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FINAL

FINAL FOR PHARMACOLOGY

QuestionAnswer
SARA HAS BEEN DX WIT HCOMMUNIT ACQUIRED PNEUMONIA , SHE IS ALSO 28 WEEKS PREGNANT, WHICH IS TRUE REGARDING ANTIBIOTIC THERAPY RELATIVE TO SARAS DX AS AN ALTERNATIVE TREATMENT , PENICILLIN DERIVATIVES AER SAFE TO TAKE DURING PREGANCY
DETERMINE THE STATEMTN THAT ACCURATELY DESCRIBES HE EFEECTS OF FLUOROQUINOLONES TENDINITIS AND TENDON RUPTURE ARE POTENTIAL COMPLICAONS
IDENTIFY THE SYMPTOM THAT CHARACTERIZES ALZHEIMERS DEMENTIA PERSONALITY CHANGE
THE MECHANISM OF ACTION FOR ALL FIRST GENERATION ANTIPSYCHOTIC MEDICAITONS APPEARS TO FOCUS ON A PARTICULAR AREA OF NEUROTRANSMITTERS IN THE BRAIN. IDENTIFY AREA THEY BLOCK TEH POSTSYNAPTIC DOPAMINE D2 RECEPTORS
IDENTIFY THE STATEMENT THAT APPLIES TO ANTIRETROVIRAL AGENTS NON-NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITORS CASUE ELEVATION OF TRANSAMINASE
A 28 Y/O COLLEGE STUDENT WAS WALKIN BACK TO HIS CAR AFTER CLASS WHEN HE HAD A SEIZURE. HE WAS EVALUATED IN THE LOCAL E.R. AND DX WITH FOCAL ONSET SEIZURE FOR WHICH HE WAS PRESCRIBED PHENYTOIN. IDENTIFY A FALSE STATEMENT ABOUT POTENTAL DRUG INTERACTIONS PHENYTOIN CAN INCREASE TEH METABOLIC CAPACITY OF HEPATIC ENZYMES, THUS LEADING TO REDUCED DRUG LEVELS
IDENTIFY THE STATEMTN THAT IS NOT ACCURAE REGARIDNG STD CHLAMYDIAL INFECTIONS ARE ONLY TRANSMITTED THORUGH VAGNAL INTERCOURSE
A 48Y/O F WITH HX OF EXCESSIVE PERIMENOPAUSAL BLEEDING, WHICH WAS SUCCESSFULLY TREATED BY ENDOMETRIAL ABLATION APPROXIMATLEY 6 WEEKS AGO, PRESENTS TO THE CLINIC WITH COMPLAINTS OF EXTREME FATIGUE, DIZZINESS, AND SOB. DETERMINE NEXT STEP PRESCRIBE IRONTHERAPY AFTER GETTING APPROPRIATE LAB WORK REUSLTS (CBC AND IRON STUDIES)
DETERMINE THE MECHANISM OF ACTION OF MONOCLONAL ANTIBODY MEDICAITONS THAT FIGHT CANCER CELLS. THEY MIMIC TEH ANTIBODIES THAT THE BODY ALREADY MAKES TO TARGET SPECIFIC ANTIGENS THAT TRIGGER CELL MEMBRANE DESTRUCITON
A 32 Y/O F W/ NEWLY DX ASTHMA IS PRESENTING TO CLINIC FOR F/U, PT WAS PREVIOUSLY SEEN AT THE CLINIC BY ANOTHER PROVIDER WHO PRESCRIBED FLUTICASONE HFA DAILY AND AN ALBUTEROL INHALER PRN. PT IS COMPLAING THAT HER SYMTOMS HAVE NOT CHANGED W/ THE STOP FLUTICASONE, AND START BUDESONIDE/ FORMOTERAOL
