NSG6005 Final Exam (2024) – Questions With
Solutions
An ACE inhibitor and what other class of drug may reduce proteinuria in
patients with diabetes better than either drug alone? Right Ans -
Nondihydropyridine calcium channel blockers
An appropriate drug for the treatment of depression with anxiety would be
Right Ans - escitalopram (Lexapro)
Dwayne was recently started on carbamazepine to treat seizures. He comes to
see you, and you not that while his carbamazepine levels had been in the
therapeutic range, they are now low. The possible cause for the low
carbamazepine level is: Right Ans - Carbamazepine auto-induces
metabolism, leading to lower levels in spite of good compliance
First line therapy for hyperlipidemia is Right Ans - lifestyle changes
genetic testing for VCORC1 mutation to assess potential warfarin resistance is
required prior to prescribing warfarin Right Ans - false
Goals of treatment when treating hypothyroidism with thyroid replacement
include: Right Ans - all of the above
Jack, eight years old, has attention deficit disorder (ADD) and is prescribed
methylphenidate (Ritalin). He and his parents should be educated about the
side effects of methylphenidate, which are Right Ans - insomnia and
decreased appetite
Medications used in the management of patients with COPD include Right
Ans - all of the above
A patient with a COPD exacerbation may require: Right Ans - systemic
corticosteroid burts
Scott is presenting for follow-up on his lipid panel. He had elevated total
cholesterol, elevated triglycerides, and an LDL of 122mg/dL. He has already
, implemented diet changes and increased physical activity. he has mildly
elevated liver studies. An appropriate next step for therapy would be; Right
Ans - Niacin
Second-generation antihistamines such as loratadine (Claritin) are prescribed
for seasonal allergies because they: Right Ans - Are less sedating than first-
generation antihistamines
A stepwise approach to the pharmacologic management of asthma: Right
Ans - Begins with determining the severity of the asthma and assessing
asthma control
Tiotropium bromide (Spiriva) is an inhaled anticholinergic: Right Ans -
Used for the treatment of COPD
Warfarin resistance may be seen in patients with VCORC1 mutation, leading
to: Right Ans - decreased response to warfarin
When starting a patient with hypothyroidism on thyroid replacement
hormones, patient education would include the following: Right Ans - It
may take four to eight weeks to get to euthyroid symptomatically and by lab
testing
Which of the following adverse effects may occur due to a dihydropyridine-
type calcium channel blocker? Right Ans - Edema of the hands and feet
Jamie is a thirty-four-year-old pregnant woman with familial hyperlipidemia
and elevated LDL levels. What is the appropriate treatment for a pregnant
woman? Right Ans - Bile acid-binding resins
Dosage changes of conjugated equine estrogen (Premarin) are made at _
intervals. Right Ans - 6 to 8 weeks
Jonathan has been diagnosed with strep throat and needs a prescription for an
antibiotic. He says the last time he had penicillin he developed a red, blotchy
rash. An appropriate antibiotic to prescribe would be: Right Ans -
Azithromycin
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