Blog

A 38 y/o female is being treated by her dermatologist for plaque psoriasis. She is new to the clinic and your medical assistant completed her medication history. The following medications were recorded: tazarotene (Tazorac) 0.1 % cream daily methotrexate 7.5 mg daily triamcinolone 0.1 % ointment twice daily colloidal oatmeal bath (Aveeno soothing bath treatment) three times weekly. Which medication is transcribed incorrectly by the medical assistant and should be questioned by the nurse practitioner?

An oncology patient is scheduled to receive an intrathecal methotrexate injection (into the cerebrospinal fluid in the spinal cord). The nurse practitioner working with the radiology department is asked by the interventional radiologist when the last dose of enoxaparin (Lovenox) was. Why is the interventional radiologist concerned about the last dose of enoxaparin?

A 57 y/o female sees a nurse practitioner in the office for evaluation of hot flashes, brain fog, slight weight gain, and irritability. She has been on paroxetine with no benefit. She inquires about hormonal therapy today. You would like to start hormone replacement therapy today. What question listed below would be clinically applicable for someone starting on hormone replacement therapy

A 40 y/o asthmatic male presents to the clinic today with wheezing and shortness of breath requiring daily use of a reliever inhaler (albuterol). You would like to start him on a maintenance therapy inhaler today. Which inhaler is not recommended as monotherapy treatment for asthma?

A 70 y/o female with a past medical history significant for diabetes presents to the clinic today for a follow-up. Her fasting blood glucose was 110 mg/dL and her last A1C 6.8 %. She is stable on metformin ER 1000 mg twice daily and sitagliptin 100 mg once daily. She does complain of some troublesome tingling in her lower extremities that has been getting progressively worse over the past several years. She attributes it to “old age.” She has tried acetaminophen and ibuprofen without any real benefit. Her last B12 level was within normal limits. You believe she has a component of diabetic peripheral neuropathy. Which medication is a first-line treatment for her condition AND has an FDA approved labeling for diabetic neuropathy?

A 36 y/o female presents to the clinic with a diagnosis of migraine headache. These migraines are happening up to twice monthly. Upon further workup, you find that she has an extensive cardiac history (hypertension, hyperlipidemia, diabetes, obesity, and stable angina). Which medication listed below would be the best abortive therapy meant to treat her acute migraine headaches?

A 62 y/o male with a history of cardiovascular disease and prior myocardial infarction is scheduled for an orthopedic procedure in 1 week. The orthopedic office staff mentioned to the patient that they usually need to hold all medications prior to surgery and that he should reach out to his primary care clinic office for directions (which he didn’t). He presents the night before surgery to the urgent care with symptoms of chest pain, diaphoresis, nausea, and dizziness. You review his medication list and are concerned about abrupt discontinuation of which of the following medications?

Order the insulin products by their duration of actions

Which of the following should be avoided in a patient with heart failure?

Which of the following best explains the role of eosinophils in parasitic infections?