A 48Y.O M WITH OBESITY PRESENTS WITH SIGNS AND SYMTOMS CONSITENT WITH GERD. HE HAS SELF TREATED WITH OVER THE COUNTER ANTACIDS AND ACID SUPPRESSION THERAPY FOR THE LAST MONTH WITH NO EFFCT. DETERMINE NEXT STEP PUT HIM ON EMPIRIC TRIAL WITH LANSOPRAZOLE
PROPOSE THE PRINCIPLE OF TREAMENT THAT YOU WILL CONSIDER WHEN SELECTING A MEDICAITON FOR A SKIN LESION THAT YOU DECIDED TO TREAT WITH TOPICAL PREPEARATIONS OF STEROID A LESIONONTHE PALM OF THE HAND REQUIRED SUPER HIGH-POTENCY PREPARATION
PERCEIVE APPROXIMATLEY HOW MANY PEOOPLE IN U.S. HAVE AN ALCOHOL DEPENDENCE PROBLEM 8 MILLION
DETERMINE THE APPROPRIATE US EOF SODIUM BICARBONATE FOR A 28 Y/O F WITH HX OF B-CELL LYMPHOMA
A 68 Y./O F IS PRESENTING TO CLINCI FOR POST HOSPITAL F/U AFTER TOTAL HIP REPLACEMENT. SHE IS COMPLAING OF BLUE TO DARK COLORED PATCHES ON HER LOWER ABDOME THAT SHE HAD AFTER HER HOSPITAL STAY. WAS TOLD IT WAS FROM BLOOD THINNER . EXPLAIN WHY THE BLOOD THNNER WAS TO PREVENT BLOOD CLOTS INSIDE OF THE INCISION D/T IMMOBILITY AND THE PATCHES WILL DISAPPEAR IN A FEW WEEKS
YOU ARE EVALUATING A 65UY/O AFTRICAN AMERICAN M PT. WHO RECENTLY MOVED TO THE AREA FROM THE MIDWEST. HE IS HERE TO ESTABLISH CARE WITH YOU AS HIS NEW PROVIDER. THE PT HAS A HX OF RECENT MI AND WAS DC 1 MONTH AGO. PT HAS HX OF DM, OBESITY, HTN, OSTEOARTHR CONT... AND SMOKED 20PACKS A YEAR, WHICH HE STOPPED ONTHE DYA OF HIS HEART ATTACK. ON REVIEW OF MEDS YOU SEE PT IS TAKING LOSARTAN 25MG QD, BISOPROLOL 5MG QD, AMIODARONE 200MG QD, ATORVASTATIN 40MG QD, METFORMIN 1000MG BID, GLIPIZIDE 5MG BID. LABS: LIVER
DETERMINE THE FACTOR THAT CAN LEAD OT ALLERGIC RHINITIS IN A PERSON WHO MAY NOT HAVE HAD ANY SYMPTOMS WHEN INITIALLY EXPOSED GENETICS OR EXPOSURE TO ALLERGENS OVER TIME
MARTHA 55Y, 10 YEAR HX HTN, DM, HYPERLIPIDEMIA. MEDS: HYDROCHLOROTHIAZIDE, GLIPIZDIE, METOFRMIN, SIMVASTATIN, ASPRIN. BP 158/92 PRESCRIBE AN ANGIOTENSIN-CONVERTING ENZYME INHIBITOR
YOU . HAVE SEEN PT IN CLINIC WHO WISH TO STOP SMOKIN. IN SELECTING THE APPROPRIATE THERAPY FOR EACH INDIVIDUAL PT IDENTIFY WHICH OF THE FOLLOWIHNG PIECES OF INFO REGARDING THE USE OF FDA APPROVED TO CONSIDER PHARMACOLOGIC INTERVENTION RELIABLY INCREASES LONG TERM SMOKIN ABSTINENCE RATES
YOU HAVE RECNETLY EVALUATED A PT WITH HX OF BACK PAIN, RECOMMEND REFERRAL TO PT AND SCRIPT FOR NONSTEROIDAL ANTI-INFLAMMATORY MED. IDENTIFY THE DIRECTION THAT IS APPROPRIATLEY WRITTEN FOR THE SCRIPT TAKE 1-2 TABS BY MOUTH EVERY 6 HOURS FOR PAIN AS NEEDED
