NU641 2021 September Week 11 Quiz Latest

NU641 Advanced Clinical Pharmacology

Week 11 Quiz  

Question 1A 10-year-old child is diagnosed with major depression. What is the appropriate first-line antidepressant for children?

Select one:

 a.Fluoxetine

 b.Fluvoxamine

 c.Sertraline

 d.Escitalopram

Question 2A patient is started on paroxetine (Paxil), an SSRI, for depression. What does education regarding antidepressants include?

Select one:

 a.SSRIs may take two to six weeks before she will have maximum drug effects.

 b.Red-green color blindness may occur and should be reported.

 c.If she experiences dry mouth or a heart rate greater than 80, she should stop taking the drug immediately.

 d.She should eat lots of food high in fiber to prevent constipation.

Question 3An adolescent has been prescribed isotretinoin (Accutane) by their dermatologist and is presenting to their primary care provider with symptoms of sadness and depression. The Beck Depression Inventory results indicate they have mild to moderate depression. What would be the best option at this point?

Select one:

 a.Prescribe a select serotonin reuptake inhibitor (SSRI) antidepressant.

 b.Refer them to a mental health therapist.

 c.Contact their dermatologist about discontinuing the isotretinoin.

 d.Reassure them that mood swings are normal and schedule follow-up in a week.

Question 4A 17-year-old competitive runner presents with hip pain that began after falling while running. Their only medical problem is severe acne for which they take isotretinoin (Accutane). What should the provider be concerned about?

Select one:

 a.The patient may have pulled a muscle and needs to rest to recover.

 b.They are at risk for bone injuries and need to be evaluated for fracture.

 c.Isotretinoin interacts with ibuprofen, which is the pain medication of choice.

 d.Teen athletes are at risk for repetitive stress injuries.

Question 5When writing a prescription of permethrin 5% cream (Elimite) for scabies, patient education would include which of the following?

Select one:

 a.All members of the household and personal contacts should also be treated.

 b.Infants should have permethrin applied from the neck down.

 c.The permethrin is washed off after 10 to 20 minutes.

 d.Permethrin is flammable and to avoid open flame while the medication is applied.

Question 6The black box warnings concerning teens and young adults taking antidepressants include which of the following?

Select one:

 a.Rapid weight loss

 b.Suicidal ideation

 c.Growth retardation

 d.Increased use of recreational drugs

Question 7Prior to starting antidepressants, patients should have laboratory testing to rule out which of the following?

Select one:

 a.Hypothyroidism

 b.Schizophrenia

 c.Diabetes mellitus

 d.Low estrogen levels

Question 8What is first-line therapy for an adult with ADHD?

Select one:

 a.Methylphenidate (Ritalin)

 b.Atomoxetine (Strattera)

 c.Clonidine

 d.Behavioral therapy

Question 9A young adult female has severe cystic acne and is requesting treatment with Accutane. What is the appropriate treatment for her?

Select one:

 a.Order a pregnancy test and, if it is negative, prescribe the isotretinoin (Accutane).

 b.Prescribe Accutane after educating her on the adverse effects.

 c.Recommend she try oral antibiotics (minocycline).

 d.Refer her to a dermatologist for treatment.

Question 10An adolescent football player presents to the clinic with athlete’s foot. What may patients with tinea pedis be treated with?

Select one:

 a.Over the counter miconazole cream for four weeks

 b.Oral ketoconazole for six weeks

 c.Mupirocin ointment for two weeks

 d.Nystatin cream for two weeks

Question 11What does scabies treatment for a 4-year-old child include a prescription for?

Select one:

 a.Permethrin 5% cream applied from the neck down

 b.Pyrethrin lotion

 c.Lindane 1% shampoo

 d.All of the above

Question 12A patient has been diagnosed with scabies. What would education include?

Select one:

 a.She should leave the scabies treatment cream on for an hour and then wash it off.

 b.Scabies may need to be retreated in a week after initial treatment.

 c.All members of the household and close personal contacts should be treated.

 d.Malathion is flammable and she should take care until the solution dries.

Question 13Nicotine has a variety of effects on nicotinic receptors throughout the body. Which of the following is not an effect of nicotine?

Select one:

 a.Vasodilation and decreased heart rate

 b.Increased secretion of gastric acid and motility of the gastrointestinal (GI) smooth muscle

 c.Release of dopamine at the pleasure center

 d.Stimulation of the locus coeruleus

Question 14When prescribing for migraines, what does patient education include?

Select one:

 a.Triptans are safe to use as often as needed as long as the patient is healthy.

 b.Use triptan before trying OTC meds such as acetaminophen or naproxen.

 c.Stress reduction and regular sleep are integral to migraine treatment.

 d.If migraines worsen they are to increase their medication.

Question 15A patient sprained her ankle and is asking for pain medication for her mild-to-moderate pain. What would the appropriate first-line medication be?

Select one:

 a.Ibuprofen (Advil)

 b.Acetaminophen with hydrocodone (Vicodin)

 c.Oxycodone (Oxycontin)

 d.Oral morphine (Roxanol)

Question 16When prescribing any headache therapy, appropriate use of medications needs to be discussed to prevent medication-overuse headaches. What is a clinical characteristic of medication-overuse headaches?

Select one:

 a.Increase in frequency

 b.Increase in intensity

 c.Recur when medication wears off

 d.Begin to “cluster” into a pattern

Question 17Scott’s seizures are well controlled on topiramate (Topamax) and he wants to start playing baseball. What should education for Scott regarding his topiramate include?

Select one:

 a.He should not play sports due to the risk of increased seizures.

 b.He should monitor his temperature and ability to sweat in the heat while playing.

 c.Reminding him that he may need higher doses of topiramate when exercising.

 d.Encouraging him to use sunscreen due to photosensitivity from topiramate.

Question 18What does nonpharmacologic therapy for tension headaches include?

Select one:

 a.Biofeedback

 b.Stress management

 c.Massage therapy

 d.All of the above

Question 19A patient is taking lamotrigine (Lamictal) for their seizures and requests a prescription for combined oral contraceptives (COCs), which interact with lamotrigine and may cause which of the following?

Select one:

 a.Contraceptive failure

 b.Excessive weight gain

 c.Reduced lamotrigine levels, requiring doubling the dose of lamotrigine

 d.Induction of estrogen metabolism, requiring higher estrogen content OCs to be prescribed

Question 20A patient fractured his ankle in two places and is asking for medication for his pain. What would the appropriate first-line medication be?

Select one:

 a.IV Morphine

 b.Acetaminophen with hydrocodone (Vicodin)

 c.Oxycodone (Oxycontin) tablets

 d.IV Dilaudid

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