Green Highlight – correct; Yellow – maybe but not confirmed; Red - Wrong MSN 571 – Midterm What is the first line therapy when treating hyperlipidemia? A. Bile Acide Sequestrants B. Statin Therapy C. Lifestyle modifications D. Niacin A patient asks you how does the statin drugs work. How would you respond? A. “It inhibits the absorption of dietary cholesterol in the small intestine” B. “it inhibits hydroxymethyl lutaryl- coenzyme A (HMG-CoA) reductase to reduce the biosynthesis of cholesterol in the liver” C. “it binds to bile in the intestinal track forming an insoluble complex that is excreted in the feces” D. “It stimulates the biliary system to increase the excretion of dietary cholesterol” Which drug is the most effective for lowering low density lipoprotein (LDL) cholesterol? A. Atorvastatin B. Gemfibrozil C. Ezetimibe D. Cholestyramine A patient tells you that she gets red after taking her niacin. What advice do you give her? A. Discontinue the medication B. Drink plenty of water C. premedicate with aspirin You are managing a stable middle-aged adult with emphysema. In addition to reinforcing smoking cessation and medication schedules which annual intervention will you recommend? A. Pneumococcal polysaccharide vaccine (PPSV23) B. Pneumococcal conjugate vaccine (PCV13) C. Quadrivalent inactivated influenza vaccine (QIV) D. Live attenuated influenza vaccine (LAV) A patient who is taking OTC proton pump inhibitors was recently placed on an oral antifungal for a fungal infection. After a week, the patient reported that the fungal infection has not improved. Which antifungal medication was the patient taking? A. Fluconazole B. Caspofungin C. Intraconazole D. Amphotericin B