JERRY IS BEING TREATED WITH LITHIUM FOR BIPOLAR DISORDER . DETERMINE WHAT THE CLINICIAN SHOULD KEEP IN MIND REGARDING THE THERAPEUTIC INDEX OF THIS MEDICAITON WHEN THE INITIAL DOSING OF THIS MEDICAITON IS ESTABLISHED,M JERRY WILL NEED FREQUENT MONITORING AND RREEVALUATION
IDENTIFY THE TRUE STATEMENT REGARDING TREATMETN WITH LEVODOPA LEVODOPA IS EFFECTIVE IN TREATING BRADYKINETIC SYMPTOMS
DETERMNIE THE SYMPTOMS THAT ARE OFTEN SEEN IN PT WITH ALLERGIC RHINIITS SNEEZING,M INJECTED CONJUNCTIVA, ITCHY , WATERY EYES, AND EDEMATOUS EYELIDS WITH WATERY RHINORRHEA
DETERMINE THE PT UNDERGOING TREATMETN WITH GLUCOCORTICOID WHO HAS TEH LEAST CHANCE OF COMPLICATIONS A PT WHO IS 12 WEEKS POSTPARTUM AND IS BREASTFEEDING
LAUREN JUST STARTED TAKING ORAL CONTRACEPTION. SHE DOES NOT ALWAYS REMEMBER TO TAKE HER PILL. SHE IS CERTAINTHAT SHE HAS OT MISSED ANY MORE THAN TWO PILLS, BUT SHE CANNOT REMEMBER IS SHE MISSED ONE OR TWO THIS WEEK. RECOMMENDATION: YOU ADVISE LAURENTO TAKE TWO PILLS FOR 2 DAYS INA ROW AND TO USE BACKUP CONTRACEPTION FOR 7 DAYS AND QUIT BEING A HO
69Y/O F WITH HX OF DMII, CKD, COPD, 75PACK/Y, OSTEOARTHRITIS, FIBROMYALGIA HAS PRODUCTIVE COUGH AND FEVER FOR LAST 3 DAYS. SHE COMPLAING OF BEING TIRED D/T COUGH AND FEVER. CX-R: RLL INFILTRATES=LOBAR PNEUMONIA. ORDER SPUTUM CULTURE, EMPIRIC THERAPHY ? FLUOROQUINOLONES
SALLY 23Y/O NEEDS ALL VACCINATIONS D/T NEVER BEING VACINATED. ON F/U SHE HAS HEADACHE, JOINT PAIN, NONPRODUCTIVE COUGH, FEVERS, SWOLLEN FACE, RASH OF INDIVIDUAL BLEMISHES TARGET LOOKING, NO ITCHING, SOME BLISTERS SALLY HAS HAD A TYPE B REACTION TO ONE OF THE VACCINES
DETERMINE HOW MEDICATION DISTRIBUTION FROM THE SYSTEMIC CIRCULATION TO THE CNS DIFFERS FROM THE MEDICAITON DISTRIBUTION FROM THE BLOODSTREAM TO OTHER CELLS AND TISSUES THROUGHOUT THE BODY LIPOPHILIC MEDS CAN EASILY PASS THE BLOOD-BRAIN BARRIER, WHEREAS PASSIVE DISTRIBUTION OF HYDROPHILIC MEDS CANNOT
ACCORDING TO RESEARCH, DETERMINE UP TO WHAT PERCENTAGE OF PT WITH DEPRESSON WILL SEE A PCP FOR MANAGEMENT 50%
YOU RECEIVED A CALL FROM A PHARMACY FOR CLARIFICAITON REGARDING A CONTROLLED SUBSTANCE THAT WAS RECENTLY PRESCRIBED BY ONE OF YOUR COLLEAGUES. THE SCRIPT IS FOR COLLEAGUS SPOUSE WHO IS NOT APT OF THE PRACTICE JUDGE WHAT THIS EXAMPLIFIES THIS IS AN UNETHICAL ACTION ON TEH PART OF THE PRESCRIBER, FOR WHICH THERE MAY BE LEGAL RAMIFICATIONS AGAINST THE PRESCRIBERS LICENSE
