MN553 Unit 5 Practice Quiz Latest 2017

Question

Question 1 1 / 1 point

Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:

Question options:

Excessive sedation

Tachycardia and angina

Weight gain

Cold intolerance

Question 2 1 / 1 point

Potentially fatal granulocytopenia has been associated with treatment of hyperthyroidism with propylthiouracil. Patients should be taught to report:

Question options:

Tinnitus and decreased salivation

Fever and sore throat

Hypocalcemia and osteoporosis

Laryngeal edema and difficulty swallowing

Question 3 1 / 1 point

Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:

Question options:

Substitutes for insulin usually secreted by the pancreas

Decreases glycogenolysis by the liver

Increases the release of insulin from beta cells

Decreases peripheral glucose utilization

Question 4 1 / 1 point

Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms of hypoglycemia include:

Question options:

“Fruity” breath odor and rapid respiration

Diarrhea, abdominal pain, weight loss, and hypertension

Dizziness, confusion, diaphoresis, and tachycardia

Easy bruising, palpitations, cardiac dysrhythmias, and coma

Question 5 1 / 1 point

Sulfonylureas may be added to a treatment regimen for type 2 diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels. Sulfonylureas have been moved to Step 2 therapy because they:

Question options:

Increase endogenous insulin secretion

Have a significant risk for hypoglycemia

Address the insulin resistance found in type 2 diabetics

Improve insulin binding to receptors

Question 6 1 / 1 point

Treatment with insulin for type 1 diabetics:

Question options:

Starts with a total daily dose of 0.2 to 0.4 units per kg of body weight

Divides the total doses into three injections based on meal size

Uses a total daily dose of insulin glargine given once daily with no other insulin required

Is based on the level of blood glucose

Question 7 1 / 1 point

The American Heart Association states that people with diabetes have a 2- to 4-fold increase in the risk of dying from cardiovascular disease.Treatments and targets that do not appear to decrease risk for micro-  and macro-vascular complications include:

Question options:

Glycemic targets between 7% and 7.5%

Use of insulin in type 2 diabetics

Control of hypertension and hyperlipidemia

Stopping smoking

Question 8 1 / 1 point

Drugs used to treat diabetic peripheral neuropathy include:

Question options:

Metoclopramide

Cholinergic agonists

Cardioselective beta blockers

Gabapentin

Question 9 1 / 1 point

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

Question options:

Cardiovascular risk

Risk of stroke or other thromboembolic event

Breast cancer

Vasomotor symptoms

Question 10 1 / 1 point

Inadequate vitamin D intake can contribute to the development of osteoporosis by:

Question options:

Increasing calcitonin production

Increasing calcium absorption from the intestine

Altering calcium metabolism

Stimulating bone formation

Question 11 1 / 1 point

The drug recommended as primary prevention of osteoporosis in men over age 70 years is:

Question options:

Alendronate (Fosamax)

Ibandronate (Boniva)

Calcium carbonate

Raloxifene (Evista)

Question 12 1 / 1 point

In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for:

Question options:

A calcium channel blocker

A beta blocker

Liothyronine

An alpha blocker

Question 13 1 / 1 point

When starting a patient on levothyroxine for hypothyroidism the patient will need follow-up measurement of thyroid function in:

Question options:

2 weeks

4 weeks

2 months

6 months

Question 14 1 / 1 point

Treatment of a patient with hypothyroidism and cardiovascular disease consists of:

Question options:

Levothyroxine

Liothyronine

Liotrix

Methimazole

Question 15 1 / 1 point

Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:

Question options:

Washing their hands after applying the gel

Wearing occlusive clothing while using the gel

Exposure to estrogens while using the gel

Skin-to-skin contact with pregnant women while using the gel

Question 16 1 / 1 point

A 22-year-old woman receives a prescription for oral contraceptives. Education for this patient includes:

Question options:

Counseling regarding decreasing or not smoking while taking oral contraceptives

Advising a monthly pregnancy test for the first 3 months she is taking the contraceptive

Advising that she may miss two pills in a row and not be concerned about pregnancy

Recommending that her next follow-up visit is in 1 year for a refill and annual exam

Question 17 1 / 1 point

A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her symptoms with the lowest adverse effects she should be prescribed:

Question options:

Low-dose oral estrogen

A low-dose estrogen/progesterone combination

A vaginal estradiol ring

Vaginal progesterone cream

Question 18 1 / 1 point

Ashley comes to the clinic with a request for oral contraceptives. She has successfully used oral contraceptives before and has recently started dating a new boyfriend so would like to restart contraception. She denies recent intercourse and has a negative urine pregnancy test in the clinic. An appropriate plan of care would be:

Question options:

Recommend she return to the clinic at the start of her next menses to get a Depo Provera shot.

Prescribe oral combined contraceptives and recommend she start them at the beginning of her next period and use a back-up method for the first 7 days.

Prescribe oral contraceptives and have her start them the same day as the visit with a back-up method used for the first 7 days.

Discuss the advantages of using the topical birth control patch and recommend she consider using the patch.

Question 19 1 / 1 point

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

Question options:

Increased migraine headaches

Increased risk of developing blood clots

Irregular vaginal bleeding for the first few months

Increased risk for hypercalcemia

Question 20 1 / 1 point

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

Question options:

Had intercourse within the past 72 hours

May be pregnant

Are taking combined oral contraceptives

Are using a diaphragm