Nokea
Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The best recommendation is:
- A. Ibuprofen 400 mg three times a day
- B. Acetaminophen, not to exceed 4 grams per day
- C. Prescribe acetaminophen with codeine
- D. Aspirin 640 mg three times a day
Correct Answer: B
Rationale: Acetaminophen is safest with warfarin, avoiding bleeding risks from ibuprofen or aspirin ; codeine is unnecessary for minor pain.
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Zoster vaccine (Zostavax) is:
- A. A live varicella zoster vaccine from the same strain used to develop the varicella vaccine
- B. Effective in preventing varicella zoster in patients of all ages
- C. Recommended for patients age 40 to 80 who have had chickenpox
- D. Administered at the same time as other live vaccines, as long as they are given the same day
Correct Answer: A
Rationale: Zostavax is a live vaccine from the varicella strain, for adults 50+ (not all ages, B, or 40-80, C); timing with other vaccines has restrictions.
Factors that facilitate keeping patient information confidential in an electronic health record (EHR) system include:
- A. Designing software so that only those who need the information can gain access
- B. Requiring providers to log off at the end of the clinical day
- C. Keeping a file of the login and password information for each provider in a secure place
- D. Having patients sign informed consent documents to have their data on an EHR
Correct Answer: A
Rationale: Restricted access software enhances EHR confidentiality.
For the treatment of morphine addiction which of the following drug is substituted?
- A. Tramadol
- B. Methadone
- C. Fluoxetine
- D. Dextromethorphan
Correct Answer: B
Rationale: Methadone, a long-acting opioid agonist, is commonly substituted for morphine in addiction treatment to reduce withdrawal symptoms and cravings.
Which of the following drugs has been shown to restore corticosteroid responsiveness for Bronchial Asthma:
- A. Salbutamol
- B. Sodium cromoglycate
- C. Zifirlukast
- D. Montelukast
Correct Answer: D
Rationale: Montelukast, a leukotriene inhibitor, enhances corticosteroid efficacy in asthma.
Which of the following is the most frequent cause of diarrhea and flatulance:
- A. Acarbose
- B. Glibenclamide
- C. Metformin
Correct Answer: A
Rationale: Acarbose inhibits carbohydrate digestion in the gut, leading to increased fermentation by gut bacteria, causing diarrhea and flatulence.