The patient has been placed on zolmitriptan (Zomig). Which of the following drugs should the patient avoid receiving concurrently?
a. Macrolide antibiotics
b. Beta blockers
c. Calcium channel blockers
d. Antihypertensives
ANS: A
Many drugs interact with triptans; the primary concern is sustained vasoconstriction and vaso-spasm leading to ischemia. These drugs include macrolide antibiotics, azole antifungal drugs, and ergotamine, caffeine, nefazodone, nelfinavir, ritonavir, and CYP 3A4 inhibitors.
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A patient has a low bile level in his small intestine. Absence of which substance would explain this low bile level?
A) Gastrin B) Pepsin C) Cholecystokinin D) Mucus
Information in the electronic health record (EHR) may be owned by the patient or stakeholder. Which of the following about the EHR is different than the electronic medical record (EMR)?
1. It does not provide interactive client access. 2. Clients may append information if desired. 3. Dental records components are not included. 4. The EHR records and manages only episodic information.
Mrs. Greene, who is 68 years old, is at your clinic for her annual physical. She is quiet and does not use her usual quick sense of humor. She tells you, "I feel like an old rag. I can't hear or see as well as I could before
What's wrong with me?" You are able to tell her: A) "Mrs. Greene, some vision and hearing loss is normal in the aging process. The doctor can run some tests and discuss options with you." B) "Mrs. Greene, don't worry. I'm sure it's nothing!" C) "Well, at least you don't need to worry about driving anymore." D) "Why are you feeling so concerned, Mrs. Greene?"
Which artery is the most appropriate for assessing the pulse of a small child?
a. Radial b. Femoral c. Brachial d. Ulnar