referral for endoscopy 51. Delta is 88 with low back pain. what guidelines should be followed when rxing pain management for Delta - acetaminophen is 1st choice 52. Food can alter pH of stomach leading to - altered drug bioavialability 53. most frequent type of drug-food interaction is - food affecting the gastrointestinal absorption of drugs 54. After H pylori tx is completed, the next step in peptic ulcer disease is - proton pump inhibitor for 8-12 wks until healing is complete 55. a pt with new onset of systolic ejection murmur should be assessed for which nutritional deficiency - Folate 56. Acceptable 1st line tx for PUD with positive H pylori test is - Proton pump inhibitor BID plus clarithromycin plus amoxicillin for 14 days 57. pts who are on chronic long term PPI therapy require monitoring for - iron deficiency anemia, vitamin B 12 and calcium deficiency 58. antacids such as calcium carbonate TUMs, can reduce the absorption of which of the following nutrients - iron 59. if a pt with H pylori positive PUD fails 1st line therapy the 2nd line of tx is - proton pump inhibitor BID plus metronadiazole plus tetracycline plus bismuth subsalicylate for 14 days 60. A pt has been rxd silver sulfadiazine (Silvadene) cream to tx burns to his leg. normal adverse effects of silvadene cream include - transient leukopenia on days 2-4 that should resolve 61. Jose has had eczema for many years and reports he thinks his corticosteroid cream is not working as well as previously. he may be experiencing tolerance to the corticosteroid. treatment options include - recommend an interrupted or cyclic schedule of application 62. Erika has been rxd isotretinoin Accutane by her derm and is presenting to her primary care provider with symptoms of sadness and depression. A becks depression scale indicated she has mild to moderate depression. what would be the best care for her at this point - contact her dermatologist about discontinuing the isotretinoin 63. when prescribing griseovulvin V to treat tinea capitis it is critical to instruct the pt or parent to - Griseofulvin is best absorbed if ingested with a high fat food 64. when a pt has contact dermatitis, wet dressings with Domeboro solution are used for - relief of inflammation 65. pts who are tc with greater than 100 gm/week of topical calcipotriene for psoriasis need to be monitored for - hypercalcemia
66. Josie has severe cystic acne and is requesting tx with Accutane. the appropriate tx for her would be - refer her to a dermatologist for treatment 67. Rick has male pattern baldness on the vertex of his head and has been using Rogaine for 2 mths. he asks how effective minoxidil Rogaine is - will show results after 4 mths of twice a day use 68. when writing a rx of permethrin 5% cream Elimite for scabies, pt ed would include - all members of the household and personal contacts should also be treated 69. Drew is a 17 yr old competitive runner who presents with c/o pain in his hip that occurred after he fell while running. his only medical problem is severe acne for which he takes Accutane. with this hx what would you be concerned for
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