Phytoestrogens Case Assignment
Phytoestrogens Case Assignment
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Question 78. Question : Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms of hypoglycemia include: “Fruity” breath odor and rapid respiration Diarrhea, abdominal pain, weight loss, and hypertension Dizziness, confusion, diaphoresis, and tachycardia Easy bruising, palpitations, cardiac dysrhythmias, and coma Question 79. Question : Incorporating IT into a patient encounter takes skill and tact. During the encounter, the provider can make the patient more comfortable with the IT the provider is using by: Turning the screen around so the patient can see material being recorded Not placing the computer screen between the provider and the patient Both A and B Neither A nor B Question 80. Question : Which one of the below-given instructions can be followed for applying a topical antibiotic or antiviral ointment? Apply thickly to the infected area, spreading the medication well past the borders of the infection If the rash worsens, apply a thicker layer of medication to settle down the infection Wash hands before and after application of topical antimicrobials None of the above Question 81. Question : Sadie is a ninety-year-old patient who requires a new prescription. What changes in drug distribution with aging would influence prescribing for Sadie? Increased volume of distribution Decreased lipid solubility Decreased plasma proteins Increased muscle-to-fat ratio Question 82. Question : First-line therapy for treating topical fungal infections such as tinea corporis (ringworm) or tinea pedis (athlete’s foot) would be: OTC topical azole (clotrimazole, miconazole) Oral terbinafine Oral griseofulvin microsize Nystatin cream or ointment Question 83. Question : Which of the following is true about procainamide and its dosing schedule? It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen. GI adverse effects are common, so the drug should be taken with food. Adherence can be improved by using a sustained-release formulation that can be given once daily. Doses of this drug should be taken evenly spaced around the clock to keep an even blood level. Question 84. Question : A nurse practitioner would prescribe the liquid form of ibuprofen for a six-year-old because: Drugs given in liquid form are less irritating to the stomach. A six-year-old may have problems swallowing a pill. Liquid forms of medication eliminate the concern for first-pass effect. Liquid ibuprofen does not have to be dosed as often as tablet form. Question 85. Question : Kristine would like to start HRT to treat the significant vasomotor symptoms she is experiencing during menopause. Education for a woman considering hormone replacement would include: Explaining that HRT is totally safe if used for a short term Telling her to ignore media hype regarding HRT Discussing the advantages and risks of HRT Encouraging the patient to use phytoestrogens with the HRT Question 86. Question : Xi, a fifty-four-year-old female, has a history of migraine that does not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Which of the following actions would you take for appropriate decision making? Prescribe Maxalt, but to monitor the use, only give her four tablets with no refills. Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose. Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital). Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan.