NR 565 - Advanced Pharmacology
Midterm Exam
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
240+
Key Solutions
VERIFIED ANSWERS
Question 1
1st trimester (fetus most at risk d/t rapid growth)
Correct Answer
During what trimester is a pregnant woman most at risk for adverse drug reactions with potential long term
consequences?
Question 2
Recommendations of medications inappropriate for elderly (65 and older), prescriber ultimately decides
Correct Answer
What is BEERS criteria?
Question 3
liver enzyme system where medications are metabolized, can either be inducers or inhibitors and create drug-drug
interactions
Correct Answer
What is the CYP450 (cytochrome P450)
Question 4
Speed up metabolism of drugs (drug is cleared faster), drug has lesser effect (decrease blood levels of drug), elevate CYP450
enzymes
Correct Answer
CYP450 inducers
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,Question 5
"Bullshit Crap GPS INDUCES rage"
Correct Answer
CYP450 inducers pneumonic
Question 6
Barbituates, St John wort, Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin, phenobarbital, sulfonylureas
Correct Answer
CYP450 inducer drug names
Question 7
inhibit metabolism, increase blood levels of medications
Correct Answer
CYP450 inhibitors
Question 8
"VISA credit card debt INHIBITS spending on designers like CK to look GQ"
Correct Answer
CYP450 pneumonic
Question 9
Valproate, isoniazid, sulfonamides, amiodarone, chloramphenicol, ketoconazole, grapefruit juice, quinidine
Correct Answer
CYP450 inhibitors drug names
Question 10
increase glomerular filtration rate leads to increase durg excretion
increase hepatic metabolism
decrease tone and motility of bowel
increase drug absorption
Correct Answer
Physiological changes during pregnancy that impact pharmacodynamics and pharmacokinetic properties of drugs?
Question 11
Antiepileptic drugs, antimicrobials such as tetracyclines and fluoroquinolones, vitamin A in large doses, some
anticoagulants, and hormonal medications such as diethylstilbestrol (DES).
Correct Answer
Examples of medications that can be teratogenic
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,Question 12
slow and erratic due to low blood flow in muscles first few days of life
Correct Answer
How is absorption of intramuscular medications different in neonates?
Question 13
delayed gastric emptying
Correct Answer
Why is absorption of medication in the stomach increased in infancy?
Question 14
glucocorticoids, discoloration of developing teeth with tetracyclines, and kernicterus with sulfonamides, levofloxacin
(antibiotics)
aspirin (Severe intoxication from acute overdose)
Correct Answer
Some medications that should be avoided in the pediatric patient?
Question 15
dosage size and timing
route and technique of administration
duration of treatment
drug storage
nature and time course of desired responses
nature and time course of adverse responses
finish taking antibiotic
Correct Answer
what should be included in medication administration patient education?
Question 16
reduced renal function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered pharmacokinetics
inadequate supervision of long-term therapy
poor patient adherence
Correct Answer
What are some things that put the elderly patient at higher risk for adverse drug reactions?
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, Question 17
obtaining a thorough drug history that includes over-the-counter medications
considering pharmacokinetic and pharmacodynamics changes due to age
monitoring the patient's clinical response and plasma drug levels
using the simplest regimen possible
monitoring for drug-drug interactions and iatrogenic illness
periodically reviewing the need for continued drug therapy
encouraging the patient to dispose of old medications
taking steps to promote adherence and to avoid drugs on the Beers list
Correct Answer
How can healthcare providers decrease likelihood of an elderly patient experiencing an adverse drug reaction?
Question 18
simplifying drug regimens
providing clear and concise verbal and written instructions
using an appropriate dosage form
clearly labeling and dispensing easy-to-open containers
developing daily reminders
monitoring frequently
affordability of drugs
support systems
Correct Answer
How can we promote medication adherence with elderly patients?
Question 19
Need nitrate free interval so tolerance doesn't develop
Correct Answer
Why do nitrates need to be taken no later than 4 PM?
Question 20
Gender and race
Genetics and pharmacogenomics
Variability in absorption
placebo effect
Tolerance
patho
age
bodyweight
Correct Answer
Nine factors that impact outcome of medication?
Question 21
yes
Correct Answer
Do you need informed consent for genetic testing?
