Answer to Question 1
ANS: C
Serious muscle damage may occur while taking this medication, so patients should avoid strenuous activity which can compound this effect. Patients must get monthly refills and must take a pregnancy test before each refill. Patients should use two reliable forms of birth control, but abstinence is not required. Vitamin A can compound the adverse effects of this medication.
Answer to Question 2
ANS: D
Enbrel can worsen infections, and patients taking this drug must have a tuberculin skin test prior to initiation of treatment. CBC, CD4, and T-cell counts are monitored during therapy with alefacept. A serum pregnancy test is not indicated.