NR 565 - advanced pharmacology FINAL
EXAM QUESTIONS WITH CORRECT
ANSWERS - Chamberlain Practice
EXAM 2025/2026
Sabrina is a 35-year-old female who presents with complaints of fatigue,
anxiety, and palpitations. She has a long history of obesity and reports
that she is happy that she has lost 23 pounds in the last 2 months. She
also reports that she has trouble sleeping and her husband complains that
she is keeping the house too cold. Physical exam reveals slight
tachycardia at 104 bpm and a slightly enlarged thyroid. Thyroid testing
reveals hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine - ANSWER A. Methimazole
Which of the following medications would be considered the first line of
treatment for a newly diagnosed Diabetic patient with adequate renal
and hepatic function?
A: NovoLog Sliding Scale Insulin
,B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide - ANSWER C: Oral Metformin
Of the following medications, which is most likely to cause
hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones - ANSWER B. Insulin
Which symptoms are most expected of a patient diagnosed with
hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema - ANSWER
D. dry skin, brittle hair, fatigue, myxedema
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
,C. Alcoholics
D. Women suffering from infertility - ANSWER C.
Alcoholics
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17 - ANSWER A. eGFR <30
What medication is contraindicated to treat diabetes if a patient already
has a cardiac ejection fraction rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor - ANSWER B.
Thiazolidinediones
Patients with an increased risk for UTIs and genital infections or an
active diagnosis, should avoid what drug class/es for treatment of Type
II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
, C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above. - ANSWER C. Sodium-Glucose
Cotransporter 2 (SGLT-2) Inhibitors.
A 45-year-old patient with a history of type 2 diabetes presents to the
clinic for a follow-up appointment. The healthcare provider has
prescribed metformin as part of the treatment plan. Which of the
following statements regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin
resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose
production. - ANSWER D. Metformin improves insulin
sensitivity and reduces hepatic glucose production.
In what part of the body are SGLT-2 (sodium-glucose cotransporter 2)
inhibitors active?
A. Small intestine
B. Pancreas
C. Renal tubules
D. Stomach - ANSWER C. Renal tubules
EXAM QUESTIONS WITH CORRECT
ANSWERS - Chamberlain Practice
EXAM 2025/2026
Sabrina is a 35-year-old female who presents with complaints of fatigue,
anxiety, and palpitations. She has a long history of obesity and reports
that she is happy that she has lost 23 pounds in the last 2 months. She
also reports that she has trouble sleeping and her husband complains that
she is keeping the house too cold. Physical exam reveals slight
tachycardia at 104 bpm and a slightly enlarged thyroid. Thyroid testing
reveals hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine - ANSWER A. Methimazole
Which of the following medications would be considered the first line of
treatment for a newly diagnosed Diabetic patient with adequate renal
and hepatic function?
A: NovoLog Sliding Scale Insulin
,B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide - ANSWER C: Oral Metformin
Of the following medications, which is most likely to cause
hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones - ANSWER B. Insulin
Which symptoms are most expected of a patient diagnosed with
hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema - ANSWER
D. dry skin, brittle hair, fatigue, myxedema
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
,C. Alcoholics
D. Women suffering from infertility - ANSWER C.
Alcoholics
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17 - ANSWER A. eGFR <30
What medication is contraindicated to treat diabetes if a patient already
has a cardiac ejection fraction rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor - ANSWER B.
Thiazolidinediones
Patients with an increased risk for UTIs and genital infections or an
active diagnosis, should avoid what drug class/es for treatment of Type
II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
, C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above. - ANSWER C. Sodium-Glucose
Cotransporter 2 (SGLT-2) Inhibitors.
A 45-year-old patient with a history of type 2 diabetes presents to the
clinic for a follow-up appointment. The healthcare provider has
prescribed metformin as part of the treatment plan. Which of the
following statements regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin
resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose
production. - ANSWER D. Metformin improves insulin
sensitivity and reduces hepatic glucose production.
In what part of the body are SGLT-2 (sodium-glucose cotransporter 2)
inhibitors active?
A. Small intestine
B. Pancreas
C. Renal tubules
D. Stomach - ANSWER C. Renal tubules
