Question 1

All NSAIDs have a U.S. Food and Drug Administration (FDA)  black box warning regarding:

Accepted Answer

A)  Potential for causing life-threatening gastrointestinal (GI)  bleeds
B)  Increased risk of developing systemic arthritis with prolonged use
C)  Risk of life-threatening rashes, including Stevens-Johnson syndrome
D)  Potential for transient changes in serum glucoseE) A) and B)
F) All of the above

Question 2

A 2-year-old child is diagnosed with acute otitis media and an upper respiratory infection. Along with an antibiotic they receive a recommendation to treat the ear pain with ibuprofen. What education would their parent need regarding ibuprofen?

Accepted Answer

A)  They can cut an adult ibuprofen tablet in half to give the child.
B)  The ibuprofen dose can be doubled for severe pain.
C)  The child needs to be well hydrated while taking ibuprofen.
D)  Ibuprofen is completely safe in children with no known adverse effects.E) All of the above
F) A) and C)

Question 3

An 82-year-old takes two aspirin every morning to treat the arthritis pain in his back. The patient states the aspirin helps him to "get going" each day. Lately the patient has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for him?

Accepted Answer

A)  Add an H2 blocker such as ranitidine to his therapy.
B)  Discontinue the aspirin and switch him to Vicodin for the pain.
C)  Decrease the aspirin dose to one tablet daily.
D)  Instruct the patient to take an antacid 15 minutes before taking the aspirin each day.E) None of the above
F) B) and D)

Question 4

Patients whose total dose of prednisone exceeds 1 g will most likely need a second prescription for:

Accepted Answer

A)  Metformin, a biguanide to prevent diabetes
B)  Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
C)  Naproxen, a nonsteroidal anti-inflammatory drug (NSAI
D)   to treat joint pain
D)  Furosemide, a diuretic to treat fluid retentionE) None of the above
F) B) and C)

Question 5

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:

Accepted Answer

A)  48 hours
B)  4 to 6 days
C)  Four weeks
D)  Two monthsE) C) and D)
F) A) and D)

Question 6

A patient has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?

Accepted Answer

A)  Patients with asthma are transitioned directly off the prednisone onto inhaled corticosteroids.
B)  Prednisone can be abruptly discontinued with no adverse effects.
C)  A tapering schedule should be developed to slowly wean them off the prednisone.
D)  Prednisone should be substituted with another anti-inflammatory such as ibuprofen.E) A) and D)
F) B) and C)

Question 7

When prescribing NSAIDs, a complete drug history should be conducted as NSAIDs interact with these drugs:

Accepted Answer

A)  Omeprazole, a proton pump inhibitor
B)  Combined oral contraceptives
C)  Diphenhydramine, an antihistamine
D)  Warfarin, an anticoagulantE) B) and D)
F) B) and C) D

Question 8

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

Accepted Answer

A)  Black tarry stools
B)  Vomiting
C)  Tremors
D)  TinnitusE) A) and D)
F) All of the above

Question 9

Monitoring a patient on a high-dose aspirin includes:

Accepted Answer

A)  Salicylate level
B)  Complete blood count
C)  Urine pH
D)  All of the aboveE) A) and C)
F) A) and B)

Question 10

Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need cotreatment with which medication to prevent adverse effects?

Accepted Answer

A)  A bisphosphonate
B)  Calcium supplementation
C)  Vitamin D
D)  All of the aboveE) A) and B)
F) None of the above

Question 11

A patient has fractured their ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin) . Education when prescribing Vicodin includes:

Accepted Answer

A)  It is okay to double the dose of Vicodin if the pain is severe.
B)  Vicodin is not habit forming.
C)  They should not take any other acetaminophen-containing medications.
D)  Vicodin may cause diarrhea; increase fluid intake.E) A) and C)
F) None of the above C

Question 12

Patients who are on long-term aspirin therapy should have ______ annually.