DETERMINE WHICH FUNCITON THE BODY NEUROTRANSMITTER SEROTONIN IS RESPONSIBLE FOR ANXIETY
WHEN PRESCRIBNG A SPECIFIC THERAPEUTIC AGENT, IDENTIFY THE PT WHOM YOU WOULD NOT CONSIDER A CANDIDATE FOR MODIFIED OR ALTERNATIVE TREATMENT STRATEGY CUZ OF RISK OF ADVERSE DRUG REACTIONS 72Y/O F WITH ANTI-HBS POSITIVE FOR HEPATITIS
DETERMINE THE PT WHO HAS TEH MOST APPROPRIATE ANTIHYPERTENSIVE PRESCRIPTION A 59Y/O M WITH HX OF DM, HTN, STAGE 2 CKD PRESCRIBED WITH ENALAPRIL
A 49Y/O CONSTRUCTION WORKER COMES IN WITH A COMPLAINT OF . LOW BACK PAIN. AS PART OF IS TREATMENT YOU CONSIDER THE USE OF MUSCLE RELAXANTS. PROPOSE A PIECEO FO INFORMATION THAT YOU SHULD INCLUDE IN YOUR DISCUSSION WITH THE PT. USING MUSCLE RELAXANTS AT NIGHT MIGHT POTENTIALLY IMPROVE SLEEP
EVAUATING A 68Y F WITH CONFUSION, RESTLESSNES, DIAPHORESIS, VOMITING. WAS FINE UNTIL LAST NIGHT. PT HAS HX OF OBESITY, CAD, HYPERTHYROIDISM S/P THYROIDECTOMY, CHOLECYSTITS, DEPRESSION, ANXIETY. 2 DAYS AGO PCP CHANGED MEDS TRANYLCYPROMINE AND FLUOXETINE
KATIE 75Y/O W/ HX OF A-FIB HAS BEEN ON WARFARIN THERAPY FOR APPROXIMATELY 15 YEARS. OVER WEEKEND WAS DX IN URGENT CARE W/ URI & GIVEN BIAXIN AND TUSSIONEX. IN FOR F/U. DISCUSSION POINTS ? SHE MAY NEED TO ADJUST HER WARFARIN DOSE CUZ ANTIBIOTICS MAY SIGNIFICANTLY INCREASE THE PT/INR LEVELS ASSOCIATED WITH LIFE-THREATENING BLEEDING
AN 81Y/O F W/ HX OF HTN, HYPOTHYROIDISM,M OSTEOARTHRITIS, AND BREAST CANCER S/P LEFT MASTECTOMY PRESENTS WITH COMPLAINTS OF PALPITATION, RESTLESSNESS, AND INSOMNIA FOR THE LAST 2WKS. PROPOSE FACTOR TO CONSIDER HYPERTHYROIDISM FROM OVERCONSUMING THYROID MEDS
71Y/O W/ COMPALINT OF LONG TERM BILATERAL KNEE PAIN AND RT SHOULDER PAIN. HAS WT. GAIN AND PAIN IS WORSE SINCE RETIRED AGE 65. JOINTS MORE STIFF WHEN SITTING OR LYING FOR SOME TIME, LOOSEN W/ ACTIVITY. PMH RT SHULDER INJURY FOR PULLING HOSITAL BEDS. ZOLPIDEM 10MG PO QHS PRN ATORVASTATIN 20MG PO QD METFORMIN 250MG PO QID
HER EXAM SHOWS BILATERAL KNEE TENDERNESS WORSE ON MEDIAL ASPECT OF LT. KNEE. BOTH KNEES NO REDNESS OR SWELLING. PT HAS SWELLING AND TENDERNESS TO RT. SHULDER AND INCREASED PAIN WITH ROM. INITIAL PLAN? HIGH-DOSE NSAIDS
