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NURS 5334 FINAL EXAM PHARM EXAM AND PRACTICE
TEST ALL 500 QUESTIONS AND DETAILED SOLUTIONS
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NURS 5334 FINAL EXAM PHARM EXAM
QUESTION: Erika has been prescribed isotretinoin by her dermatologist and is presenting to you with symptoms of sadness and depression. A Beck's Depression scale indicates she has mild to moderate depression. What would you do at this point?
A. Prescribe an SSRI
B. Refer her to a mental health therapist
C. Contact her dermatologist about discontinuing the isotretinoin
D. Reassure her that mood swings are normal and schedule follow up in a week - ANSWER-C. Contact her dermatologist about discontinuing the isotretinoin
QUESTION: David is a 26 year old competitive runner who presents with a complaint of pain in his hip since he fell running. Isotretinoin is the only medicine he is taking. He is for severe acne. What should you be concerned for?
A. A pulled muscle. He just needs to rest and recover
B. He is at risk for bone injuries and needs to be evaluated for fracture
C. Isotretinoin interacts with ibuprofen which is the pain med of choice
D. Teen athletes are at risk for repetitive injuries - ANSWER-B. he is at risk for bone injuries and needs to be evaluated for fracture QUESTION: Jose has had eczema for many years and reports that he thinks his corticosteroid cream is not working as well as it previously was. He may be building a tolerance to the steroids. Treatment options include:
A. Increase the potency of the steroid cream
D. When applying diphenhydramine, apply the cream liberally to all areas that itch - ANSWER-C. Topical diphenhydramine should not be used in children younger than 2 Jade is a nasal methicillin resistant staphylococcus aureus (MRSA) carrier. Treatment to eradicated nasal MRSA is mupirocin. Patient education regarding treating nasal MRSA includes:
A. Take the oral as prescribed
B. Insert one half of the dose in each nostril twice per day
C. Alternate treating one nare in am and 1 nare in pm
D. Nasal MRSA requires at least 4 weeks of therapy, with up to 8 weeks in some patients - ANSWER-B. Insert one half of the dose in each nostril twice per day QUESTION: When prescribing griseofulvin to treat tinea capitis it is critical to instruct the patient's parent to:
A. Mix the griseofulvin with ice cream before administering
B. Take the griseofulvin until the tinea clears, in approximately 4 5 weeks
C. Shampoo with baby shampoo daily while taking the griseofulvin
D. Griseofulvin is best absorbed in ingested with a high fat food - ANSWER-D. Griseofulvin is best absorbed in ingested with a high fat food QUESTION: First line therapy for treating topical fungal infections such as tinea corporis or tinea pedis would be:
A. OTC topical azole (clotrimazole, miconazole)
B. Oral terbinafine
C. Oral griseofulvin
D. Nystatin cream or ointment - ANSWER-A. OTC topical azole (clotrimazole, miconazole)
C. Chronic, inflammatory seborrheic dermatitis
D. Recalcitrant nodular acne - ANSWER-A. Short term or intermittent treatment of atopic dermatitis QUESTION: The goal of therapy when prescribing HRT include reducing
A. Cardiovascular risk
B. Risk of stroke or other thromboembolic event
C. Breast cancer
D. Vasomotor symptoms - ANSWER-D. Vasomotor symptoms QUESTION: The optimal maximum time for HRT or ERT is :
A. 2 years
B. 3 years
C. 5 years
D. 10 years - ANSWER-C. 5 years QUESTION: Angela is an African American female who has heard that women of African descent do not need to worry about osteoporosis. What education would you provide about her risk?
A. She is correct, black women do not have much risk of developing osteoporosis due to their dark skin.
B. Black women are at risk of developing osteoporosis due to their lower calcium intake as a group
C. If she does not drink alcohol her risk is low for osteoporosis
F. levothyroxine QUESTION: SERMs treat osteoporosis by selectively:
A. Inhibiting magnesium resorption in the kidneys
B. Increasing calcium absorption from the GI tract
C. Acting on the bone to inhibit osteoblast activity
D. Selectively acting on the estrogen receptors in the bone - ANSWER-D. selectively acting on the estrogen receptors in the bone QUESTION: The ongoing monitoring for patients over age 65 taking alendronate or any other bisphosphonate is:
A. Annual DEXA scans
B. Annual Vitamin D level
C. Annual renal function evaluation
D. Electrolytes every 3 months - ANSWER-C. Annual renal function evaluation QUESTION: What is the established frequency of repeating DEXA imaging after starting bisphosphonates?
