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A patient starting an SSRI asks why improvement may take wee…

A patient starting an SSRI asks why improvement may take weeks. The NP explains: 

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A 26-year-old woman with moderate persistent asthma uses her…

A 26-year-old woman with moderate persistent asthma uses her albuterol inhaler multiple times during an exacerbation. Shortly after, she develops tremors and palpitations. Which mechanism best explains these side effects? 

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Which element is legally required on a prescription? 

Which element is legally required on a prescription? 

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A 64-year-old man with stage 2 hypertension is prescribed hy…

A 64-year-old man with stage 2 hypertension is prescribed hydralazine. Two weeks later, he develops palpitations and resting tachycardia. Which additional therapy best counteracts this adverse hemodynamic effect? 

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A patient with increased intracranial pressure is given mann…

A patient with increased intracranial pressure is given mannitol. Which comorbidity is an absolute contraindication? 

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A 73-year-old on donepezil for Alzheimer’s presents with nau…

A 73-year-old on donepezil for Alzheimer’s presents with nausea, bradycardia, and increased salivation. These are consistent with: 

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A 47-year-old post-op patient on morphine develops RR 6 and…

A 47-year-old post-op patient on morphine develops RR 6 and pinpoint pupils. Priority intervention? 

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ACE inhibitors slow diabetic nephropathy progression by: 

ACE inhibitors slow diabetic nephropathy progression by: 

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Which best explains why a partial agonist produces less effe…

Which best explains why a partial agonist produces less effect than a full agonist, even at high dose? 

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A 71-year-old woman with HFrEF (EF 25%) is on lisinopril, me…

A 71-year-old woman with HFrEF (EF 25%) is on lisinopril, metoprolol, and furosemide. She reports persistent edema despite high-dose furosemide. Labs: K 3.2, Cr 1.2. Which medication adjustment is most appropriate? 

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