Question 1 1
/ 1 point
Charlie is a 65-year-old male who has been diagnosed with
hypertension and benign prostatic hyperplasia. Doxazosin has been chosen to
treat his hypertension because it:
Question options:
Increases peripheral vasoconstriction
Decreases detrusor muscle contractility
Lowers supine blood pressure more than standing pressure
Relaxes smooth muscle in the bladder neck
Question 2 1
/ 1 point
Which of the following adverse effects are less likely in a
beta1-selective blocker?
Question options:
Dysrhythmias
Impaired insulin release
Reflex orthostatic changes
Decreased triglycerides and cholesterol
Question 3 1
/ 1 point
Beta blockers have favorable effects on survival and disease
progression in heart failure. Treatment should be initiated when the:
Question options:
Symptoms are severe
Patient has not responded to other therapies
Patient has concurrent hypertension
Left ventricular dysfunction is diagnosed
Question 4 1
/ 1 point
You are treating a patient with a diagnosis of Alzheimer’s
disease. The patient’s wife mentions difficulty with transportation to the
clinic. Which medication is the best choice?
Question options:
Donepezil
Tacrine
Doxazosin
Verapamil
Question 5 1
/ 1 point
Antonia is a 3-year-old child who has a history of status
epilepticus. Along with her routine antiseizure medication, she should also
have a home prescription for_________ to be used for an episode of status
epilepticus.
Question options:
IV phenobarbital
Rectal diazepam (Diastat)
IV phenytoin (Dilantin)
Oral carbamazepine (Tegretol)
Question 6 1
/ 1 point
Dwayne has recently started on carbamazepine to treat
seizures. He comes to see you and you note that while his carbamazepine levels
had been in the therapeutic range, they are now low. The possible cause for the
low carbamazepine levels include:
Question options:
Dwayne hasn’t been taking his carbamazepine because it
causes insomnia.
Carbamazepine auto-induces metabolism, leading to lower
levels in spite of good compliance.
Dwayne was not originally prescribed the correct amount of
carbamazepine.
Carbamazepine is probably not the right antiseizure
medication for Dwayne.
Question 7 1
/ 1 point
Kasey fractured his ankle in two places and is asking for
medication for his pain. The appropriate first-line medication would be:
Question options:
Ibuprofen (Advil)
Acetaminophen with hydrocodone (Vicodin)
Oxycodone (Oxycontin)
Oral morphine (Roxanol)
Question 8 1
/ 1 point
Jack, age 8, has attention deficit disorder (ADD) and is
prescribed methylphenidate (Ritalin). He and his parents should be educated
about the side effects of methylphenidate, which are:
Question options:
Slurred speech and insomnia
Bradycardia and confusion
Dizziness and orthostatic hypotension
Insomnia and decreased appetite
Question 9 1
/ 1 point
An appropriate first-line drug to try for mild to moderate
generalized anxiety disorder would be:
Question options:
Alprazolam (Xanax)
Diazepam (Valium)
Buspirone (Buspar)
Amitriptyline (Elavil)
Question 10 1
/ 1 point
David is a 34-year-old patient who is starting on paroxetine
(Paxil) for depression. David’s education regarding his medication would
include:
Question options:
Paroxetine may cause intermittent diarrhea.
He may experience sexual dysfunction beginning a month after
he starts therapy.
He may have constipation and he should increase fluids and
fiber.
Paroxetine has a long half-life so he may occasionally skip
a dose.
Question 11 1
/ 1 point
An appropriate drug for the treatment of depression with
anxiety would be:
Question options:
Alprazolam (Xanax)
Escitalopram (Lexapro)
Buspirone (Buspar)
Amitriptyline (Elavil)
Question 12 1
/ 1 point
The longer-term Xanax patient comes in and states they need
a higher dose of the medication. They deny any additional, new, or accelerating
triggers of their anxiety. What is the probable reason?
Question options:
They have become tolerant of the medication, which is
characterized by the need for higher and higher doses.
They are a drug seeker.
They are suicidal.
They only need additional counseling on lifestyle
modification.
Question 13 1
/ 1 point
A first-line drug for abortive therapy in simple migraine
is:
Question options:
Sumatriptan (Imitrex)
Naproxen (Aleve)
Butorphanol nasal spray (Stadol NS)
Butalbital and acetaminophen (Fioricet)
Question 14 1
/ 1 point
Xi, a 54-year-old female, has a history of migraines that do
not respond well to OTC migraine medication. She is asking to try Maxalt
(rizatriptan) because it works well for her friend. Appropriate decision making
would be:
Question options:
Prescribe the Maxalt, but only give her four tablets with no
refills to monitor the use.
Prescribe Maxalt and arrange to have her observed in the
clinic or urgent care with the first dose.
Explain that rizatriptan is not used for postmenopausal
migraines and recommend Fiorinal (aspirin and butalbital).
Prescribe sumatriptan (Imitrex) with the explanation that it
is the most effective triptan.
Question 15 1
/ 1 point
Kelly is a 14-year-old patient who presents to the clinic
with a classic migraine. She says she is having a headache two to three times a
month. The initial plan would be:
Question options:
Prescribe NSAIDs as abortive therapy and have her keep a
headache diary to identify her triggers.
Prescribe zolmitriptan (Zomig) as abortive therapy and
recommend relaxation therapy to reduce her stress.
Prescribe acetaminophen with codeine (Tylenol #3) for her to
take at the first onset of her migraine.
Prescribe sumatriptan (Imitrex) nasal spray and arrange for
her to receive the first dose in the clinic.
Question 16 1
/ 1 point
James has been diagnosed with cluster headaches. Appropriate
acute therapy would be:
Question options:
Butalbital and aspirin (Fiorinal)
Meperidine IM (Demerol)
Oxygen 100% for 15 to 30 minutes
Indomethacin (Indocin)
Question 17 1
/ 1 point
If interventions to resolve the cause of pain (e.g., rest,
ice, compression, and elevation) are insufficient, pain medications are given
based on the severity of pain. Drugs are given in which order of use?
Question options:
NSAIDs, opiates, corticosteroids
Low-dose opiates, salicylates, increased dose of opiates
Opiates, non-opiates, increased dose of non-opiate
Non-opiate, increased dose of non-opiate, opiate
Question 18 1
/ 1 point
Chemical dependency assessment is integral to the initial
assessment of chronic pain. Which of the following raises a “red flag” about
potential chemical dependency?
Question options:
Use of more than one drug to treat the pain
Multiple times when prescriptions are lost with requests to
refill
Preferences for treatments that include alternative
medicines
Presence of a family member who has abused drugs
Question 19 1
/ 1 point
The Pain Management Contract is appropriate for:
Question options:
Patients with cancer who are taking morphine
Patients with chronic pain who will require long-term use of
opiates
Patients who have a complex drug regimen
Patients who see multiple providers for pain control
Question 20 1
/ 1 point
Which of the following statements is true about age and
pain?
Question options:
Use of drugs that depend heavily on the renal system for
excretion may require dosage adjustments in very young children.
Among the NSAIDs, indomethacin is the preferred drug because
of lower adverse effects profiles than other NSAIDs.
Older adults who have dementia probably do not experience
much pain due to loss of pain receptors in the brain.
Acetaminophen is especially useful in both children and
adults because it has no effect on platelets and has fewer adverse effects than
NSAIDs.
