Question

Name: Date: Practice Quiz AHS-2470 Instructions: Read each question carefully and choose the best answer to each one. Case 1: Joelle, a 78-year-old female. Subjective: She presents today for a follow-up visit to discuss her osteoporosis and rheumatoid arthritis She was diagnosed with osteoporosis in 1999 and her RA was diagnosed in 1996 Allergies: Cats, Bacitracin, Methocarbamol Medications: Zestril (lisinopril) 20mg, Plaquenil (hydroxychloroquine) 300mg, Fosamax (alendronate) 70mg, Deltasone (prednisone) 5ml, Calcium 800 mg, Vitamin D 1,000 IU Objective Vitals are WNL MSK: her hands show the swan's neck deformity, classic of rheumatoid arthritis 1. Which one of Joelle's medications a. Zestril b. Plaquenil with long-term usage can lead to osteopenia and eventually osteoporosis? a. Zestril b. Plaquenil C. Fosamax c. Fosamax d. Deltasone 4. Which one of Joelle's medications can cause the following side effects: fluid retention, hypertension, poor wound healing, depression, and weight gain? a. Zestril b. Plaquenil d. Deltasone 2. Which one of Joelle's medications is used to inhibit osteoclast activity to help reduce bone turnover and resorption? c. Fosamax a. Zestril d. Deltasone b. Plaquenil 5. If Joelle had a muscle spasm, which of the following medications may be prescribed as a skeletal muscle relaxant? C. Fosamax d. Deltasone 3. Which one of Joelle's medications must be taken witha glass of water, away any other medications, and after taking, she must sit upwards for 30-60 minutes? a. Voltaren (diclofenac) b. Cupirimine (penicillamine) c. Amrix (cyclobenzaprine) d. Robaxin (methocarbamol)

Answer 1

1. Deltasone as it is glucorticoid and high levels of glucocorticoids (both natural and synthetic) are associated with reduced activity of the bone-forming cells and increased activity of the cells that break down bone, which may result in bone loss

2. Fosamax as it belongs to bisphosphonates.

3. fosamax as this drug can damage foodpipe and if one will lie down afterwards, drug may come back to oesophagus therefore dont lie 30min after intake of drug.

4. deltasone

5.amrix cyclobenzaprine