Pharmacology A Exam
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Questions and Answers
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Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
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,1. You receive report that a patient just received their fourth dose of IV vancomycin over 30
minutes and is now experiencing redness and itching. What would you suspect?
A) Drug allergy
B) Infection
C) Red man syndrome
D) Anaphylactic reaction
Correct Answer: C) Red man syndrome
Explanation: Rapid infusion of vancomycin can lead to red man syndrome, characterized
by flushing, rash, and itching due to histamine release.
2. Which of the following medications should be questioned if prescribed for a patient taking
sildenafil (Viagra)?
A) Amlodipine
B) Nitroglycerin
C) Metoprolol
D) Lisinopril
Correct Answer: B) Nitroglycerin
Explanation: The concomitant use of sildenafil and nitroglycerin can lead to severe
hypotension due to their combined vasodilatory effects.
3. A patient has a capillary blood glucose level of 33 mg/dL and is unable to tolerate oral
intake. Which of the following would you administer?
A) Glucagon IM
B) Dextrose 50% IV push
C) Oral glucose gel
, D) Regular insulin
Correct Answer: B) Dextrose 50% IV push
Explanation: Dextrose 50% IV push is the quickest and most effective way to raise blood
sugar levels in patients who cannot take oral glucose.
4. What medication is a leukotriene receptor antagonist?
A) Albuterol
B) Montelukast
C) Budesonide
D) Fluticasone
Correct Answer: B) Montelukast
Explanation: Montelukast is specifically designed to block leukotriene receptors, which
play a significant role in mediating inflammatory responses in asthma and allergic conditions.
5. Which statement made by a patient regarding hydrochlorothiazide (HCTZ) is correct?
A) I can take this medication in any position.
B) I should take extra care when standing up or changing positions.
C) I do not need to monitor my blood pressure.
D) This medication will make me gain weight.
Correct Answer: B) I should take extra care when standing up or changing positions.
Explanation: HCTZ can cause orthostatic hypotension, so patients should be aware of the
potential for dizziness when changing positions.