A patient is prescribed his first prescription for allopurinol (Zyloprim*). Which statement below is NOT correct regarding this medication?

A 45-year-old female presents to the clinic with complaints of severe pain in her lower back, radiating down her left leg. She describes the pain as burning and shooting, with occasional numbness and tingling. Physical examination reveals decreased sensation in the left L5 dermatome and diminished reflexes in the left lower extremity. Based on these findings, the nurse practitioner suspects lumbar radiculopathy. Which of the following medications would be the most effective for managing the patient’s neuropathic pain?

JP is a 17-year-old male who complains of redness, tenderness and warmth of his left lower leg which has been spreading for the past 3 days.  From your questioning, you discover JP has a recent spider bite in the same area but it never seemed to heal.  You suspect that JP has an uncomplicated cellulitis since the infection appears to be localized and JP does not have signs/symptoms of systemic infection.  JP has a history of hypothyroidism and obesity.  He currently takes levothyroxine (Synthroid) 50 mcg po daily.  He has no medication allergies. What were JP’s risk factors for developing cellulitis?

Identify the most appropriate monitoring parameter to assess response to antimicrobial therapy.

Which of the following is an appropriate nonpharmacologic intervention for gout?

Which of the following medication (s) is a xanthine oxidase inhibitor and can therefore be beneficial in hyperuricemia?

The use of metoprolol (Lopressor* / Toprol XL*), a cardioselective (also known as β1 selective) beta blocker, is absolutely contraindicated in patients with COPD (or asthma) despite any possible compelling indications (e.g. stable heart failure or IHD).

A 47-year-old woman with hypertension (HTN), hypothyroidism, and osteoarthritis comes to the clinic for a blood pressure follow-up. She was given a diagnosis of HTN 6 months ago and has been unable to get to goal. Today, her blood pressure is 154/88 mm Hg (with similar repeat) and heart rate is 92 beats/minute. She currently takes chlorthalidone (Hygroton*) 25 mg/day, losartan (Cozaar*) 100 mg/day, amlodipine (Norvasc*) 10 mg/day, ibuprofen (Motrin*) 800 mg four times daily, and levothyroxine (Synthroid*) 100 mcg/day. She is adherent to her medications and has asked not to take any more blood pressure medications. Which would best address her elevated blood pressure? 

Which of the following is the recommended daily calcium and vitamin D intake for a 76 yo woman?

A 45-year-old female presents to the clinic with complaints of persistent headaches for the past two weeks. She describes the pain as sudden and severe, unlike any headache she has experienced before. She denies any visual disturbances but reports feeling nauseous during the headaches. She has no significant past medical history. Which of the following red flags suggests a potentially serious underlying cause of her headaches?