Nokea
A 7-year-old child has been diagnosed with acute sinusitis. The drug class that should be avoided is:
- A. Antihistamines
- B. Expectorants
- C. Decongestants
- D. Nasal steroids
Correct Answer: A
Rationale: Antihistamines should be avoided in children with sinusitis, as they can dry secretions and worsen symptoms.
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Which of the following is NOT a safety issue commonly faced by older adults?
- A. Falls
- B. Medication safety
- C. Cognitive impairment
- D. Increased physical activity
Correct Answer: D
Rationale: Older adults face safety issues related to falls, medication safety, and cognitive impairment, but increased physical activity is generally a benefit.
A 17-year-old is diagnosed with mild bronchospasm. Which of the following would provide relief?
- A. Inhaled mometasone (Asmanex)
- B. Inhaled levalbuterol (Xopenex)
- C. Oral montelukast (Singulair)
- D. Oral dextromethorphan/guaifenesin product
Correct Answer: B
Rationale: Levalbuterol is a fast-acting bronchodilator that provides relief from bronchospasm.
Which of the following statements about community-based services is true?
- A. Senior centers may be used only by low-income older adults.
- B. Funding for Meals on Wheels is solely from local sources.
- C. Area Agencies on Aging usually do not provide services directly to older adults.
- D. The majority of the Administration on Aging budget goes to nutrition programs and community-based supportive services.
Correct Answer: D
Rationale: The majority of the budget for Area Agencies on Aging goes to nutrition and supportive services for older adults.
Which antihypertensive would be appropriate to prescribe for a hypertensive patient (B/P 150/95) in her third trimester?
- A. Candesartan
- B. Lisinopril
- C. Methyldopa
- D. Furosemide
Correct Answer: C
Rationale: Methyldopa is safe for use in pregnancy and is the preferred antihypertensive for hypertension during pregnancy.
Why is it important to consider intracranial hemorrhage when a patient presents with epistaxis?
- A. It indicates a possible allergic reaction.
- B. It may suggest a more serious underlying condition.
- C. It is a common cause of nasal congestion.
- D. It usually resolves without treatment.
Correct Answer: B
Rationale: Epistaxis can be a symptom of intracranial hemorrhage, especially if the bleeding is sudden or severe.