Accepted Answer

A)  Complete blood count
B)  Salicylate level
C)  Amylase
D)  Urine analysis
E)   Drugs Used to Treat Inflammatory ProcessesF) A) and B)
G) A) and C)

Question 13

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

Accepted Answer

A)  Serum glucose
B)  Stool cultures
C)  Folate levels
D)  Vitamin B12E) B) and D)
F) None of the above A

Question 14

Patients who are on chronic long-term corticosteroid therapy need education regarding:

Accepted Answer

A)  Receiving all vaccinations, especially the live flu vaccine
B)  Reporting black tarry stools or abdominal pain
C)  Eating a high carbohydrate diet with plenty of fluids
D)  Small amounts of alcohol are generally tolerated.E) B) and D)
F) A) and C)

Question 15

A patient who has been taking 10 mg per day of prednisone for the past six months should be assessed for:

Accepted Answer

A)  Gout
B)  Iron deficiency anemia
C)  Osteoporosis
D)  Renal dysfunctionE) A) and B)
F) A) and C)

Exam 25: Drugs Used to Treat Inflammatory Processes

All NSAIDs have a U.S. Food and Drug Administration (FDA) black box warning regarding:

Correct Answer
verified

A 2-year-old child is diagnosed with acute otitis media and an upper respiratory infection. Along with an antibiotic they receive a recommendation to treat the ear pain with ibuprofen. What education would their parent need regarding ibuprofen?

Correct Answer
verified

Correct Answer
verified

Patients whose total dose of prednisone exceeds 1 g will most likely need a second prescription for:

Correct Answer
verified

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:

Correct Answer
verified

A patient has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?

Correct Answer
verified

When prescribing NSAIDs, a complete drug history should be conducted as NSAIDs interact with these drugs:

Correct Answer
verified
D

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

Correct Answer
verified

Monitoring a patient on a high-dose aspirin includes:

Correct Answer
verified

Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need cotreatment with which medication to prevent adverse effects?

Correct Answer
verified

A patient has fractured their ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin) . Education when prescribing Vicodin includes:

Correct Answer
verified
C

Patients who are on long-term aspirin therapy should have ______ annually.

Correct Answer
verified

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

Correct Answer
verified
A

Patients who are on chronic long-term corticosteroid therapy need education regarding:

Correct Answer
verified

A patient who has been taking 10 mg per day of prednisone for the past six months should be assessed for:

Correct Answer
verified

Exam 25: Drugs Used to Treat Inflammatory Processes

All NSAIDs have a U.S. Food and Drug Administration (FDA) black box warning regarding:

Correct AnswerverifiedShow Answer

A 2-year-old child is diagnosed with acute otitis media and an upper respiratory infection. Along with an antibiotic they receive a recommendation to treat the ear pain with ibuprofen. What education would their parent need regarding ibuprofen?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Patients whose total dose of prednisone exceeds 1 g will most likely need a second prescription for:

Correct AnswerverifiedShow Answer

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:

Correct AnswerverifiedShow Answer

A patient has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?

Correct AnswerverifiedShow Answer

When prescribing NSAIDs, a complete drug history should be conducted as NSAIDs interact with these drugs:

Correct AnswerverifiedD

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

Correct AnswerverifiedShow Answer

Monitoring a patient on a high-dose aspirin includes:

Correct AnswerverifiedShow Answer

Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need cotreatment with which medication to prevent adverse effects?

Correct AnswerverifiedShow Answer

A patient has fractured their ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin) . Education when prescribing Vicodin includes:

Correct AnswerverifiedC

Patients who are on long-term aspirin therapy should have ______ annually.

Correct AnswerverifiedShow Answer

Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

Correct AnswerverifiedA

Patients who are on chronic long-term corticosteroid therapy need education regarding:

Correct AnswerverifiedShow Answer

A patient who has been taking 10 mg per day of prednisone for the past six months should be assessed for:

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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D

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C

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A

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Correct Answer
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