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N5334 ADVANCED PHARMACOLOGY EXAM
WITH 300+ QUESTIONS AND VERIFIED
ANSWERS|| GUARANTEED PASS || N5334 EXAM
2024/2025| BRAND NEW!!
Approximately what percentage of patients with radiological findings of osteoarthritis of the knee will report having symptoms? A. 25% B. 50% C. 70% D. 95% - ANSWER-B Deformity of the proximal interphalangeal joints found in an elderly patient with OA is known as: A. Heber den nodes. B. Bouchard nodes. C. hallus valgus. D. Dupuytren contracture - ANSWER-B Which of the following best describes the presentation of a patient with OA? A. worst symptoms in weight-bearing joints later in the day B. symmetrical early morning stiffness C. sausage-shaped digits with associated skin lesions
D. back pain with rest and anterior uveitis - ANSWER-A As part of the evaluation of patients with OA, the nurse practitioner (NP) anticipates finding: A. anemia of chronic disease. B. elevated CRP level. C. no disease-specific laboratory abnormalities. D. elevated antinuclear antibody (ANA) titer. - ANSWER-C First-line pharmacologic intervention for milder OA should be a trial of: A. acetaminophen. B. tramadol. C. celecoxib. D. intra-articular corticosteroid injection. - ANSWER-A In caring for a patient with OA of the knee, you advise that: A. straight-leg raising should be avoided. B. heat should be applied to painful joints after exercise. C. quadriceps-strengthening exercises should be performed. D. physical activity should be avoided. - ANSWER-C The mechanism of action of glucosamine and chondroitin is:
C. Given the persistence of abnormal thoracic findings, his antimicrobial therapy should be changed. D. A computed tomography (CT) scan of the thorax is needed today to image better any potential thora - ANSWER-A While seeing a 62-year-old who is hospitalized with CAP, the NP considers that: A. pneumococcal vaccine should be given when antimicrobial therapy has been completed. B. pneumococcal vaccine can be given today, and influenza vaccine can be given in 2 weeks. C. influenza vaccine can be given today, and pneumococcal vaccine can be given in 2 weeks. D. influenza and pneumococcal vaccines should be given today. - ANSWER-D Risk factors for infection with DRSP include all of the following except: A. systemic antimicrobial therapy in the previous 3 months. B. exposure to children in day care. C. age older than 65 years. D. use of inhaled corticosteroids. - ANSWER-D The mechanism of transmission of Legionella species is primarily via: A. respiratory droplet.
B. inhalation of aerosolized contaminated water. C. contact with a contaminated surface. D. hematogenous spread. - ANSWER-B Which pneumococcal vaccine offers protection against the greatest number of serotypes? A. Pneumovax® B. Prevnar® C. PCV D. LAIV - ANSWER-A You examine a 38-year-old woman who has presented for an initial examination and Papanicolaou test. She has no complaint. Her blood pressure (BP) is 154/98 mm Hg bilaterally and her body mass index (BMI) is 31 kg/m2. The rest of her physical examination is unremarkable. Your next best action is to: A. initiate antihypertensive therapy. B. arrange for at least two additional BP measurements during the next 2 weeks. C. order blood urea nitrogen, creatinine, and potassium ion measurements and urinalysis. D. advise her to reduce her sodium intake. - ANSWER-B You see a 68-year-old woman as a patient who is transferring care into your practice. She has a 10-year history
except: A. hematocrit. B. uric acid. C. creatinine. D. potassium. - ANSWER-B In the person with hypertension, the nurse practitioner (NP) recommends all of the following to potentially reduce BP in a patient with a BMI of 30 kg/m2 except: A. 10-kg (22-lb) weight loss. B. dietary sodium restriction to 2.4 g (6 g NaCl) per day. C. regular aerobic physical activity, such as 30-40 minutes of brisk walking most days of the week. D. consuming at least 1-2 servings of alcohol. - ANSWER-D Match the antihypertension medication with its appropriate class. _______6. amlodipine _______7. diltiazem _______8. trandolapril _______9. telmisartan _______10. pindolol A. beta-adrenergic receptor antagonist B. nondihydropyridine
calcium channel blocker C. dihydropyridine calcium channel blocker D. angiotensin receptor antagonist E. ACEI - ANSWER-6. C.
- B.
- E.
- D.
- A. You see a 38-year-old African American male with hypertension who is currently being treated with thiazide-type diuretic. His current blood pressure reading is 156/94 mm Hg and he has no history of diabetes mellitus or chronic kidney disease. Following current best evidence, you consider adding which of the following medications? A. ACEI B. angiotensin receptor blocker (ARBs) C. beta-adrenergic receptor antagonist D. calcium channel blocker - ANSWER-D Nondihydropyridine calcium channel blockers are contraindicated in patients with: A. type 1 diabetes mellitus. B. a history of venous thromboembolism.
