MACE Medical Reactions or Conditions 2

Question 1

A resident taking metformin for type 2 diabetes develops nausea, vomiting, and muscle pain. Which serious condition should the medication aide report immediately?

Accepted Answer

Lactic acidosis

Answer

Lactic acidosis is a rare but life-threatening adverse effect of metformin, characterized by nausea, vomiting, and myalgia.

Question 2

Which symptom is MOST characteristic of an anticholinergic reaction to medication?

Accepted Answer

Dry mouth, urinary retention, and flushed skin

Answer

Anticholinergic effects include dry mouth, urinary retention, flushed skin, tachycardia, and blurred vision due to blockade of muscarinic receptors.

Question 3

A resident on warfarin reports blood in the urine and prolonged bleeding from a small cut. What type of reaction is occurring?

Accepted Answer

Toxic/overdose reaction

Answer

Hematuria and prolonged bleeding in a patient on warfarin indicate excessive anticoagulation, a toxic reaction from the drug's pharmacologic action.

Question 4

Which condition is indicated by a resident's complaint of severe headache, stiff neck, and sensitivity to light after starting a new antibiotic?

Accepted Answer

Meningitis must be ruled out immediately

Answer

Severe headache, nuchal rigidity, and photophobia are classic signs of meningitis, which is a medical emergency requiring immediate reporting.

Question 5

A resident receiving an NSAID for arthritis develops black, tarry stools. The medication aide should recognize this as a sign of:

Accepted Answer

Gastrointestinal bleeding

Answer

Black, tarry stools (melena) indicate upper gastrointestinal bleeding, a known adverse effect of NSAIDs due to gastric mucosal irritation.

MACE - Exam Prep Practice Test

MACE - Exam Prep Practice Test

MACE Medical Reactions or Conditions 2