MN553 Unit 5 Quiz / MN 553 Unit 5 Quiz (Latest): Pharmacology: Kaplan University
Question 1
0 / 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
0 / 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
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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
0 / 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
0 / 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
0 / 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