A patient has a diagnosis of depression and Alzheimer's disease ...

[j.rubin]

A patient has a diagnosis of depression and Alzheimer's disease with mild, intermittent symptoms. The primary care NP should prescribe a(n):
 
  a. antidepressant.
  b. ChE inhibitor.
  c. antidepressant and ginkgo biloba.
  d. antidepressant and a ChE inhibitor.

Question 2

A primary care NP sees a 60-year-old woman for a physical examination. The woman tells the NP she is taking tamoxifen for treatment of breast cancer. To monitor her response to this medication, the NP should order:
 
  a. a chest radiograph.
  b. bone mineral density testing.
  c. serum bilirubin and creatinine.
  d. liver enzymes and a complete blood count (CBC).

[ebenov]

Answer to Question 1

B
Antidepressants given to patients with Alzheimer's disease do not appear to be effective and cause adverse effects and unwanted drug interactions.

Answer to Question 2

D
Patients taking antiestrogens, such as tamoxifen, should have periodic monitoring of liver enzymes and a CBC. A chest radiograph is not indicated. Bilirubin, creatinine, and bone mineral density testing are part of routine testing for patients taking aromatase inhibitors.

[j.rubin]

Thanks for the timely response, appreciate it

[kjohnson]

Excellent