APEA QBANK AANP PHARMACOLOGY
THERAPEUTICS DECISION MAKING
TOOLKIT 2026 GRADED A+
◉ A report of "knee locking" is a classic complaint of what?
Answer: a meniscal tear
◉ Can a pregnant woman be on levothyroxine during pregnancy?
Answer: yes, she should continue it and have TSH checked monthly
because she may need a higher dose as thyroid hormone needs
increase during pregnancy
◉ What characterizes mild persistent asthma?
Answer: asthma where symptoms occur more than twice weekly
◉ People who do not have a spleen (asplenic) are at a greater risk of
what?
Answer: more susceptible to bacterial infections
◉ What 2 things put someone at the highest risk of developing
pancreatitis?
,Answer: gallstones and alcohol abuse. Hypertriglyceridemia can also
cause it.
◉ What are the RF for GI bleeding?
Answer: age 75 or older, warfarin use, daily NSAID use, chronic
steroid use, PMHx of GI bleed
◉ When two or more RF for a GI bleed are present, we should not
start a patient on aspirin without what?
Answer: a daily PPI
◉ What medication is first line for the treatment of asymptomatic
bacteriuria or UTI in pregnancy?
Answer: nitrofurantoin
◉ Athletic amenorrhea increases one's risk of developing what?
Answer: osteoporosis; this is because there is a loss of body fat and
body fat is what produces estrogen so estrogen levels decline
◉ An intervention being performed to prevent the occurrence of the
same event happening again is an example of ___________ prevention.
Give an example.
Answer: secondary; taking a daily aspirin to prevent another stroke
after already having one
,◉ What is Strattera (atomoxetine) used for?
Answer: ADHD; side effect includes increased BP and HR so monitor
closely
◉ What is the drug Danazol and what is it used for?
Answer: an androgen used in the treatment of endometriosis and
fibrocystic breast disease
◉ Danazol, an androgen, has what potential side effects?
Answer: edema, hirsutism, hair loss, vocal changes
◉ The Mirena (Levonorgestrol) IUD stays in for how long?
Answer: 5 years
◉ What is the most common reason for persistent gonorrhea
infections?
Answer: failure of the patient to abstain from unprotected sexual
intercourse
◉ What class of drug is theophylline? What does it do?
Answer: methylxanthine; it's a bronchodilator
, ◉ Beta blockers are contraindicated in which cardiovascular
condition?
Answer: variant (prinzmetal) angina bc they may induce coronary
vasospasm from unopposed alpha receptor activity
◉ What class of drug is Ropinirole (requip) and what is it used for?
Answer: dopamine agonist; restless leg syndrome
◉ Are males or females more likely to commit suicide?
Answer: males
◉ How do depression vs. anxiety differ in the way that they affect
sleep?
Answer: anxiety usually causes people to have problems falling
asleep whereas depression causes early morning wakening
◉ What is the most common cause of pneumonia in all ages?
Answer: strep pneumo
◉ What is the most common cause of hemorrhagic stroke?
Answer: hypertension
THERAPEUTICS DECISION MAKING
TOOLKIT 2026 GRADED A+
◉ A report of "knee locking" is a classic complaint of what?
Answer: a meniscal tear
◉ Can a pregnant woman be on levothyroxine during pregnancy?
Answer: yes, she should continue it and have TSH checked monthly
because she may need a higher dose as thyroid hormone needs
increase during pregnancy
◉ What characterizes mild persistent asthma?
Answer: asthma where symptoms occur more than twice weekly
◉ People who do not have a spleen (asplenic) are at a greater risk of
what?
Answer: more susceptible to bacterial infections
◉ What 2 things put someone at the highest risk of developing
pancreatitis?
,Answer: gallstones and alcohol abuse. Hypertriglyceridemia can also
cause it.
◉ What are the RF for GI bleeding?
Answer: age 75 or older, warfarin use, daily NSAID use, chronic
steroid use, PMHx of GI bleed
◉ When two or more RF for a GI bleed are present, we should not
start a patient on aspirin without what?
Answer: a daily PPI
◉ What medication is first line for the treatment of asymptomatic
bacteriuria or UTI in pregnancy?
Answer: nitrofurantoin
◉ Athletic amenorrhea increases one's risk of developing what?
Answer: osteoporosis; this is because there is a loss of body fat and
body fat is what produces estrogen so estrogen levels decline
◉ An intervention being performed to prevent the occurrence of the
same event happening again is an example of ___________ prevention.
Give an example.
Answer: secondary; taking a daily aspirin to prevent another stroke
after already having one
,◉ What is Strattera (atomoxetine) used for?
Answer: ADHD; side effect includes increased BP and HR so monitor
closely
◉ What is the drug Danazol and what is it used for?
Answer: an androgen used in the treatment of endometriosis and
fibrocystic breast disease
◉ Danazol, an androgen, has what potential side effects?
Answer: edema, hirsutism, hair loss, vocal changes
◉ The Mirena (Levonorgestrol) IUD stays in for how long?
Answer: 5 years
◉ What is the most common reason for persistent gonorrhea
infections?
Answer: failure of the patient to abstain from unprotected sexual
intercourse
◉ What class of drug is theophylline? What does it do?
Answer: methylxanthine; it's a bronchodilator
, ◉ Beta blockers are contraindicated in which cardiovascular
condition?
Answer: variant (prinzmetal) angina bc they may induce coronary
vasospasm from unopposed alpha receptor activity
◉ What class of drug is Ropinirole (requip) and what is it used for?
Answer: dopamine agonist; restless leg syndrome
◉ Are males or females more likely to commit suicide?
Answer: males
◉ How do depression vs. anxiety differ in the way that they affect
sleep?
Answer: anxiety usually causes people to have problems falling
asleep whereas depression causes early morning wakening
◉ What is the most common cause of pneumonia in all ages?
Answer: strep pneumo
◉ What is the most common cause of hemorrhagic stroke?
Answer: hypertension
