NU641 2021 September Week 13 Quiz Latest

NU641 Advanced Clinical Pharmacology

Week 13 Quiz  

Question 1An adult presents with an upper respiratory infection (URI). Treatment for his URI would include:

Select one:

 a.Amoxicillin

 b.Diphenhydramine

 c.Phenylpropanolamine

 d.Topical oxymetazoline

Question 2A 3-year-old patient presents with an upper respiratory infection (URI). Treatment for their URI would include:

Select one:

 a.Amoxicillin

 b.Diphenhydramine

 c.Pseudoephedrine

 d.Nasal saline spray

Question 3Treatment for sinusitis in an adult who has a child in daycare is:

Select one:

 a.Azithromycin 500 mg a day for five days

 b.Amoxicillin-clavulanate 500 mg bid for seven days

 c.Ciprofloxacin 500 mg bid for five days

 d.Cephalexin 500 mg qid for five days

Question 4Whether prescribing an antibiotic for a child with acute otitis media or not, the parents should be educated about:

Select one:

 a.Using decongestants to provide faster symptom relief

 b.Providing adequate pain relief for at least the first 24 hours

 c.Using complementary treatments for acute otitis media, such as garlic oil

 d.Administering an antihistamine/decongestant combination (Dimetapp) so the child can sleep better

Question 5Postmenopausal women with an intact uterus should not be prescribed:

Select one:

 a.An estrogen/progesterone combination

 b.Intramuscular (IM) medroxyprogesterone (Depo-Provera)

 c.Estrogen alone

 d.Androgens

Question 6William is a 62-year-old male who is requesting a prescription for sildenafil (Viagra). He should be screened for ________________ before receiving a prescription for sildenafil.

Select one:

 a.Renal dysfunction

 b.Unstable coronary artery disease

 c.Benign prostatic hypertrophy

 d.History of priapism

Question 7Effects of estrogen include:

Select one:

 a.Regulation of the menstrual cycle

 b.Maintenance of bone density by increasing bone reabsorption

 c.Maintenance of the normal structure of the skin and blood vessels

 d.a and c

Question 8A patient presents to the clinic with hard earwax in both ear canals. Instructions regarding home removal of hard cerumen include:

Select one:

 a.Moisten a cotton swab (Q-tip) and swab the ear canal twice daily.

 b.Instill tap water in both ears while bathing.

 c.Squirt hydrogen peroxide into ears with each bath.

 d.Instill carbamide peroxide (Debrox) twice daily until canals are clear.

Question 9A young adult patient comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:

Select one:

 a.None, wait for the culture results to determine the course of treatment

 b.Ciprofloxacin (Ciloxan) ophthalmic drops

 c.Intramuscular (IM) ceftriaxone

 d.High-dose oral amoxicillin

Question 10The Centers for Disease Control recommends all newborn infants receive prophylactic administration of __________ within one hour of birth.

Select one:

 a.Gentamicin ophthalmic ointment

 b.Ciprofloxacin ophthalmic drops

 c.Erythromycin oral suspension

 d.Erythromycin ophthalmic ointment

Question 11Oral emergency contraception (Plan B) is contraindicated in women who:

Select one:

 a.Had intercourse within the past 72 hours

 b.May be pregnant

 c.Are taking combined oral contraceptives

 d.Are using a diaphragm

Question 12Women who are prescribed progestin-only contraception need education regarding which common adverse drug effects?

Select one:

 a.Increased migraine headaches

 b.Increased risk of developing blood clots

 c.Irregular vaginal bleeding for the first few months

 d.Increased risk for hypercalcemia

Question 13The treatment goals when treating urinary tract infection (UTI) include:

Select one:

 a.Eradication of the infecting organism

 b.Relief of symptoms

 c.Prevention of recurrence of the UTI

 d.All of the above

Question 14A 16-year-old female presents with a UTI. She is healthy, afebrile, with no use of antibiotics in the previous six months and no drug allergies. An appropriate first-line antibiotic choice for her would be:

Select one:

 a.Cefdinir

 b.Trimethoprim/sulfamethoxazole

 c.Nitrofurantoin

 d.Azithromycin

Question 15A 28-year-old pregnant woman at 38 weeks gestation is diagnosed with a lower UTI. She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:

Select one:

 a.Azithromycin

 b.Trimethoprim/sulfamethoxazole

 c.Nitrofurantoin

 d.Ciprofloxacin

Question 16Monitoring for a child who has had a UTI is:

Select one:

 a.Symptom resolution in 48 hours

 b.Follow-up urine culture at completion of therapy

 c.Test of cure urinary analysis at completion of therapy

 d.Follow-up urine culture two months after completion of therapy

Question 17The goals of therapy when prescribing hormone replacement therapy (HRT) include reducing:

Select one:

 a.Cardiovascular risk

 b.Risk of stroke or other thromboembolic event

 c.Risk of breast cancer

 d.Vasomotor symptoms

Question 18"Menopause" is diagnosed when:

Select one:

 a.The patient has no menses for 12 months.

 b.The patient has onset of vasomotor symptoms with irregular menses.

 c.The patient has no bleeding cycle for six months.

 d.Precise laboratory values are documented.

Question 19Ongoing monitoring for women on estrogen replacement therapy (ERT) includes:

Select one:

 a.Lipid levels, repeated annually if abnormal

 b.Annual health history and review of risk profile

 c.Annual mammogram

 d.All of the above