LINDA 65Y/O W/ HX NON-INSULIN DEP. DM. HER DM NOT WELL CONTROLLED. LAST A1C WAS 8.7. HAS COMPLAINT OF VAGINAL DISCOMFORT AND ITCHING. HAS BURING SENSATION W. URINATION. MEDS PRESCRIPTION? ONE SINGEL DOSE OF FLUCONAZOLE 150MG PO
IDENTIFY THE AGENT THAT HAS THE HIGHEST INCIDENCE OF ABD SYMPTOMS ACARBOSE
29Y/O F CAME BACK FROM EAST AFRICA. PT HAS 3 DYAS OF DIARRHEA, NO DEHYDRATION, WHAT IS APPROPRIATE TO COMMUNICATE WHILE DISCUSSIN TEH PLAN AND TREATMENT FOR TRAVELERS DIARRHEA AZITHROMYCIN AND CIPROFLOXACIN ARE INDICATED FOR SEVERE DIARRHEA
YOU ARE CONTRACTED TO DO ANNUAL PHYSICALS FOR LOCAL BANK. PT IS A 42Y/O M TALKATIVE. HAS DRINK OR TWO POST WORK, YOU SUPECT HE IS HEAVY ALCOHOL USER. COURSE OF ACTION? ADMINISTER TEH CAGE QUESTIONNAIRE
DETEMRINE THE DEF. THAT BEST DESCRIBES EH ORGANISM THAT CAUSES CANDIDASIS A YEAST LIKE FUNUS THAT IS PART OF NORMAL FLORA OF THE MOUTH , SKIN, INTESTINAL TRACT, AND VAGINA
DETERMINE THE BEST DESCRIPTION OF PARKINSONS DISEASE A PROGRESSIVE NEUROLOGIC DISORDER THAT IS CHARACTERIZED BY MOTOR SYMPTOMS OF RESTING TREMOR, RIGIDIRTY, BRADYKINESIA, AND POSTUAL INSTABILITY
JAMES IS A 68Y.O RECEVING TRATMENT WITH A MONOCLONAL ANTIBODY FOR RECENT DX NON-HODGKINS LYMPHOMA. DETERMINE THE MECHANISM OF ACTION OF THIS CLASS OF DRUG SELECT mAbs CAN AFFECT BOTH T & B CELLS
A 34Y/O F PT W/ 3 KIDS HAS MULTIPLE SEXUAL PARTNERS. PT IS PRESENTING TO THE CLINIC FOR ESTABLISHING CARE. DURING THE COURSEOF HER VISIT, YOU INQUIRE ABOUT THE PT VACCINATION HX. PROPOSE INFO THAT IS NOT INCLUDED IN YOUR DISCUSSION ABOUT HEP B VACCINE THE HEP B VACCINE IS CONTRAINDICATED IN ADULTS WITH HIV
YOUR 72Y/O PT HAS BEEN ON ANTI-PSYCHOTIC MEDS. YOU ARE WELL AWARE THAT THE USE OF THESE MEDS IN THE ELDERLY POULATIONPRESENTS CERTAIN RISKS. IDENTIGY RISK STROKE AND CARDIOVASCUALR EVENTS
DETERMINE THE PT WHO SHOULD BE TREATED DIFFERENTLY WHEN PRESENTING WITH ACUTE SIMPLE CYSTITIS 34Y/O F WHO IS 23 WEEKS PREGNANT
JEROME AND ALICE BEEN MARRIED FOR 50Y. ALICE HAS BEEN FORGETFUL AND CANT COMPLETE ROUTIEN TASKS. OCCASIONALLY STOPS IN MID CONVERSATION AND CALLS THINGS BY WRONG NAME. JEROME IS CONCENRED SHE MAY HAVE ALZ. YOU ORDER TESTS- WHICH TEST HELPS CONFIRM DX B-12 LEVEL
DETERMINE THE MAIN GOAL FOR THE MANAGEMENT OF PT WITH EPILEPSY CONTROLLING SEIZURES
