MN553 Unit 3 Qiuz Latest 2017 (SCORE 100%)

Question1. Question :Jim presents with complaints of “heartburn” that is minimally relieved with Tums (calcium carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An appropriate first-step therapy would be:Omeprazole (Prilosec) twice a dayRanitidine (Zantac) twice a dayFamotidine (Pepcid) once a dayMetoclopramide (Reglan) four times a dayQuestion 2. Question :An elderly person has been prescribed lactulose for treatment of chronic onstipation. Monitoring with long-term treatment would include:Electrolytes, including potassium and chlorideBone mineral density for osteoporosisMagnesium levelLiver functionQuestion 3. Question :The next step in treatment when a patient has been on proton pump inhibitors twice daily for 12 weeks and not improving is:Add a prokinetic (metoclopramide)Referral for endoscopySwitch to another proton pump inhibitorAdd a cytoprotective drugQuestion 4. Question :If a patient with H. pylori-positive peptic ulcer disease fails first-line therapy, the second-line treatment is:Proton pump inhibitor bid plus metronidazole plus tetracycline plus bismuth subsalicylate for 14 daysTest H. pylori for resistance to common treatment regimensProton pump inhibitor plus clarithromycin plus amoxicillin for 14 daysProton pump inhibitor and levofloxacin for 14 daysQuestion 5. Question :Erika has been prescribed isotretinoin (Accutane) by her dermatologist and is presenting to her primary care provider with symptoms of sadness and depression. A Beck’s Depression Scale indicates she has mild to moderate depression. What would be the best care for her at this point?Prescribe a select serotonin reuptake inhibitor (SSRI) antidepressantRefer her to a mental health therapistContact her dermatologist about discontinuing the isotretinoinReassure her that mood swings are normal and schedule follow up in a weekQuestion 6. Question :Jesse is prescribed tazarotene for his psoriasis. Patient education regarding topical tazarotene includes instructing them:That tazarotene is applied in a thin film to the psoriasis plaque lesionsTo apply it liberally to all psoriatic lesionsTo apply tazarotene to nonaffected areas to prevent breakoutThat tazarotene may cause hypercalcemia if it is overusedQuestion 7. Question :Nicolas is a football player who presents to the clinic with athlete’s foot. Patients with tinea pedis may be treated with:OTC miconazole cream for 4 weeksOral ketoconazole for 6 weeksMupirocin ointment for 2 weeksNystatin cream for 2 weeksQuestion 8. Question :Vanessa has been diagnosed with scabies. Her education would include:She should apply the scabies treatment cream for an hour and wash it off.Scabies may need to be retreated in a week after initial treatment.All members of the household and close personal contacts should be treated.Malathion is flammable and she should take care until the solution dries.Question 9. Question :Ciprofloxacin otic drops are contraindicated in:ChildrenPatients with acute otitis externaPatients with a perforated tympanic membraneSwimmer’s earQuestion 10. Question :Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding home removal of hard cerumen include:Moisten a cotton swab (Q-tip) and swab the ear canal twice daily.Instill tap water in both ears while bathing.Squirt hydrogen peroxide into ears with each bath.Instill carbamide peroxide (Debrox) twice daily until canals are clear.