online solution: 29. A 57 y/o man recently diagnosed with mild rheumatoid art

29. A 57 y/o man recently diagnosed with mild rheumatoid arthritis… 29. A 57 y/o man recently diagnosed with mild rheumatoid arthritis complained to his physician of joint pain despite ongoing therapy with ibuprofen. The man was heavy smoker and had a history of chronic bronchitis with frequent acute exacerbations usually treated with antibiotics. The physician decided to add a disease modifying anti-rheumatic drug (DMARD) to the treatment. Which of the following drugs would be most appropriate for the patient at this time? Note—may be a difficult question.  Look at it this way–which agent is first line and has the least risk of untoward effect, hint: it’s a famous drug and the untoward effect is pigmentary retinopathy.LeflunomideHydroxychloroquineRituximabEtanerceptAzathiorprine 30. A 53 y/p woman complained to her physician of weight gain, mild but continuing facial acne, and pigmented striae on her abdomen. Further exams led to the diagnosis of Cushing syndrome, and a pharmacotherapy was prescribed. Which of the following drugs would be most appropriate to treat the patient’s disease?A. PrednisoneB. FludrocortisoneC. KetoconazoleD. SpironolactoneE. MethimazoleF. Triamterene 31. A 43 y/o man presented to the hospital complaining of weight gain, mild but continuing facial acne, and decreased muscle strength. On physical examination, the patient was found to be plethoric, red-faced with violaceous pigmented striae on a protuberant abdomen, and with relatively thin extremities. On admission, serum K+ was 4.5 mEq/L (normal 3.5-5 mEq/L). A CT scan disclosed an adrenal adenoma in the left adrenal gland, and the patient was scheduled for surgery. Which of the following drugs would be appropriate to give this patient during and after surgery?A. FludrocortisoneB. SpironolactoneC. CortisolD. MifepristoneE. Cortisol 32.   A 57 y/o woman had been receiving high-dose betamethasone for 6 months to treat severe relapsing polychondritis. Because of the ongoing therapy, the patient was most likely at increased risk of which of the following disorders?A. Exertional anginaB. OsteoporosisC. Rheumatoid arthritisD. AgranulocytosisE. Ulcerative colitis         Health Science Science NursingNURS 220

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