Question 1 1 / 1 point
Digoxin levels need to be monitored closely when the following medication is started:
Question 2 1 / 1 point
When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:
They need to get any live vaccines before starting the medication .
Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective .
Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush .
They can triple the dose number of inhalations of medication during colds to prevent
needing systemic steroids .
Question 3 1 / 1 point
Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:
More effective than first-generation antihistamines
Less sedating than the first-generation antihistamines
Prescription products, therefore are covered by insurance
Able to be taken with central nervous system (CNS) sedatives, such as alcohol
Question 4 1 / 1 point
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?
Acetaminophen with codeine
Question 5 1 / 1 point
Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:
Metformin, a biguanide to prevent diabetes
Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
Naproxen, an NSAID to treat joint pain
Furosemide, a diuretic to treat fluid retention
Question 6 1 / 1 point
Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity . An early sign of aspirin toxicity is:
Black tarry stools
Question 7 1 / 1 point
Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the NHLBI Expert Panel 3 guidelines . In adults mild-persistent asthma is classified as asthma symptoms that occur:
Daily and limit physical activity
Less than twice a week
More than twice a week and less than once a day
Question 8 1 / 1 point
Patients with a COPD exacerbation may require:
Doubling of inhaled corticosteroid dose
Systemic corticosteroid burst
Continuous inhaled beta-2-agonists
Question 9 1 / 1 point
Asthma exacerbations at home are managed by the patient by:
Increasing frequency of beta-2-agonists and contacting their provider
Doubling inhaled corticosteroid doses
Increasing frequency of beta-2-agonists
Starting montelukast (Singulair)
Question 10 1 / 1 point
The most common bacterial pathogen in community-acquired pneumonia is:
Question 11 1 / 1 point
The first-line antibiotic choice for a patient with comorbidities or who is immunosuppressed who has pneumonia and can be treated as an outpatient would be:
Question 12 1 / 1 point
Wing-Sing is a 4-year-old patient who has suspected bacterial pneumonia . He has a temperature of 102°F, oxygen saturation level of 95%, and is taking fluids adequately . What would be appropriate initial treatment for his pneumonia?
Question 13 1 / 1 point
Instructions for a patient who is starting nicotine replacement therapy include:
Smoke less than 10 cigarettes a day when starting nicotine replacement .
Nicotine replacement will help with the withdrawal cravings associated with quitting tobacco .
Nicotine replacement can be used indefinitely .
Nicotine replacement therapy is generally safe for all patients .
Question 14 1 / 1 point
If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:
Bupropion (Zyban) is started 1 to 2 weeks before the quit date .
Nicotine replacement products should not be used with bupropion.
If they smoke when taking bupropion they may have increased anxiety and insomnia .
Because they are not using bupropion as an antidepressant, they do not need to worry about increased suicide ideation when starting therapy .
Question 15 1 / 1 point
The most appropriate smoking cessation prescription for pregnant women is:
A nicotine replacement patch at the lowest dose available
Question 16 1 / 1 point
Drug resistant tuberculosis (TB) is defined as TB that is resistant to:
Rifampin and isoniazid
Question 17 1 / 1 point
Kaleb has extensively resistant tuberculosis (TB) . Treatment for extensively resistant TB would include:
INH, rifampin, pyrazinamide, and ethambutol for at least 12 months
INH, ethambutol, kanamycin, and rifampin
Treatment with at least two drugs to which the TB is susceptible
Question 18 1 / 1 point
Ezekiel is a 9-year-old patient who lives in a household with a family member newly diagnosed with tuberculosis (TB) . To prevent Ezekiel from developing TB he should be treated with:
6 months of Isoniazid (INH) and rifampin
2 months of INH, rifampin, pyrazinamide, and ethambutol, followed by 4 months of INH
9 months of INH
12 months of INH
Question 19 1 / 1 point
Myles is a 2-year-old patient who has been diagnosed with acute otitis media . He is afebrile and has not been treated with antibiotics recently . First-line treatment for his otitis media would include:
Question 20 1 / 1 point
Jacob has been diagnosed with sinusitis . He is the parent of a child in daycare . Treatment for sinusitis in an adult who has a child in daycare is:
Azithromycin 500 mg q day for 5 days
Amoxicillin-clavulanate 500 mg bid for 7 days
Ciprofloxacin 500 mg bid for 5 days
Cephalexin 500 mg qid for 5 days