MN553 Unit 8 Practice Quiz Assignment

MN553 Unit 8 Practice Quiz Assignment

Question 1 1 / 1 point

Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia

.

Doxazosin has been chosen to treat his hypertension because it:

Question options:

Increases peripheral vasoconstriction

Decreases detrusor muscle contractility

Lowers supine blood pressure more than standing pressure

Relaxes smooth muscle in the bladder neck

Question 2 1 / 1 point

Which of the following adverse effects are less likely in a beta1-selective blocker?

Question options:

Dysrhythmias

Impaired insulin release

Reflex orthostatic changes

Decreased triglycerides and cholesterol MN553 Unit 8 Practice Quiz Assignment

Question 3 1 / 1 point

Beta blockers have favorable effects on survival and disease progression in heart failure

.

Treatment should be initiated when the:

Question options:

Symptoms are severe

Patient has not responded to other therapies

Patient has concurrent hypertension

Left ventricular dysfunction is diagnosed

Question 4 1 / 1 point

You are treating a patient with a diagnosis of Alzheimer’s disease

.

The patient’s wife mentions difficulty with transportation to the clinic

.

Which medication is the best choice?

Question options:

Donepezil

Tacrine

Doxazosin

Verapamil

Question 5 1 / 1 point

Antonia is a 3-year-old child who has a history of status epilepticus

.

Along with her routine antiseizure medication, she should also have a home prescription for_________ to be used for an episode of status epilepticus

.

Question options:

IV phenobarbital

Rectal diazepam (Diastat)

IV phenytoin (Dilantin)

Oral carbamazepine (Tegretol)

Question 6 1 / 1 point

Dwayne has recently started on carbamazepine to treat seizures

.

He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low

.

The possible cause for the low carbamazepine levels include: MN553 Unit 8 Practice Quiz Assignment

Question options:

Dwayne hasn’t been taking his carbamazepine because it causes insomnia

.

Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance

.

Dwayne was not originally prescribed the correct amount of carbamazepine

.

Carbamazepine is probably not the right antiseizure medication for Dwayne

.

Question 7 1 / 1 point

Kasey fractured his ankle in two places and is asking for medication for his pain

.

The appropriate first-line medication would be:

Question options:

Ibuprofen (Advil)

Acetaminophen with hydrocodone (Vicodin)

Oxycodone (Oxycontin)

Oral morphine (Roxanol)

Question 8 1 / 1 point

Jack, age 8, 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:

Question options:

Slurred speech and insomnia

Bradycardia and confusion

Dizziness and orthostatic hypotension

Insomnia and decreased appetite

Question 9 1 / 1 point

An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be:

Question options:

Alprazolam (Xanax)

Diazepam (Valium)

Buspirone (Buspar)

Amitriptyline (Elavil)

Question 10 1 / 1 point

David is a 34-year-old patient who is starting on paroxetine (Paxil) for depression

.

David’s education regarding his medication would include:

Question options:

Paroxetine may cause intermittent diarrhea

.

He may experience sexual dysfunction beginning a month after he starts therapy

.

He may have constipation and he should increase fluids and fiber

.

Paroxetine has a long half-life so he may occasionally skip a dose

.

Question 11 1 / 1 point

An appropriate drug for the treatment of depression with anxiety would be:

Question options:

Alprazolam (Xanax)

Escitalopram (Lexapro)

Buspirone (Buspar)

Amitriptyline (Elavil)

Question 12 1 / 1 point

The longer-term Xanax patient comes in and states they need a higher dose of the medication

.

They deny any additional, new, or accelerating triggers of their anxiety

.

What is the probable reason?

Question options:

They have become tolerant of the medication, which is characterized by the need for higher and higher doses

.

They are a drug seeker

.

They are suicidal

.

They only need additional counseling on lifestyle modification

.

Question 13 1 / 1 point

A first-line drug for abortive therapy in simple migraine is:

Question options:

Sumatriptan (Imitrex)

Naproxen (Aleve)

Butorphanol nasal spray (Stadol NS)

Butalbital and acetaminophen (Fioricet)

Question 14 1 / 1 point

Xi, a 54-year-old female, has a history of migraines that do not respond well to OTC migraine medication

.

She is asking to try Maxalt (rizatriptan) because it works well for her friend

.

Appropriate decision making would be:

Question options:

Prescribe the Maxalt, but only give her four tablets with no refills to monitor the use

.

Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose

.

Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital)

.

Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan MN553 Unit 8 Practice Quiz Assignment

Question 15 1 / 1 point

Kelly is a 14-year-old patient who presents to the clinic with a classic migraine

.

She says she is having a headache two to three times a month

.

The initial plan would be:

Question options:

Prescribe NSAIDs as abortive therapy and have her keep a headache diary to identify her triggers

.

Prescribe zolmitriptan (Zomig) as abortive therapy and recommend relaxation therapy to reduce her stress

.

Prescribe acetaminophen with codeine (Tylenol #3) for her to take at the first onset of her migraine

.

Prescribe sumatriptan (Imitrex) nasal spray and arrange for her to receive the first dose in the clinic

.

Question 16 1 / 1 point

James has been diagnosed with cluster headaches

.

Appropriate acute therapy would be:

Question options:

Butalbital and aspirin (Fiorinal)

Meperidine IM (Demerol)

Oxygen 100% for 15 to 30 minutes

Indomethacin (Indocin)

Question 17 1 / 1 point

If interventions to resolve the cause of pain (e

.

g

.

, rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain

.

Drugs are given in which order of use?

Question options:

NSAIDs, opiates, corticosteroids

Low-dose opiates, salicylates, increased dose of opiates

Opiates, non-opiates, increased dose of non-opiate

Non-opiate, increased dose of non-opiate, opiate

Question 18 1 / 1 point

Chemical dependency assessment is integral to the initial assessment of chronic pain

.

Which of the following raises a “red flag” about potential chemical dependency?

Question options:

Use of more than one drug to treat the pain

Multiple times when prescriptions are lost with requests to refill

Preferences for treatments that include alternative medicines

Presence of a family member who has abused drugs

Question 19 1 / 1 point

The Pain Management Contract is appropriate for:

Question options:

Patients with cancer who are taking morphine

Patients with chronic pain who will require long-term use of opiates

Patients who have a complex drug regimen

Patients who see multiple providers for pain control

Question 20 1 / 1 point

Which of the following statements is true about age and pain? MN553 Unit 8 Practice Quiz Assignment

Question options:

Use of drugs that depend heavily on the renal system for excretion may require dosage adjustments in very young children

.

Among the NSAIDs, indomethacin is the preferred drug because of lower adverse effects profiles than other NSAIDs

.

Older adults who have dementia probably do not experience much pain due to loss of pain receptors in the brain

.

Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs

.

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