Blog

Patients with type II diabetes can usually be managed by the right monotherapy (one drug) for a lifetime. 

Julie G. is a 21 yr. old female who comes to clinic today with complaints of a chronic cough, occasional shortness of breath and tight feeling in chest of over 4 – 5 months duration. Her cough is nonproductive. Her episodes of shortness of breath and chest tightness have gradually been increasing in frequency, and are now occurring up to 4-5 times per week. Over the past month she has been awakened at night by coughing or shortness of breath 3 times. Sometimes she hears a wheezing sound when she breathes. She has found relief using Asthmanefrin, an over-the-counter inhaler containing epinephrine. She has been smoking 1 ppd since age 16 yr. She should continue her use of Asthmanefrin as a rescue inhaler? 

Frances T. is a 39-year-old female who has recently moved to your town. She has selected you as her new primary care provider, and she is here for her annual exam. She is on monophasic estrogen/progestin OCP for contraception, which she has used without problems for 10 years; she would like the prescription renewed. She tells you that she tried a diaphragm once but didn’t like it because it was a difficult and “messy” to use; does not want to use other barrier methods for similar reasons. She was divorced 1 year ago, and has had 4 different sexual partners since then. She rarely uses condoms. She was put on Augmentin 3 days ago, by a physician at the local urgent care center, for an infected laceration on her hand.  PMH: Appendectomy at age 4 yr. No other major medical/surgical problems. Family Hx: Paternal GF — COPD & lung Ca; Paternal GM — arthritis & stroke; Maternal GM — goiter; Father — COPD; Mother — hypothyroid; 2 maternal aunts — hypothyroid; negative for heart disease, reproductive or breast Ca. Social: Smokes 1 1/2 packs of cigarettes per day for past 15 years; has tried to quit two different times without success.  Current Medications: Lo/Ovral  — one qd  Augmentin — 500 mg tid (7 days of medication left)  VS: BP 120/72; P80; Temp 97.8 F; Wt. 135 lb; Ht. 5′ 5″ Physical Exam: Unremarkable except laceration on left hand which is healing with small area of redness but no swelling, purulent drainage or increased warmth. Pap smear and STD testing were performed. Are there any drug-related problems in this case? Please mark all that apply to this case.

Mrs. Jones is a 52 yr. old healthy female who has been amenorrheic for 1 year. She is complaining of vaginal dryness and dyspareunia.  She does not smoke.  Lipid profile from last month with total cholesterol, HDLs and LDLs all within normal limits.   PMD: No chronic disease or past surgeries. Family history: father – CAD diagnosed at age 65 yr.; GI cancer – grandmother. No history of breast, uterine, cervical or ovarian cancer. Medications: Calcium supplements 1200 mg/day with Vitamin D 1000 IU/day. Her last physical exam, Pap smear and mammogram 3 months ago were all normal. To treat her symptoms with the lowest adverse effects she should be prescribed: 

Louis is a 2 yo who has struggled with atopic dermatitis. Today the child presents via a virtual visit accompanied by the mother, Sarah, with concerns about yellowish crusting and redness under the nostrils bilaterally and at the corners of the child’s mouth. You diagnose impetigo. What is the most cost-effective, evidence-based, treatment for two or three, small impetigo lesions on the face?  

Correctly fill out the following prescription pad for one of the drugs that F.T. is on or that will be prescribed by you.     Rx Nursing Clinic Rx  University of Missouri  School of Nursing ——————————————————————————————— ANP’s Name: Address:  Phone Number: Collaborative Physician’s Name: Address:  Phone Number:   Date: Name: Address:   Rx: Sig:   Disp:  (VOID EXAMPLE ONLY) ———————————————————————————————- ____________________ _______________________ Provider’s Signature Provider’s Signature Substitution Permitted  Dispense as Written   Refill _____ times No Safety cap _____  

 Glucosamine is a OTC nutritional supplement which some patients find may help in the treatment of which condition? (Select one). 

A patient has diarrhea and is wondering if they care take loperamide (Imodium).  Loperamide:  

When treating patients using the “Step-Down” approach the patient with GERD is started on ____ first.

Sally H. is a 48 yr. old woman with GERD induced esophagitis. She has tried lifestyle changes, antacids, and H2 blocker therapy without satisfactory results.    Which of the following drugs would be the safest, most effective next step?