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What is the major reason that monoamine oxidase inhibitors (MAOIs) are rarely used in clinical practice today?

A.

They are under a scheduled drug classification.

B.

They are ineffective in treating depression or anxiety disorders.

C.

They can cause gastrointestinal (GI) bleeding and esophageal varices.

D.

They may cause dangerous interactions with some foods and drugs.

Answer and Explanation

The Correct Answer is D

A. While MAOIs may have some regulatory considerations, they are not classified under a scheduled drug classification like controlled substances.  

 

B. MAOIs are effective in treating depression and anxiety disorders, which is not the reason for their limited use.  

 

C. Although MAOIs can have some side effects, they are more notably associated with dietary and drug interactions rather than causing GI bleeding or esophageal varices.  

 

D. MAOIs can cause dangerous interactions with foods that contain tyramine (like aged cheeses and fermented products) and certain medications, leading to hypertensive crises, making their use cautious and limiting in clinical practice.


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Correct Answer is B

Explanation

A. The statement regarding antiviral drugs not preventing the spread of the disease is accurate, as these medications do not eliminate the virus or prevent transmission.

B. Saying that antivirals are the cure for viral infections is incorrect; while they can reduce symptoms and viral load, they do not cure the infection.

C. The instruction about topical antivirals not being applied more frequently than prescribed is correct and reflects safe medication use.

D. The recommendation to use a finger cot or gloves when applying topical antivirals is correct to prevent contamination and ensure proper application.

Correct Answer is A

Explanation

A. Administering a stool softener is essential as opioids like morphine commonly cause constipation, and this proactive measure helps mitigate that adverse effect.

B. While auscultating the lungs is important to monitor respiratory function, it does not specifically address a common adverse effect of morphine.

C. Encouraging active range of motion exercises can help prevent complications from immobility but does not directly address the most common adverse effect of morphine.

D. Applying calf compressors can help prevent deep vein thrombosis, but it is not the most effective action for addressing the specific adverse effects of morphine use.

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