Question 1 . Question : The drug recommended as primary prevention of osteoporosis in men over seventy years is: Alendronate (Fosamax) Ibandronate (Boniva) Calcium carbonate Raloxifene (Evista) Question 2 . Question : Alterations in drug metabolism among Asians may lead to: Slower metabolism of antidepressants, requiring lower doses Faster metabolism of neuroleptics, requiring higher doses Altered metabolism of omeprazole, requiring higher doses Slower metabolism of alcohol, requiring higher doses Question 3 . Question : Some research supports that testosterone replacement therapy may be indicated in which of the following diagnoses in men? Age-related decrease in cognitive functioning Metabolic syndrome Decreased muscle mass in aging men All of the above Question 4 . Question : The chemicals that promote the spread of pain locally include _________ . serotonin norepinephrine enkephalin neurokinin A Question 5 . Question : The DEA: Registers manufacturers and prescribes controlled substances Regulates NP prescribing at the state level Sanctions providers who prescribe drugs off-label Provides prescribers with a number they can use for insurance billing Question 6 . Question : The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for RA is _____ . forty-eight hours four to six days four weeks two months Question 7 . Question : The route of excretion of a volatile drug will likely be: The kidneys The lungs The bile and feces The skin Question 8 . Question : Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials include: Pregnancy Renal parenchymal disease Stable angina Dyslipidemia Question 9 . Question : The American Diabetic Association has recommended which of the following tests for ongoing management of diabetes? Fasting blood glucose Hemoglobin A1c Thyroid function tests Electrocardiograms Question 10 . Question : The angiotensin converting enzyme (ACE) inhibitor lisinopril is a known teratogen . Teratogens cause Type ____ ADR . A B C D Question 11 . Question : The goals of therapy when prescribing HRT include reducing: Cardiovascular risk Risk of stroke or other thromboembolic event Breast cancer risk Vasomotor symptoms Question 12 . Question : Patients who have angina, regardless of class, who are also diabetic should be on: Nitrates Beta blockers ACE inhibitors Calcium channel blockers Question 13 . Question : The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina . Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is: Class I Class II Class III Class IV Question 14 . Question : Patients with allergic rhinitis may benefit from a prescription of: Fluticasone (Flonase) Cetirizine (Zyrtec) OTC cromolyn nasal spray (Nasalcrom) Any of the above Question 15 . Question : Kyle has Crohn’s disease and has a documented folate deficiency . Drug therapy for folate deficiency anemia is: Oral folic acid 1 to 2 mg/day Oral folic acid 1 gm/day IM folate weekly for at least six months Oral folic acid 400 mcg daily Question 16 . Question : The treatment for vitamin B12 deficiency is: 1,000 mcg daily of oral cobalamin 2 gm/day of oral cobalamin 100 mcg/day vitamin B12 IM 500 mcg/dose nasal cyanocobalamin two sprays once a week Question 17 . Question : Nonadherence is especially common in drugs that treat asymptomatic conditions, such as hypertension . One way to reduce the likelihood of nonadherence to these drugs is to prescribe a drug that: Has a short half-life so that missing one dose has limited effect Requires several dosage titrations so that missed doses can be replaced with lower doses to keep costs down Has a tolerability profile with less of the adverse effects that are considered “irritating,” such as nausea and dizziness Must be taken no more than twice a day Question 18 . Question : Type II diabetes is a com…

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