Question

Question 15 

Mr. Mc Connell carries a diagnosis of poorly controlled asthma. The Nurse Practitioner is checking the electronic health record and notes that his usage of Albuterol is excessive. Mr. Mc Connell is going through 1 canister every 10 days. What would your first steps be and what recommendations would you give this patient? Please explain your rationale.

Question 16 

Mr. Jackson carries a diagnosis of coronary artery disease and sometimes experiences exertional angina. When this occurs he uses 1 tablet of NTG 0.4 mg SL which relieves the discomfort. What medication is absolutely contraindicated when using NTG and why? What should be advised if the patient experiences non exertional chest pain and why? 

Question 17 Colchicine is commonly prescribed for Gout exacerbations. What other conditions might Colchicine be prescribed for and why?  

Question 18 A high dose of Prednisone (80 mg per day) was prescribed for Mr. Ryan who suffered an exacerbation of COPD. Can Prednisone be stopped abruptly or should the dose be calibrated down slowly? Please explain your answer.  

Question 19 Which anti emetic might cause Tardive Dyskinesia ? Please explain the signs / symptoms the patient may exhibit. What is the treatment for this?  

Question 20  What class of antibiotics may cause a tendon rupture? What makes it more likely to occur ? What instructions should be given to the patient when prescribing this class of antibiotic?  

Answer 1