NAPLEX Exam Question 16

LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA.
His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN's medication includes Dexamethasone 8 mg iv q6h with taper dosing, Ondansetron 4 mg iv q6h prn for N/V, Levothyroxine 0.075 mg po daily, Lisinopril 10 mg po daily, Citalopram
20 mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10 mg suppository daily prn for constipation, Famotidine 20 mg iv q12hr, Metoclopramide 10 mg iv q6h, Metformin 500 mg po bid, D51/2NS with 20K at 125mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1 mg. lock-out every 6min, one hour limit 2.2 mg/hour. Pertinent morning labs includes serum creatinine 1.4 mg/dl, Mg 1.5 mg/dl, K 5.0 mmol/L, Na 135 mmol/L.
Which of the following medication may significantly cause QT prolongation?
  • NAPLEX Exam Question 17

    JK is a 67 years old African American man who presents to your clinic for his blood pressure management.
    His past medical history includes Peptic ulcer disease and hypertension. His two BP readings are 160/98,
    159/96 and HR 85. He says he has been adherent to his medication and lifestyle. He currently takes 12.5mg Chlorthalidone and Prilosec 20mg daily.
    Which of the following is the best strategy to manage his blood pressure?
  • NAPLEX Exam Question 18

    How many millimoles of sodium are in 0.9% sodium chloride?
  • NAPLEX Exam Question 19

    Proportion of people in a population who have a particular disease at a specified point in time or over a specified period of time is definition as which of the following?
  • NAPLEX Exam Question 20

    A fasting blood glucose level greater than what value is an indicator of type 2 diabetes?
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