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WorksheetsPharmacology of Asthma and Diabetes
Total questions: 15
Worksheet time: 8mins
Which of the following best describes the primary mechanism of action of metformin.
Increases insulin secretion from pancreatic beta cells
Decreases hepatic glucose production and improves insulin sensitivity.
Delays intestinal absorption of glucose.
Activates insulin receptors to increase glucose uptake.
Which of the following is the most common side effect associated with metformin?
Hypoglycemia
Weight gain
Gastrointestinal upset
Peripheral edema
Which medication is considered first-line for the prevention of exercise-induced bronchoconstriction, and when should it be administered?
Montelukast, taken daily at bedtime
Inhaled corticosteroid, taken immediately before exercise
Albuterol, 5-15 minutes prior to exercise
Ipratropium, taken after onset of symptoms
Fluticasone/Salmeterol is commonly known as ____?
Montelukast
Albuterol
Advair
Combivent
A 6-year-old child is being treated for a suspected bacterial infection. The provider considers prescribing tetracycline. Which of the following is the primary reason tetracycline is contraindicated in young children?
It causes irreversible hepatotoxicity
It interferes with normal bone and tooth development
It leads to severe hypoglycemia in pediatric patients
It increases the risk of ototoxicity and hearing loss
A 55-year-old patient with cirrhosis (Child-Pugh class C) is prescribed ondansetron for chemotherapy-induced nausea. What should the provider be aware of regarding dosing?
No adjustment is necessary, use standard dosing to best prevent nausea
Decrease the dose by 50% and maintain usual frequency
Limit the total daily dose to 8 mg
Increase the dosing interval to every 12 hours only
A 68-year-old patient with Parkinson disease is started on amantadine to help reduce tremor and rigidity. Which patient education point is most important for the provider to include?
Stop the medicine immediately if experience dizziness
This medication may cause livedo reticularis and edema
Take this medication only at bedtime
Avoid foods high in tyramine while taking this medicine
A patient with heart failure is prescribed furosemide. Which adverse effect should the provider monitor most closely?
Hyperkalemia and gynecomastia
Hypercalcemia and constipation
Hypokalemia and ototoxicity
Metabolic acidosis and paresthesias
A patient taking hydrochlorothiazide for hypertension should be monitored for which common metabolic effect?
Hyperuricemia and hyperglycemia
Hypocalcemia and anemia
Hyperkalemia and metabolic alkalosis
Bradycardia and hypotension
A 22-year-old patient is prescribed the etonogestrel/ethinyl estradiol vaginal ring (NuvaRing) for contraception. Which of the following is the most common side effect she should be counseled about?
Liver failure
Vaginal irritation or discharge
Permanent infertility
Osteoporosis
A patient taking a CYP1A2 substrate (e.g., theophylline) quits smoking abruptly. Which of the following is most likely?
Drug metabolism slows, leading to higher plasma drug concentrations
Drug metabolism accelerates, leading to subtherapeutic levels
Smoking cessation has no effect on CYP1A2 substrate levels
CYP1A2 inhibition causes decreased drug absorption
A 34-year-old patient with newly diagnosed hyperthyroidism is started on Tapazole. What is the primary mechanism by which this medication reduces thyroid hormone levels?
Inhibits the release of preformed thyroid hormone from the thyroid gland
Blocks the conversion of T4 to T3 in peripheral tissues
Inhibits thyroid peroxidase, preventing synthesis of T3 and T4
Stimulates the pituitary to decrease TSH production
A 55-year-old patient with chronic insomnia is prescribed ramelteon. Which of the following best describes the mechanism of action of this medication?
Potentiates GABA-A receptor activity to induce sedation
Inhibits reuptake of serotonin and norepinephrine to promote sleep
Melatonin receptor agonist that regulates the sleep-wake cycle
Blocks histamine H1 receptors to induce drowsiness
Which of the following is the most common adverse effect associated with ramelteon?
Dependence and tolerance
Next-day sedation
Dizziness and somnolence
Weight gain
A 25-year-old patient presents with mild community-acquired pneumonia. Laboratory testing confirms Mycoplasma pneumoniae infection. Which of the following antibiotics would not be effective against this organism?
Azithromycin
Doxycycline
Levofloxacin
Amoxicillin
