Nokea
Felicity has been prescribed colestipol to treat her hyperlipidemia. Unlike other anti-lipidemics, this drug:
- A. Blocks synthesis of cholesterol in the liver
- B. Exchanges chloride ions for negatively charged acids in the bowel
- C. Increases HDL levels the most among the classes
- D. Blocks the lipoprotein lipase pathway
Correct Answer: B
Rationale: Colestipol, a bile acid resin, binds bile acids in the bowel.
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Children who should receive meningococcal conjugate vaccine (Hib-MenCY, MenHibrix) include:
- A. Children traveling to the Haj
- B. Infants, routinely at 2, 4, 6, and 12 to 15 months
- C. Infants with functional asplenia (including sickle cell disease)
- D. Two-year olds with complement deficiencies
Correct Answer: C
Rationale: Hib-MenCY is indicated for infants with asplenia (e.g., sickle cell); Haj travel applies to older meningococcal vaccines.
A client is being treated for tuberculosis. Which medications are used to treat this condition?(Select one that does not apply.)
- A. Streptomycin sulfate
- B. rifabutin
- C. Ethambutol (Myambutol)
- D. Gentamicin (Garamycin)
Correct Answer: D
Rationale: TB treatment uses streptomycin, ethambutol, rifabutin, ethionamide, and pyrazinamide; amoxicillin and gentamicin are not standard. Streptomycin sulfate, ethambutol, rifabutin, ethionamide, and pyrazinamide are used to treat tuberculosis.
Choose a drug that does not cause bradycardia:
- A. Clonidine
- B. Guanethidine
- C. Hydralazine causes reflex tactycardia
- D. Propranolol
Correct Answer: C
Rationale: Hydralazine causes reflex tachycardia, not bradycardia.
AH are prodrugs except
- A. Enalapril
- B. Paracetamol
- C. Sulphamethoxazole
- D. Trimethoprim
Correct Answer: D
Rationale: Enalapril is a prodrug; paracetamol, sulphamethoxazole, and trimethoprim are active drugs.
A patient asks the nurse, What is a Drug Enforcement Agency (DEA) number? What is the nurses best response?
- A. DEA Numbers are given to physicians and pharmacists when they register with the DEA to prescribe and dispense controlled substances.
- B. Physicians must have a DEA number in order to prescribe any type of medication for patients.
- C. DEA numbers are case numbers given when someone breaks the law involving a controlled substance.
- D. DEA numbers are contact numbers to talk with someone at the DEA when questions arise about controlled substances.
Correct Answer: A
Rationale: All pharmacists and physicians must register with the DEA. They are given numbers that are required before they can dispense or prescribe controlled substances. DEA numbers are only needed when prescribing controlled substances. A DEA number is neither a case number nor a phone number.