45. Name this bone marking/structure. 

Allopurinol is a mainstay of uric acid lowering therapy. Which of the following describes Allopurinol’s mechanism of action?

A 63-year-old male with chronic GERD has been taking omeprazole daily for 3 years. He presents with fatigue and numbness in his feet. Laboratory results reveal macrocytic anemia and low serum vitamin B12 levels. Which of the following best explains the mechanism underlying this adverse effect?  

The following bisphosphonate has the best gastrointestinal profile, allowing for better compliance. 

Which of the following best explains the mechanism by which nonsteroidal anti-inflammatory drugs (NSAIDs) contribute to the development of gastrointestinal ulcers? (Mark all that apply)

Which drug class should be added to a persistently symptomatic African-American patient despite therapy with Calcium channel blocker and Thiazide diuretic? 

LJ is a 23 yo female diagnosed with rheumatoid arthritis.  She has had mild joint discomfort and refused steroid and methotrexate therapy.  She was placed on Hydroxychloroquine (Plaquenil).  Which of the following monitoring tests are necessary and why? 

A 62-year-old postmenopausal woman presents for evaluation of osteoporosis. She has no history of fractures but reports a family history of hip fractures in her mother. Her dual-energy X-ray absorptiometry (DEXA) scan shows a T-score of -2.6 at the lumbar spine. She has no significant renal or liver disease. Laboratory tests, including calcium, vitamin D, and renal function, are within normal limits. Which of the following is the most appropriate initial treatment for this patient? 

1. Name this layer. 

RT is a 48 yo female on hydrochlorothiazide 25 mg po daily for mild hypertension. She should be counseled on the following as possible adverse effects of this thiazide diuretic: