問題一覧
1
A 68-year-old patient with cardiac failure is diagnosed with ovarian cancer. She begins using cisplatin but becomes nauseous and suffers from severe vomiting. Which of the following medications would be most effective to counteract the emesis in this patient without exacerbating her cardiac problem?
A. Droperidol.
B. Dolasetron.
C. Prochlorperazine.
D. Dronabinol.
E. Palonosetron.
E
2
A 45-year-old woman complains of persistent heartburn and an unpleasant, acid-like taste in her mouth. The clinician suspects that she has gastroesophageal reflux disease and advises her to raise the head of her bed 6 to 8 inches, not to eat for several hours before retiring, and to eat smaller meals. Two weeks later, she returns and says the symptoms have subsided slightly but still are a concern. The clinician will likely prescribe which one of the following drugs?
A. An antacid such as aluminum hydroxide.
B. Dicyclomine.
C. An antianxiety agent such as alprazolam.
D. Esomeprazole.
D
3
A couple celebrating their 40th wedding anniversary are given a trip to Peru to visit Machu Picchu. Due to past experiences while traveling, they ask their doctor to prescribe an agent for diarrhea. Which of the following would be effective?
A. Omeprazole.
B. Loperamide.
C. Famotidine.
D. Lorazepam.
B
4
A 27-year-old woman who is 34 weeks pregnant is on bed rest and visits her obstetrician. During the visit, she informs her physician that she has been experiencing mild constipation. Which of the following medications will most likely be recommended to her?
A. Castor oil.
B. Docusate.
C. Mineral oil.
D. Loperamide.
B
5
Which of the following drugs has been known to cause discoloration of the tongue?
A. Amoxicillin.
B. Omeprazole.
C. Bismuth compounds.
D. Lubiprostone.
C
6
A patient is receiving treatment with lorazepam prior to chemotherapy to help reduce her anticipatory nausea and vomiting. Which of the following should generally be avoided in this patient?
A. Docusate.
B. Ondansetron.
C. Polyethylene glycol.
D. Ethanol.
D
7
All of the following drugs are generally well tolerated for the treatment of constipation except:
A. Castor oil.
B. Methylcellulose.
C. Polyethylene glycol.
D. Docusate.
A
8
An elderly woman with a recent history of myocardial infarction is seeking a medication to help treat her occasional heartburn. She is currently taking several medications, including aspirin, clopidogrel, simvastatin, metoprolol, and lisinopril. Which of the following choices should be avoided in this patient?
A. Calcium citrate.
B. Famotidine.
C. Omeprazole.
D. Ranitidine.
E. Calcium carbonate.
C
9
Extrapyramidal symptoms (EPS) have been associ- ated with which of the following drugs?
A. Metoclopramide.
B. Alprazolam.
C. Aprepitant.
D. Loperamide.
A
10
Which of the following medications for gastrointestinal problems is contraindicated in pregnancy?
A. Calcium carbonate.
B. Famotidine.
C. Lansoprazole.
D. Misoprostol
D
11
Which of the P2Y12 ADP receptor antagonists reversibly binds the receptor?
A. Clopidogrel.
B. Prasugrel.
C. Ticagrelor.
D. Ticlopidine.
C
12
A 70-year-old female is diagnosed with nonvalvular atrial fibrillation. Her past medical history is significant for chronic kidney disease, and her renal function is moderately diminished. All of the following anticoagulants would be expected to require a reduced dosage in this patient except:
A. Apixaban.
B. Dabigatran.
C. Rivaroxaban.
D. Warfarin.
D
13
An 80-year-old male is taking warfarin indefinitely for the prevention of deep venous thrombosis. He is a compliant patient with a stable INR and has no issues with bleeding or bruising. He is diagnosed with a urinary tract infection and is prescribed sulfamethoxazole/ trimethoprim. What effect will this have on his warfarin therapy?
A. Sulfamethoxazole/trimethoprim will decrease the anticoagulant effect of warfarin.
B. Sulfamethoxazole/trimethoprim will increase the anticoagulant effect of warfarin.
C. Sulfamethoxazole/trimethoprim will activate platelet activity.
D. Sulfamethoxazole/trimethoprim will not change anticoagulation status.
B
14
In which disease state is cilostazol contraindicated?
A. Peripheral arterial disease.
B. Gout.
C. Heart failure with reduced ejection fraction.
D. Osteoporosis
C
15
Which must heparin bind to in order to exert its anticoagulant effect?
A. GP IIb/IIIa receptor.
B. Thrombin.
C. Antithrombin III.
D. von Willebrand factor.
C
16
Which is considered “fibrin selective” because it rapidly activates plasminogen that is bound to fibrin?
A. Alteplase.
B. Fondaparinux.
C. Streptokinase.
D. Urokinase.
A
17
A 56-year-old man presents to the emergency room with complaints of swelling, redness, and pain in his right leg. The patient is diagnosed with acute DVT and requires treatment with an anticoagulant. All of the following are approved for treatment of this patient’s DVT except:
A. Rivaroxaban.
B. Dabigatran.
C. Enoxaparin.
D. Heparin.
B
18
Which is most appropriate for reversing the anticoagulant effects of heparin?
A. Aminocaproic acid.
B. Protamine sulfate.
C. Vitamin K .1
D. Tranexamic acid.
B
19
A62-year-oldmaletakingwarfarinforstrokeprevention in atrial fibrillation presents to his primary care physician with an elevated INR of 10.5 without bleeding. He is instructed to hold his warfarin dose and given 2.5 mg of oral vitamin K1. When would the effects of vitamin K on the INR most likely be noted in this patient?
A. 1 hour.
B. 6 hours.
C. 24 hours.
D. 72 hours.
C
20
A 58-year-old man receives intravenous alteplase treatment for acute stroke. Five minutes following completion of alteplase infusion, he develops orolingual angioedema. Which of the following drugs may have increased the risk of developing orolingual angioedema in this patient?
A. ACE inhibitor.
B. GP IIb/IIIa receptor antagonist.
C. Phosphodiesterase inhibitor.
D. Thiazide diuretic.
A
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44問 • 1年前問題一覧
1
A 68-year-old patient with cardiac failure is diagnosed with ovarian cancer. She begins using cisplatin but becomes nauseous and suffers from severe vomiting. Which of the following medications would be most effective to counteract the emesis in this patient without exacerbating her cardiac problem?
A. Droperidol.
B. Dolasetron.
C. Prochlorperazine.
D. Dronabinol.
E. Palonosetron.
E
2
A 45-year-old woman complains of persistent heartburn and an unpleasant, acid-like taste in her mouth. The clinician suspects that she has gastroesophageal reflux disease and advises her to raise the head of her bed 6 to 8 inches, not to eat for several hours before retiring, and to eat smaller meals. Two weeks later, she returns and says the symptoms have subsided slightly but still are a concern. The clinician will likely prescribe which one of the following drugs?
A. An antacid such as aluminum hydroxide.
B. Dicyclomine.
C. An antianxiety agent such as alprazolam.
D. Esomeprazole.
D
3
A couple celebrating their 40th wedding anniversary are given a trip to Peru to visit Machu Picchu. Due to past experiences while traveling, they ask their doctor to prescribe an agent for diarrhea. Which of the following would be effective?
A. Omeprazole.
B. Loperamide.
C. Famotidine.
D. Lorazepam.
B
4
A 27-year-old woman who is 34 weeks pregnant is on bed rest and visits her obstetrician. During the visit, she informs her physician that she has been experiencing mild constipation. Which of the following medications will most likely be recommended to her?
A. Castor oil.
B. Docusate.
C. Mineral oil.
D. Loperamide.
B
5
Which of the following drugs has been known to cause discoloration of the tongue?
A. Amoxicillin.
B. Omeprazole.
C. Bismuth compounds.
D. Lubiprostone.
C
6
A patient is receiving treatment with lorazepam prior to chemotherapy to help reduce her anticipatory nausea and vomiting. Which of the following should generally be avoided in this patient?
A. Docusate.
B. Ondansetron.
C. Polyethylene glycol.
D. Ethanol.
D
7
All of the following drugs are generally well tolerated for the treatment of constipation except:
A. Castor oil.
B. Methylcellulose.
C. Polyethylene glycol.
D. Docusate.
A
8
An elderly woman with a recent history of myocardial infarction is seeking a medication to help treat her occasional heartburn. She is currently taking several medications, including aspirin, clopidogrel, simvastatin, metoprolol, and lisinopril. Which of the following choices should be avoided in this patient?
A. Calcium citrate.
B. Famotidine.
C. Omeprazole.
D. Ranitidine.
E. Calcium carbonate.
C
9
Extrapyramidal symptoms (EPS) have been associ- ated with which of the following drugs?
A. Metoclopramide.
B. Alprazolam.
C. Aprepitant.
D. Loperamide.
A
10
Which of the following medications for gastrointestinal problems is contraindicated in pregnancy?
A. Calcium carbonate.
B. Famotidine.
C. Lansoprazole.
D. Misoprostol
D
11
Which of the P2Y12 ADP receptor antagonists reversibly binds the receptor?
A. Clopidogrel.
B. Prasugrel.
C. Ticagrelor.
D. Ticlopidine.
C
12
A 70-year-old female is diagnosed with nonvalvular atrial fibrillation. Her past medical history is significant for chronic kidney disease, and her renal function is moderately diminished. All of the following anticoagulants would be expected to require a reduced dosage in this patient except:
A. Apixaban.
B. Dabigatran.
C. Rivaroxaban.
D. Warfarin.
D
13
An 80-year-old male is taking warfarin indefinitely for the prevention of deep venous thrombosis. He is a compliant patient with a stable INR and has no issues with bleeding or bruising. He is diagnosed with a urinary tract infection and is prescribed sulfamethoxazole/ trimethoprim. What effect will this have on his warfarin therapy?
A. Sulfamethoxazole/trimethoprim will decrease the anticoagulant effect of warfarin.
B. Sulfamethoxazole/trimethoprim will increase the anticoagulant effect of warfarin.
C. Sulfamethoxazole/trimethoprim will activate platelet activity.
D. Sulfamethoxazole/trimethoprim will not change anticoagulation status.
B
14
In which disease state is cilostazol contraindicated?
A. Peripheral arterial disease.
B. Gout.
C. Heart failure with reduced ejection fraction.
D. Osteoporosis
C
15
Which must heparin bind to in order to exert its anticoagulant effect?
A. GP IIb/IIIa receptor.
B. Thrombin.
C. Antithrombin III.
D. von Willebrand factor.
C
16
Which is considered “fibrin selective” because it rapidly activates plasminogen that is bound to fibrin?
A. Alteplase.
B. Fondaparinux.
C. Streptokinase.
D. Urokinase.
A
17
A 56-year-old man presents to the emergency room with complaints of swelling, redness, and pain in his right leg. The patient is diagnosed with acute DVT and requires treatment with an anticoagulant. All of the following are approved for treatment of this patient’s DVT except:
A. Rivaroxaban.
B. Dabigatran.
C. Enoxaparin.
D. Heparin.
B
18
Which is most appropriate for reversing the anticoagulant effects of heparin?
A. Aminocaproic acid.
B. Protamine sulfate.
C. Vitamin K .1
D. Tranexamic acid.
B
19
A62-year-oldmaletakingwarfarinforstrokeprevention in atrial fibrillation presents to his primary care physician with an elevated INR of 10.5 without bleeding. He is instructed to hold his warfarin dose and given 2.5 mg of oral vitamin K1. When would the effects of vitamin K on the INR most likely be noted in this patient?
A. 1 hour.
B. 6 hours.
C. 24 hours.
D. 72 hours.
C
20
A 58-year-old man receives intravenous alteplase treatment for acute stroke. Five minutes following completion of alteplase infusion, he develops orolingual angioedema. Which of the following drugs may have increased the risk of developing orolingual angioedema in this patient?
A. ACE inhibitor.
B. GP IIb/IIIa receptor antagonist.
C. Phosphodiesterase inhibitor.
D. Thiazide diuretic.
A