Advanced Pharmacology Final Exam Review with correct answers
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Course
Advanced pharmacology
Institution
Advanced Pharmacology
Advanced Pharmacology Final Exam
Review with correct answersAdvanced Pharmacology Final Exam
Review with correct answersAdvanced Pharmacology Final Exam
Review with correct answersAdvanced Pharmacology Final Exam
Review with correct answersAdvanced Pharmacology Final Exam
Review with corr...
Advanced Pharmacology Final Exam
Review with correct answers
A 75-year old patient is taking Timolol Maleate (Timpotic) for chronic open angle
glaucoma and is well controlled. What side effect might you watch for if Propanolol
(Inderal) is added? - CORRECT ANSWERS-Bradycardia.
A patient complains of "puffy feet" shortly after beginning a new medication three
months ago. There is no underlying physiological cause for this condition. What
medication is most likely causing the problem? - CORRECT ANSWERS-Amlodipine
(Norvasc).
A patient is taking the ACEI Enalapril (Vasotec) for the last four months for the
treatment of congestive heart failure, and is complaining of a nonproductive cough.
What should the NP advise the patient regarding this side effect? - CORRECT
ANSWERS-The cough should subside 1-4 days after discontinuing the drug.
A patient presents with a history of GERD and many other medical conditions. What
medication would you encourage her to avoid? - CORRECT ANSWERS-NSAIDs.
Along with diet, what drug is used to treat hypertriglyceridemia? - CORRECT
ANSWERS-Gemfibrozil (Lopid).
Amenorrhea is the most common side effect of which birth control medication? -
CORRECT ANSWERS-Medroxyprogesterone (Depo-Provera)
Can antacids cause diarrhea? - CORRECT ANSWERS-Yes, antacids containing
magnesium, which decrease bowel transit time, may cause diarrhea. Most often seen in
renal insufficiency.
Heparin exerts its therapeutic action by what? - CORRECT ANSWERS-Upregulating
the activity of one of the body's natural anticoagulant molecules, antithrombin III
How are IV morphine and nitroglycerin beneficial in acute heart failure? - CORRECT
ANSWERS-Decrease preload.
How do antiprostaglandin drugs cause stomach mucosal injury? - CORRECT
ANSWERS-They alter the thickness of the protective mucosal layer.
, How do Diphenoxylate (Lomotil) and Loperamide (Imodium) help relieve diarrhea? -
CORRECT ANSWERS-They decrease the motility of the ileum and colon, slowing the
transit time and promoting more water absorption.
How should an oral glucocorticoid be taken? - CORRECT ANSWERS-With food.
Spironoaldactone (Aldactone) has what mechanism of action (MOA)? - CORRECT
ANSWERS-Aldosterone antagonist
The normal starting dose of levothyroxine is 50-100mcg per day for primary
hypothroidism. What is the most appropriate starting dose in a 71-year old female
patient? - CORRECT ANSWERS-25mcg per day.
What action is most effective in decreasing the risk of hyperkalemia associated with the
start of angiotensin-converting enzyme inhibitor (ACEI) therapy? - CORRECT
ANSWERS-Making sure that the patient is well hydrated.
What age-related changes place the elderly at risk for an exaggerated response to
Warfarin (Coumadin) and Heparin? - CORRECT ANSWERS-Protein binding changes
and decrease in clotting factors.
What anithypertensive agent is safe during pregnancy? - CORRECT ANSWERS-
Methyldopa (Aldomet).
What antimicrobial agent would be appropriate to prescribe in a 65-year old patient who
presents with a past medical history of coronary artery disease, a 101F temperature,
and tachypnea of 24 breaths per minute. Chest X-ray confirms a left lower lobe
pneumonia. - CORRECT ANSWERS-Levofloxacin (Levaquin).
What are some contrindications for HMG-co A reductase inhibitors (statins)? -
CORRECT ANSWERS-They cause myopathies, especially at higher doses or in
combination with certain drugs. They should never be used in patients taking Warfarin
(Coumadin).
What are two systemic psoriasis medications? - CORRECT ANSWERS-Photo-therapy
and topical corticosteroids
What direction would you give when prescribing Sucralfate (Carafate)? - CORRECT
ANSWERS-The drug must be taken on an empty stomach.
What do gastric parietal cells produce? - CORRECT ANSWERS-Hydrochloric acid.
What does a low level of thyroid-stimulating hormone indicate? - CORRECT
ANSWERS-Hyperthroidism
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