Question 1. Mary is a 35-year-old woman who has been diagnosed with hypothyroidism. Her labs today show a TSH of 20, MCV 78, MCHD 26, Ferritin 9, and TIBC 418. She has a history of iron deficiency anemia for two months. Current medications include Kelp tablets daily, ibuprofen 400 mg daily as needed, and ethinyl
Estradiol/norgestrel one tablet daily. What medication would you start this patient
on for her hypothyroidism? How would you monitor this patients response to the
medication? What education would you provide regarding her medications and
their interactions?
A. Patient history considered in making the medication selection:
YOUR ANSWER
B. Medication prescribed or changed (Spell out the names of drugs):
YOUR ANSWER
C. Rationale provided to include WHY the decision using Clinical Guidelines:
YOUR ANSWER
D. Written medication orders with all 5 aspects required for a valid prescription order (your prescription order:
YOUR ANSWER
E. At least 3 References for the scenario scholarly, peer-reviewed, the past 5 years to include the appropriate clinical practice guidelines if applicable:
YOUR ANSWER

Question 2. Joe is a 48-year-old male diagnosed with Type II Diabetes Mellitus for a year. He has controlled his blood glucose through dietary changes. He has
hypertension and is currently on Lisinopril 20 mg po daily. He has no known
allergies. His lab work includes these results: fasting BG is 225 mg/dL; HgA1C =
7.5%. Basic Metabolic Profile (BMP) is normal except for a Cr of 2.0 and eGRF
of 28. What treatment plan would you implement for Joe? What medications
would you prescribe and how would you monitor them? What education would
you provide regarding his treatment plan?

A. Patient history considered in making the medication selection:
YOUR ANSWER
B. Medication prescribed or changed:
YOUR ANSWER
C. Rationale provided to include Current literature to support the rationale with Clinical Guidelines:
YOUR ANSWER
D. Written medication orders with all 5 aspects required for a valid prescription order.
YOUR ANSWER
E. References for the scenario scholarly, peer-reviewed, the past 5 years to include the appropriate clinical practice guidelines if applicable. Use at least 3 sources for each scenario and cite sources using APA format:
YOUR ANSWER

Question 3. Jose is a 55-year-old truck driver being evaluated for his commercial drivers license. He has a known history of diabetes mellitus type II. Current medications include Metformin 1000 mg Bid, Glipizide 20 mg PO daily. Diltiazem 120 mg po BID. He is allergic to sulfa. Lab results show a fasting blood glucose of 325
mg/dL, HgA1C = 10.6%. Basic metabolic Profile is normal. What treatment plan
would you implement for Jose? What medications would you prescribe, and how
would you monitor them? What education would you provide regarding his
treatment plan?
A. Patient history considered in making the medication selection:
YOUR ANSWER
B. Medication prescribed or changed:
YOUR ANSWER
C. Rationale provided to include Current literature to support the rationale with Clinical Guidelines:
YOUR ANSWER
D. Written medication orders with all five aspects required for a valid prescription order.
YOUR ANSWER
E. References for the scenario scholarly, peer-reviewed, the past five years to include the appropriate clinical practice guidelines if applicable. Use at least three sources for each scenario and cite sources using APA format:
YOUR ANSWER

Question 4. Jenny is a 63-year-old woman with complaints of heartburn 4 to 5 times a week over the past 3 months. Her symptoms are worse at night after going to bed. Her
heartburn is worse, and she coughs a lot at night. She has tried OTC Lansoprazole (Prevacid) 24-hour once daily for the past 2 weeks. This has helped some symptoms, but she is still bothered by them. Current medications include Diltiazem CD 120 mg PO once daily, Hydrochlorothiazide 25 mg PO once daily, Metformin 500 mg PO
twice daily, Aspirin 81 mg PO daily, Fluticasone/salmeterol DPI 100 mcg/50 mcg
one inhalation twice daily. Your working diagnosis for this patient is GERD. What treatment plan would you implement for Jenny? What medications would you
prescribe and how would you monitor them? What education would you provide
regarding her treatment plan?

A. Patient history considered in making the medication selection:
YOUR ANSWER
B. Medication prescribed or changed: