Digoxin levels need to be monitored closely when the following medication is started:


Question 1 1 / 1 point

Digoxin levels need to be monitored closely when the following medication is started:

Question options:





Question 2 1 / 1 point

When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:

Question options:

They need to get any live vaccines before starting the medication.

Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.

Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush.

They can triple the dose number of inhalations of medication during colds to prevent

needing systemic steroids.

Question 3 1 / 1 point

Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:

Question options:

More effective than first-generation antihistamines

Less sedating than the first-generation antihistamines

Prescription products, therefore are covered by insurance

Able to be taken with central nervous system (CNS) sedatives, such as alcohol

Question 4 1 / 1 point

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry?

Question options:

High-dose colchicine

Low-dose colchicine

High-dose aspirin

Acetaminophen with codeine

Question 5 1 / 1 point

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

Question options:

Metformin, a biguanide to prevent diabetes

Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease

Naproxen, an NSAID to treat joint pain

Furosemide, a diuretic to treat fluid retention

Question 6 1 / 1 point

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

Question options:

Black tarry stools




Question 7 1 / 1 point

Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma is classified as asthma symptoms that occur:

Question options:


Daily and limit physical activity

Less than twice a week

More than twice a week and less than once a day

Question 8 1 / 1 point

Patients with a COPD exacerbation may require:

Question options:

Doubling of inhaled corticosteroid dose

Systemic corticosteroid burst

Continuous inhaled beta-2-agonists

Leukotriene therapy

Question 9 1 / 1 point

Asthma exacerbations at home are managed by the patient by:

Question options:

Increasing frequency of beta-2-agonists and contacting their provider

Doubling inhaled corticosteroid doses

Increasing frequency of beta-2-agonists

Starting montelukast (Singulair)

Question 10 1 / 1 point

The most common bacterial pathogen in community-acquired pneumonia is:

Question options:

Haemophilus influenzae

Staphylococcus aureus

Mycoplasma pneumoniae

Streptococcus pneumonia

Question 11 1 / 1 point

The first-line antibiotic choice for a patient with comorbidities or who is immunosuppressed who has pneumonia and can be treated as an outpatient would be:

Question options:





Question 12 1 / 1 point

Wing-Sing is a 4-year-old patient who has suspected bacterial pneumonia. He has a temperature of 102°F, oxygen saturation level of 95%, and is taking fluids adequately. What would be appropriate initial treatment for his pneumonia?

Question options:





Question 13 1 / 1 point

Instructions for a patient who is starting nicotine replacement therapy include:

Question options:

Smoke less than 10 cigarettes a day when starting nicotine replacement.

Nicotine replacement will help with the withdrawal cravings associated with quitting tobacco.

Nicotine replacement can be used indefinitely.

Nicotine replacement therapy is generally safe for all patients.

Question 14 1 / 1 point

If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:

Question options:

Bupropion (Zyban) is started 1 to 2 weeks before the quit date.

Nicotine replacement products should not be used with bupropion.

If they smoke when taking bupropion they may have increased anxiety and insomnia.

Because they are not using bupropion as an antidepressant, they do not need to worry about increased suicide ideation when starting therapy.

Question 15 1 / 1 point

The most appropriate smoking cessation prescription for pregnant women is:

Question options:

A nicotine replacement patch at the lowest dose available

Bupropion (Zyban)

Varenicline (Chantix)

Nonpharmacologic measures

Question 16 1 / 1 point

Drug resistant tuberculosis (TB) is defined as TB that is resistant to:

Question options:


Rifampin and isoniazid



Question 17 1 / 1 point

Kaleb has extensively resistant tuberculosis (TB). Treatment for extensively resistant TB would include:

Question options:

INH, rifampin, pyrazinamide, and ethambutol for at least 12 months

INH, ethambutol, kanamycin, and rifampin

Treatment with at least two drugs to which the TB is susceptible


Question 18 1 / 1 point

Ezekiel is a 9-year-old patient who lives in a household with a family member newly diagnosed with tuberculosis (TB). To prevent Ezekiel from developing TB he should be treated with:

Question options:

6 months of Isoniazid (INH) and rifampin

2 months of INH, rifampin, pyrazinamide, and ethambutol, followed by 4 months of INH

9 months of INH

12 months of INH

Question 19 1 / 1 point

Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include:

Question options:





Question 20 1 / 1 point

Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare. Treatment for sinusitis in an adult who has a child in daycare is:

Question options:

Azithromycin 500 mg q day for 5 days

Amoxicillin-clavulanate 500 mg bid for 7 days

Ciprofloxacin 500 mg bid for 5 days

Cephalexin 500 mg qid for 5 days