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mcq thread of today - stefan78
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11-06-2008, 10:36 AM
The correct answer is A. Time-released oxycodone is becoming a major drug of abuse because it can be legally obtained through a doctor. It is an opioid that is used for cancer pain and chronic pain that was thought to have a low abuse potential because it provides a steady, slow flow of narcotic over an extended period of time and would not have an immediate, rapid euphoric effect. H
11-06-2008, 10:36 AM
You have been treating a 58-year-old woman for joint pain. Approximately 1 year ago, the patient presented with bilateral knee stiffness and pain, right greater than left. Her radiographs at the time showed joint space narrowing, some osteophytic growth, and subchondral sclerosis. She was started on nonsteroidal anti-inflammatory agents and, in the last 3 months, given intraarticular steroids. Today, she still complains of moderate to severe pain with activity and moderate pain at rest. Her activities of daily living are impaired and she is concerned that her therapy is not being effective. The most appropriate management at this time is to
A. continue current therapy encouraging patience B. initiate acetaminophen therapy C. initiate oxycodone and acetaminophen therapy D. initiate sustained release oxycodone therapy E. refer the patient for joint replacement surgery
11-06-2008, 10:41 AM
brawo
E. refer the patient for joint replacement surgery
11-06-2008, 10:42 AM
A 58-year-old woman comes to the office for a periodic health maintenance examination. She has no complaints and is generally in good health. She takes no medications and does not drink or smoke. You notice in her chart that her last menstrual period was two years ago, and at that time, she was not interested in discussing hormone replacement therapy. Now she says that she has noticed that a few of her friends have been "shrinking" and she is ready to take something "for osteoporosis." She has been doing some research on the Internet and read that women with thromboembolic disease should not take estrogen. She vaguely remembers having a few "blood clots" many years ago, before you were her doctor, and so she wants to try "one of the newer drugs." You are not sure if she is "remembering" this correctly, so you try to explain the benefits of estrogen replacement anyway, but she still is not interested. Dual energy absorptiometry (DEXA) shows a bone mineral density that is more than 2.5 standard deviations below the mean. Alendronate is prescribed. The patient should be advised to
A. avoid weight-bearing exercise B. continue taking alendronate, even if she experiences some mild chest pain and gastrointestinal symptoms, and return to the office as needed C. return to the office in one week for a complete blood count (CBC) D. take the alendronate, along with calcium, after breakfast E. take the alendronate first thing in the morning, on an empty stomach, with a full glass of water, and remain upright for at least 30 minutes |
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