Deck 15: Urinary System Drugs

Question 1

Kayley has all of the symptoms of a urinary tract infection over a holiday weekend.She recalls that in the past,the urinary analgesic,phenazopyridine,has relieved her symptoms very quickly,so she asks a friend to pick some up for her rather than braving a crowded health clinic.As before,Kayley gets rapid relief of her symptoms.Should Kayley be concerned about anything else?

A)Yes.Phenazopyridine treats the symptoms,but will not cure the infection,so she still needs to see her doctor.
B)Possibly.If the infection was caused by bacteria,she will be fine,but if it was caused by a virus,she will need to see her doctor.
C)No.If the phenazopyridine has alleviated the symptoms,she should be just fine.
D)Possibly.If she experiences a return of symptoms after taking the phenazopyridine for a week,she should see her doctor.

Answer 1

Yes.Phenazopyridine treats the symptoms,but will not cure the infection,so she still needs to see her doctor.

Question 2

Phillip,who has cirrhosis,is being treated with a diuretic.What diuretic is he most likely being given?

A)spironolactone
B)metolazone
C)hydrochlorothiazide
D)torsemide

Answer 2

spironolactone

Question 3

Pamela has multiple sclerosis and has developed neurogenic bladder with both frequent urination and urinary urgency.How might antispasmodics help?

A)By increasing her awareness of the need to urinate
B)By decreasing bladder tone and suppressing bladder contractions
C)By producing dehydration and decreasing the need for urination
D)By blocking nerve impulses to and from the bladder

Answer 3

By decreasing bladder tone and suppressing bladder contractions

Question 4

Tate's brain begins to swell following surgery to fix an aneurysm and he is given a diuretic What diuretic is preferred to reduce intracranial pressure?

A)triamterene
B)bumetanide
C)mannitol
D)hydrochlorothiazide

Question 5

Parker is having an acute gout attack and is in pain.If he starts soon after symptoms begin,what should provide him with effective pain control?

A)a heating pad set to as high a level as he can withstand
B)NSAIDs
C)low-dose opiates
D)rest,ice,compression,and elevation

Question 6

Magdalena is prescribed a diuretic to help prevent the formation of stones associated with hypercalciuria.What type of diuretic is most effective for this purpose?

A)loop
B)diuretic
C)thiazide
D)potassium-sparing

Question 7

Earl has chronic gout and takes probenecid,a uricosuric agent.How do uricosuric agents act?

A)By reducing both pain and inflammation
B)By promoting urinary excretion of uric acid
C)By increasing formation of uric acid
D)By reducing inflammation

Question 8

Erin has cirrhosis.What diuretic is often recommended for patients with cirrhosis?

A)metolazone
B)spironolactone
C)mannitol
D)bumetanide

Question 9

Albert is taking dutasteride,an antiandrogen,for benign prostatic hyperplasia.What is the action of this drug?

A)It alters the size of the ureters,through which urine passes.
B)It shrinks abnormal prostate cells.
C)It causes the prostate to atrophy.
D)It suppresses prostate growth.

Question 10

Anya has edema associated with heart failure.The diuretics of choice when treating this type of edema are .

A)thiazide diuretics
B)osmotic diuretics
C)potassium-sparing diuretics
D)loop diuretics

Question 11

Dimitri is being treated with prednisone for gout.Prednisone is likely to be used when the patient .

A)has chronic gout
B)is also taking probenecid
C)cannot tolerate NSAIDs
D)cannot tolerate colchicine

Question 12

Parker is given colchicine during his acute grout attack.What is the action of colchicine?

A)It decreases uric acid clearance.
B)It relieves inflammation.
C)It decreases pain.
D)It increases uric acid production.

Question 13

Following major abdominal surgery.Tommy has difficult urinating.What type of drug might help with this condition?

A)an uricosuric agent
B)a cholinergic
C)a xanthine oxidase inhibitors
D)an antiandrogen

Question 14

Earl is unable to tolerate his medication for chronic gout and is switched to a xanthine oxidase inhibitor.How do xanthine oxidase inhibitors act?

A)By decreasing serum and urinary levels of uric acid
B)By decreasing inflammation
C)By decreasing pain
D)By increasing uric acid formation

Question 15

William has just been diagnosed with benign prostatic hyperplasia.What class of drugs is considered to be first line therapy for benign prostatic hyperplasia?

A)antiandrogens
B)PDE inhibitors
C)alpha-blockers
D)chilinergics

Question 16

To his surprise,Andy is prescribed a phosphodiesterase (PDE)inhibitor to treat his benign prostatic hyperplasia,which he knows to also be used to treat erectile dysfunction.What PDE inhibitor has been approved for this use?

A)febuxostat
B)tadalafil
C)darifenacin
D)probenecid

Question 17

Killian is taking a diuretic that acts more rapidly and is more effective than a thiazide diuretic,but does not lower blood pressure as well.What type of diuretic has been prescribed?

A)osmotic
B)potassium-sparing
C)atypical
D)loop

Question 18

Your friend's grandfather has been placed on the most often used type of diuretic.You suspect that he is taking a(n) ____.

A)potassium-sparing diuretic
B)loop diuretic
C)osmotic diuretic
D)thiazide diuretic

Question 19

Roger is taking a xanthine oxidase inhibitor that has a lower risk of hypersensitivity reactions than allopurinol,but a higher risk of adverse cardiovascular events.What is the medication?

A)febuxostat
B)colchicine
C)tolterodine
D)probenecid

Question 20

Your friend is wondering why his grandfather has recently been put on diuretics.You explain that diuretics are typically given to .

A)reduce circulating fluid volume to help treat edema and hypertension
B)improve urinary flow in patients with benign prostatic hypertrophy
C)decrease pain associated with urinary tract infections
D)decrease the buildup of uric acid

Question 21

A diuretic is prescribed for Kevin,and he is counseled about the risk of taking salicylates concurrently.What diuretic is known to increase the risk of salicylate toxicity?

A)triamterene
B)furosemide
C)mannitol
D)hydrochlorothiazide

Question 22

Burt is taking an alpha blocker to treat his benign prostatic hyperplasia.How will the alpha blocker act?

A)By killing abnormal prostate cells and preventing further prostate growth
B)By causing prostatic atrophy
C)By relaxing smooth muscles in the bladder neck and prostate,improving urinary flow
D)By decreasing the rate of prostatic growth

Question 23

Your friend's grandfather is placed on a diuretic and counseled to eat lots of bananas and citrus fruits.Why?

A)Certain diuretics can cause potassium depletion and bananas and citrus fruits are rich in potassium.
B)The vitamin C in the fruits will help prevent adverse reactions associated with diuretics.
C)Eating fruit will help him avoid the constipation that is associated with many diuretics.
D)Fruits are an important part of a healthy diet.

Question 24

You are providing Pamela with information about the extended release antispasmodic formulation that has been prescribed to treat her neurogenic bladder.What should she know?

A)She should see an effect within 7 to 10 days.
B)She should not crush or chew the tablets.
C)She must take them with a large amount of water.
D)She should not do Kegel exercises (pelvic floor strengthening)while on the medication

Question 25

Parker is instructed to drink lots of fluids while taking colchicine for an acute gout attack.Why?

A)To increase production of uric acid
B)To prevent dehydration
C)To facilitate excretion of uric acid crystals
D)To aid in the metabolism of the colchicine