NR 565 Advanced Pharmacology Midterm Newest Exam
Preparation Newest With Complete Questions And
Correct Detailed Answers| Brand New Version
A patient comes into the clinic with complaints of bloating and abdominal pain for a few
weeks. What are appropriate options for treatment?
A. Test for H.Pylori
B. Start patient on a bland diet
C. Lifestyle modifications and Histamine Type-2 Receptor Antagonists
D. Order endoscopy
C. Lifestyle modifications and Histamine Type-2 Receptor Antagonists
A pregnant woman comes in asking for GERD medication, what can you recommend?
A. Misoprostol
B. Sucralafate
C. Esomeprazole
D. Diet modifications only
B. Sucralafate
Which of the following is a Histamine Type-2 Receptor Antagonist?
A. Pantoprazole
B. Misoprostol
C. Nizatidine
D. Senna
C. Nizatidine
Which medication is associated with decreased absorption of calcium, magnesium, and
vitamin B12?
A. Metronidazole
B. Polyethylene glycol
C. Metoclopramide
D. Esomeprazole
D. Esomeprazole
The patient demonstrates correct understanding metronidazole when they state:
A. "I can still have my nightly glass of wine while taking this medication."
B. "Unfortunately, I can not take this medication because I am 6 weeks pregnant."
C. "Episodes of diarrhea and insomnia are the most common side effects of this
medication."
D. "Metronidazole does not treat sensitive strains of H. pylori. I need a different
prescription."
1|Page
,B. "Unfortunately, I can not take this medication because I am 6 weeks pregnant."
When treating for symptomatic H.Pylori the medications used should include:
A. Amoxicillin
B . Bismuth
C. Metronidazole
D. All of the above
D. All of the above
Which medication can be abused due to its "morphine-like affect"?
A. Prilosec
B. Zofran
C. Mylanta
D. Lopermide
D. Lopermide
Which medication class is associated with the following symptoms: pneumonia,
fractures, rebound acid hypersecretion, hypomagnesemia, and diarrhea?
A. Histamine-2 receptor antagonists
B. PPIs
C. Antacids
D. Laxatives
B. PPIs
Gastrointestinal symptoms are common and require NPs to appropriately diagnose and
manage these issues. Which of the following statements are true?
A. Proton pump inhibitors are the more effective medicine for gastro-esophageal reflux,
but have long term concerns which can be weighed against procedural solutions.
B.. Tobacco has many downsides but is good for GERD
C. Laxatives are something patients only take when they need it and pose no concern
for self management
D. Lifestyle changes cannot help irritable bowel syndrome, constipation, or GERD
A. Proton pump inhibitors are the more effective medicine for gastro-esophageal reflux,
but have long term concerns which can be weighed against procedural solutions.
Which antiemetic drug is known to potentially cause severe reparatory depression and
is contraindicated in children below 2 years old?
A. Ondansetron
B. Glucocorticoids
C. Promethazine
D. Lorazepam
C. Promethazine
Laxative are contraindicated in which of the following condition?
A. Pregnancy
B. Constipation
2|Page
,C. Diverticulitis
D. Irritable Bowel Syndrome
A. Pregnancy
Which of the following complications is NOT associated with long-term Proton-Pump-
Inhibitor (PPI) usage?
A. Increased Risk of Bone Fractures
B. Increased chance of developing Dementia
C. Increased risk of developing Cancer
D. Decreased absorption of Calcium and Magnesium
C. Increased risk of developing Cancer
Why should PPIs be avoided for older adults when treating GERD?
A. Risk for fractures
B. Too expensive
C. Polypharmacy
D. Hypotension
A. Risk for fractures
What medications should be taken for Traveler's Diarrhea?
A. Fluoroquinolones
B. Immodium
C. Misoprostol
D. Alosetron
A. Fluoroquinolones
Cimetidine was the first histamine 2 receptor antagonist available but can produce
adverse effects, especially in the older population. Of the adverse reactions listed
below, which one is not an adverse effect of Cimetidine?
A. Confusion
B. Hallucinations
C. Gynecomastia
D. Rebound acid hypersecretion
D. Rebound acid hypersecretion
Which of the following vaccines are live attenuated vaccines and contraindicated in
patients with a low immune system?
