Week 4 Assignment 2
Quiz

1. Question
: Many patients self-medicate
with antacids. Which patients should be counseled to not take calcium carbonate
antacids without discussing with their providers or a pharmacist first?

Patients with kidney stones

Pregnant patients

Patients with heartburn

Postmenopausal women

Question 2. A
patient with a COPD exacerbation may require:

Doubling of inhaled corticosteroid dose

Systemic corticosteroid burst

Continuous inhaled beta 2 agonists

Leukotriene therapy

Question 3.

When prescribing montelukast (Singulair) for asthma,
patients or parents of patients should be instructed as follows:

Montelukast twice a day is started when there
is an asthma exacerbation.

Patients may experience weight gain on
montelukast.

Aggression, anxiety, depression, and/or
suicidal thoughts may occur when taking montelukast.

Lethargy and hypersomnia may occur when taking
montelukast.

Question 4.

Lifestyle changes are the first step in the treatment of
GERD. A food that may aggravate GERD is:

Eggs

Honey Dew

Chocolate

Chicken

Question 5. Kelly
has diarrhea and is wondering if she can take loperamide (Imodium) for the
diarrhea. Loperamide:

Can be given to patients of all ages,
including infants and children, for viral gastroenteritis

Slows gastric motility and reduces fluid and
electrolyte loss from diarrhea

Is the treatment of choice for the diarrhea
associated with E. coli 0157

May be used in pregnancy and by lactating
women

Question 6.

Patients with allergic rhinitis may benefit from a
prescription of:

Fluticasone (Flonase)

Cetirizine (Zyrtec)

OTC cromolyn nasal spray (Nasalcrom)

Any of the above

Question 7.

When treating a patient using the “step-down” approach, the
patient with GERD is started on ____ first.

antacids

histamine 2 receptor antagonists

prokinetics

PPIs

Question 8.

Cough and cold medications that contain a sympathomimetic
decongestant such as phenylephrine should be used cautiously in what
population?

Older adults

Hypertensive patients

Infants

All of the above

Question 9. Josie
is a five-year-old who presents to the clinic with a forty-eight-hour history
of nausea, vomiting, and some diarrhea. She is unable to keep fluids down, and
her weight is 4 pounds less than her last recorded weight. Besides intravenous
(IV) fluids, her exam warrants the use of an antinausea medication. Which of
the following would be the appropriate drug to order for Josie?

Prochlorperazine (Compazine)

Meclizine (Antivert)

Promethazine (Phenergan)

Ondansetron (Zofran)

Question 10. Patients
with pheochromocytoma should avoid which of the following classes of drugs due
to the possibility of developing hypertensive crisis?

Expectorants

Beta 2 agonists

Antitussives

Antihistamines

Question 11. Montelukast
(Singulair) may be prescribed for:

A six-year-old with exercise-induced asthma.

A two-year-old with moderate persistent
asthma.

An eighteen-month-old with seasonal allergic
rhinitis.

None of the above; montelukast is not approved
for use in children.

Question 12. Christy
has exercise and mild persistent asthma and is prescribed two puffs of
albuterol fifteen minutes before exercise and as needed for wheezing. One puff
per day of beclomethasone (Qvar) is also prescribed. Teaching regarding her
inhalers includes which one of the following?

She should use one to two puffs of albuterol
per day to prevent an attack, with no more than eight puffs per day.

Beclomethasone needs to be used every day to
treat her asthma.

She should report any systemic side effects
she is experiencing, such as weight gain.

She should use the albuterol MDI immediately
after her corticosteroid MDI to facilitate bronchodilation.

Question 13. Prior
to developing a plan for the treatment of asthma, the patient’s asthma should
be classified according to the National Heart, Lung, and Blood Institute
(NHLBI) Expert Panel 3 guidelines. In adults, mild-persistent asthma is
classified as asthma symptoms that occur:

Daily

Daily and limit physical activity

Less than twice a week

More than twice a week and less than once a
day

Question 14. Metoclopramide
improves GERD symptoms by:

Reducing acid secretion

Increasing gastric pH

Increasing lower esophageal tone

Decreasing lower esophageal tone

Question 15. Harold,
a forty-two-year-old African American, has moderate persistent asthma. Which of
the following asthma medications should he use cautiously, if at all?

Betamethasone, an inhaled corticosteroid

Salmeterol, an inhaled long-acting
beta-agonist

Albuterol, a short-acting beta-agonist

Montelukast, a leukotriene modifier

Question 16. Patients
who are on chronic long-term PPI therapy require monitoring for:

Iron deficiency anemia, vitamin B12, and
calcium deficiency

Folate and magnesium deficiency

Elevated uric acid levels leading to gout

Hypokalemia and hypocalcemia

Question 17. Decongestants
such as pseudoephedrine (Sudafed):

Are Schedule III drugs in all states

Should not be prescribed or recommended for
children under four years of age

Are effective in treating the congestion
children experience with the common cold

May cause drowsiness in patients of all ages

Question 18. Antacids
treat GERD by:

Decreasing lower esophageal tone

Increasing gastric pH

Inhibiting gastric acid secretion

Increasing the serum calcium level

Question 19. Education
of patients with COPD who use inhaled corticosteroids includes the following:

They should double the dose at the first sign
of a upper respiratory infection.

They should use the inhaled
corticosteroid first and then the bronchodilator.

They should rinse their mouths after use.

They should not smoke for at least thirty
minutes after use.

Question 20. Asthma
exacerbations at home are managed by the patient by:

Increasing the frequency of beta 2 agonists
and contacting his or her provider

Doubling inhaled corticosteroid dose

Increasing the frequency of beta 2 agonists

Starting montelukast (Singulair)