Live Vaccines

Live Vaccines
Live Vaccines
Question
Question 1 1 / 1 point
Digoxin levels need to be monitored closely when the following medication is started:
Question options:
Loratadine
Diphenhydramine
Ipratropium
Albuterol
Question 2 1 / 1 point
When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:
Question options:
They need to get any live vaccines before starting the medication
Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective
Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush
They can triple the dose number of inhalations of medication during colds to prevent
needing systemic steroids
Question 3 1 / 1 point
Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:
Question options:
More effective than first-generation antihistamines
Less sedating than the first-generation antihistamines
Prescription products, therefore are covered by insurance
Able to be taken with central nervous system (CNS) sedatives, such as alcohol
Question 4 1 / 1 point
Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout Of the following, which would be the best treatment for Henry?
Question options:
High-dose colchicine
Low-dose colchicine
High-dose aspirin
Acetaminophen with codeine
Question 5 1 / 1 point
Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:
Question options:
Metformin, a biguanide to prevent diabetes
Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
Naproxen, an NSAID to treat joint pain
Furosemide, a diuretic to treat fluid retention
Question 6 1 / 1 point
Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity An early sign of aspirin toxicity is:
Question options:
Black tarry stools
Vomiting
Tremors
Tinnitus
Question 7 1 / 1 point
Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the NHLBI Expert Panel 3 guidelines In adults mild-persistent asthma is classified as asthma symptoms that occur:
Question options:
Daily
Daily and limit physical activity
Less than twice a week
More than twice a week and less than once a day
Question 8 1 / 1 point
Patients with a COPD exacerbation may require:
Question options:
Doubling of inhaled corticosteroid dose
Systemic corticosteroid burst
Continuous inhaled beta-2-agonists
Leukotriene therapy
Question 9 1 / 1 point
Asthma exacerbations at home are managed by the patient by:
Question options:
Increasing frequency of beta-2-agonists and contacting their provider
Doubling inhaled corticosteroid doses
Increasing frequency of beta-2-agonists
Starting montelukast (Singulair)
Question 10 1 / 1 point
The most common bacterial pathogen in community-acquired pneumonia is:
Question options:
Haemophilus influenzae
Staphylococcus aureus
Mycoplasma pneumoniae
Streptococcus pneumonia
Question 11 1 / 1 point
The first-line antibiotic choice for a patient with comorbidities or who is immunosuppressed who has pneumonia and can be treated as an outpatient would be:
Question options:
Levofloxacin
Amoxicillin
Ciprofloxacin
Cephalexin
Question 12 1 / 1 point
Wing-Sing is a 4-year-old patient who has suspected bacterial pneumonia He has a temperature of 102°F, oxygen saturation level of 95%, and is taking fluids adequately What would be appropriate initial treatment for his pneumonia?
Question options:
Ceftriaxone
Azithromycin
Cephalexin
Levofloxacin
Question 13 1 / 1 point
Instructions for a patient who is starting nicotine replacement therapy include:
Question options:
Smoke less than 10 cigarettes a day when starting nicotine replacement
Nicotine replacement will help with the withdrawal cravings associated with quitting tobacco
Nicotine replacement can be used indefinitely
Nicotine replacement therapy is generally safe for all patients
Question 14 1 / 1 point
If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:
Question options:
Bupropion (Zyban) is started 1 to 2 weeks before the quit date
Nicotine replacement products should not be used with bupropion
If they smoke when taking bupropion they may have increased anxiety and insomnia
Because they are not using bupropion as an antidepressant, they do not need to worry about increased suicide ideation when starting therapy
Question 15 1 / 1 point
The most appropriate smoking cessation prescription for pregnant women is:
Question options:
A nicotine replacement patch at the lowest dose available
Bupropion (Zyban)
Varenicline (Chantix)
Nonpharmacologic measures
Question 16 1 / 1 point
Drug resistant tuberculosis (TB) is defined as TB that is resistant to:
Question options:
Fluoroquinolones
Rifampin and isoniazid
Amoxicillin
Ceftriaxone

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