Given Cynthias increased creatinine and renal deterioration, metformin is probably not optimal in this case. Therefore, upon subsequent visits, you decide to start her on a sulfonylurea. She reappears
in your clinic fairly soon there after with complaints
Cynthia is a 65-year-old African American female who presents to the clinic
for a check-up. Her last examination was ~5 years ago. She has no specific,
significant, or urgent
complaint. She explains
that her only issues are
thirst, fatigue, and leg numbne
You decide to begin the patient on bupropion.
At what dose should she be started on buproprion, and how
does bupropion differ from other commonly prescribed antidepressants, such as fluoxetine, venlafaxine, and nortriptyline?
Why would this be the best op
1. Erik presents with one golden-crusted lesion at the site of an insect bite consistent with impetigo. His
parents have limited finances and request the least expensive treatment. Which medication would be
the best choice for treatment? (Points : 1)
Cynthia has been prescribed a plethora of medications.
How will you properly monitor each medication for efficacy and
Are you concerned with any drug-drug interactions?
If so, what are they, and what is the mechanism of the interaction?
You have decided to have him stop the pseudoephedrine related to
his hypertension, as well as the cimetidine related to its interaction
with warfarin. The patient returns for his monthly follow-up appointment, and it is noticed that his blood pressure (19
Leroy is a 70 year-old-man, whose wife passed away 5 years ago,
and whose 2 children live out-ofstate. His neighbor caretaker (Ms.
Webb, a middle-aged retired CNA, whom his children hired to provide
home care to him 3x/week) brings him to your clinic. He
Elliot is a 74 year-old male who presents to your clinic with complaints
of frequent nosebleeds (4 in the past week) and several severe
bruises scattered variously throughout his anatomy. The patient is also
complaining of a runny nose, cough, and head/ch
Jonathon is a 56 year-old retired automobile mechanic who has
not been to the doctor in approximately 6-7 years. He presents to
your office complaining that 3 weeks ago he was awoken with severe pain and inflammation in his knee, which has been consistent
1. A three-year-old girl has just been diagnosed with type 1A diabetes and her parents are currently
receiving education from the diabetes education nurse at the hospital where their daughter is
receiving treatment. How can the nurse best explain the etio
Family Nurse Practitioner Boards: Study Plan and Review
- I hope to take the exam in September. I will not be telling anyone, except
my husband and parents the exact day of my examination. Telling social
media, coworkers, and my friends would personally j
Instructor and Class, Subjective: Marianna c/o increased fatigue,
thirst and numbness with tingling in her lower extremities. She has
not seen a physician in 5 years.
Objective: Marianna presents as a 61 y/o female well nourished,
slightly obese with a bo
He returns a month later complaining of increased fatigue, visual disturbances, weakness, and nausea; however, his ECG is normal.
Based on this information, what is occurring in this patient? Include precise mechanism(s) of how it is occurring?
Barbara is a married 39-year-old woman with no children, smokes 1
pack/day, and weighs 180 pounds who has scheduled an appointment
with you to discuss feelings of anhedonia that she has been experiencing for the past few months. She has a history of depre
Your patient returns to your office 4 weeks following his initial appointment in Part One with only moderate reduction in symptomology and
an increase in nightly symptoms to 1 time per week. Upon closer inspection of his medical records you notice that he
Upon receipt of laboratory results, you notice that his eGFR is
~40mL/min, his serum creatinine is 3.0 mg/dl, and his BUN is 50
How will the medication regimen(s) have to be adjusted given
these new laboratory findings, and how should you be monito
Adam is an active, healthy 510 34 year-old man weighing 145
pounds. He presents to your clinic with complaints of wheezing, dyspnea, cough, and sputum production, especially when running. He informs you that he is an avid marathon runner competing in one
The patient is diagnosed with a severe urinary tract infection
(pyelonephritis), and you decide to prescribe him
sulfamethoxazole/trimethoprim (SMX/TMP) beginning with 2 g initially
as a loading dose, followed by 1 g as a maintenance dose BID. Over
Once the issue in Part Two is treated and circumvented, how will efficacy and toxicity monitoring continue in terms of the pharmacological
regimen you prescribed in Part One?
Monitoring for NSAIDs (Ibuprofen):
Elderly patients are more susceptible to the
How would you monitor for efficacy and toxicity of the current drug
regimen you prescribed in Part One, and what would be your subsequent steps if this patient did not have an adequate response?
How would you monitor for efficacy and toxicity of the curre
Krista E. is a 41-year-old female seen in the office with fever,
shaking, chills, coughing, increasing SOB, and increasing
fatigue. Symptoms began 24 hours ago. The region in which you
are practicing is experiencing peak flu season. This patient did
There are three basic approaches to treatment of migraine.
The first is avoidance of trigger factors. However, this
is often not practical and typically does not produce
The second mechanism is the use of medications
during the headache
He returns to your clinic for follow-up blood work, and 4 values
catch your attention:
AST 430 U/L
ALT 535 U/L
Bilirubin 41 mg/dl
BG 60 mg/dl
He admits to a history of moderate-to-high alcohol intake (>12
drinks/week for >10 years). He is slightly febrile