A. TDaP, Td, DT
B. Zoster, Varicella, MMR
C. HPV, IIV, IPV
D. Hep A, Hep B, HiB
B. Zoster, Varicella, MMR
Which of the following is not a contraindication to vaccines?
A. Severe allergic reaction to vaccines or an ingredient within a vaccine.
B. Encephalopathy within 7 days of a previous dose of DTP of Tdap with no other
3|Page
, apparent cause.
C. Pregnancy for MMR, varicella, and zoster vaccines.
D. Guillan Barre Syndrome <6 weeks after a previous vaccine dose
D. Guillan Barre Syndrome <6 weeks after a previous vaccine dose
Which of the following is a attenuated vaccine?
A. Tdap
B. Polio
C. MMRV
D. Hep B
C. MMRV
Which class of oral diabetes drugs is paired most appropriately with its primary
mechanism of action?
A. DPP-4 inhibitor: inhibits breakdown of complex carbohydrates.
B. SGLT2 inhibitor: increases urinary excretion of glucose
C. Sulfonylurea: increases insulin sensitivity
D. Thiazolidinedione: decreases hepatic gluconeogenesis.
B. SGLT2 inhibitor: increases urinary excretion of glucose
Which of the following drugs for diabetes is MOST likely to cause hypoglycemia?
A. Glyburide
B. Exenatide
C. Rosiglitazone
D. Saxagliptin
A. Glyburide
A 56-year-old man with type 2 diabetes recently experienced a myocardial infarction
(heart attack). He takes metformin and canagliflozin for his diabetes, and his A1C is still
above goal. Which of the following drugs is most appropriate to initiate for this patient?
A. Glipizide
B. Liraglutide
C. Pioglitazone
D. Sitagliptin
B. Liraglutide
A 29-year-old woman with complaints of fatigue and weight gain presents for her annual
physical exam. Her TSH is 13.5 mIU/L (normal 0.5-4.7 mIU/L). Which of the following
agents is most appropriate to treat the TSH abnormality?
A. Levothyroxine
B. Liothyronine
C. Liotrix
D. Propylthiouracil
A. Levothyroxine
A 45-year-old woman requires levothyroxine for a new diagnosis of hypothyroidism. Her
current medications include metoprolol and pravastatin. She also takes calcium
4|Page
Preparation Newest With Complete Questions And
Correct Detailed Answers| Brand New Version
A patient comes into the clinic with complaints of bloating and abdominal pain for a few
weeks. What are appropriate options for treatment?
A. Test for H.Pylori
B. Start patient on a bland diet
C. Lifestyle modifications and Histamine Type-2 Receptor Antagonists
D. Order endoscopy
C. Lifestyle modifications and Histamine Type-2 Receptor Antagonists
A pregnant woman comes in asking for GERD medication, what can you recommend?
A. Misoprostol
B. Sucralafate
C. Esomeprazole
D. Diet modifications only
B. Sucralafate
Which of the following is a Histamine Type-2 Receptor Antagonist?
A. Pantoprazole
B. Misoprostol
C. Nizatidine
D. Senna
C. Nizatidine
Which medication is associated with decreased absorption of calcium, magnesium, and
vitamin B12?
A. Metronidazole
B. Polyethylene glycol
C. Metoclopramide
D. Esomeprazole
D. Esomeprazole
The patient demonstrates correct understanding metronidazole when they state:
A. "I can still have my nightly glass of wine while taking this medication."
B. "Unfortunately, I can not take this medication because I am 6 weeks pregnant."
C. "Episodes of diarrhea and insomnia are the most common side effects of this
medication."
D. "Metronidazole does not treat sensitive strains of H. pylori. I need a different
prescription."
1|Page
,B. "Unfortunately, I can not take this medication because I am 6 weeks pregnant."
When treating for symptomatic H.Pylori the medications used should include:
A. Amoxicillin
B . Bismuth
C. Metronidazole
D. All of the above
D. All of the above
Which medication can be abused due to its "morphine-like affect"?
A. Prilosec
B. Zofran
C. Mylanta
D. Lopermide
D. Lopermide
Which medication class is associated with the following symptoms: pneumonia,
fractures, rebound acid hypersecretion, hypomagnesemia, and diarrhea?
A. Histamine-2 receptor antagonists
B. PPIs
C. Antacids
D. Laxatives
B. PPIs
Gastrointestinal symptoms are common and require NPs to appropriately diagnose and
manage these issues. Which of the following statements are true?