A. Every 2 years
B. Every 3 years
C. Every 5 years
D. There is no evidence based time line for monitoring after the first 2 years - ANSWER-D. There is no evidence based time line for monitoring after the first 2 years QUESTION: IV forms of bisphosphonates are used for : Check all that apply.
carry the potential for:
A. Both can cause skin cancer and lymphoma
B. Both can cause renal failure
C. Both can cause liver failure
D. They have no side effects - ANSWER-A. Both can cause skin cancer and lymphoma QUESTION: Finasteride is an oral drug with what indications: check all that apply
A. androgenic alopecia
B. female alopecia
C. BPH
D. Erectile dysfunction
E. HTN - ANSWER-A. androgenic alopecia C. BPH QUESTION: Johnny has impetigo. You order:
A. steroid cream
B. Tretinoin cream
C. mupirocin ointment
D. diphenhydramine cream - ANSWER-C. mupirocin ointment QUESTION:Stimulation of the alpha 1 receptor causes which of the following responses: A. Bronchodilation B. Vasoconstriction C. Correct answer. D. Vasodilation
A. Beta 1 B. Alpha 2 C. Beta 2 D. Alpha 1 - ANSWER-D. Alpha 1 QUESTION: a. ---------beta blockers inhibit Beta 1 receptors and affect the heart only. b. -----------beta blockers block both Beta 1 and Beta 2 receptors thus affecting both the heart and lungs. - ANSWER-a. selective b. non-selective QUESTION: Metoprolol is an example of a - ANSWER-selective beta blocker QUESTION: Propranolol is an example of a - ANSWER-nonselective beta blocker. QUESTION: Dobutamine is an example of a ______________________________ and is used to increase cardiac output in individuals experiencing shock. A. Beta 1 receptor agonist B. Beta 1 receptor antagonist C. Beta 2 receptor agonist
D. Beta 2 receptor antagonist - ANSWER-A. Beta 1 receptor agonist QUESTION: Which of the following types of medications are commonly used for the treatment of asthma or COPD? A. Beta 1 receptor agonists B. Alpha 2 receptor agonists C. Alpha 1 receptor agonists D. Beta 2 receptor agonists - ANSWER-D. Beta 2 receptor agonists QUESTION: What receptors stimulate smooth muscle contraction. - ANSWER-Alpha 1 receptors QUESTION: What receptors stimulate increased heart rate and contractility. - ANSWER-Beta 1 receptors QUESTION: What receptors relax smooth muscle. - ANSWER-Beta 2 QUESTION: What are the most commonly prescribed medications impacting the Autonomic Nervous - ANSWER-Beta-blockers/Anti-cholinergics
QUESTION: The parasympathetic division of the ANS is associated with the - ANSWER-Rest and digest response QUESTION: Stimulation of the SNS causes which of the following side effects: A. Decreased heart rate B. Bronchoconstriction C. Hypotension D. Increased heart rate - ANSWER-D. Increased heart rate QUESTION: Preganglionic neurons release-----------------onto nicotinic receptors on the postganglionic neuron. - ANSWER-Acetylcholine QUESTION: Postganglionic neurons within the autonomic nervous systems are classified as either cholinergic or adrenergic. True or False - ANSWER-True QUESTION: Postganglionic neurons of the autonomic system are classified as either - ANSWER- Cholinergic or Adrenergic QUESTION: Cholinergic neurons release - ANSWER-Acetylcholine (ACh)
QUESTION: Adrenergic neurons release - ANSWER-Norepinephrine (NE) QUESTION: The cholinergic system includes two classes of postganglionic receptor: - ANSWER- nicotinic receptor and muscarinic receptor QUESTION: The adrenergic system also has two types of receptors - ANSWER-Alpha adrenergic receptor and beta adrengenic receptor QUESTION: Which of the following medications can be used to treat gestational diabetes? Check all that apply.
A. Metformin
B. Glucotrol
C. Pioglitazone
D. Sitagliptin