DETERMINE THE ACCURATE STATEMENT REGARDING THE TREATMENT OF COPD A COMBO OF INHALED CORTICOSTEROIDS AND LONG ACTING BETA AGONIST SHOWS IMPROVEMEN TIN CLINICAL OUTCOME
IDENTIFY THE BEST DEF. OF ALZ DEMENTIA A CHRONIC, PROGRESSIVE NEURODEGENERATIVE DISORDER THAT IS CHARACTERIZE D BY A GLOBAL NONREVERSIBLE IMPAIRMENT IN CEREBRAL FUNCTIONING
IDENTIFY THE PT WHO HAS THE LOWEST RISK OF COMPLICAITONS FROM TH ELONG TERM USE OF NONSELECTIVE, NONSTEROIDAL ANTI-INFLAMMATORY DRUGS 32Y/O F WITH HX OF POLYCYSTIC OVARIAN DISEASE
IN MATH ROCKY HAD COLD SWEATS AND NAUSEA. WEN TO NUSE, VOMITED AND FELT FEVERISH. T: 101.2, DAD PICKED HIM UP, RICKY GOT WORSE, GOT SHAKY AND VOMITED, WENT TO CLINIC AND SAID HE HAD A SORE THROAT BUT DIDNT FEEL ILL, DOC GAVE RAPID FLU TEST=+ TREATEMENT? OSELTAMIVIR 75MG PO BID FOR 5 DAYS
IDENTIFY WHICK CLASS OF MEDS IS KNOWN AS A TYPICAL ANTPSYCHOTICS AND GENERALLY HAS LOWER RISK OF EXTRAPYRAMIDAL SIDE EFFECTS AND TARDIVE DYSKINESIA SECOND GENERTION ANTIPSYCHOTICS
DETERMINE WHAT GENERALIZED TONIC-CLONIC SEIZURE TYPICALLY INVOLVES LOSS OF CNSCIOUSNESS WITH PHASIC TONIC STIFFENING OF THE LIMBS AND REPETITIVE CLONIC JERKING
DETERMINE WHAT IS NOT CONSIDERED AN ETHICAL SCRIPT PRACTICE INCLUSION OF REDUNDANCY
WHEN PRESCRIBING ANTHYPERTENSIVE THERAPHY FOR 78Y/O M WITH BPH AND HTN , DETERMINE WHAT THE CLINICIAN WHOULD CONSIDER AN ALPHA 1 ANTAGONIST SHOULD NOT BE USED AS A SOLO OR FIRST LINE THERAPEUTIC AGENT
SAMANTHA WAS RECENTLY SEEN IN THE CLINIC AND WAS DX WITH MODERATE TO SEVERE ALLERGIC RHINITIS AND CONJUNCTIVITIS. WAS GIVEN SCRIPT FOR ASTELIN NASAL SPRAY. USED AS DIRECTED W/O RELIEF. ONE WEEK LATER SHE RETURNED FOR RE-EVAL. SCRIPT? INTRANASAL CORTICOSTEROID FOR DAILY USE
IDENTIFY A GLUCOCORTICID HORMONE CORTISOL
FAYE PRESENTS WITH A CLASSIC CASE OF SHINGLES. SHE IS REQUESTING SOMETHING TO EASE THE HORRIBLE PAIN THAT SHE IS EXPERIENCING. RECOMMENDED AN ANALGESIC OPTION FOR THIS PATIENTS TOPICAL LIDOCAINE GEL 5% WITH ORAL ACETAMINOPHEN
PERCEIVE THE MAJOR GOAL OF THE INITIAL TREATMENT OF DEPRESSION SYMPTOMS REMISSION AND RESTORATION OF BASELINE FUNCTIONS
IDENTIFY THE ORGAN AND PATHWAY THAT ARE RESPONSIBLE FOR MOST OF THE DRUG METABOLISM THE LIVER AND THE CYP450 SYSTEM
DETERMINE THE TRUE STATEMENT REGARDING ANTIBACTERIAL AGENTS AMINOGLYCOSIDES ARE COMMONLY USED FOR GRAM-NEGATIVE INFECTION
