MN 553 LATEST 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Pharmacoeconomics is:
Question options:
The study of the part of the U.S. economy devoted to drug use
The study of the impact of prescription drug costs on the overall economy
The analysis of the costs and consequences of any health-care-related treatment or
service
The analysis of the clinical efficacy of the drug - ✔✔The analysis of the costs and
consequences of any health-care-related treatment or service
✔✔Jim is being treated for hypertension. Because he has a history of heart attack, the
drug chosen is atenolol. Beta blockers treat hypertension by:
Question options:
Increasing heart rate to improve cardiac output
Reducing vascular smooth muscle tone
Increasing aldosterone-mediated volume activity
Reducing aqueous humor production - ✔✔Reducing vascular smooth muscle tone
✔✔Gender differences between men and women in pharmacokinetics include:
Question options:
More rapid gastric emptying so that drugs absorbed in the stomach have less exposure
to absorption sites
Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of
distribution
Increased levels of bile acids so that drugs metabolized in the intestine have higher
concentrations
Slower organ blood flow rates so drugs tend to take longer to be excreted - ✔✔Higher
proportion of body fat so that lipophilic drugs have relatively greater volumes of
distribution
✔✔Precautions that should be taken when prescribing controlled substances include:
,Question options:
Faxing the prescription for a Schedule II drug directly to the pharmacy
Using tamper-proof paper for all prescriptions written for controlled drugs
Keeping any pre-signed prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed - ✔✔Using tamper-
proof paper for all prescriptions written for controlled drugs
✔✔Howard is a 72-year-old male who occasionally takes diphenhydramine for his
seasonal allergies. Monitoring for this patient taking diphenhydramine would include
assessing for:
Question options:
Urinary retention
Cardiac output
Peripheral edema
Skin rash - ✔✔Urinary retention
✔✔Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking
allopurinol includes:
Question options:
Complete blood count
Blood glucose
C-reactive protein
BUN, creatinine, and creatinine clearance - ✔✔BUN, creatinine, and creatinine
clearance
✔✔Education for patients who use an inhaled beta-agonist and an inhaled
corticosteroid includes:
Question options:
Use the inhaled corticosteroid first, followed by the inhaled beta-agonists.
Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.
Increase fluid intake to 3 liters per day.
, Avoid use of aspirin or ibuprofen while using inhaled medications. - ✔✔Use the inhaled
beta-agonist first, followed by the inhaled corticosteroid.
✔✔The drug of choice for type 2 diabetics is metformin. Metformin:
Question options:
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Increases intestinal uptake of glucose
Prevents weight gain associated with hyperglycemia - ✔✔Decreases glycogenolysis by
the liver
✔✔Sook has been prescribed gabapentin to treat neuropathic pain and is complaining
of feeling depressed and having "strange" thoughts. The appropriate initial action would
be:
Question options:
Increase her dose
Assess for suicidal ideation
Discontinue the medication immediately
Decrease her dose to half then slowly titrate up the dose - ✔✔Assess for suicidal
ideation
✔✔Harold, a 42-year-old African American, has moderate persistent asthma. Which of
the following asthma medications should be used cautiously, if at all?
Question options:
Betamethasone, an inhaled corticosteroid
Salmeterol, an inhaled long-acting beta-agonist
Albuterol, a short-acting beta-agonist
Montelukast, a leukotriene modifier - ✔✔Salmeterol, an inhaled long-acting beta-agonist
✔✔There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins because:
Question options:
SOLUTIONS GRADED A+
✔✔Pharmacoeconomics is:
Question options:
The study of the part of the U.S. economy devoted to drug use
The study of the impact of prescription drug costs on the overall economy
The analysis of the costs and consequences of any health-care-related treatment or
service
The analysis of the clinical efficacy of the drug - ✔✔The analysis of the costs and
consequences of any health-care-related treatment or service
✔✔Jim is being treated for hypertension. Because he has a history of heart attack, the
drug chosen is atenolol. Beta blockers treat hypertension by:
Question options:
Increasing heart rate to improve cardiac output
Reducing vascular smooth muscle tone
Increasing aldosterone-mediated volume activity
Reducing aqueous humor production - ✔✔Reducing vascular smooth muscle tone
✔✔Gender differences between men and women in pharmacokinetics include:
Question options:
More rapid gastric emptying so that drugs absorbed in the stomach have less exposure
to absorption sites
Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of
distribution
Increased levels of bile acids so that drugs metabolized in the intestine have higher
concentrations
Slower organ blood flow rates so drugs tend to take longer to be excreted - ✔✔Higher
proportion of body fat so that lipophilic drugs have relatively greater volumes of
distribution
✔✔Precautions that should be taken when prescribing controlled substances include:
,Question options:
Faxing the prescription for a Schedule II drug directly to the pharmacy
Using tamper-proof paper for all prescriptions written for controlled drugs
Keeping any pre-signed prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed - ✔✔Using tamper-
proof paper for all prescriptions written for controlled drugs
✔✔Howard is a 72-year-old male who occasionally takes diphenhydramine for his
seasonal allergies. Monitoring for this patient taking diphenhydramine would include
assessing for:
Question options:
Urinary retention
Cardiac output
Peripheral edema
Skin rash - ✔✔Urinary retention
✔✔Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking
allopurinol includes:
Question options:
Complete blood count
Blood glucose
C-reactive protein
BUN, creatinine, and creatinine clearance - ✔✔BUN, creatinine, and creatinine
clearance
✔✔Education for patients who use an inhaled beta-agonist and an inhaled
corticosteroid includes:
Question options:
Use the inhaled corticosteroid first, followed by the inhaled beta-agonists.
Use the inhaled beta-agonist first, followed by the inhaled corticosteroid.
Increase fluid intake to 3 liters per day.
, Avoid use of aspirin or ibuprofen while using inhaled medications. - ✔✔Use the inhaled
beta-agonist first, followed by the inhaled corticosteroid.
✔✔The drug of choice for type 2 diabetics is metformin. Metformin:
Question options:
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Increases intestinal uptake of glucose
Prevents weight gain associated with hyperglycemia - ✔✔Decreases glycogenolysis by
the liver
✔✔Sook has been prescribed gabapentin to treat neuropathic pain and is complaining
of feeling depressed and having "strange" thoughts. The appropriate initial action would
be:
Question options:
Increase her dose
Assess for suicidal ideation
Discontinue the medication immediately
Decrease her dose to half then slowly titrate up the dose - ✔✔Assess for suicidal
ideation
✔✔Harold, a 42-year-old African American, has moderate persistent asthma. Which of
the following asthma medications should be used cautiously, if at all?
Question options:
Betamethasone, an inhaled corticosteroid
Salmeterol, an inhaled long-acting beta-agonist
Albuterol, a short-acting beta-agonist
Montelukast, a leukotriene modifier - ✔✔Salmeterol, an inhaled long-acting beta-agonist
✔✔There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins because:
Question options:
