1. Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47- year-old premenopausal woman? a) Hirsutism b) Gynecomastia c) Oligomenorrhea d) Acne Hyperprolactinemia causes typical symptoms in premenopausal women and in men, but not in postmenopausal women. Premenopausal women — Hyperprolactinemia in premenopausal women causes hypogonadism, with symptoms that include infertility, oligomenorrhea, or amenorrhea and less often galactorrhea. (uptodate.com/clinical-manifestations) 2. When treating a patient with asthma who is experiencing acute wheezing which medication should be given to relieve the symptom? a) Short acting bronchodilator b) Long acting bronchodilator c) Inhaled corticosteroid d) Combination of methylxanthine and long acting bronchodilator Short-Acting Beta Agonist (SABA) inhalers; used for acute asthma attacks; quickly reduce airway constriction & restore normal airflow; agonists/stimulators of adrenergic receptors in SNS (sympathomimetics); albuterol (Ventolin), levalburterol (Xopenex), pirbuterol (Maxair), terbutaline (Brethine), metaproterenol (Alupent). (Quizlet Pharm Ch 37 Respiratory drugs) 3. Which immunization reduces a patient’s risk for infection with the virus that causes painful localized blistering rash? a) Smallpox vaccine b) Varicella vaccine (chicken Pox) c) Shingles (herpes zoster) vaccine d) Meningococcal vaccine Shingles (herpes zoster) is an extremely painful skin rash caused by the varicella zoster virus, the same virus that causes chickenpox. In people who have had chickenpox, the virus is never fully cleared from the body; instead, it remains dormant in the nerve tissues. (medicinet.com/shingles) 4. Headache warning signs that need prompt investigation include all of the following EXCEPT: a) new onset after age 50 b) aggravated or relieved by change of position c) precipitated by Valsalva maneuver d) Headache relieved with mild infrequent use of analgesics 5. The client with iron deficiency anemia should be advised to take the iron supplement a) With milk to avoid stomach upset b) With milk of magnesia at bedtime to avoid constipation c) On an empty stomach between meals