DETERMINE HOW LONG THE DETERIORATING COURSE OF ALZ DEMENTIA LASTS FROM THE TIME OF DIAGNOSIS 8-10 YEARS
IDENTIFY THE ANTIBIOTIC OF CHOICE FOR THE USUAL TREATMENT OF CHANCROID AZITHROMYCIN
IDENTIFY THE AGE GROUP IN WHICH CHLAMYDIA IS THE MOST PREVALENT AND FREQUENTLY REPORTED INFECTIOUS DISEASE IN THE US 24
DETERMINE THE CONDITION THAT TETRACYCLINE CAN BE USED TO TREAT ROCKY MOUNTAIN SPOTTED FEVER
DETERMINE THE BEST DESCRIPTION OF THE MECHANISM OF ACTION FOR SEROTONIN NOREPINEPHRINE RE-UPTAKE INHIBITORS THEY ARE DUAL-ACTION AGENTS WITH EFFECTS ON BOTH SEROTONIN AND NOREPINEPHRINE RE-UPTAKE
DETERMINE THE MECHANISM OF ACTION THAT RESEARCHERS HAVE SYNTHETICALLY DEVELOPED TO DECREASE PAIN AND SWELLING IN THE JOINTS INHIBITION OF LYMPHOCYTE PROLIFERATION
YOU ARE EVALUATING A 19Y/O F WHO PRESENTED IN THE CLINIC W/ COMPLAINTS OF AN ERYTHEMATOUS RASH OVER HER LEFT HAND. PROPOSE WHAT IS IMPORTANT ABOUT PRESCRIBING TOPICAL TREATMENTS FOR THIS PT THE THICKNESS AND INTEGRITY OF THE SKIN SHOULD BE CONSIDERED
DETERMINE THE DEFINITION THAT BEST DESCRIBES DERMATOPHYTE INFECTION, ALSO KNOWN AS AS TINEA OR RINGWORM AN INFECTION THAT IS CAUSED BY MOLD-LIKE FUNGI CALLED DERMATOPHYTES WHICH LIVE ON THE DEAD TISSUES OF THE SKIN AND ANY STRUCTURES THAT GROW FROM THE SKIN , SUCH AS NAILS
A 32Y/O F IS PRESENTING TO YOUR CLINIC FOR HER ANNUAL PHYSICAL EXAM. WHILE FORMULATING CARE AND DISCUSSING VARIOUS ASPECTS OF THIS PT HEALTH CARE, RECOMMEND THE INFORMATION THAT WOULD BE APPROPRIATE TO DISCUSS REDUCED EFFECTIVENESS OF ORAL CONTRACEPTIVES WHEN TAKING PHENYTOIN
IDENTIFY THE BODY SYSTEM OR ORGAN THE MAKES PATIENTS SUSCEPTIBLE TO LIVER IMPAIRMENT AND FREQUENT DRUG-TO-DRUG INTERACTIONS WHERE FIRST-GENERATION ANTI-PSYCHOTICS ARE METABOLIZED CHTOCHROME P450 SYSTEM
IDENTIFY THE MED THAT SHOULD BE CONSIDERED AN ALTERNATIVE WHEN PRESCRIBING AN 84 Y/O M WHO IS FRAIL AND LIVES ALONE DOXAZOSIN FOR PROSTATE ENLARGEMENT
DETERMINE WHAT AREA OF THE BODY PRODUCES GLUCOCORTICOIDS ADRENAL CORTEX
RICHARD A 45/YO M HAS BEEN HAVING ERECTILE DYSFUNCTION, HE HEARD ABOUT A MED THAT CAN ADDRESS HIS PROBLEM HE HAS MANY QUESTIONS ABOUT THE USE OF SILDENAFIL. IDENTIFY AN IMPORTANT ASPECT OF USING THIS MED WHICH THE USE OF THIS MED, SEXUAL STIMULATION IS NEEDED TO ACHIEVE AN ERECTION
