A 27-year-old woman complains of right flank pain and hematuria. She has passed calcium oxalate stones in the past and likely has another stone. After treating her for her stone, which of the following diuretics should she avoid to prevent future calcium oxalate stones?

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ATI Pharmacology Across the Lifespan Questions

Question 1 of 5

A 27-year-old woman complains of right flank pain and hematuria. She has passed calcium oxalate stones in the past and likely has another stone. After treating her for her stone, which of the following diuretics should she avoid to prevent future calcium oxalate stones?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 68-year-old man with congestive heart failure presents to the emergency department with shortness of breath. He has +2 pitting edema in his extremities as well. A chest X-ray confirms the presence of pulmonary edema. The patient is given ethacrynic acid to diurese the excess fluid. Where in the nephron does ethacrynic acid act?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 42-year-old woman presents to the emergency department with fevers and headaches for the past 3 days. The fevers are off and on but are usually at least 102.5°F. Her headaches usually occur at the same time as the fevers. Splenomegaly is noted on examination. Peripheral blood smear confirms the presence of Plasmodium vivax. What is the most appropriate treatment for the dormant form of the parasite in the liver?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

An 18-year-old woman comes to the physician because of nausea, vomiting, and abdominal pain 1 hour after ingesting a glass of wine with dinner. Three days ago, she began antibiotic treatment for vaginitis after a wet mount preparation of vaginal discharge showed a motile protozoan. This patient most likely has been taking which of the following drugs?

Correct Answer: D

Rationale: The motile protozoan indicates Trichomonas vaginalis, treated with metronidazole (D). Metronidazole causes a disulfiram-like reaction with alcohol, leading to nausea, vomiting, and abdominal pain due to acetaldehyde accumulation from inhibited aldehyde dehydrogenase. Ceftriaxone treats bacterial infections, chloroquine malaria, and clindamycin anaerobic bacteria—none target protozoa or cause this reaction with alcohol.

Question 5 of 5

A 38-year-old woman with an 18-year history of type 1 diabetes mellitus and progressive renal failure is being considered for dialysis. Laboratory studies show normocytic, normochromic anemiWhich of the following medications is most appropriate to treat the anemia in this patient?

Correct Answer: A

Rationale: Chronic renal failure from type 1 diabetes reduces erythropoietin production by the kidneys, causing normocytic, normochromic anemiErythropoietin replacement stimulates red blood cell production, correcting this. Folic acid and folinic acid treat megaloblastic anemia, thiamine beriberi, and B₁₂ (E) pernicious anemia—none address renal anemia.

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