Case-Assignment: Hypertensive Patients

Case-Assignment: Hypertensive Patients
Case-Assignment: Hypertensive Patients
Case-Assignment: Hypertensive Patients
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

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