ATI RN
Endocrine Pharmacology Quizlet Questions
Question 1 of 5
A 34-year-old man who is obese has been unable to lose weight by diet management and exercise. He also has hypertension and prediabetes. His physician prescribes orlistat to cut down on the amount of calories he takes in. Which of the following describes the mechanism of orlistat?
Correct Answer: D
Rationale: Orlistat inhibits pancreatic lipase, reducing fat absorption in the gut, aiding weight loss by lowering caloric intake.
Question 2 of 5
A son brings his 72-year-old father into his scheduled follow-up after being placed on a new pharmacotherapy for his chronic hypertension. The patient also suffers from renal failure, and his son is his primary caretaker. Although the patient was on the maximum dose of hydralazine in addition to an ACE inhibitor and diuretic, the therapy has not effectively managing his severe hypertension. If the doctor replaces the hydralazine in the patient's drug regime, what medication is most likely to be chosen as a replacement?
Correct Answer: D
Rationale: Minoxidil, a potent vasodilator, is often used for refractory hypertension, suitable for replacing hydralazine in severe cases with renal failure.
Question 3 of 5
A 34-year-old man with a history of thyroid problems is brought to the emergency department with tachycardia, chest pressure, and sweating. He is thought to have thyroid storm. Which of the following treatment strategies is important in the management of this patient?
Correct Answer: A
Rationale: Thyroid storm requires rapid IV administration (e.g., PTU, beta-blockers) for efficacy due to its acute, life-threatening nature.
Question 4 of 5
A 16-year-old girl with primary dysmenorrhea, abnormal menses, and pelvic pain presents to her primary care physician for treatment. She has a history of asthma and allergic rhinitis. Her physician begins therapy with oral estradiol. Which of the following is the most common adverse effect for this patient to be aware of?
Correct Answer: D
Rationale: Nausea is the most common side effect of oral estradiol, especially early in therapy, due to estrogen's GI effects.
Question 5 of 5
A 44-year-old black man is brought to the emergency department by a friend with 6~h of worsening lethargy and confusion. Past medical history is significant for easy bruising, 3 months of bone pain, and frequent pneumococcal infections. Labs were ordered, revealing a serum calcium of 17mg\dL (normal: 9 to 10.5 \mg\dL ). Which of the following may be used to rapidly lower his serum calcium?
Correct Answer: A
Rationale: Calcitonin rapidly lowers serum calcium by inhibiting osteoclast activity, useful in hypercalcemia (e.g., from multiple myeloma suggested by his symptoms).