DETERMINE WITH WHICH SYMPTOM A FOCAL SEIZURE CAN BE ASSOCIATED IMPAIRMENT OF AWARENESS
IDENTIFY THE STATEMENT THAT ACCURATELY DESCRIBES THE FUNCTION OF ORAL HYPOGLYCEMIC AGENTS THIAZOLIDINDIONES ACT AS AN INSULIN SENSITIZER
DETERMINE WHAT IS NOT PART OF THE INITIAL WORKUP FOR ALZHEIMERS DISEASE SPINAL FLUID CULTURE FROM LUNBAR PUNCTURE
HENRY IS A 34 Y/O GROUNDS KEEPER AT A LOCAL BOTANICAL GARDEN. HE PRESENTS WITH COMPLAINTS OF A STUFFY NOSE AND ITCH, WATERY EYES. RECOMMEND A MED THAT IS MOST APPROPRIATE FOR HENRYS SYMPTOMS LORATADINE
A 43Y/O M PT IS AT THE CLINCI WITH SYMPTOMS OF PAIN, REDNESS , WARMTH & TENDERNESS OF THE LT GREAT TOE PT ,DENIES ANY INJURY TOE JOINT IS SWOLLEN, U DX PT W/ ACUTE GOUT ATTACK. TREATMENT? COLCHICINE SHOULD BE INITIATED W/IN 24H OF SYMPTOMS FOR MAX EFFICIENCY
58Y/O M W/ HX OF HTN, BPH, OBESE, GOUT, LT RIB FX POST MVA 20Y AGO. PT HAS BURNING SENSATION IN THE THROAT AFTER MEAL W/ DRY COUGH QHS, NO ANGINA/SOB. POSSIBLY GERD? CLUE TO THIS DX? DRY COUGH AT NIGHT
A 45Y/O F W/ CHRONIC PELVIC PAIN & FREQUENT URINATION HAS CONSTANT FEELING OF PRESSURE, AND VOIDS IN SMALL AMTS. PT IS TIRED ALL DAY/NIGHT. HAS SULFA ALLERGY. APPROPRIATE THERAPY NITROFURANTOIN
WHEN TREATING A PT WHO IS TRAVELING TO AN AREA OF THE WORLD ENDEMIC TO MALARIA, IDENTIFY THE MED THAT SHOULD BE PRESCRIBED FOR PROPER CHEMOPROPHYLAXIS CHLOROQUINE PHOSPHATE 300MG ONCE A WEEK, 1-2 WEEKS PRIOR TO DEPARTURE AND UP TO 4 WEEKS AFTER RETURNING HOME
A 62Y/O F WHO SUFFERS W/ FREQUENT CONSTIPATION IS DX WITH AN ANAL FISSURE. DETERMINE WHAT FIRST-LINE THERAPY INCLUDES STOOL BULKING SUPPLEMENTS
YOU ARE COUNSELING A 46Y/O F WHO IS EXPERIENCING DEBILITATING HOT FLASHES. RECOMMEND A PIECE OF INFORMATION THAT SHOULD BE INCLUDED IN YOUR DISCUSSION ABOUT TEH USE OF HIGHER AND LOWER DOSE HORMONE REPLACEMENT THERAPY HIGHER DOSE HRT WILL RELIEVE HOT FLASHES FASTER THAN LOWER DOSE REGIMENS
A 48Y/O F NEWLY DX HYPOTHYROIDISM ASKS ABOUT A NATURAL THYROID MED THAT SHE READ ABOUT ONLINE & PROVIDES THE DRUG NAME DESICCATED THYROID. PROPOSE AN IMPORTANT CONSIDERATIOIN THAT SHOULD COUNSEL HER ABOUT MED THE PHARMACOKINETICS OF DESICCATED THYROID DIFFERS SIGNIFICANTLY WHEN COMPARED TO TO LEVOTHYROXINE
Created by: krystalcarey
 

 



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