Question 1 1 / 1 point Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with: Question options: Topical antipruritics Oral corticosteroids for 2 to 3 weeks Thickly applied topical intermediate-dose corticosteroids Isolation of the patient to prevent spread of the dermatitis Question 2 1 / 1 point Patrick is a 10-year-old patient who presents with uncomfortable constipation . Along with diet changes, a laxative is ordered to provide more rapid relief of constipation . An appropriate choice of medication for a 10-year-old child would be: Question options: PEG 3350 (Miralax) Bisacodyl (Dulcolax) suppository Docusate (Colace) suppository Polyethylene glycol electrolyte solution Question 3 1 / 1 point Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for: Question options: Iron deficiency anemia, vitamin B12 and calcium deficiency Folate and magnesium deficiency Elevated uric acid levels leading to gout Hypokalemia and hypocalcemia Question 4 1 / 1 point The drug of choice for treatment of early latent or tertiary syphilis is: Question options: Ceftriaxone IM Benzathine penicillin G IM Oral azithromycin Oral ciprofloxacin Question 5 0 / 1 point The optimal maximum time frame for HRT or estrogen replacement therapy (ERT) is: Question options: 2 years 5 years 10 years 15 years Question 6 1 / 1 point The Best Pharmaceuticals for Children Act: Question options: Includes a pediatric exclusivity rule which extends the patent on drugs studied in children Establishes a committee that writes guidelines for pediatric prescribing Provides funding for new drug development aimed at children Encourages manufacturers specifically to develop pediatric formulations Question 7 1 / 1 point Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection . Treatment for her would include: Question options: Metronidazole 2 grams PO x 1 dose Topical intravaginal metronidazole daily x 7 days Intravaginal clindamycin daily x 7 days Azithromycin 2 grams PO x 1 dose Question 8 1 / 1 point Jamison has been prescribed citalopram (Celexa) to treat his depression . Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be: Question options: Appetite and concentration improve in the first 1 to 2 weeks . Sleep should improve almost immediately upon starting citalopram . Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic dose . His dysphoric mood will improve in 1 to 2 weeks . Question 9 1 / 1 point Patients who have a poor metabolism phenotype will have: Question options: Slowed metabolism of a prodrug into an active drug, leading to accumulation of Prodrug Accumulation of inactive metabolites of drugs A need for increased dosages of medications Increased elimination of an active drug Question 10 1 / 1 point The drug of choice for type 2 diabetics is metformin . Metformin: Question options: Decreases glycogenolysis by the liver Increases the release of insulin from beta cells Increases intestinal uptake of glucose Prevents weight gain associated with hyperglycemia Question 11 1 / 1 point The first-line therapy for mild-persistent asthma is: Question options: High-dose montelukast Theophylline Low-dose inhaled corticosteroids Long-acting beta-2-agonists Question 12 1 / 1 point All of the following statements about the Beer’s List are true except: Question options: It is a list of medications or medication classes that should generally be avoided in persons 65 years or older because they are either ineffective or they pose unnecessarily high risk for older persons and a safer alternative is available . It is derived from the expert opinion of one geriatrician and is not evidence-based . These criteria have been adopted by the Centers for Medicare and Medicaid Services for regulation of long-term care facilities . These criteria are directe…
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