MACE Medical Reactions or Conditions 3

Question 1

A resident taking an ACE inhibitor for hypertension develops a persistent dry cough. The medication aide should:

Accepted Answer

Report it to the nurse as a known adverse effect requiring possible medication change

Answer

A persistent dry cough is a well-known adverse effect of ACE inhibitors caused by bradykinin accumulation and should be reported for medication review.

Question 2

Which set of symptoms suggests serotonin syndrome in a resident taking multiple medications?

Accepted Answer

Agitation, tremor, fever, and muscle rigidity

Answer

Serotonin syndrome presents with neuromuscular abnormalities (tremor, rigidity), autonomic instability, and altered mental status from excess serotonergic activity.

Question 3

A resident experiences sudden onset of facial drooping, arm weakness on one side, and slurred speech. The medication aide should recognize this as:

Accepted Answer

Signs of a stroke requiring emergency response

Answer

Sudden facial drooping, unilateral arm weakness, and speech difficulty are hallmark signs of stroke requiring immediate emergency (911) response.

Question 4

Which reaction describes an unexpected and abnormal response to a medication that is not related to its dose or known pharmacologic effects?

Accepted Answer

Idiosyncratic reaction

Answer

An idiosyncratic reaction is an unpredictable, abnormal response to a drug that is unique to an individual and unrelated to dose or immune mechanisms.

Question 5

A resident on a beta-blocker for heart failure develops cold extremities, fatigue, and a heart rate of 48 bpm. The medication aide should:

Accepted Answer

Withhold the medication and report the bradycardia to the nurse immediately

Answer

A heart rate of 48 bpm indicates bradycardia, a serious adverse effect of beta-blockers; the medication should be withheld and the nurse notified.

MACE - Exam Prep Practice Test

MACE - Exam Prep Practice Test

MACE Medical Reactions or Conditions 3