Question

Name: Practice Quiz Date: AHS-2470 Instructions: Answer the questions to the best of your ability. Case 1: Joshua, a 27-year-old male Subjective: Patient presents today for an annual examination He would also like to discuss symptoms he believes are ADHD His problem list includes insomnia, recurring muscle spasms, and constipation FHx: Glaucoma, substance abuse, insomnia, and Crohn's disease SHX: Smokes 10 cigarettes a day, drinks 2-3 beers nightly, does not exercise Medication list: Ambien (Zolpidem) 10mg prn, Flexeril (cyclobenzaprine) 10mg prn, • Allergies: o Penicillins, Tetracyclines, Kiwis, and Latex Objective: • Vitals are WNL, you do note that the patient is obese Patient is A&Ox3 1. Which of the following skeletal muscle relaxants is a controlled substance? a. Robaxin (methocarbamol) b. Ozobax (baclofen) C. Valium (diazepam) d. Skelaxin (metaxalone) 3. Which of the following medications is commonly prescribed for the treatment of ADHD? a. Klonopin (clonazepam) b. Vyvanse (lisdexamfetamine) C. Ketalar (ketamine) d. Buprenex (buprenorphine) 2. Which of the following types of laxatives works by absorbing water, thus expanding and causing peristalsis of the colon? a. Stool softener b. Stimulant laxative c. Osmotic laxative d. Bulk-forming 4. Which of the following set of symptoms can be seen in a patient who is abusing amphetamine? 1. Dilated pupils, nervousness, and chills II. Dry mouth, fatigue, and tachycardia III. Cough, urticaria, and coma a. I & II b. I & III C. II & III d. All of the above

Answer 1

1. Valium or diazepam. It is benzodiazepine derivative. It causes psychological and physical dependence. The risk of dependence is increases with duration of treatment and alcohol or drug abuse.
2. Osmotic laxative. It causes water retention. Example magnesium salt which release cholecystokinin which retain water and increase intestinal motility or peristalsis.
3. Vyvanse or lisdexamfetamine is commonly prescribed for ADHD. It act in reticular activating system which stimulate cerebral cortex prevent hyperactivity.
4. All of the above such as dialated pupils, nervousness, chills, dry mouth, fatigue, tachycardia, cough, urticaria and coma.