Drug Topics - January 28, 2008 - (Page 26) 26 DRUG TOPICS JANUARY 28, 2008 www.drugtopics.com TEST QUESTIONS Write your answers on the answer form appearing on page 27 (photocopies of the answer form are acceptable) or on a separate sheet of paper. Mark the most appropriate answer. 1. Approximately how many people in the U.S. are 11. The goals of an effective treatment program for said to have chronic fatigue syndrome? a. 1 million b. 3-5 million c. 500,000 d. Over 10 million chronic fatigue syndrome should include all of the following except which one? a. Help patient develop strategies for coping with illness b. Provide symptomatic relief c. Teach patients to manage activity levels d. Have patients stop all exercise 12. A strategy to begin an exercise program utilizes 2. Chronic fatigue syndrome is also known as which of the following? a. Chronic malaise syndrome b. Persistent fatigue disease c. Myalgic encephalomyelitis d. Exertion fatigue syndrome 3. Who is more likely to be diagnosed with chronic what ratio of exercise to rest? a. 1:10 b. 1:3 c. 1:5 d. 1:15 fatigue syndrome? a. Men over the age of 65 b. Women aged 40-59 c. Boys aged 10-18 d. Infants less than 6 months of age 4. A primary symptom of chronic fatigue syndrome 13. Additional self-care options for CFS patients in- clude all of the following except which one? a. Avoid alcohol b. Quit smoking c. Reduce stress d. Increase caffeine intake 14. Core pharmacotherapy goals for CFS patients is which of the following? a. Malaise b. Alopecia c. Gingivitis d. Erectile dysfunction should include which of the following? a. Use the higher end of dosing range for medications. b. Start with lower dose, increase gradually. c. If one drug in a particular class does not relieve the patient’s symptoms, additional drugs should not be tried. d. No use of over-the-counter products should be initiated. 15. CFS patients requiring medications for sleep 5. Chronic fatigue syndrome symptoms can be simi- lar to which of the following? a. Viral infection or the flu b. Stroke c. Diverticulitis d. Benign prostate hypertrophy 6. Which of the following is not one of the primary di- agnostic criteria symptoms for CFS patients? a. Fatigue greater than 6 months’ duration. b. Loss of memory or concentration c. Sleep disturbances d. Cough 7. Other potential causes of symptoms that may ap- should be counseled on all of the following except which one? a. Products may cause excess sedation b. Decreased mental alertness may be a side effect c. Confusion may occur with use of the sleep medications d. Products are only available by prescription 16. Nonpharmacologic treatment options for CFS pa- pear similar to chronic fatigue syndrome include which of the following? a. Hypothyroidism b. Migraines c. Pregnancy d. Age over 65 years old 8. What percent of patients who had prominent gas- trointestinal symptoms in conjunction with CFS tested positive for the presence of an enteroviral infection? a. 5% b. 80% c. 10% d. 45% tients with pain include all of the following except which one? a. Massage b. Hydrotherapy c. Exercise d. Increase alcohol consumption 17. Some reports of CFS patients have indicated that approximately what percent of patients develop depression over the course of their illness? a. 10% b. 33% c. 50% d. 90% 9. Which of the following tests is utilized to diagnose neurally mediated hypotension, a condition that CFS patients may also have? a. CBC b. X-ray c. Tilt-table test d. Renal function tests 18. Pharmacists should recommend which of the fol- lowing nutritional or herbal supplements to their patients? a. Graviola products b. Multivitamin with minerals c. Black cohosh d. Dong quai herb 10. What percent of CFS patients have reported a to- tal remission of symptoms? a. 25% to 40% b. 5% to 10% c. 50% to 80% d. Over 99% http://www.drugtopics.com
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