Question 1 1 / 1 point
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia. Doxazosin has been chosen to treat his hypertension because it:
Increases peripheral vasoconstriction
Decreases detrusor muscle contractility
Lowers supine blood pressure more than standing pressure
Relaxes smooth muscle in the bladder neck
Question 2 1 / 1 point
Which of the following adverse effects are less likely in a beta1-selective blocker?
Impaired insulin release
Reflex orthostatic changes
Decreased triglycerides and cholesterol
Question 3 1 / 1 point
Beta blockers have favorable effects on survival and disease progression in heart failure. Treatment should be initiated when the:
Symptoms are severe
Patient has not responded to other therapies
Patient has concurrent hypertension
Left ventricular dysfunction is diagnosed
Question 4 1 / 1 point
Question 5 1 / 1 point
Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure medication, she should also have a home prescription for_________ to be used for an episode of status epilepticus.
Rectal diazepam (Diastat)
IV phenytoin (Dilantin)
Oral carbamazepine (Tegretol)
Question 6 1 / 1 point
Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels include:
Dwayne hasn’t been taking his carbamazepine because it causes insomnia.
Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance.
Dwayne was not originally prescribed the correct amount of carbamazepine.
Carbamazepine is probably not the right antiseizure medication for Dwayne.
Question 7 1 / 1 point
Kasey fractured his ankle in two places and is asking for medication for his pain. The appropriate first-line medication would be:
Acetaminophen with hydrocodone (Vicodin)
Oral morphine (Roxanol)
Question 8 1 / 1 point
Jack, age 8, has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin). He and his parents should be educated about the side effects of methylphenidate, which are:
Slurred speech and insomnia
Bradycardia and confusion
Dizziness and orthostatic hypotension
Insomnia and decreased appetite
Question 9 1 / 1 point
An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be:
Question 10 1 / 1 point
David is a 34-year-old patient who is starting on paroxetine (Paxil) for depression. David’s education regarding his medication would include:
Paroxetine may cause intermittent diarrhea.
He may experience sexual dysfunction beginning a month after he starts therapy.
He may have constipation and he should increase fluids and fiber.
Paroxetine has a long half-life so he may occasionally skip a dose.