BP measurement. B. avoid disease-related target organ damage. C. develop a plan of care with minimal adverse effects. D. treat concomitant health problems often noted in the person with this condition. - ANSWER-B You start a patient with hypertension who is already receiving an ACEI on spironolactone. You advise the patient to return in 4 weeks to check which of the following laboratory parameters? A. sodium B. calcium C. potassium D. chloride - ANSWER-C A 68-year-old woman presents with hypertension and BP of 152-158/92-96 mm Hg documented over 2 months on three different occasions. Electrocardiogram (ECG) and creatinine are normal, and she has no proteinuria. Clinical findings include the following: BMI 26.4 kg/m2; no S3, S4, or murmur; and point of maximal impulse at fifth intercostal space, mid-clavicular line. Which of the following represents the best intervention? A. Initiate therapy with metoprolol. B. Initiate therapy with hydrochlorothiazide. C. Initiate therapy with methyldopa. D. Continue to monitor BP, and start drug therapy if
evidence of target organ damage. - ANSWER-B Which of the following can have a favorable effect on a comorbid condition in a person with hypertension? A. chlorthalidone in gout B. propranolol with airway disease C. aldosterone antagonist in heart failure D. methyldopa in an older adult - ANSWER-C According to JNC-8 guidelines, all of the following medications are first-line agents for use in a middle-aged white man without diabetes mellitus except: A. lisinopril. B. hydrochlorothiazide. C. metoprolol. D. amlodipine. - ANSWER-C You see a 59-year-old man with poorly controlled hypertension. On physical examination, you note grade 1 hypertensive retinopathy. You anticipate all of the following will be present except: A. patient report of acute visual change. B. narrowing of the terminal arterioles. C. sharp optic disc borders. D. absence of retinal hemorrhage. - ANSWER-A
except: A. ACEIs. B. ARBs. C. CCB. D. beta blockers. - ANSWER-C Match the recommended blood pressure goal for each patient according to JNC-8 guidelines. (An answer can be used more than once.) A. <130/80 mm Hg B. <140/80 mm Hg C. <140/90 mm Hg D. <150/90 mm _______24. a 57-year-old white male with no history of diabetes mellitus (DM) or chronic kidney disease (CKD) _______25. a 62-year-old African American male with diabetes mellitus _______26. a 67-year-old female with CKD
_______27. a 62-year-old female with no history of DM or CKD _______28. an 82-year-old male with no history of DM or CKD _______29. a 72-year-old female with DM and CKD - ANSWER-24. C.
- C.
- C.
- D.
- D.
- C. You see a 62-year-old man without chronic kidney disease or diabetes mellitus who is currently being treated with low-dose HCTZ and losartan. His blood pressure is currently 162/88 mm Hg. All of the following are appropriate next courses of action except: A. increasing the dose of losartan. B. adding a beta-adrenergic receptor antagonist. C. adding a calcium channel blocker. D. increasing the dose of HCTZ. - ANSWER-B Which of the following statements concerning postural
_______34. angina pectoris B _______35. coronary artery disease _______36. aortic aneurysm _______37. recurrent stroke prevention - ANSWER-32. A, B, C, D, E, F.
- A, B, C, D, F.
- B, F.
- A, B, C, F.
- A, B, C, F.
- A, C, D, F.
- You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical examination findings may also include: A. pectus excavatum. B. obesity. C. petite stature. D. hyperextensible joints. - ANSWER-A
- In performing a cardiac examination in a person with MVP, you expect to find: A. an early- to mid-systolic, crescendo-decrescendo murmur. B. a pansystolic murmur. C. a low-pitched, diastolic rumble. D. a mid- to late-systolic murmur. - ANSWER-D
- A risk factor for MVP includes a history of:
A. rheumatic fever. B. rheumatoid arthritis. C. Kawasaki disease. D. Marfan syndrome. - ANSWER-D
- Additional findings in MVP include: A. an opening snap. B. a mid-systolic click. C. a paradoxical splitting of the second heart sound (S2). D. a fourth heart sound (S4). - ANSWER-B
- Intervention for patients with MVP often includes advice about which of the following? A. restricted activity because of low cardiac output B. control of fluid intake to minimize risk of volume overload C. routine use of beta-adrenergic antagonists to control palpitations D. encouragement of a regular program of aerobic activity - ANSWER-D
- When a heart valve fails to open to its normal orifice size, it is said to be: A. stenotic. B. incompetent. C. sclerotic. D. regurgitant. - ANSWER-A
B. diastolic with little radiation. C. diastolic with radiation to the axilla. D. localized systolic. - ANSWER-A
- In evaluating the person with aortic stenosis, the NP anticipates finding 12-lead ECG changes consistent with: A. right bundle branch block. B. extreme axis deviation. C. right atrial enlargement. D. left ventricular hypertrophy. - ANSWER-D
- Signs and symptoms consistent with endocarditis include all of the following except: A. bradycardia. B. Osler's nodes. C. hematuria. D. petechiae. - ANSWER-A
- From the following list, the most helpful test in suspected bacterial endocarditis includes: A. urine culture. B. blood culture. C. chest x-ray. D. myocardial biopsy. - ANSWER-B
- Of the following patients, who is in greatest need
of endocarditis prophylaxis when planning dental work? A. a 22-year-old woman with MVP with trace mitral regurgitation noted on echocardiogram B. a 54-year-old woman with a prosthetic aortic valve C. a 66-year-old man with cardiomyopathy D. a 58-year-old woman who had a three-vessel coronary artery bypass graft with drug-eluting stents 1 year ago - ANSWER-B
- Of the following people, who has no significant increased risk for developing bacterial endocarditis? A. a 43-year-old woman with a bicuspid aortic valve B. a 55-year-old man who was diagnosed with a Still's murmur during childhood C. a 45-year-old woman with a history of endocarditis D. a 75-year-old man with dilated cardiomyopathy - ANSWER-B
- You are examining an 85-year-old woman and find a grade 3/6 crescendo-decrescendo systolic murmur with radiation to the neck. This is most likely caused by: A. aortic stenosis. B. aortic regurgitation. C. anemia. D. mitral stenosis. - ANSWER-A
