Question 1

When prescribing NSAIDS,a complete drug history should be conducted as NSAIDs interact with these drugs:

Accepted Answer

A)   Omeprazole,a proton pump inhibitor
B)   Combined oral contraceptive
C)   Diphenhydramine,an antihistamine
D)   Warfarin,an anticoagulant

Question 2

Sallie has been taking 10 mg per day of prednisone for the past 6 months.She should be assessed for:

Accepted Answer

A)   Gout
B)   Iron deficiency anemia
C)   Osteoporosis
D)   Renal dysfunction

Question 3

Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?

Accepted Answer

A)   A bisphosphonate
B)   Calcium supplementation
C)   Vitamin D
D)   All of the above

Question 4

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity.An early sign of aspirin toxicity is:

Accepted Answer

A)   Black tarry stools
B)   Vomiting
C)   Tremors
D)   Tinnitus

Question 5

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

Accepted Answer

A)   Serum glucose
B)   Stool culture
C)   Folate levels
D)   Vitamin B12

Question 6

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

Accepted Answer

A)   Metformin,a biguanide to prevent diabetes
B)   Omeprazole,a proton pump inhibitor to prevent peptic ulcer disease
C)   Naproxen,an NSAID to treat joint pain
D)   Furosemide,a diuretic to treat fluid retention

Question 7

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?

Accepted Answer

A)   High-dose colchicine
B)   Low-dose colchicine
C)   High-dose aspirin
D)   Acetaminophen with codeine

Question 8

Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back.He states the aspirin helps him to "get going" each day.Lately he has had some heartburn from the aspirin.After ruling out an acute GI bleed,what would be an appropriate course of treatment for Henry?

Accepted Answer

A)   Add an H2 blocker such as ranitidine to his therapy
B)   Discontinue the aspirin and switch him to Vicodin for the pain
C)   Decrease the aspirin dose to one tablet daily
D)   Have Henry take an antacid 15 minutes before taking the aspirin each day

Question 9

Phil is starting treatment with febuxostat (Uloric) .Education of patients starting febuxostat includes:

Accepted Answer

A)   Gout may worsen with therapy
B)   Febuxostat may cause severe diarrhea
C)   He should consume a high-calcium diet
D)   He will need frequent CBC monitoring

Question 10

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:

Accepted Answer

A)   48 hours
B)   4 to 6 days
C)   4 weeks
D)   2 months

Question 11

Patients who are on long-term aspirin therapy should have annually.

Accepted Answer

A)   Complete blood count
B)   Salicylate level
C)   Amylase
D)   Urine analysis A

Question 12

All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box warning regarding:

Accepted Answer

A)   Potential for causing life-threatening GI bleeds
B)   Increased risk of developing systemic arthritis with prolonged use
C)   Risk of life-threatening rashes,including Stevens-Johnson
D)   Potential for transient changes in serum glucose

Question 13

Larry is taking allopurinol to prevent gout.Monitoring of a patient who is taking allopurinol includes:

Accepted Answer

A)   Complete blood count
B)   Blood glucose
C)   C-reactive protein
D)   BUN,creatinine,and creatinine clearance D

Question 14

Patients who are on chronic long-term corticosteroid therapy need education regarding:

Accepted Answer

A)   Receiving all vaccinations,especially the live flu vaccine
B)   Reporting black tarry stools or abdominal pain
C)   Eating a high carbohydrate diet with plenty of fluids
D)   Small amounts of alcohol are generally tolerated

Question 15

Josefina is a 2 year old with acute otitis media and upper respiratory infection.Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen.What education would her parent need regarding ibuprofen?

Accepted Answer

A)   They can cut an adult ibuprofen tablet in half to give Josefina
B)   Ibuprofen dose can be doubled for severe pain
C)   Josefina needs to be well hydrated while taking ibuprofen
D)   Ibuprofen is completely safe in children with no known adverse effects

Question 16

Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin) .Education when prescribing Vicodin includes:

Accepted Answer

A)   It is OK to double the dose of Vicodin if the pain is severe
B)   Vicodin is not habit forming
C)   He should not take any other acetaminophen-containing medications
D)   Vicodin may cause diarrhea;increase his fluid intake

Question 17

Patient education when prescribing colchicine includes:

Accepted Answer

A)   Colchicine may be constipating
B)   Colchicine always causes some degree of diarrhea
C)   Mild muscle weakness is normal
D)   Moderate amounts of alcohol are safe with colchicine B

Question 18

Monitoring a patient on a high dose aspirin level includes:

Accepted Answer

A)   Salicylate level
B)   Complete blood count
C)   Urine pH
D)   All of the above

Question 19

Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation.It is time to discontinue the prednisone.How is prednisone discontinued?

