When determining drug treatment the NP prescriber should:

1. Always use evidence-based guidelines
2. Individualize the drug choice for the specific patient
3. Rely on his or her experience when prescribing for complex patients
4. Use the newest drug on the market for the condition being treated


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What occurs as a result of an inadequate secretion of insulin?

a. Protein synthesis is increased. b. Increased fat breakdown leads to ketonemia. c. Serum glucose levels are markedly decreased. d. More rapid conversion and storage of carbohydrates to glucose occurs.

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When prescribing ergotamine suppositories (Wigraine) to treat acute migraine, patient education would include:

1. Ergotamine will briefly make the migraine worse before the migraine resolves. 2. The patient may experience bradycardia and dizziness. 3. They may need premedication with an antinausea medication. 4. Ergotamine works best if the patient starts off with a full suppository to get the full effect.

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Which diagnostic test has long been considered the "gold standard" for a diagnosis of venous thromboembolism?

a. Ultrasound c. Ascending venogram b. Magnetic resonance imaging (MRI) d. D-dimer

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Which statement regarding childhood obesity is most accurate?

a) Lack of exercise is a major factor in childhood obesity b) Obesity reflects a lack of willpower. c) Due to increased media focus on the problem, childhood obesity rates are declining. d) Twenty-five percent of children in the United States are obese.

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