Thyroid, Adrenal, And Miscellaneous Endocrine Drugs

40 Questions | Total Attempts: 74

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Drug Quizzes & Trivia

Questions and Answers
  • 1. 
    Chronic administration of Winstrol may produce all of the following complications EXCEPT:
    • A. 

      Prostate enlargement

    • B. 

      Increased testicular size

    • C. 

      Gynecomastia in men

    • D. 

      Accelerated atherosclerosis

    • E. 

      Decreased menses in women

  • 2. 
    The patient in Profile #2 is discharged on a new prescription for Deltasone 40 mg qd for 7 days. He should be instructed to:
    • A. 

      Check feet closely for wounds

    • B. 

      Take ibuprofen for musculoskeletal pain

    • C. 

      Take on an empty stomach

    • D. 

      Take at bedtime

    • E. 

      Wear identification for steroid therapy

  • 3. 
    J. T. is a 23-year-old male who presents to your outpatient pharmacy and asks to speak to the pharmacist. He inquires about natural remedies for breast enlargement. He also purchases benzoyl peroxide cream and facial cleanser, asking if these are the best products for acne. Which of the following drugs is he likely to be using?
    • A. 

      Depo-Medrol (methylprednisolone)

    • B. 

      Solu-Cortef (hydrocortisone)

    • C. 

      Cytomel (liothyronine)

    • D. 

      Anadrol-50 (oxymetholone)

    • E. 

      Lugol’s iodine solution

  • 4. 
    Which of the following drugs is used to treat Cushing's disease? I. ketoconazole II. aminoglutethimide III. mitotane
    • A. 

      I only

    • B. 

      III only

    • C. 

      I and II only

    • D. 

      II and III only

    • E. 

      I, II, and III

  • 5. 
    S. M. is a 62-year-old male with COPD who presents to the emergency department for an acute exacerbation of his COPD. The emergency department physician administers methylprednisolone 125 mg IV × one dose prior to admission to the hospital’s general medical floor. S. M. remains on methylprednisolone 80 mg IV every 6 hours for 8 days before he experiences significant improvement. On day 9, although he is improving otherwise, he complains of significant heartburn. Which of the following is the best treatment plan for S. M.’s corticosteroid therapy in the long term?
    • A. 

      Continue S. M. on methylprednisolone 80 mg IV every 6 hours indefinitely because it is useful for COPD and has minimal side effects.

    • B. 

      Change S. M.’s corticosteroid to the equivalent dose of prednisone po, and keep him on it indefinitely because it is useful for COPD and has minimal side effects.

    • C. 

      Change S. M.’s corticosteroid to the equivalent dose of prednisone po and gradually taper over the course of 2 weeks until discontinued.

    • D. 

      Discontinue the methylprednisolone immediately because it is no longer needed.

    • E. 

      Discontinue the methylprednisolone immediately because he is experiencing unacceptable side effects.

  • 6. 
    Decreased urine production is an effect of:
    • A. 

      Carmustine

    • B. 

      Propylthiouracil

    • C. 

      ACTH

    • D. 

      Desmopressin

    • E. 

      SSKI

  • 7. 
    Which of the following drugs may be used to diagnose adrenal insufficiency?
    • A. 

      Desmopressin

    • B. 

      Clemastine

    • C. 

      Captopril

    • D. 

      Cosyntropin

    • E. 

      Aminoglutethimide

  • 8. 
    Androderm is administered:
    • A. 

      Once daily

    • B. 

      Three times per week

    • C. 

      Once weekly

    • D. 

      Monthly

    • E. 

      Every 2 weeks

  • 9. 
    Which of the following hormones is secreted by the pituitary gland?
    • A. 

      Adrenocorticotropic hormone

    • B. 

      Testosterone

    • C. 

      Cortisol

    • D. 

      Thyroxine

    • E. 

      Corticotropin-releasing hormone

  • 10. 
    A patient with atrial fibrillation may require a decreased warfarin dosage when the following drug is initiated:
    • A. 

      Liothyronine

    • B. 

      Rifampin

    • C. 

      Methimazole

    • D. 

      Phenytoin

    • E. 

      Diphenhydramine

  • 11. 
    The Synthroid prescription dispensed to Mrs. Ricardo on 3/21 requires advising her to:
    • A. 

      Take 4 hours before or 4 hours after Questran

    • B. 

      Take with food

    • C. 

      Watch for signs of infection

    • D. 

      Take as needed to keep desired level of energy

    • E. 

      Discontinue if you experience nausea

  • 12. 
    Which of the following drugs works by decreasing cortisol synthesis?
    • A. 

      Cortrosyn

    • B. 

      ACTH

    • C. 

      Oxandrolone

    • D. 

      Prednisone

    • E. 

      Metyrapone

  • 13. 
    Which of the following drugs may produce hypothyroidism? I. amitriptyline II. lithium III. amiodarone
    • A. 

      I only

    • B. 

      III only

    • C. 

      I and II only

    • D. 

      II and III only

    • E. 

      I, II and III

  • 14. 
    K. R. is a 54-year-old male taking methyltestosterone for AIDS-related wasting disease. Which of the following should be used to monitor him for adverse effects from this drug?
    • A. 

      Digital rectal exam

    • B. 

      Hemoglobin A1c

    • C. 

      Serum creatinine

    • D. 

      Urinalysis

    • E. 

      Serum calcium

  • 15. 
    Which of the following drugs is best for rapid control of thyroid storm?
    • A. 

      Propylthiouracil

    • B. 

      Lugol’s iodine solution

    • C. 

      Methimazole

    • D. 

      Liothyronine

    • E. 

      Liotrix

  • 16. 
    Which of the following drugs is indicated for use in sepsis to augment the effects of vasopressor therapy?
    • A. 

      Pitressin (vasopressin)

    • B. 

      DDAVP (desmopressin)

    • C. 

      Cortrosyn (cosyntropin)

    • D. 

      Tapazole (methimazole)

    • E. 

      Triostat (liothyronine)

  • 17. 
    Chronic administration of glucocorticoids predisposes patients to:
    • A. 

      Arthritis

    • B. 

      Obesity

    • C. 

      Alzheimer's disease

    • D. 

      Osteoporosis

    • E. 

      Hepatitis

  • 18. 
    A patient is taking prednisone 40 mg daily for 6 months. Upon abrupt cessation, which of the following may occur?
    • A. 

      Myopathy

    • B. 

      Diabetes

    • C. 

      Infection

    • D. 

      Adrenal crisis

    • E. 

      Psychosis

  • 19. 
    V. R. is a 76-year-old female with a history of rheumatoid arthritis. Her medications for this condition include etanercept 50 mg subcutaneously once weekly and prednisone 5 mg po daily. She is admitted to the general medical ward of her local hospital for a deep venous thrombosis, and her physician asks for recommendations regarding her home medications. After 3 days in the hospital, V. R. experiences shortness of breath and hemodynamic instability. She is diagnosed with a pulmonary embolism, she is intubated, and she is sent to the ICU. Her physician then specifies she is to have nothing by mouth. Which of the following is the most appropriate plan regarding her prednisone therapy?
    • A. 

      Discontinue prednisone immediately upon transfer to the ICU.

    • B. 

      Taper prednisone over the course of 3 days after transfer to the ICU.

    • C. 

      Continue prednisone by mouth at the same dose she was previously receiving.

    • D. 

      Convert her current prednisone dose to the equivalent dose of methylprednisolone IV.

    • E. 

      Change prednisone to methylprednisolone IV at a dose that is higher than the equivalent of her previous prednisone dose.

  • 20. 
    Which of the following drugs can be used to treat Cushing’s disease?
    • A. 

      Itraconazole

    • B. 

      Fluconazole

    • C. 

      Amphotericin B

    • D. 

      Terbinafine

    • E. 

      Ketoconazole

  • 21. 
    Close monitoring of adrenal hormone secretion may be required when administering:
    • A. 

      Methyltestosterone

    • B. 

      Mitotane

    • C. 

      Desmopressin

    • D. 

      Iodides

    • E. 

      Propylthiouracil

  • 22. 
    Which of the following drugs can be used to prevent or decrease surgery-related bleeding in patients with von Willebrand’s disease?
    • A. 

      Acthar Gel (corticotropin)

    • B. 

      Stimate (desmopressin)

    • C. 

      Florinef (fludrocortisone)

    • D. 

      Lysodren (mitotane)

    • E. 

      SSKI (saturated solution of potassium iodide)

  • 23. 
    Which of the following tests should be done frequently in patients taking desmopressin chronically?
    • A. 

      Serum potassium

    • B. 

      Urine ketones

    • C. 

      Serum sodium

    • D. 

      Serum calcium

    • E. 

      B-natriuretic peptide (BNP)

  • 24. 
    An increased risk of peptic ulcer disease occurs when NSAIDs are combined with:
    • A. 

      Ranitidine

    • B. 

      Ferrous sulfate

    • C. 

      Dexamethasone

    • D. 

      Carbamazepine

    • E. 

      Acetaminophen

  • 25. 
    H. P. is a 42-year-old male who presents to his physician. His complaints include increased hair growth on his back and chest; easy bruising; anxiety; fluid retention; and weight gain concentrated in his face, neck, and upper back. Which of the following disorders is H. P. most likely exhibiting?
    • A. 

      Cushing’s disease

    • B. 

      Addison’s disease

    • C. 

      Graves’ disease

    • D. 

      Hyperthyroidism

    • E. 

      Hypothyroidism

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