Accepted Answer

A)   Patients with asthma are transitioned directly off the prednisone onto inhaled corticosteroids
B)   Prednisone can be abruptly discontinued with no adverse effects
C)   Develop a tapering schedule to slowly wean Daniel off the prednisone
D)   Substitute the prednisone with another anti-inflammatory such as ibuprofen

Exam 25: Drugs Used in Treating Inflammatory Processes

When prescribing NSAIDS,a complete drug history should be conducted as NSAIDs interact with these drugs:

Correct Answer
verified

Sallie has been taking 10 mg per day of prednisone for the past 6 months.She should be assessed for:

Correct Answer
verified

Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?

Correct Answer
verified

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity.An early sign of aspirin toxicity is:

Correct Answer
verified

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

Correct Answer
verified

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

Correct Answer
verified

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?

Correct Answer
verified

Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back.He states the aspirin helps him to "get going" each day.Lately he has had some heartburn from the aspirin.After ruling out an acute GI bleed,what would be an appropriate course of treatment for Henry?

Correct Answer
verified

Phil is starting treatment with febuxostat (Uloric) .Education of patients starting febuxostat includes:

Correct Answer
verified

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:

Correct Answer
verified

Patients who are on long-term aspirin therapy should have annually.

Correct Answer
verified
A

All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box warning regarding:

Correct Answer
verified

Larry is taking allopurinol to prevent gout.Monitoring of a patient who is taking allopurinol includes:

Correct Answer
verified
D

Patients who are on chronic long-term corticosteroid therapy need education regarding:

Correct Answer
verified

Josefina is a 2 year old with acute otitis media and upper respiratory infection.Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen.What education would her parent need regarding ibuprofen?

Correct Answer
verified

Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin) .Education when prescribing Vicodin includes:

Correct Answer
verified

Patient education when prescribing colchicine includes:

Correct Answer
verified
B

Monitoring a patient on a high dose aspirin level includes:

Correct Answer
verified

Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation.It is time to discontinue the prednisone.How is prednisone discontinued?

Correct Answer
verified

Exam 25: Drugs Used in Treating Inflammatory Processes

When prescribing NSAIDS,a complete drug history should be conducted as NSAIDs interact with these drugs:

Correct AnswerverifiedShow Answer

Sallie has been taking 10 mg per day of prednisone for the past 6 months.She should be assessed for:

Correct AnswerverifiedShow Answer

Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?

Correct AnswerverifiedShow Answer

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity.An early sign of aspirin toxicity is:

Correct AnswerverifiedShow Answer

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

Correct AnswerverifiedShow Answer

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back.He states the aspirin helps him to "get going" each day.Lately he has had some heartburn from the aspirin.After ruling out an acute GI bleed,what would be an appropriate course of treatment for Henry?

Correct AnswerverifiedShow Answer

Phil is starting treatment with febuxostat (Uloric) .Education of patients starting febuxostat includes:

Correct AnswerverifiedShow Answer

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:

Correct AnswerverifiedShow Answer

Patients who are on long-term aspirin therapy should have annually.

Correct AnswerverifiedA

All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box warning regarding:

Correct AnswerverifiedShow Answer

Larry is taking allopurinol to prevent gout.Monitoring of a patient who is taking allopurinol includes:

Correct AnswerverifiedD

Patients who are on chronic long-term corticosteroid therapy need education regarding:

Correct AnswerverifiedShow Answer

Josefina is a 2 year old with acute otitis media and upper respiratory infection.Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen.What education would her parent need regarding ibuprofen?

Correct AnswerverifiedShow Answer

Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin) .Education when prescribing Vicodin includes:

Correct AnswerverifiedShow Answer

Patient education when prescribing colchicine includes:

Correct AnswerverifiedB

Monitoring a patient on a high dose aspirin level includes:

Correct AnswerverifiedShow Answer

Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation.It is time to discontinue the prednisone.How is prednisone discontinued?

Correct AnswerverifiedShow Answer

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A

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D

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B

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