ATI RN
Endocrine Pharmacology Quizlet Questions
Question 1 of 5
A 63-year-old woman falls at home and fractures her wrist. She has a 40 pack-year history of smoking. Her doctor recommends a DXA scan, which reveals a very low bone density and prescribes alendronate. How will alendronate help this patient?
Correct Answer: C
Rationale: Alendronate, a bisphosphonate, inhibits osteoclast activity, reducing bone resorption and improving bone density in osteoporosis.
Question 2 of 5
A 46-year-old man with hypertension presents to his primary care physician for follow-up. He has a good blood pressure control as evidenced by normal levels on his home blood pressure machine. He currently takes hydrochlorothiazide. Which of the following laboratory studies should be undertaken in this patient?
Correct Answer: B
Rationale: Hydrochlorothiazide can cause electrolyte imbalances (e.g., hypokalemia, hyponatremia), necessitating regular monitoring of electrolytes.
Question 3 of 5
A 21-year-old woman plans to spend a semester high in the Andes. She shares a concern with her doctor about the elevation because 1 year ago, she went on a ski trip to Colorado and developed altitude sickness. Her doctor prescribes a diuretic that can help her if she begins to have symptoms of altitude sickness. Which diuretic did her doctor likely prescribe?
Correct Answer: A
Rationale: Acetazolamide, a carbonic anhydrase inhibitor, prevents altitude sickness by inducing metabolic acidosis, stimulating ventilation, and improving oxygenation.
Question 4 of 5
A 76-year-old man with a history of falls, hypertension, and kidney stones presents to his primary care physician for follow-up. His blood pressure is 140 / 100~mmHg. He is placed on hydrochlorothiazide. This agent may be helpful in prevention of renal stones through which of the following mechanisms?
Correct Answer: C
Rationale: Hydrochlorothiazide increases renal tubular calcium reabsorption, reducing urinary calcium and preventing calcium-based kidney stones.
Question 5 of 5
A 56-year-old male with insulin-dependent diabetes and with poorly controlled blood sugar is on regular insulin. His primary care physician adds pramlintide in an effort to further reduce his blood sugar levels. An important condition to rule out in this patient would be which of the following?
Correct Answer: A
Rationale: Pramlintide slows gastric emptying; pre-existing gastric retention (e.g., gastroparesis) must be ruled out to avoid exacerbating GI issues.