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Question 1 of 10
1. Question
Answer the following 3 questions based on the case presented: 38 year old female is coming in to pick up her husband’s prescription. Her husband’s current medication list includes: Acetaminophen, Labetolol, Sertraline, Omeprazole, Flomax, Levothyroxine, and Proscar. His current diagnoses include osteoarthritis, hypertension, BPH, depression, hypothyroidism, and Psoriasis (which he is currently not taking anything. She states that her husband is having trouble with sinus congestion and has started to take pseudoephedrine to help relieve the symptoms.
Which disease state would most likely be exacerbated by pseudoephedrine?
Correct
Sudafed (pseudoephedrine) has alpha agonist activity which can contribute to problems in BPH and hypertension. Hint: alpha blockers are used to treat BPH symptoms as well as hypertension.
Incorrect
Sudafed (pseudoephedrine) has alpha agonist activity which can contribute to problems in BPH and hypertension. Hint: alpha blockers are used to treat BPH symptoms as well as hypertension.
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Question 2 of 10
2. Question
Answer the following 3 questions based on the case presented: 38 year old female is coming in to pick up her husband’s prescription. Her husband’s current medication list includes: Acetaminophen, Labetolol, Sertraline, Omeprazole, Flomax, Levothyroxine, and Proscar. His current diagnoses include osteoarthritis, hypertension, BPH, depression, hypothyroidism, and Psoriasis (which he is currently not taking anything). She states that her husband is having trouble with sinus congestion and has started to take pseudoephedrine to help relieve the symptoms.
Upon further discussion with this patient, you discover that she may be pregnant. Which medication should you counsel her on that she should avoid touching broken or crushed pills?
Correct
Proscar and Avodart are two 5 alpha reductase inhibitors that can cause serious birth defects. Finasteride is also used for hair loss.
Incorrect
Proscar and Avodart are two 5 alpha reductase inhibitors that can cause serious birth defects. Finasteride is also used for hair loss.
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Question 3 of 10
3. Question
Answer the following 3 questions based on the case presented: 38 year old female is coming in to pick up her husband’s prescription. Her husband’s current medication list includes: Acetaminophen, Labetolol, Sertraline, Omeprazole, Flomax, Levothyroxine, and Proscar. His current diagnoses include osteoarthritis, hypertension, BPH, depression, hypothyroidism, and Psoriasis (which he is currently not taking anything). She states that her husband is having trouble with sinus congestion and has started to take pseudoephedrine to help relieve the symptoms.
What is the primary mechanism of action for Flomax?
Correct
Flomax is an alpha blocker or antagonist used in the treatment of BPH.
Incorrect
Flomax is an alpha blocker or antagonist used in the treatment of BPH.
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Question 4 of 10
4. Question
An ICU patient with a history of diabetes is currently experiencing significant hyperglycemia. Her current labs reveal creatinine = 1.2, potassium = 3.5, sodium = 134, LFT’s = Within normal limits, and BNP is stable. Which lab would you most closely monitor with aggressive insulin therapy?
Correct
We need to be very careful with insulin therapy and make sure potassium stores are adequate. Insulin can cause hypokalemia.
Incorrect
We need to be very careful with insulin therapy and make sure potassium stores are adequate. Insulin can cause hypokalemia.
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Question 5 of 10
5. Question
77 year old male with a history of CHF, anxiety, atrial fibrillation, GERD, gout, and CKD is receiving the current medications. Aspirin, Ativan, Zantac, Digoxin, allopurinol, and metoprolol. Which medication would be least likely to be affected by changes in kidney function?
Correct
Ativan is the only medication of the ones listed that is not primarily eliminated by the kidney. The others could accumulate and cause issues with worsening renal function.
Incorrect
Ativan is the only medication of the ones listed that is not primarily eliminated by the kidney. The others could accumulate and cause issues with worsening renal function.
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Question 6 of 10
6. Question
Answer question 6 and 7 based on the following information: A patient and her mother brings in a prescription for treatment of some congestion/upper respiratory symptoms. The patient is 12 years old and weighs 74 pounds. The prescription is written for 8mg/kg of Ibuprofen per dose, guaifenesin 100 mg per dose, and 5% alcohol. QS AD 240 mls. Take 1 teaspoon by mouth three times daily as needed.
How much alcohol USP do you need to fill the prescription?
Correct
5% is 5mls of pure ETOH per 100 mls
5 X (240mls/100mls) = 12 mls of pure ETOH. Remember that Alcohol USP is 95% ethanol. The final answer will be 12 mls/0.95 = 12.63 mls of alcohol USP
Incorrect
5% is 5mls of pure ETOH per 100 mls
5 X (240mls/100mls) = 12 mls of pure ETOH. Remember that Alcohol USP is 95% ethanol. The final answer will be 12 mls/0.95 = 12.63 mls of alcohol USP
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Question 7 of 10
7. Question
Answer question 6 and 7 based on the following information: A patient and her mother brings in a prescription for treatment of some congestion/upper respiratory symptoms. The patient is 12 years old and weighs 74 pounds. The prescription is written for 8mg/kg of Ibuprofen per dose, guaifenesin 100 mg per dose, and 5% alcohol. QS AD 240 mls. Take 1 teaspoon by mouth three times daily as needed.
How much Ibuprofen do you need to fill the entire prescription? Round to the nearest thousand.
Correct
Take weight in kg – 33.5658kg X 8mg/kg = 268.5 mg per dose.
Each dose is 5 mls and within 240 mls, there is 48 doses.
48 doses X 268.5mg = 12,888 mg of Ibuprofen or rounding to the nearest thousand, 13,000mg
Incorrect
Take weight in kg – 33.5658kg X 8mg/kg = 268.5 mg per dose.
Each dose is 5 mls and within 240 mls, there is 48 doses.
48 doses X 268.5mg = 12,888 mg of Ibuprofen or rounding to the nearest thousand, 13,000mg
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Question 8 of 10
8. Question
What is the primary mechanism of action of Glyset?
Correct
Alpha glucosidase is in the gut and essential breaks down sugars, by inhibiting this enzyme, you reduce absorption of glucose. The major side effect of GI complaints also makes sense (flatulence etc.) as there is more sugar in the gut.
Incorrect
Alpha glucosidase is in the gut and essential breaks down sugars, by inhibiting this enzyme, you reduce absorption of glucose. The major side effect of GI complaints also makes sense (flatulence etc.) as there is more sugar in the gut.
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Question 9 of 10
9. Question
Which of the following would be an appropriate treatment for H. Pylori?
Correct
Flagyl (metronidazole) can be used as well, but not with oral vancomycin. Two PPI’s doesn’t make much sense, and macrobid isn’t an appropriate selection for H Pylori.
Incorrect
Flagyl (metronidazole) can be used as well, but not with oral vancomycin. Two PPI’s doesn’t make much sense, and macrobid isn’t an appropriate selection for H Pylori.
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Question 10 of 10
10. Question
65 year old male with a history of CHF, hypertension, and diabetes is having higher blood pressure of late. His current medications include: Clonidine, Acetaminophen, and Baby Aspirin. Which is the most appropriate recommendation?
Correct
Altace (Ramipril) would be most appropriate given his comorbid conditions. A beta blocker could be a consideration with CHF history, but you would not pick a non-selective agent like Inderal first line in this case.
Incorrect
Altace (Ramipril) would be most appropriate given his comorbid conditions. A beta blocker could be a consideration with CHF history, but you would not pick a non-selective agent like Inderal first line in this case.
