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A patient taking prednisone for several months develops moon face, truncal obesity, and purple striae. Which medication class can cause Cushing syndrome with long-term use?
Corticosteroids
A diabetic patient taking chronic prednisone therapy has elevated blood sugars and recurrent infections. Which medication class increases infection risk and blood glucose?
Corticosteroids
A patient abruptly stops long-term prednisone therapy and develops weakness, hypotension, and fatigue. Which medication class can cause adrenal suppression?
Corticosteroids
A patient asks if they can suddenly stop taking prednisone after several months of therapy. Which medication class should never be stopped abruptly after long-term use?
Corticosteroids
A postmenopausal woman taking long-term prednisone develops a fragility fracture. Which medication class can cause osteoporosis with chronic use?
Corticosteroids
A patient with asthma uses a fluticasone inhaler daily. What instruction should the NP provide after each use?
Rinse mouth after use
A patient using inhaled fluticasone develops white patches in the mouth. Which medication class can cause oral candidiasis?
Inhaled corticosteroids
A patient taking metoprolol complains of fatigue and a heart rate of 48 bpm. Which medication class commonly causes bradycardia and fatigue?
Beta blockers
A patient started on lisinopril develops a persistent dry cough. Which medication class commonly causes this side effect?
ACE inhibitors
A patient taking hydrochlorothiazide develops elevated uric acid levels. Which medication causes hyperuricemia?
Thiazide diuretics
A patient with gout has more frequent flare-ups after starting hydrochlorothiazide. Which medication class can worsen gout?
Thiazide diuretics
An older adult taking verapamil complains of constipation. Which medication class commonly causes constipation in older adults?
Calcium channel blockers
A patient taking simvastatin drinks grapefruit juice daily. Which medication class should be avoided with grapefruit juice?
Statins
A patient taking atorvastatin develops severe muscle pain and dark urine. Which medication class can cause rhabdomyolysis?
Statins
A patient taking a statin requires routine laboratory monitoring. Which lab should be monitored with statin therapy?
Liver enzymes
A patient with elevated LDL cholesterol asks about first-line treatment. Which medication class is first-line for hyperlipidemia?
Statins
A patient taking niacin complains of facial flushing. Which medication causes flushing that may be reduced with aspirin?
Niacin
A patient with hyperlipidemia is prescribed a medication that binds bile acids in the intestine. Which medication is this?
Cholestyramine
A diabetic patient becomes sweaty, confused, and shaky after taking medication without eating. Which medication can cause hypoglycemia?
Insulin
A diabetic patient with severe renal impairment needs medication adjustment. Which diabetic medication should not be used in severe renal disease?
Metformin
An obese patient with type 2 diabetes develops abdominal pain after starting semaglutide. Which medication class can cause pancreatitis and weight loss?
GLP-1 agonists
A patient is prescribed lisinopril for hypertension. Medications ending in -pril belong to which medication class?
ACE inhibitors
A patient is prescribed losartan for hypertension. Medications ending in -sartan belong to which medication class?
ARBs
A patient is prescribed atenolol for hypertension. Medications ending in -lol belong to which medication class?
Beta blockers
A patient is prescribed amlodipine for hypertension. Medications ending in -dipine belong to which medication class?
Calcium channel blockers
A patient is prescribed atorvastatin for hyperlipidemia. Medications ending in -statin belong to which medication class?
Statins
A patient is prescribed omeprazole for GERD. Medications ending in -prazole belong to which medication class?
Proton pump inhibitors
A patient is prescribed famotidine for GERD. Medications ending in -tidine belong to which medication class?
H2 blockers
A patient is prescribed sildenafil for erectile dysfunction. Medications ending in -afil belong to which medication class?
PDE-5 inhibitors
A patient is prescribed fluoxetine for depression. Medications ending in -oxetine belong to which medication class?
SSRIs
A chemotherapy patient receives ondansetron for nausea. Medications ending in -setron belong to which medication class?
Antiemetics
A patient with asthma uses albuterol as needed. Medications ending in -terol belong to which medication class?
Bronchodilators
A patient with asthma is prescribed montelukast. Medications ending in -lukast belong to which medication class?
Leukotriene inhibitors
A patient receives lidocaine before a procedure. Medications ending in -caine belong to which medication class?
Local anesthetics
A patient with rheumatoid arthritis is prescribed adalimumab. Medications ending in -mab belong to which medication class?
Monoclonal antibodies