Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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BASIC CONCEPTS
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1.
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Which bacteria is often the cause of stomach
ulcers?
a. | Escherichia coli | b. | Helicobacter pylori | c. | Staphylococcus
aureus | d. | Streptococcus
pneumoniae |
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2.
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Which hormone has an action opposite to the action
of insulin?
a. | Glycogen | b. | Glucagon | c. | Hemoglobin
A1c | d. | Adenosine
triphosphate |
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3.
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Which drug for nausea/vomiting can cause decreased
sweating and increased risk for overheating?
a. | Meclizine (Antivert) | b. | Ondansetron (Zofran) | c. | Trimethobenzamide
(Tigan) | d. | Prochlorperazine
(Compazine) |
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4.
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Which drug used to treat peptic ulcer disease (PUD)
and gastroesophageal reflux disease (GERD) is a histamine H2 blocker?
a. | Metoclopramide (Reglan) | b. | Esomeprazole (Nexium) | c. | Famotidine
(Pepcid) | d. | Cetirizine
(Zyrtec) |
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5.
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Which drug belongs to the mineralocorticoid
class?
a. | Aminoglutethimide (Cytadren) | b. | Fludrocortisone (Florinef) | c. | Cortisol (Prednisone) | d. | Mitotane
(Lysodren) |
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6.
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Which drug for nausea/vomiting can cause muscle
spasms of the jaw, neck, and back when given to children?
a. | Meclizine (Antivert) | b. | Metoclopramide (Reglan) | c. | Trimethobenzamide
(Tigan) | d. | Prochlorperazine
(Compazine) |
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7.
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How do proton pump inhibitors work to treat peptic
ulcer disease (PUD) and gastroesophageal reflux disease (GERD)?
a. | Forming a thick stomach
coating | b. | Neutralizing acids in the
stomach | c. | Blocking the production of stomach
acid | d. | Decreasing the stimulation of H2
receptors |
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8.
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Which body area should never be used to inject
insulin?
a. | The actual umbilicus | b. | The outer thighs | c. | The upper
arms | d. | The lower back |
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9.
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Which part of the airway is affected by excessive
mucus?
a. | Lumen | b. | Cartilage | c. | Smooth
muscle | d. | Mucous membrane |
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10.
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Which oral antidiabetic drug belongs to the
alpha-glucosidase inhibitor class?
a. | Acarbose (Precose) | b. | Glyburide (Diabeta) | c. | Nateglinide
(Starlix) | d. | Pioglitazone
(Actos) |
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11.
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Which mineral is critical for the thyroid to use in
making thyroid hormones?
a. | Lithium | b. | Sodium | c. | Chloride | d. | Iodine |
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12.
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What types of drugs prevent or control
nausea/vomiting?
a. | Antiemetic drugs | b. | Antimotility drugs | c. | Antidiarrheal
drugs | d. | Antipropulsion
drugs |
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13.
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What does a goiter indicate?
a. | Hypothyroidism | b. | Hyperthyroidism | c. | Thyroid
problem | d. | Premature
menopause |
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14.
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Which term means an elevated blood sugar (glucose)
level?
a. | Glycogen | b. | Euglycemia | c. | Hypoglycemia | d. | Hyperglycemia |
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15.
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Which common drug for nausea/vomiting is a
5HT3-receptor antagonist?
a. | Granisetron | b. | Promethazine | c. | Scopolamine | d. | Metoclopramide |
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16.
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What is the main reason that insulin is needed as
drug therapy for people who have type 1 diabetes?
a. | The beta cells of the pancreas no longer make
insulin. | b. | The alpha cells of the pancreas no longer make
insulin. | c. | The beta cells of the pancreas make too much
glucagon. | d. | The alpha cells of the pancreas make too much
glucagon. |
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17.
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Which type of problem narrows the airways by
tightening bronchial smooth muscle?
a. | Alveoli | b. | Emphysema | c. | Chronic
bronchitis | d. | Bronchoconstriction |
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18.
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By which action does insulin lower blood glucose
levels?
a. | Enhancing the enzymes that break down
glucose | b. | Helping glucose to move from the blood into
cells | c. | Converting glucose into proteins in the liver and
brain | d. | Converting glycogen into glucose in the liver and
brain |
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19.
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Which problem indicates a gastric ulcer is getting
worse?
a. | Gaining weight | b. | Abdominal gas | c. | Frequent
diarrhea | d. | Blood in the
stools |
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20.
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How is retching different from
vomiting?
a. | Nausea is not present in retching but is in
vomiting. | b. | Nausea is not present in vomiting but is in
retching. | c. | With retching, no vomiting
occurs. | d. | With vomiting, no retching
occurs. |
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21.
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The use of which drug or drugs is/are associated
with later development of pulmonary artery hypertension (PAH)?
a. | Amiodarone and ambrisentan | b. | Macitentan and cyclophosphamide | c. | Fenfluramine/phentermine | d. | Disease-modifying
antirheumatic drugs |
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22.
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What is the main role of insulin in glucose
(carbohydrate) metabolism?
a. | Conversion of complex carbohydrates into
glucose | b. | Movement of glucose from blood into the
cells | c. | Prevention of kidney excretion of
glucose | d. | Prevention of the formation of fat
cells |
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23.
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Which symptom of hyperthyroidism occurs only with
the Graves’ disease form of the problem?
a. | Goiter | b. | Hypertension | c. | Exophthalmos | d. | Thinning scalp
hair |
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24.
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Which activity interferes with the action of
histamine H2 blockers?
a. | Going to bed late | b. | Smoking cigarettes | c. | Eating dairy
products | d. | Taking oral
contraceptives |
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25.
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Which drug is more commonly used as therapy for
chronic obstructive pulmonary disease (COPD) than as therapy for asthma?
a. | Epoprostenol (Flolan) | b. | Warfarin (Coumadin) | c. | Guaifenesin
(Organidin) | d. | Salmeterol
(Serevent) |
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26.
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The action of which drug is known to be increased
by thyroid hormone replacement drugs?
a. | Warfarin (Coumadin) | b. | Acetaminophen (Tylenol) | c. | Diphenhydramine
(Benadryl) | d. | Fiber supplements
(FiberCon) |
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ADVANCED CONCEPTS
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27.
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Laboratory blood tests show that a patient has a T3
level of 190 ng/dL. How should you interpret this finding?
a. | Hypothyroidism | b. | Hyperthyroidism | c. | Normal thyroid
function | d. | Thyroid function totally
absent |
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28.
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Which statement about the pathology of asthma is
true?
a. | Breath sounds are normal between
attacks. | b. | Mucous plugs are the major cause of airway
obstruction. | c. | Eventually the
alveoli are destroyed and gas exchange is limited. | d. | During an attack, arterial oxygen levels and carbon dioxide levels are
decreased. |
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29.
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A patient is prescribed levothyroxine 25 mcg by IV
push. The drug on hand is levothyroxine sodium 100 mcg/mL. How many milliliters should you
administer?
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Completion
Complete each
statement.
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ADVANCED CONCEPTS
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1.
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A patient with hyperthyroidism is prescribed an
immediate dose of propylthiouracil (Propacil) 150 mg orally. The available drug is propylthiouracil
50 mg/tablet. How many tablets should you administer?
_____ tablets
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