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4. AB is a 9 year old male patient who comes with his dad to his primary care provider’s office for his yearly well-child visit. You discuss Gardasil immunization with AB and his dad. Answer the following questions related to the Gardasil vaccine. a. What is the generic name for Gardasil? (1 Mark) b. What types of cancer does Gardasil prevent against? (2 Marks) c. AB had the first dose today, April 9th, 2021. When should he return for the second dose (date)? (1 Mark) d. Name two contraindications for Gardasil (2 Marks)
5. Mr. S is a 75 year old male patient with diabetes and high blood pressure. He takes the following medications: telmisartan 600mg once daily, hydrochlorothiazide 12.5mg daily, metformin 1000mg twice daily, glyburide 1.25mg once daily. Answer the questions related to Mr. S’s medications. a. What is the functional classification for hydrochlorothiazide? (1 Mark) b. What effect does hydrochlorothiazide have on antidiabetic medications? (1 Mark) c. What is the chemical classification for metformin? (1 Mark) d. List 2 contraindications for metformin? (2 Marks) e. Mr. S is scheduled for surgery and must be NPO from 12am the day of surgery. What do you expect he will need to do for his 8am metformin? (1 Mark) f. You are assessing Mr. S and note that he is showing signs of a hypoglycemic reaction. List 4 signs and symptoms of hypoglycemic reactions. (2 Marks)
6. AM is a 28 year old female patient who is seen in the office. She has tested positive for chlamydia, a sexually transmitted infection. Azithromycin 250mg tablets, take 4 tablets by mouth is ordered as a single dose is ordered by the clinic nurse practitioner for the treatment of chlamydia. You are reviewing the treatment with AM as well as discussing her other medications. AM takes Yaz 28 for contraception and uses clindamycin 1% topical gel for acne. She states she often misses tablets and has not had a period in about six months. She smokes a 1/2 pack of cigarettes per day. Answer the following questions related to AM’s medications. a. What is the chemical classification of azithromycin? (1 Mark) b. Is the dose ordered by the nurse practitioner appropriate for the treatment of chlamydia? (1 Mark) c. You discuss with AM that she has not had a period in six months. What test should be done before administering the azithromycin ordered? (1 Mark) d. What are the two drugs found in Yaz 28? (2 Marks) e. What is the black box warning for all hormonal contraceptives? (1 Mark) f. List 2 important teaching points that you want to discuss with AM based on the information above and her current use of Yaz 28. (2 Mark

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