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 patients 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 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 days
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