Chapter 25. Drugs Used in Treating Inflammatory Processes
Multiple Choice
Identify the choice that best completes the statement or answers the question.
_X___ 1. Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of
the following, which would be the best treatment for Henry?
1. High-dose colchicine
2. Low-dose colchicine
3. High-dose aspirin
4. Acetaminophen with codeine
____ 2. Patient education when prescribing colchicine includes:
1. Colchicine may be constipating.
2. Colchicine always causes some degree of diarrhea.
3. Mild muscle weakness is normal.
4. Moderate amounts of alcohol are safe with colchicine.
__X__ 3. Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol
includes:
1. Complete blood count
2. Blood glucose
3. C-reactive protein
4. BUN, creatinine, and creatinine clearance
_X___ 4. Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes:
1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea.
3. He should consume a high-calcium diet.
4. He will need frequent CBC monitoring.
_X___ 5. Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed
for:
1. Gout
2. Iron deficiency anemia
3. Osteoporosis
4. Renal dysfunction
____ 6. Patients whose total dose of prednisone will exceed 1 gram will most likely need a second
prescription for:
1. Metformin, a biguanide to prevent diabetes
2. Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
3. Naproxen, an NSAID to treat joint pain
4. Furosemide, a diuretic to treat fluid retention
, __X__ 7. Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time
to discontinue the prednisone. How is prednisone discontinued?
1. Patients with asthma are transitioned directly off the prednisone onto inhaled
corticosteroids.
2. Prednisone can be abruptly discontinued with no adverse effects.
3. Develop a tapering schedule to slowly wean Daniel off the prednisone.
4. Substitute the prednisone with another anti-inflammatory such as ibuprofen.
____ 8. Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment
with which medications to prevent further adverse effects?
1. A bisphosphonate
2. Calcium supplementation
3. Vitamin D
4. All of the above
____ 9. Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:
1. Serum glucose
2. Stool culture
3. Folate levels
4. Vitamin B12
____ 10. Patients who are on chronic long-term corticosteroid therapy need education regarding:
1. Receiving all vaccinations, especially the live flu vaccine
2. Reporting black tarry stools or abdominal pain
3. Eating a high carbohydrate diet with plenty of fluids
4. Small amounts of alcohol are generally tolerated.
__X__ 11. All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning regarding:
1. Potential for causing life-threatening GI bleeds
2. Increased risk of developing systemic arthritis with prolonged use
3. Risk of life-threatening rashes, including Stevens-Johnson
4. Potential for transient changes in serum glucose
____ 12. Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone
(Vicodin). Education when prescribing Vicodin includes:
1. It is okay to double the dose of Vicodin if the pain is severe.
2. Vicodin is not habit-forming.
3. He should not take any other acetaminophen-containing medications.
4. Vicodin may cause diarrhea; increase his fluid intake.
_X___ 13. When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with
these drugs:
1. Omeprazole, a proton pump inhibitor
2. Combined oral contraceptives
3. Diphenhydramine, an antihistamine
4. Warfarin, an anticoagulant
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