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ACNP Pharm - Questions & Expert Verified Solutions
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ACNP Pharm - Questions & Expert Verified Solutions
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ACNP Pharm - Questions & Expert Verified SolutionsNutraceuticals- role of NP Right Ans - Refer pt to credible sources
MOA Sulfonylurea Right Ans - Stimulate insulin release from beta-cells
UTI TX pregnant women Right Ans - Macrobid
MOA Glucophage/Metformin Right Ans - Improves insulin sensitivity by
increasing peripheral glucose uptake and utilization and decreases glucose
production
NP consider what if DM uncontrolled with multiple oral medications Right
Ans - Insulin
CAP, no commorbities-1st line TX Right Ans - Azithromycin (brand name
Zithromax aka Z-pack)
Iron deficiency anemia TX successful when Right Ans - Hemoglobin
normal, continue to monitor level every 4-6 months
When first starting levethyroxine for hypothyroidism, when should the TSH
be checked? Right Ans - 4 weeks
DM DX A1C Right Ans - 6.5% or higher
1st line for DM Right Ans - Glucophage/Metformin
1st line for Generalized Anxiety Right Ans - SSRI
MOA of PPI Right Ans - Increase PH of stomach
Pt with gastroparesis give what med? Right Ans - Reglan
MOA Reglan Right Ans - Gastric emptying
DX GERD negative h pylori TX: Right Ans - PPI
TX duodenal ulcer Right Ans - Amoxicillin (antibiotics)
,TX Strep pharyngitis Right Ans - Penicillin
TX for Strep pharyngitis if allergy to PCN Right Ans - Azithromycin (Z-pack)
if allergy to PCN
Newborns are at risk for vit K deficiency bleeding TX Right Ans - IM vit K
(phytonadione) within 24 hours of birth
What is a contraindication for ordering Metformin? Right Ans - Renal
issues
Metformin does not typically cause Right Ans - hypoglycemia
Patient education regarding iron supplements Right Ans - Take on empty
stomach with juice
Pernicious anemia TX Right Ans - Vitamin B12
Measure what to know Pernicious anemia TX working Right Ans -
Hemoglobin levels return to normal
Carbamazepine can produce low levels despite good compliance due to:
Right Ans - Auto-induced metabolism
SSRI uses: Right Ans - Anxiety, Depression, OCD
Acute Gouty Arthritis Attack 1st line TX: Right Ans - NSAIDS-
example:Indomethacin
Trycyclic Antidepressant ADR Right Ans - Cardiotoxicity
ACE Inhibitors contraindicated in: Right Ans - Patients with Renal Artery
Stenosis
Names of ACE Inhibitors Right Ans - End in 'pril' Lisinopril, Enalapril,
Captopril, Benazepril, Quinapril, Fosinopril
Risk of prescribing Benzos Right Ans - Physical withdrawal
, Contraindication for putting ear drops in ear canal Right Ans - The
Tympanic Membrane needs to be intact
NSAIDS Black Box Warning Right Ans - GI Bleed
1st Line TX Migraine Right Ans - NSAID
Monitor new patient on Levothyroxine for: Right Ans - Tachycardia, Angina
Peptic ulcers fall into two categories: Right Ans - Duodenal ulcers and
Gastric Ulcers
Duodenal Ulcer characteristics Right Ans - Pattern of exacerbation and
remission for years, h-pylori cause in 95-100% of cases, nocturnal pain
common, antacid and food will give relief, more common in men, age 20-50
Gastric ulcer characteristics Right Ans - Chronic ulcer without pattern of
exacerbation and remission, food causes pain, antacid relief, increases risk of
cancer, common in men and women, age 50-70
Pernicious anemia (Vitamin B12) TX Right Ans - Vit. B12 1,000mcg IM
daily for 1 week, then 100-1,000mcg weekly for a month. Once levels normal,
1,000mcg IM a month or 1,000mcg PO daily (less expensive)
Monitor what during Pernicious anemia TX Right Ans - Hbg, HCT, Vit. B12,
Folic Acid, Potassium before TX, then 5-7 days after TX starts, then until
Hemoglobin and Hematocrit levels normal. Also monitor Liver enzymes every
2-4 weeks.
Pt education with MRSA infection: Right Ans - Hand washing, do not share
towels or utensils, wash with antibacterial soap
Oral TX MRSA Right Ans - Clindamycin, Bactrim, Doxy
Topical TX Skin Staph or Strep Infections Right Ans - Bacitracin 2-5 times a
day until clear
Double ABT: Bacitracin/Polymixin B
Triple ABT: Bacitracin/Polymixin B/Neomycin
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