1. MN553 Unit 4 Practice Quiz Latest 2017
QuestionQuestion 1 1 / 1 pointDigoxin levels need to be monitored closely when the
following medication is started:Question
options:LoratadineDiphenhydramineIpratropiumAlbuterolQuestion 2 1 / 1 pointWhen
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
preventneeding systemic steroids.Question 3 1 / 1 pointSecond-generation antihistamines
such as loratadine (Claritin) are prescribed for seasonal allergies because they are:Question
options:More effective than first-generation antihistaminesLess sedating than the first-
generation antihistaminesPrescription products, therefore are covered by insuranceAble to
be taken with central nervous system (CNS) sedatives, such as alcoholQuestion 4 1 / 1
pointHenry 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 colchicineLow-dose colchicineHigh-dose aspirinAcetaminophen with
codeineQuestion 5 1 / 1 pointPatients whose total dose of prednisone will exceed 1 gram
will most likely need a second prescription for:Question options:Metformin, a biguanide to
prevent diabetesOmeprazole, a proton pump inhibitor to prevent peptic ulcer
diseaseNaproxen, an NSAID to treat joint painFurosemide, a diuretic to treat fluid
retentionQuestion 6 1 / 1 pointPatients prescribed aspirin therapy require education
regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:Question
options:Black tarry stoolsVomitingTremorsTinnitusQuestion 7 1 / 1 pointPrior 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:DailyDaily and limit physical
activityLess than twice a weekMore than twice a week and less than once a dayQuestion 8 1
/ 1 pointPatients with a COPD exacerbation may require:Question options:Doubling of
inhaled corticosteroid doseSystemic corticosteroid burstContinuous inhaled beta-2-
agonistsLeukotriene therapyQuestion 9 1 / 1 pointAsthma exacerbations at home are
managed by the patient by:Question options:Increasing frequency of beta-2-agonists and
contacting their providerDoubling inhaled corticosteroid dosesIncreasing frequency of
beta-2-agonistsStarting montelukast (Singulair)Question 10 1 / 1 pointThe most common
2. bacterial pathogen in community-acquired pneumonia is:Question options:Haemophilus
influenzaeStaphylococcus aureusMycoplasma pneumoniaeStreptococcus
pneumoniaQuestion 11 1 / 1 pointThe 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
options:LevofloxacinAmoxicillinCiprofloxacinCephalexinQuestion 12 1 / 1 pointWing-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
options:CeftriaxoneAzithromycinCephalexinLevofloxacinQuestion 13 1 / 1
pointInstructions 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 pointIf 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 pointThe most appropriate smoking cessation
prescription for pregnant women is:Question options:A nicotine replacement patch at the
lowest dose availableBupropion (Zyban)Varenicline (Chantix)Nonpharmacologic
measuresQuestion 16 1 / 1 pointDrug resistant tuberculosis (TB) is defined as TB that is
resistant to:Question options:FluoroquinolonesRifampin and
isoniazidAmoxicillinCeftriaxoneQuestion 17 1 / 1 pointKaleb has extensively resistant
tuberculosis (TB). Treatment for extensively resistant TB would include:Question
options:INH, rifampin, pyrazinamide, and ethambutol for at least 12 monthsINH,
ethambutol, kanamycin, and rifampinTreatment with at least two drugs to which the TB is
susceptibleLevofloxacinQuestion 18 1 / 1 pointEzekiel 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 rifampin2 months of INH, rifampin, pyrazinamide, and ethambutol,
followed by 4 months of INH9 months of INH12 months of INHQuestion 19 1 / 1 pointMyles
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
options:AzithromycinAmoxicillinCeftriaxoneTrimethoprim/sulfamethoxazoleQuestion 20 1
/ 1 pointJacob 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 daysAmoxicillin-clavulanate 500 mg bid for 7
daysCiprofloxacin 500 mg bid for 5 daysCephalexin 500 mg qid for 5 daysExpert Solution
PreviewQuestion 1:When starting albuterol, digoxin levels need to be monitored
3. closely.Introduction: Digoxin is a medication used to treat heart failure and certain
arrhythmias. Albuterol is a bronchodilator used to treat asthma and other respiratory
conditions. When albuterol is started, it can increase the risk of digoxin toxicity, so digoxin
levels should be monitored closely to ensure safe use of both medications.Question 2:When
educating patients who are starting on inhaled corticosteroids, the provider should tell
them that they should rinse their mouths out after using the medication to prevent
thrush.Introduction: Inhaled corticosteroids are a common medication used to treat asthma
and other respiratory conditions. However, they can increase the risk of developing thrush,
a fungal infection in the mouth. To reduce this risk, patients should rinse their mouths out
after using the medication.Question 3:Second-generation antihistamines such as loratadine
(Claritin) are prescribed for seasonal allergies because they are less sedating than the first-
generation antihistamines.Introduction: Antihistamines are a common medication used to
treat allergic conditions, such as seasonal allergies. Second-generation antihistamines, such
as loratadine (Claritin), are preferred over first-generation antihistamines because they are
less likely to cause sedation and other side effects.Question 4:Of the following, low-dose
colchicine would be the best treatment for a patient with significantly swollen, painful great
toe and gout.Introduction: Gout is a type of arthritis caused by the buildup of uric acid
crystals in the joints. Colchicine is a medication used to treat acute gout attacks. Low-dose
colchicine is the preferred treatment because it is effective and has fewer side effects than
high-dose colchicine or aspirin with codeine.Question 5:Patients whose total dose of
prednisone will exceed 1 gram will most likely need a second prescription for omeprazole, a
proton pump inhibitor, to prevent peptic ulcer disease.Introduction: Prednisone is a steroid
medication used to treat a variety of conditions, including autoimmune disorders,
respiratory conditions, and skin conditions. However, long-term use of prednisone can
