is not an anticholinergic?

 a.Donepezil

 b.Memantine

 c.Rivastigmine

 d.Galantamine

Question 3Which of these hypertension drugs has also been approved for the treatment of attention deficit hyperactivity disorder (ADHD)?

 a.Guanabenz

 b.Clonidine

 c.Guanfacine

 d.Doxazosin

Question 4A patient is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding them:

 a.to not abruptly discontinue levetiracetam due to risk for withdrawal seizures.

 b.to wear sunscreen due to photosensitivity from levetiracetam.

 c.to get an annual eye exam while on levetiracetam.

 d.to report weight loss if it occurs.

Question 5A 10-year-old child is diagnosed with major depression. The appropriate first-line antidepressant for children is:

 a.fluoxetine.

 b.fluvoxamine.

 c.sertraline.

 d.escitalopram.

 

 

 

Week 13 Quiz

Question 1Postmenopausal women with an intact uterus should not be prescribed:

 a.an estrogen/progesterone combination.

 b.intramuscular (IM) medroxyprogesterone (Depo-Provera).

 c.estrogen alone.

 d.androgens.

Question 2Reexamination of the women’s health study has modified guidelines for the use of estrogen in menopause. Which of the following is true?

 a.Supplementation for the first five years is considered to have a reasonable risk/benefit profile for selected groups of women.

 b.Estrogen can once again be given solely for its bone health benefits.

 c.The risk of deep vein thrombosis (DVT) is not as high as previously thought.

 d.Supplementation has a great CV benefit if started after the first five years of menopause.

Question 3Long-term use of androgens requires specific laboratory monitoring of:

 a.Glucose, calcium, testosterone, and thyroid function

 b.Calcium, testosterone, prostate-specific antigen (PSA), and liver function

 c.Calcium, testosterone, PSA, liver function, glucose, and lipids

 d.Complete blood count (CBC), testosterone, PSA, and thyroid level

The  answer is: Calcium, testosterone, PSA, liver function, glucose, and lipids

Question 4A 17-year-old competitive runner presents with hip pain that began after falling while running. Their only medical problem is severe acne for which they take isotretinoin (Accutane). What should the provider be concerned about?

 a.The patient may have pulled a muscle and needs to rest to recover.

 b.They are at risk for bone injuries and need to be evaluated for fracture.

 c.Isotretinoin interacts with ibuprofen, which is the pain medication of choice.

 d.Teen athletes are at risk for repetitive stress injuries.

Question 5An adolescent female calls the clinic with concerns that her acne is worse two weeks after starting topical tretinoin. What would be the appropriate care for her?

 a.Change her to a different topical acne medication as she is having an adverse reaction to the tretinoin.

 b.Switch her to an oral antibiotic to treat her acne.

 c.Advise her to apply an oil-based lotion to her face to soothe the redness.

 d.Reassure her that the worsening of acne is normal and it should improve with continued use.

 

 

 

Week 15 Quiz

Question 1The first-line treatment consideration for managing acute alcohol withdrawal delirium includes:

 a.Intubation

 b.Benzodiazepines

c.Avoidance of physical restraints to decrease agitation

 d.Antipsychotics

Question 2First-line therapy for a school-aged child diagnosed with attention deficit-hyperactivity disorder (ADHD) is:

 a.Atomoxetine

 b.Clonidine patch

 c.Methylphenidate

 d.Lisdexamfetamine

Question 3Which of these hypertension drugs has also been approved for the treatment of attention deficit hyperactivity disorder (ADHD)?

 a.Guanabenz

 b.Clonidine

 c.Guanfacine

 d.Doxazosin

: Extended-release guanfacine (Intuniv) is approved for use in the treatment of attention deficit-hyperactivity disorder (ADHD) as both an adjunct therapy and monotherapy

Question 4Which of the following insomnia medications does not have increased risk for patients engaging in activities while somnolent with no memory of having taken a pill? 

 a.Ramelteon (Rozerem)

b.Zolpidem (Ambien)

 c.Zaleplon (Sonata)

 d.Eszopiclone (Lunesta)

Question 5Common mistakes practitioners make in treating anxiety disorders include:

 a.Switching medications after an 8- to 12-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 acceptable

Question 6In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of dependence. The benzodiazepam with the greatest likelihood of causing rapidly developing dependence is:

 a.Chlordiazepoxide (Librium)

 b.Clonazepam (Klonopin)

 c.Alprazolam (Xanax)

 d.Oxazepam (Serax)

Question 7Although your patient sees a neurologist for the management of her partial complex seizures, why is it is most important to know her medication regimen? 

 a.You want to make sure that you have injectable fosphenytoin (Cerebyx) in your outpatient clinic

 b.Pregnancy concerns

 c.Maria might have high co-pays

 d.There are many drug-drug interactions with anticonvulsants

Question 8A patient is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding them:

 a.To not abruptly discontinue levetiracetam due to risk for withdrawal seizures

b.To wear sunscreen due to photosensitivity from levetiracetam

 c.To get an annual eye exam while on levetiracetam

 d.To report weight loss if it occurs

Question 9Peter is a 31-year-old male diagnosed with depression, who has been started on the SSRI, sertraline (Zoloft) 100 mg po daily. After two years on SSRIs, Peter is feeling much better and would like to stop taking his sertraline (Zoloft). What do you recommend to avoid withdrawal syndrome? 

 a.Slowly taper down the sertraline (Zoloft) dose until off.

b.Because Zoloft has a long half-life, you can discontinue the Zoloft at this visit.

 c.Change the sertraline (Zoloft) to 100 mg as needed.

 d.Instruct Peter that SSRIs can never be stopped.

Question 10The black box warnings concerning teens and young adults taking antidepressants include:

 a.Rapid weight loss

 b.Suicidal ideation

 c.Growth retardation

 d.Increased use of recreational drugs