A. Proton pump inhibitors are the more effective medicine for gastro-esophageal reflux,
but have long term concerns which can be weighed against procedural solutions.
B.. Tobacco has many downsides but is good for GERD
C. Laxatives are something patients only take when they need it and pose no concern
for self management
D. Lifestyle changes cannot help irritable bowel syndrome, constipation, or GERD
A. Proton pump inhibitors are the more effective medicine for gastro-esophageal reflux,
but have long term concerns which can be weighed against procedural solutions.
Which antiemetic drug is known to potentially cause severe reparatory depression and
is contraindicated in children below 2 years old?
A. Ondansetron
B. Glucocorticoids
C. Promethazine
D. Lorazepam
C. Promethazine
Laxative are contraindicated in which of the following condition?
A. Pregnancy
B. Constipation
2|Page
,C. Diverticulitis
D. Irritable Bowel Syndrome
A. Pregnancy
Which of the following complications is NOT associated with long-term Proton-Pump-
Inhibitor (PPI) usage?
A. Increased Risk of Bone Fractures
B. Increased chance of developing Dementia
C. Increased risk of developing Cancer
D. Decreased absorption of Calcium and Magnesium
C. Increased risk of developing Cancer
Why should PPIs be avoided for older adults when treating GERD?
A. Risk for fractures
B. Too expensive
C. Polypharmacy
D. Hypotension
A. Risk for fractures
What medications should be taken for Traveler's Diarrhea?
A. Fluoroquinolones
B. Immodium
C. Misoprostol
D. Alosetron
A. Fluoroquinolones
Cimetidine was the first histamine 2 receptor antagonist available but can produce
adverse effects, especially in the older population. Of the adverse reactions listed
below, which one is not an adverse effect of Cimetidine?
A. Confusion
B. Hallucinations
C. Gynecomastia
D. Rebound acid hypersecretion
D. Rebound acid hypersecretion
Which of the following vaccines are live attenuated vaccines and contraindicated in
patients with a low immune system?
A. TDaP, Td, DT
B. Zoster, Varicella, MMR
C. HPV, IIV, IPV
D. Hep A, Hep B, HiB
B. Zoster, Varicella, MMR
Which of the following is not a contraindication to vaccines?
A. Severe allergic reaction to vaccines or an ingredient within a vaccine.
B. Encephalopathy within 7 days of a previous dose of DTP of Tdap with no other
3|Page
, apparent cause.
C. Pregnancy for MMR, varicella, and zoster vaccines.
D. Guillan Barre Syndrome <6 weeks after a previous vaccine dose
D. Guillan Barre Syndrome <6 weeks after a previous vaccine dose
Which of the following is a attenuated vaccine?
A. Tdap
B. Polio
C. MMRV
D. Hep B
C. MMRV
Which class of oral diabetes drugs is paired most appropriately with its primary
mechanism of action?
A. DPP-4 inhibitor: inhibits breakdown of complex carbohydrates.
B. SGLT2 inhibitor: increases urinary excretion of glucose
C. Sulfonylurea: increases insulin sensitivity
D. Thiazolidinedione: decreases hepatic gluconeogenesis.
B. SGLT2 inhibitor: increases urinary excretion of glucose
Which of the following drugs for diabetes is MOST likely to cause hypoglycemia?
A. Glyburide
B. Exenatide
C. Rosiglitazone
D. Saxagliptin
A. Glyburide
A 56-year-old man with type 2 diabetes recently experienced a myocardial infarction
(heart attack). He takes metformin and canagliflozin for his diabetes, and his A1C is still
above goal. Which of the following drugs is most appropriate to initiate for this patient?
A. Glipizide
B. Liraglutide
C. Pioglitazone
D. Sitagliptin
B. Liraglutide
A 29-year-old woman with complaints of fatigue and weight gain presents for her annual
physical exam. Her TSH is 13.5 mIU/L (normal 0.5-4.7 mIU/L). Which of the following
agents is most appropriate to treat the TSH abnormality?
A. Levothyroxine
B. Liothyronine
C. Liotrix
D. Propylthiouracil
A. Levothyroxine
A 45-year-old woman requires levothyroxine for a new diagnosis of hypothyroidism. Her
current medications include metoprolol and pravastatin. She also takes calcium
4|Page
