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Author Archives: Anonymous

A 24-year-old woman who is 12 weeks pregnant is diagnosed wi…

A 24-year-old woman who is 12 weeks pregnant is diagnosed with uncomplicated Chlamydia trachomatis infection by NAAT. She reports a history of anaphylaxis to azithromycin and erythromycin (macrolides). According to current CDC STI Treatment Guidelines, which treatment is the most appropriate?

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A patient with rheumatoid arthritis is started on a disease-…

A patient with rheumatoid arthritis is started on a disease-modifying antirheumatic drug (DMARD). Which medication carries a boxed warning for severe hepatotoxicity requiring routine liver function monitoring?

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A 29-year-old woman chooses a progestin-only contraceptive b…

A 29-year-old woman chooses a progestin-only contraceptive because she is breastfeeding and has migraine with aura. Which common adverse effect should the nurse practitioner include in patient education?

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Sheryl Crow is a 38-year-old woman who presents with recurre…

Sheryl Crow is a 38-year-old woman who presents with recurrent episodes of abdominal cramping associated with intermittent diarrhea. She reports that the abdominal discomfort improves following defecation. After excluding alarm features and other gastrointestinal disorders, she is diagnosed with irritable bowel syndrome with diarrhea (IBS-D). Which antispasmodic medication is most appropriate for the management of her abdominal cramping and intestinal spasms?

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Sally Sue is a 58-year-old woman who presents with weight lo…

Sally Sue is a 58-year-old woman who presents with weight loss, palpitations, tremor, heat intolerance, and laboratory findings of suppressed TSH and elevated free T4. She is diagnosed with hyperthyroidism due to Graves’ disease. Which medication is considered the first-line antithyroid drug for most adults?

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A 60-year-old man with an LDL cholesterol of 185 mg/dL is st…

A 60-year-old man with an LDL cholesterol of 185 mg/dL is started on pharmacologic therapy. Which medication class is first-line?

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Terry Fung is a 61-year-old Thai male who presents with seve…

Terry Fung is a 61-year-old Thai male who presents with severe pain, erythema, warmth, and swelling of the left first metatarsophalangeal (MTP) joint. He is diagnosed with an acute gout flare and has a history of recurrent gout attacks. After appropriate treatment of the acute flare, the nurse practitioner plans to initiate long-term urate-lowering therapy to prevent future attacks. Which medication should the nurse practitioner prescribe as the initial urate-lowering therapy to prevent future gout flares?

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Aspirin should generally be avoided in children with viral i…

Aspirin should generally be avoided in children with viral illnesses because of the risk of:

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A patient with diabetic peripheral neuropathy reports burnin…

A patient with diabetic peripheral neuropathy reports burning pain in both feet. Which medication is FDA-approved as first-line treatment?

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A patient taking eluxadoline should be educated to immediate…

A patient taking eluxadoline should be educated to immediately report symptoms suggestive of:

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