Question 1

A 52 year old female is requesting information about how she can prevent diagnosis of osteoporosis. Which of the following is not considered acceptable education for prevention of osteoporosis?

Accepted Answer

Increasing Dietary Vitamin C

Question 2

Your patient complains of cold intolerance  and fatigue. Her ECG shows signs of bradycardia, and her TSH is elevated. What medication would you prescribe for this patient?

Accepted Answer

Levothyroxine

Question 3

This medication inhibits thyroid hormone synthesis and should not be used in patients with impaired liver functioning:

Accepted Answer

Methimazole

Question 4

If methimazole and PTU is not tolerated for a patient's Osteoporsis symptoms,  how many years post-menopause must a patient be in order to be prescribed Calcitonin?

Accepted Answer

5

Question 5

You need to give an IV steriod to a patient with low blood pressure, weakness, arthralgia and increased skin pigmentation. What medication would best treat thier condition?

Accepted Answer

Hydrocortisone

Question 6

Which of the following conditions are indications for the use of corticosteriods?

Accepted Answer

Inflammatory Bowel Disease (IBD) , Hypercortisolism

Question 7

A patient with chronic migraines & insomnia is tired of taking motrin and melatonin. You prescribe from this drug class and warn them that it causes weight gain, arrhythmia & urine rentension

Accepted Answer

Tricyclic Antidepressants

Question 8

You are treating 27 y/o marine who just returned from deployment and suffers from intense flashbacks, anxiety and insomnia. What medication would be most helpful to this patient?

Accepted Answer

Citalopram

Question 9

Which of the following is considered an adverse event of corticosteriod therapy?

Accepted Answer

Increased Infection Risk

Question 10

You are treating a 32 y/o female with depression using Sertraline. Her depression and low libido has led to problems with her partner.What medication could you prescribe instead to help this patient?

Accepted Answer

Wellbutrin

Question 11

You are counseling a patient on the use of Alendronate for Osteoporosis. Which of the following is an incorrect statement when educating this patient?

Accepted Answer

Take after meals to avoid GI discomfort

Question 12

Which of the following medications causes extrapyramidal symptoms?

Accepted Answer

Haloperidol

Question 13

You are seeing a patient in the ED who states that over the last 12 hours she's had 4 episodes of vomiting & feels "shaky". Her pupils are dialated and she has hyperreflexia. What is her diagnosis?

Accepted Answer

Serotonin Syndrome

Question 14

Your patient who has a current diagnosis of hyperprolactinemia, is suffering from altered mental status, a temperature of 101F, tachycardia and decreased passive ROM. What diagnosis is likely?

Accepted Answer

Neuroleptic Malignant Syndrome

Question 15

Which of the following can occur when steriod therapy is abruptly discontinued after years of use?

Accepted Answer

Hypotension & Shock

Question 16

Which of the following antipsychotic medications requires monitoring of thier white blood cell count due to increased risk of blood dyscrasias?

Accepted Answer

Clozapine

Question 17

Which medication for bipolar disorder is the best option for mood stabilization in patients with hepatic impairment, but requires monitoring of thyroid function?

Accepted Answer

Lithium

Question 18

A 27 y/o female with a PMH of bulemia nervosa and depression needs treatment for generalized, non-specific pain without an underlying etiology. Which medication would help improve her quality of life?

Accepted Answer

Venlafaxine

Question 19

A patient is currently taking Bupropion, Aripiprazole, and Carbamazepine. She began experiencing tardive dyskenesia, weight gain and oligomenorrhea. Which medication should be discontinued?

Accepted Answer

Aripiprazole

Question 20

Which of the following selective estrogen receptor modulators helps prevent & treat osteoporsis but increases the risk of venous thromboembolism?

Accepted Answer

Raloxifene

Patient Management Part II- Adrenal, Osteoporosis & Psychiatric Disorders

2) Your patient complains of cold intolerance and fatigue. Her ECG shows signs of bradycardia, and her TSH is elevated. What medication would you prescribe for this patient?

3) This medication inhibits thyroid hormone synthesis and should not be used in patients with impaired liver functioning:

4) If methimazole and PTU is not tolerated for a patient's Osteoporsis symptoms, how many years post-menopause must a patient be in order to be prescribed Calcitonin?

5) You need to give an IV steriod to a patient with low blood pressure, weakness, arthralgia and increased skin pigmentation. What medication would best treat thier condition?

6) Which of the following conditions are indications for the use of corticosteriods?

7) A patient with chronic migraines & insomnia is tired of taking motrin and melatonin. You prescribe from this drug class and warn them that it causes weight gain, arrhythmia & urine rentension

8) You are treating 27 y/o marine who just returned from deployment and suffers from intense flashbacks, anxiety and insomnia. What medication would be most helpful to this patient?

9) Which of the following is considered an adverse event of corticosteriod therapy?

10) You are treating a 32 y/o female with depression using Sertraline. Her depression and low libido has led to problems with her partner.What medication could you prescribe instead to help this patient?

11) You are counseling a patient on the use of Alendronate for Osteoporosis. Which of the following is an incorrect statement when educating this patient?

12) Which of the following medications causes extrapyramidal symptoms?

13) You are seeing a patient in the ED who states that over the last 12 hours she's had 4 episodes of vomiting & feels "shaky". Her pupils are dialated and she has hyperreflexia. What is her diagnosis?

14) Your patient who has a current diagnosis of hyperprolactinemia, is suffering from altered mental status, a temperature of 101F, tachycardia and decreased passive ROM. What diagnosis is likely?

15) Which of the following can occur when steriod therapy is abruptly discontinued after years of use?

16) Which of the following antipsychotic medications requires monitoring of thier white blood cell count due to increased risk of blood dyscrasias?

17) Which medication for bipolar disorder is the best option for mood stabilization in patients with hepatic impairment, but requires monitoring of thyroid function?

18) A 27 y/o female with a PMH of bulemia nervosa and depression needs treatment for generalized, non-specific pain without an underlying etiology. Which medication would help improve her quality of life?

19) A patient is currently taking Bupropion, Aripiprazole, and Carbamazepine. She began experiencing tardive dyskenesia, weight gain and oligomenorrhea. Which medication should be discontinued?

20) Which of the following selective estrogen receptor modulators helps prevent & treat osteoporsis but increases the risk of venous thromboembolism?