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Therapeutic Treatment Planning Flashcards

7 cards from real NAPLEX QBANK practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Therapeutic Treatment Planning flashcards as text

  1. A patient with generalized anxiety disorder needs long-term pharmacotherapy. Which is the preferred first-line option?

    Answer: An SSRI such as escitalopram

    SSRIs are first-line for long-term GAD management, whereas benzodiazepines are avoided for chronic use due to dependence risk.

  2. A patient with Helicobacter pylori-associated peptic ulcer disease and no penicillin allergy should receive which regimen?

    Answer: Clarithromycin triple therapy or bismuth quadruple therapy

    Eradication of H. pylori requires combination therapy such as clarithromycin triple or bismuth quadruple therapy.

  3. A patient with stage G3 CKD and persistent albuminuria despite a maximized ACE inhibitor would benefit from adding which agent for renal protection?

    Answer: A SGLT2 inhibitor

    SGLT2 inhibitors slow CKD progression and reduce albuminuria, and adding a second RAAS agent is discouraged.

  4. A patient on chronic opioid therapy for cancer pain reports constant constipation. What is the most appropriate addition to the plan?

    Answer: A scheduled stimulant laxative with a stool softener

    Opioid-induced constipation does not improve with tolerance and is best managed with a scheduled stimulant laxative plus a softener.

  5. A patient with bipolar disorder maintained on lithium develops a viral illness with vomiting and dehydration. What is the main concern in the treatment plan?

    Answer: Dehydration can raise lithium levels and cause toxicity

    Volume depletion increases lithium reabsorption and can precipitate toxicity, so levels and hydration must be monitored.

  6. A patient with newly diagnosed type 1 diabetes requires an insulin plan. Which regimen best mimics physiologic insulin secretion?

    Answer: Basal-bolus with a long-acting and rapid-acting analog

    A basal-bolus regimen using long-acting plus mealtime rapid-acting insulin best replicates normal insulin physiology in type 1 diabetes.

  7. A patient with chronic stable HFrEF on optimized therapy still has a heart rate of 80 bpm in sinus rhythm and remains symptomatic. Which agent may be added?

    Answer: Ivabradine

    Ivabradine reduces heart rate in symptomatic HFrEF patients in sinus rhythm with a rate of 70 bpm or higher on a maximally tolerated beta-blocker.