increase the risk of developing peptic ulcers. Omeprazole, a proton pump inhibitor, is often
prescribed along with prednisone to reduce this risk.Question 6:Patients prescribed aspirin
therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin
toxicity is tinnitus.Introduction: Aspirin is a commonly used medication for pain relief and
inflammation. However, high doses of aspirin can be toxic and can cause a variety of
symptoms, including tinnitus, nausea, vomiting, and confusion. Patients taking aspirin on a
regular basis should be educated on the signs and symptoms of aspirin toxicity.Question
7: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 less than twice a week.Introduction:
Asthma is a chronic respiratory condition characterized by inflammation and narrowing of
the airways. The severity of asthma can be classified according to the NHLBI Expert Panel 3
guidelines, which take into account the frequency and severity of symptoms. Mild-
persistent asthma is classified as symptoms that occur less than twice a week.Question
8:Patients with a COPD exacerbation may require systemic corticosteroid
burst.Introduction: COPD is a chronic respiratory disease characterized by airflow
limitation and difficulty breathing. Exacerbations, or worsening of symptoms, can occur and
often require treatment with systemic corticosteroids, such as prednisone.Question
9:Asthma exacerbations at home are managed by the patient by increasing frequency of
4. beta-2-agonists and contacting their provider.Introduction: Asthma exacerbations can occur
even with proper management, and patients should be educated on how to manage them at
home. In most cases, patients can increase the frequency of their beta-2-agonist inhaler and
contact their healthcare provider for further guidance.Question 10:The most common
bacterial pathogen in community-acquired pneumonia is Streptococcus
pneumoniae.Introduction: Community-acquired pneumonia is a common respiratory
infection caused by various bacterial and viral pathogens. Streptococcus pneumoniae is the
most common bacterial cause of community-acquired pneumonia.Question 11: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 levofloxacin.Introduction:
Pneumonia is an infection of the lungs that can be caused by various bacterial and viral
pathogens. Treatment of pneumonia often involves antibiotic therapy. For patients with
comorbidities or who are immunosuppressed, levofloxacin is often recommended as a first-
line antibiotic choice.Question 12: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. Azithromycin would be appropriate initial treatment for his
pneumonia.Introduction: Bacterial pneumonia is a serious respiratory infection that can be
life-threatening in young children. Azithromycin is a commonly used antibiotic for pediatric
pneumonia and is often given as initial treatment.Question 13:Instructions for a patient who
is starting nicotine replacement therapy include that nicotine replacement will help with
the withdrawal cravings associated with quitting tobacco.Introduction: Nicotine
replacement therapy (NRT) is a common treatment for tobacco addiction. It can be used in
various forms, including nicotine patches, gum, lozenges, and inhalers. NRT helps to reduce
withdrawal symptoms and cravings associated with quitting tobacco.Question 14:If
prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include
that nicotine replacement products should not be used with bupropion.Introduction:
Bupropion (Zyban) is an antidepressant medication that is also used for smoking cessation.
It works by reducing cravings and withdrawal symptoms associated with quitting smoking.
However, it should not be used in combination with nicotine replacement therapy.Question
15:The most appropriate smoking cessation prescription for pregnant women is
nonpharmacologic measures.Introduction: Smoking cessation is important for all
individuals, but especially for pregnant women, as smoking during pregnancy can cause
harm to the developing fetus. However, many pharmacologic treatments for smoking
cessation are not recommended during pregnancy, so nonpharmacologic measures, such as
counseling and support, are often the most appropriate option for pregnant
women.Question 16:Drug-resistant tuberculosis (TB) is defined as TB that is resistant to
rifampin and isoniazid.Introduction: Tuberculosis (TB) is an infectious disease that
primarily affects the lungs. Drug-resistant TB is a serious public health concern, and it is
defined as TB that is resistant to one or more first-line drugs, including rifampin and
isoniazid.Question 17:Kaleb has extensively resistant tuberculosis (TB). Treatment for
extensively resistant TB would include treatment with at least two drugs to which the TB is
susceptible.Introduction: Extensively resistant tuberculosis (TB) is a rare and serious form
of drug-resistant TB that is resistant to most first- and second-line drugs. Treatment for
5. extensively resistant TB often involves using multiple drugs to which the TB is susceptible,
although treatment options are limited.Question 18: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.Introduction: Tuberculosis (TB) is a highly contagious disease that can be spread
through the air. When a household member is diagnosed with TB, other household
members may be at risk of developing the disease. Treatment for people who have been
exposed to TB includes a combination of medications, such as Isoniazid (INH) and rifampin,
to reduce the risk of developing TB.Question 19: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 amoxicillin.Introduction:
Acute otitis media is a common ear infection that can occur in children of all ages. The first-
line treatment for most cases of acute otitis media is antibiotics, such as
amoxicillin.Question 20: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 amoxicillin-
clavulanate.Introduction: Sinusitis is a common respiratory infection that can cause a
variety of symptoms, including nasal congestion, headache, and facial pain. For adults who
have a child in daycare or other high-risk settings, amoxicillin-clavulanate is often
recommended as the first-line treatment.#MN553 #Unit #Practice #Quiz #Latest
