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