Question: Sublingual drugs are advantageous because:
Answer Choices:
• Absorbed rapidly
• Excreted rapidly
• Metabolized minimally
• Distributed equally
Answer: • Absorbed rapidly
Question: GERD unrelieved by TUMS – initial therapy:
Answer: Omeprazole twice a day
Question: Best anti-nausea drug for child with vomiting/dehydration:
Answer Choices:
• Zofran
Answer: • Zofran
Question: Elderly diphenhydramine patients should be monitored for:
Answer Choices:
Urinary retention
Cardiac output
Peripheral edema
Skin rash
Answer: 1. Urinary retention
Question: Precaution when prescribing controlled substances:
Answer Choices:
Faxing C-II to pharmacy
Use tamper-proof paper
Lock pre-signed pads
Use numbers only
Answer: 2. Use tamper-proof paper
Question: Addiction behavior includes:
Answer Choices:
• Stealing drugs
• Increasing opiates
• Regular C-II refills
• Exclusive prescriber
Answer: • Stealing drugs
Question: COPD exacerbation may require:
Answer Choices:
Doubling corticosteroids
Systemic corticosteroid burst
Inhaled beta-2 agonists
Leukotriene therapy
Answer: 2. Systemic corticosteroid burst
Question: First-pass effect applies to drugs that:
Answer Choices:
Must be oral
Bypass liver
Rapidly metabolized by liver
Converted by liver
Answer: 3. Rapidly metabolized by liver
Question: Penicillins and cephalosporins cross-react because:
Answer Choices:
Similar renal excretion
Metabolized in liver
Both have beta-lactam rings
No issue with cross-resistance
Answer: 3. Both have beta-lactam rings
Question: Long-term PPI use may cause:
Answer Choices:
• Hip fractures
• B6 deficiency
• Liver cancer
• All of the above
Answer: • Hip fractures
Question: Goal of antiretroviral therapy:
Answer Choices:
Suppress HIV replication
Eradicate virus
Free of adverse effects
Suppress CD4 count
Answer: 1. Suppress HIV replication
Question: Serious Motrin side effect in older adults:
Answer Choices:
• Secondary pain relief
• Impaired renal function
• Liver issues
• Rebound headaches
Answer: • Impaired renal function
Question: Reglan improves GERD symptoms by:
Answer Choices:
• Reducing acid
• Raising pH
• Increasing lower esophageal tone
• Decreasing tone
Answer: • Increasing lower esophageal tone
Question: Who should avoid antacids without provider advice?
Answer Choices:
• Kidney stones
• Pregnant patients
• Respiratory infection
• Postmenopausal
Answer: • Kidney stones
Question: Dental procedure for someone with repaired VSD:
Answer Choices:
No antibiotic needed
Amoxicillin
Ampicillin
Azithromycin
Answer: 1. No antibiotic needed
Question: NP sees patient overusing Fiorinal for migraines. Best next step?
Answer Choices:
A. Switch to sumatriptan
B. Assess usage
C. Use beta-blocker
D. Refer to original prescriber
Answer: B. Assess usage