MN553 Unit 4 Practice Quiz Latest 2017


Question 1 1 / 1 point

Digoxin levels need to be monitored closely when the following medication is started:

Question options:





Question 2 1 / 1 point

When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:

Question options:

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:

Question options:

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?

Question options:

High-dose colchicine

Low-dose colchicine

High-dose aspirin

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:

Question options:

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:

Question options:

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:

Question options:


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:

Question options:

Doubling of inhaled corticosteroid dose

Systemic corticosteroid burst

Continuous inhaled beta-2-agonists

Leukotriene therapy

Question 9 1 / 1 point

Asthma exacerbations at home are managed by the patient by:

Question options:

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 options:

Haemophilus influenzae

Staphylococcus aureus

Mycoplasma pneumoniae

Streptococcus pneumonia

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:

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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?

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Question 13 1 / 1 point

Instructions for a patient who is starting nicotine replacement therapy include:

Question options:

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:

Question options:

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:

Question options:

A nicotine replacement patch at the lowest dose available

Bupropion (Zyban)

Varenicline (Chantix)

Nonpharmacologic measures

Question 16 1 / 1 point

Drug resistant tuberculosis (TB) is defined as TB that is resistant to:

Question options:


Rifampin and isoniazid



Question 17 1 / 1 point

Kaleb has extensively resistant tuberculosis (TB) .  Treatment for extensively resistant TB would include:

Question options:

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:

Question options:

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:

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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:

Question options:

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




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