(12) Endo 1 SLO Flashcards
“ACHES” is a mnemonic that is useful for remembering the possible adverse side effects of oral birth control pills that should be reported. “ACHES” represents:
A. (A) acne, (C) coughing, (H) headache, (E) exopthalmos and (S) swelling.
B. (A) aches, (C) constant tremors, (H) hard of hearing, (E) eye or vision problems and (S) smelly odors.
C. (A) angina, (C) constipation, (H) headache, (E) early period (S) sweating.
D. (A) aspiration, (C) chest pain, (H) hair loss, (E) eye or vision problems and (S) sweating.
E. (A) abdominal pain, (C) chest pain, (H) headache, (E) eye or vision problems and (S) swelling.
(A) abdominal pain, (C) chest pain, (H) headache, (E) eye or vision problems and (S) swelling.
A middle-aged woman has been taking dexamethasone for rheumatoid arthritis but was unable to take her medication for several days after catching the Norwalk Virus (an intestinal virus) while on a harbor dinner cruise. She is admitted into the emergency department, presenting with a fever, lethargy, hypotension, severe nausea and vomiting. What drug does the nurse anticipate will be given to this woman? A. Ketoconazole B. Vasopressin C. Dexamethasone D. Leuprolide E. Fludrocortisone
Dexamethasone
Alendronate (Fosamax) is a bisphosphonate that works by inhibiting:
A. Bone “breaking” cells called osteoclast
B. The hypothalamus
C. Bone building cells called osteoblasts
D. The pituitary
E. White blood cells called macrophages
Bone “breaking” cells called osteoclast
Alendronate (Fosamax) is indicated to treat \_\_?\_\_. A. Hashimoto’s thyroiditis B. Parathyroid dysfunction C. Pituitary dysfunction D. Thyroid dysfunction E. Osteoporosis and Paget’s disease
Osteoporosis and Paget’s disease
Bromocriptine (Parlodel, Cycloset) is an ergot alkaloid that is a \_\_?\_\_ A. Serotonin reuptake inhibitor B. Corticosteroid C. Birth control pill D. Dopamine agonist E. Hormone
Dopamine agonist
Calcitonin (Miacalcin, Fortical) is indicated for \_\_?_ A. Diabetes B. Pituitary dysfunction C. Hashimoto’s thyroiditis D. Parathyroid dysfunction E. Osteoporosis and Paget’s disease
Osteoporosis and Paget’s disease
Calcitonin (Miacalcin, Fortical) mimics a naturally occurring: A. Adrenal cortex hormone B. Posterior pituitary hormone C. Thyroid hormone D. Anterior pituitary hormone E. Parathyroid gland hormone
Thyroid hormone
Coffee (caffeine) and OJ should not be given with alendronate. Why not?
A. They increase the absorption of alendronate, making it toxic
B. They inhibit metabolism of alendronate
C. They cause diarrhea
D. They induce P450s
E. They may decrease absorption by as much as 60%
They may decrease absorption by as much as 60%
Dexamethasone and prednisone are synthetic \_\_?\_\_ with many anti inflammatory indications. A. Pituitary hormones B. Glucocorticoids C. Androgens D. Thyroid hormones E. Mineralocorticoids
Glucocorticoids
Dexamethasone mimics a naturally occurring: A. Thyroid hormone B. Adrenal cortex hormone C. Posterior pituitary hormone D. Pineal gland hormone E. Anterior pituitary hormone
Adrenal cortex hormone
Drospirenone containing birth control pills should not be taken with any drug that increases K+ levels. Which of these drugs may increase potassium levels?
A. NSAIDs
B. Heparin
C. ACEI and Aldosterone antagonists
D. K sparing diuretics like spironolactone
E. All the above
All the above
Ethinyl estradiol + norethindrone (Loestrin) mimic naturally occurring steroid hormones that have as their target: A. Nuclear receptors B. ABC pumps like p-glycoprotein C. Ligand gated ion channels D. G-protein coupled receptors E. Voltage gated ion channels
Nuclear receptors
Fludrocortisone (Florinef) is an Aldosterone replacement making it a synthetic \_\_?\_\_. A. Mineralocorticoid B. Glucocorticoid C. Pituitary hormone D. Androgen E. Thyroid hormone
Mineralocorticoid
Leuprolide (Lupron) is a super GnRH analog, which means it acts to regulate levels of:
A. TSH (thyroid stimulating hormone)
B. LH/FSH (Leutinizing and follicle stimulating hormones)
C. ADH (antidiuretic hormone)
D. hGH (human growth hormone)
E. ACTH (Adrenocortical Trophic hormone)
LH/FSH (Leutinizing and follicle stimulating hormones)
Levothyroxine (Synthroid) mimics a: A. Adrenal cortex hormone B. Thyroid hormone C. Pineal gland hormone D. Anterior pituitary hormone E. Posterior pituitary hormone
Thyroid hormone
Melatonin is indicated to treat: A. Jet-lag–related insomnia and circadian rhythm sleep disorders in the blind B. Excessively pale skin C. Depression D. Precocious puberty E. Anxiety disorders
Jet-lag–related insomnia and circadian rhythm sleep disorders in the blind
Melatonin replaces a naturally occurring: A. Thyroid hormone B. Pineal gland hormone C. Adrenal cortex hormone D. Posterior pituitary hormone E. Anterior pituitary hormone
Pineal gland hormone
Monique is caring for a patient taking levothyroxine (Synthroid) who is complaining of feeling nervous and of occasional palpitations and tremors. The nurse recognizes that these symptoms may be consistent with __?__.
A. Symptoms indicating the patient has developed diabetes mellitus and needs further evaluation.
B. Symptoms of euthyroidism which means the dosage is at the appropriate therapeutic level.
C. Symptoms of SIADH which means the patient is having problems with their kidneys.
D. Symptoms of hypothyroidism which means the dosage may need to be increased.
E. Symptoms of hyperthyroidism which means the dosage may need to be decreased.
Symptoms of hyperthyroidism which means the dosage may need to be decreased.