Trusted by thousands of students and professionals worldwide Page 4 of 38
Midterm Exam
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
240+
Key Solutions
VERIFIED ANSWERS
Question 1
1st trimester (fetus most at risk d/t rapid growth)
Correct Answer
During what trimester is a pregnant woman most at risk for adverse drug reactions with potential long term
consequences?
Question 2
Recommendations of medications inappropriate for elderly (65 and older), prescriber ultimately decides
Correct Answer
What is BEERS criteria?
Question 3
liver enzyme system where medications are metabolized, can either be inducers or inhibitors and create drug-drug
interactions
Correct Answer
What is the CYP450 (cytochrome P450)
Question 4
Speed up metabolism of drugs (drug is cleared faster), drug has lesser effect (decrease blood levels of drug), elevate CYP450
enzymes
Correct Answer
CYP450 inducers
Trusted by thousands of students and professionals worldwide Page 1 of 38
,Question 5
"Bullshit Crap GPS INDUCES rage"
Correct Answer
CYP450 inducers pneumonic
Question 6
Barbituates, St John wort, Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin, phenobarbital, sulfonylureas
Correct Answer
CYP450 inducer drug names
Question 7
inhibit metabolism, increase blood levels of medications
Correct Answer
CYP450 inhibitors
Question 8
"VISA credit card debt INHIBITS spending on designers like CK to look GQ"
Correct Answer
CYP450 pneumonic
Question 9
Valproate, isoniazid, sulfonamides, amiodarone, chloramphenicol, ketoconazole, grapefruit juice, quinidine
Correct Answer
CYP450 inhibitors drug names
Question 10
increase glomerular filtration rate leads to increase durg excretion
increase hepatic metabolism
decrease tone and motility of bowel
increase drug absorption
Correct Answer
Physiological changes during pregnancy that impact pharmacodynamics and pharmacokinetic properties of drugs?
Question 11
Antiepileptic drugs, antimicrobials such as tetracyclines and fluoroquinolones, vitamin A in large doses, some
anticoagulants, and hormonal medications such as diethylstilbestrol (DES).
Correct Answer
Examples of medications that can be teratogenic
Trusted by thousands of students and professionals worldwide Page 2 of 38
,Question 12
slow and erratic due to low blood flow in muscles first few days of life
Correct Answer
How is absorption of intramuscular medications different in neonates?
Question 13
delayed gastric emptying
Correct Answer
Why is absorption of medication in the stomach increased in infancy?
Question 14
glucocorticoids, discoloration of developing teeth with tetracyclines, and kernicterus with sulfonamides, levofloxacin
(antibiotics)
aspirin (Severe intoxication from acute overdose)
Correct Answer
Some medications that should be avoided in the pediatric patient?
Question 15
dosage size and timing
route and technique of administration
duration of treatment
drug storage
nature and time course of desired responses
nature and time course of adverse responses
finish taking antibiotic
Correct Answer
what should be included in medication administration patient education?
Question 16
reduced renal function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered pharmacokinetics
inadequate supervision of long-term therapy
poor patient adherence
Correct Answer
What are some things that put the elderly patient at higher risk for adverse drug reactions?
Trusted by thousands of students and professionals worldwide Page 3 of 38
, Question 17
obtaining a thorough drug history that includes over-the-counter medications
considering pharmacokinetic and pharmacodynamics changes due to age
monitoring the patient's clinical response and plasma drug levels
using the simplest regimen possible
monitoring for drug-drug interactions and iatrogenic illness
periodically reviewing the need for continued drug therapy
encouraging the patient to dispose of old medications
taking steps to promote adherence and to avoid drugs on the Beers list
Correct Answer
How can healthcare providers decrease likelihood of an elderly patient experiencing an adverse drug reaction?
Question 18
simplifying drug regimens
providing clear and concise verbal and written instructions
using an appropriate dosage form
clearly labeling and dispensing easy-to-open containers
developing daily reminders
monitoring frequently
affordability of drugs
support systems
Correct Answer
How can we promote medication adherence with elderly patients?
Question 19
Need nitrate free interval so tolerance doesn't develop
Correct Answer
Why do nitrates need to be taken no later than 4 PM?
Question 20
Gender and race
Genetics and pharmacogenomics
Variability in absorption
placebo effect
Tolerance
patho
age
bodyweight
Correct Answer
Nine factors that impact outcome of medication?
Question 21
yes
Correct Answer
Do you need informed consent for genetic testing?
Trusted by thousands of students and professionals worldwide Page 4 of 38
