Catapult Pharmacology

Catapult Pharmacology

Endocrinology Quiz

Question 1
1.

A 6-year old has growth hormone deficiency. He is prescribed somatostatin. What is the mechanism of action of somatostatin?

Question 2
2.

A 64-year old with alcoholic liver cirrhosis with known gastroesophageal varices presents to the emergency department with massive hematemesis. He is given blood products and ceftriaxone. Which other medication should be considered?

Question 3
3.

A 72-year old currently being treated for prostate cancer is prescribed leuprolide. Which of the following adverse effects should be expected?

Question 4
4.

A 65-year old with Parkinson's disease is trialed on bromocriptine for symptom control. Which of the following adverse effects would be expected? (Select all that apply)

select all that apply
Question 5
5.

A 33-year old is admitted to the labor and delivery unit. She has a history of postpartum hemorrhage. Which of the following medications would be indicated to treat recurrent postpartum hemorrhage?

Question 6
6.

An 8-year old presents with bed wetting. Family has limited water before bedtime, used bed alarms, and awoken patient for scheduled bathroom breaks without improvement. Which medication should be considered?

Question 7
7.

A 56-year old in the ICU after a head injury has large urine output. He is found to have hypernatremia and low urine sodium levels. Which of the following treatments should be initiated?

Question 8
8.

A 25-year old presents to the emergency department with palpitations. Patient is noted to have tachycardia, sweatiness, nausea, vomiting, tremulous, and anxiety. TSH is found to be undetectable. Free T4 levels are extremely elevated. Which of these medications can be used for treatment?

Question 9
9.

Which of the following is an adverse effect of methimazole?

Question 10
10.

Which of the following medications is a long-acting insulin?

Question 11
11.

EMS is called to the home of an individual for altered mental status. Friends note that the patient is a diabetic. The patient is unresponsive but has a pulse. EMS obtains IV access and a blood sugar, which is found to be 34 mg/dL (normal 70-99 mg/dL). Which of the following medications is most appropriate?

Question 12
12.

A patient presents to the emergency after accidentally overdosing on his insulin glargine. How long will the patient be at risk of developing hypoglycemia due to the insulin glargine?

Question 13
13.

A 34-year old type II diabetic with diabetic gastroparesis presents to the clinic for a recheck. It is determined that you need to add an additional medication to her regimen. Which medication should you avoid?

Question 14
14.

A 41-year old type II diabetic presents with concerns about low blood sugars in the evenings. He is prescribed insulin, metformin, pramlintide, and glipizide. Which of the following medications is not the source of his hypoglycemia?

Question 15
15.

A 56-year old with history of obesity, type II diabetes, high blood pressure, and high cholesterol presents to the clinic for diabetes management. What would be a positive side effect of semaglutide if prescribed for diabetes control?

Question 16
16.

What is the mechanism of action of exenatide?

Question 17
17.

A 69-year old presents to the emergency department with altered mental status. He has a history of diabetes and has been treated with metformin, pioglitazone, and glyburide for a number of years with no recent changes in his medications. Family notes that had a prolonged diarrheal illness recently. He is found to have hypoglycemia and acute renal failure. He was given glucose and improved. What is the cause of the low blood sugar?

Question 18
18.

What is the mechanism of action of repaglinide?

Question 19
19.

Which of the following medications can cause lactic acidosis?

Question 20
20.

What is the mechanism of action of pioglitazone?

Question 21
21.

Which of the following medications inhibits DDP-4 (dipeptidyl peptidase-4)?

Question 22
22.

A 67-year old female with type II diabetes with history of frequent urinary tract infections presents to the clinic for diabetes follow up. She has poorly controlled diabetes, and you are considering additional medications for glycemic control. Which medications should be avoided?

Question 23
23.

Which of these medications is an estrogen analog?

Question 24
24.

A 38-year old smoker presents to the emergency department with difficulty breathing. She has a history of asthma, hypertension, and heart failure. She takes metoprolol, furosemide, ethinyl estradiol for birth control, and albuterol. She is diagnosed with a pulmonary embolism. You prescribe anticoagulants. What other interventions should you perform? (Check all that apply).

select all that apply
Question 25
25.

Tamoxifen is used in the treatment of breast cancer. What is its mechanism of action?

Question 26
26.

Which of the following effects aid in the contraceptive effects of progesterone?

select all that apply
Question 27
27.

Which of the following medications increases the risk of venous thromboembolism?

Question 28
28.

A 23-year old female presents to the clinic with concerns about becoming pregnant. She had unprotected intercourse on the previous day and does not desire pregnancy. Which of the following medications is indicated?

Question 29
29.

A 33-year old male consults your clinic for hair loss. Which of the following medications would be indicated?

Question 30
30.

A 34-year old female with multiple gestation on bedrest in the labor and delivery ward is awaiting cesarean section for delivery in 2 days. She is currently at 32 weeks of gestation. Which of the following medications should be administered?

Question 31
31.

Which of the following would be expected from long-term glucocorticoid use?

select all that apply