Question 3: When using oral steroids to treat an asthma exacerbation, the following is TRUE:

Question 21 Alice R, age 72 is a type II diabetic with BMI 32 and initial A1c of 9.1 six months ago. She was started on metformin (biguanide) at that time and was resistant to beginning another agent. She was titrated up to 1G by mouth twice daily (so is at 2G per day total) and current hemoglobin A1c decreased from 9.1 to 8.9.  She is has been working to lose weight. She declines to start lantus insulin because she thinks it will cause her to gain more weight and she does not want to. The plan that would potentially benefit her to promote better glucose control and to promote weight loss is: Select one:

Use the following case study to answer questions 17 and 18.  Lois, age 54, is taking warfarin (Vitamin K antagonist, an anticoagulant) 4 mg p.o. each day following a deep vein thrombosis. Her INRs have been well-maintained at 2.0 – 2.3. Today, however, her INR is 4.8. On review of her history, you note that she has been taking Advil Cold (Ibuprofen, an NSAID + phenylephrine, a decongestant), an over-the-counter cold remedy regularly for the past 3 days.  Other daily medications include atorvastatin (statin) 20mg  and lisinopril (ACE-I) 10mg. She has been on these daily medications and dosages  for several years. A careful history, physical exam, and diagnostic testing reveal no evidence of active bleeding. Given what you know about drug-drug interactions with warfarin (Vitamin K antagonist) and management of elevated INRs, identify appropriate actions to take with this patient.  (Choose as many of the following options as apply). 

Question 9: George is a 55 year-old Caucasian male who is a Type II Diabetic. He is hypertensive and her BP has not been responsive to lifestyle and dietary changes. His glucose control is variable. The antihypertensive class of medications that has shown specific benefit to patients with diabetes and protective of renal function is:

Question 5: Letta, age 78 presents for hospital follow up. She has been maintained on an inhaled corticosteroid, a long-acting beta agonist, a long-acting muscarinic agent and montelukast (Leukotriene inhibitor) for her chronic obstructive pulmonary disease (COPD) for the past 1 1/2 years. On chart review, you see that this was her second occurrence of pneumonia in the past 5 months.  She also uses Combivent Respimat as a reliever medication as needed. An appropriate action(s) to consider would be:  (Check all that apply)  

Question 27 Use the case study below to answer this question and the next question Justin, age 37 fell off a ladder 24 hours ago. He presents with right shoulder pain. Imaging reveals no bony abnormalities. He has been taking ibuprofen 800mg every 8 hours since the injury for his pain, but reports this has not relieved the pain.  He has no red flags for neurological or vascular abnormalities but exhibits right shoulder pain with abduction and external rotation. He rates the pain as 8 on a scale of 1-10 and indicates that the pain is constant and interfering with his activities of daily living as well as sleep. He asks for something stronger than ibuprofen for his pain. You conclude that Justin is experiencing acute pain secondary to the musculoskeletal trauma based on history and physical. You decide to prescribe an opioid for his pain. Essential provider considerations consistent with current recommendations when beginning opioid therapy for acute pain should include: (Check all that apply)

Match the contraceptive measure with its associated potential  effect

Louis P. age 45 presents to the clinic with thick psoriatic plaques on his elbows and knees. You elect to treat him with a moderately potent topical corticosteroid. The vehicle that would be most effective in treating this patient’s lesions is:

Question 10: The comorbid condition that is a contraindication to the use of non-selective beta-blockers is:

The most important thing to know when prescribing estrogen is: