Final N677 Advanced Pharmacology Quiz
1. Your patient has polycystic ovarian syndrome (PCOS) and does not desire future pregnancy. The
best pharmacological treatment combination for this condition is:
a. Oral birth control pills, Glucophage, Spironolactone
2. Your healthy young patient is very anxious and does not want to take controlled drugs. The best
short-term rapid onset anti-anxiety medication for this patient is:
a. Propranolol 40 mg BID
3. Your patient has osteoarthritis and takes NSAIDs daily for pain, drinks alcohol daily, takes 81 mg
of aspirin daily, and takes a beta blocker for hypertension. Today he complains of GI distress.
After history taking and your examination, you diagnose him the GERD. What is the next step to
take?
a. Stop NSAIDs, aspirin & alcohol; start Omeprazole 20 mg every day X 2 weeks
4. Your patient has a long history of osteoarthritis and joint pain and takes daily NSAIDs for the
pain. He also takes an ACE Inhibitor for HTN. He is now on hemodialysis in Stage 5 Renal Failure
and has chronic hyperkalemia. You know:
a. ACEI's are renal-protective but increase K levels, so they must be stopped.
5. Your patient has a long history of osteoarthritis and joint pain and takes daily NSAIDs for the
pain. He also takes an ACE Inhibitor for HTN. He is now on hemodialysis in Stage 5 Renal Failure
and has chronic hyperkalemia. You know:
a. NSAIDs are toxic to the kidneys and must be stopped. Order acetaminophen for pain.
6. Acetaminophen (APAP):
a. Does NOT have anti-inflammatory action
7. The best pharmacological treatment for acute gout is:
a. Daily prevention with Allupurinol and treatment with Colchicine, steroid and/or NSAIDs
8. Colchicine dosing is
a. 0.6 to 1.2 mg every 1 to 2 hours until pain stops, or diarrhea occurs.
9. You prescribe Alendronate (Fosamax) 40 mg once per 7 days for your postmenopausal
osteoporosis patient. Fosamax is prescribed to "force the calcium in the bone". and can cause
severe GI to upset. For this drug to be effective and safe, you should inform the patient to:
a. Not lie down for 30 minutes after taking; take daily calcium supplements
10. Your patient reports a moderate frontal headache that occurs daily. You complete your history
and physical examinations. You rule out tumor, migraine, cluster & tension headaches. The best
treatment for this type of headache is likely:
a. Taper then stop caffeine consumption, take acetaminophen if needed
11. Your patient is in your clinic who has symptoms that meet the DSM-5 criteria for bipolar 1,
mania and has a history of bipolar 1, mania disorder. After completing her workup, you need to:
a. Order Lithium 300 mg BID X 1 week
12. Your patient's husband of 40 years died last week. She reports hearing his voice, having extreme
insomnia, being "in a fog", crying "all the time" and has no appetite. She does not have suicidal
thoughts. Your response to her is:
a. This is normal. What is your support system?
13. Your patient's serum lab TSH is 0.001 mg/dl. You know from this that your patient
has and needs .
a. Hyperthyroidism; methimazole (Tapazole) 15 mg TID X 2 weeks then 15 mg/day
14. An absolute contraindication for oral birth control pills is:
a. Deep Vein Thrombosis history
1. Your patient has polycystic ovarian syndrome (PCOS) and does not desire future pregnancy. The
best pharmacological treatment combination for this condition is:
a. Oral birth control pills, Glucophage, Spironolactone
2. Your healthy young patient is very anxious and does not want to take controlled drugs. The best
short-term rapid onset anti-anxiety medication for this patient is:
a. Propranolol 40 mg BID
3. Your patient has osteoarthritis and takes NSAIDs daily for pain, drinks alcohol daily, takes 81 mg
of aspirin daily, and takes a beta blocker for hypertension. Today he complains of GI distress.
After history taking and your examination, you diagnose him the GERD. What is the next step to
take?
a. Stop NSAIDs, aspirin & alcohol; start Omeprazole 20 mg every day X 2 weeks
4. Your patient has a long history of osteoarthritis and joint pain and takes daily NSAIDs for the
pain. He also takes an ACE Inhibitor for HTN. He is now on hemodialysis in Stage 5 Renal Failure
and has chronic hyperkalemia. You know:
a. ACEI's are renal-protective but increase K levels, so they must be stopped.
5. Your patient has a long history of osteoarthritis and joint pain and takes daily NSAIDs for the
pain. He also takes an ACE Inhibitor for HTN. He is now on hemodialysis in Stage 5 Renal Failure
and has chronic hyperkalemia. You know:
a. NSAIDs are toxic to the kidneys and must be stopped. Order acetaminophen for pain.
6. Acetaminophen (APAP):
a. Does NOT have anti-inflammatory action
7. The best pharmacological treatment for acute gout is:
a. Daily prevention with Allupurinol and treatment with Colchicine, steroid and/or NSAIDs
8. Colchicine dosing is
a. 0.6 to 1.2 mg every 1 to 2 hours until pain stops, or diarrhea occurs.
9. You prescribe Alendronate (Fosamax) 40 mg once per 7 days for your postmenopausal
osteoporosis patient. Fosamax is prescribed to "force the calcium in the bone". and can cause
severe GI to upset. For this drug to be effective and safe, you should inform the patient to:
a. Not lie down for 30 minutes after taking; take daily calcium supplements
10. Your patient reports a moderate frontal headache that occurs daily. You complete your history
and physical examinations. You rule out tumor, migraine, cluster & tension headaches. The best
treatment for this type of headache is likely:
a. Taper then stop caffeine consumption, take acetaminophen if needed
11. Your patient is in your clinic who has symptoms that meet the DSM-5 criteria for bipolar 1,
mania and has a history of bipolar 1, mania disorder. After completing her workup, you need to:
a. Order Lithium 300 mg BID X 1 week
12. Your patient's husband of 40 years died last week. She reports hearing his voice, having extreme
insomnia, being "in a fog", crying "all the time" and has no appetite. She does not have suicidal
thoughts. Your response to her is:
a. This is normal. What is your support system?
13. Your patient's serum lab TSH is 0.001 mg/dl. You know from this that your patient
has and needs .
a. Hyperthyroidism; methimazole (Tapazole) 15 mg TID X 2 weeks then 15 mg/day
14. An absolute contraindication for oral birth control pills is:
a. Deep Vein Thrombosis history
