Category: Uncategorized

A patient taking escitalopram reports decreased libido and difficulty maintaining an erection. He requests a medication change. Which alternative is most appropriate?    

A patient on antipsychotics presents with fever, “lead-pipe” rigidity, and altered mental status. What is the diagnosis and priority intervention?  

A conscious patient with type 1 diabetes has a blood glucose of 55 mg/dL. What is the best initial intervention?

Which of the following describes the mechanism of action of gabapentin in neuropathic pain? 

A 40-year-old patient with bipolar disorder presents with tremor, confusion, and diarrhea. He recently started a thiazide diuretic for hypertension. What is the most likely cause of his symptoms?  

A patient is diagnosed with post-traumatic stress disorder and reports nightmares, hypervigilance, and anxiety. Which medication is considered first-line pharmacologic therapy?    

A 45-year-old patient with type 1 diabetes is prescribed insulin lispro before meals. The patient asks when to administer the dose. What is the best instruction?

A 52-year-old female with type 2 diabetes mellitus and obesity is started on semaglutide. After 3 months, she has improved glycemic control and a 10-lb weight loss. Which of the following best explains the mechanism of this medication?

A patient taking valproate for bipolar disorder presents with abdominal pain, nausea, and vomiting. Which condition should be suspected?

A 65-year-old male with a history of atrial fibrillation is being treated with Warfarin. He reports using marijuana and ibuprofen to assist in his osteoarthritic pain. During a routine follow-up visit, his INR was found to be 4.0. Which of the following is the most likely cause of his elevated INR level?