NUR-635 PHARM FINAL EXAM STUDY GUIDE 2026/2027 | PRACTICE QUESTIONS, VERIFIED
ANSWERS & COMPREHENSIVE ADVANCED PHARMACOLOGY REVIEW
While rational drug selection is based on the individual patient the aspect of rational drug
selection addressing disease-specific information by a national medical or nursing organization
is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - ANS ✔✔A. a guideline
Drugs that alter synaptic transmission are much more selective than those that alter axonal
conduction, why is this? - ANS ✔✔a drug that affects the axonal conduction - non-selective
effect.
Drugs that alter synaptic transmission - very selective because of the differences in synapses
and their specific neurotransmitters
What is phenytoin used for? - ANS ✔✔Seizures
What should you monitor for with phenytoin? - ANS ✔✔Delayed hypersensitivity - even 1
month later
What is carbamazepine used for? - ANS ✔✔Seizures
What may cause carbamazepine levels to drop despite no other change? What to do? - ANS
✔✔Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - ANS ✔✔Steven-Johnson Syndrome & TENS
, Monitoring for carbamazepine, and how often? - ANS ✔✔CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome & TENS when taking
carbamazepine? - ANS ✔✔Asian patients
Main class of medication for depression? - ANS ✔✔Selective serotonin reuptake inhibitors
(SSRIs)
What to watch for with SSRIs? - ANS ✔✔Other medications that can cause serotonin syndrome
What is lamictal used for? - ANS ✔✔Seizures
Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? - ANS
✔✔Hypersensitivity in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to change? - ANS ✔✔Increase
lamictal dose.
When will pt notice improvement after starting an SSRI? - ANS ✔✔4 weeks later
1st line medication for moderate generalized anxiety - ANS ✔✔Buspar (SNRI)
1st line med for classic migraines - ANS ✔✔Triptans
2nd line treatment for classic migraines - ANS ✔✔Prophylactic - propranolol
ANSWERS & COMPREHENSIVE ADVANCED PHARMACOLOGY REVIEW
While rational drug selection is based on the individual patient the aspect of rational drug
selection addressing disease-specific information by a national medical or nursing organization
is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - ANS ✔✔A. a guideline
Drugs that alter synaptic transmission are much more selective than those that alter axonal
conduction, why is this? - ANS ✔✔a drug that affects the axonal conduction - non-selective
effect.
Drugs that alter synaptic transmission - very selective because of the differences in synapses
and their specific neurotransmitters
What is phenytoin used for? - ANS ✔✔Seizures
What should you monitor for with phenytoin? - ANS ✔✔Delayed hypersensitivity - even 1
month later
What is carbamazepine used for? - ANS ✔✔Seizures
What may cause carbamazepine levels to drop despite no other change? What to do? - ANS
✔✔Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - ANS ✔✔Steven-Johnson Syndrome & TENS
, Monitoring for carbamazepine, and how often? - ANS ✔✔CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome & TENS when taking
carbamazepine? - ANS ✔✔Asian patients
Main class of medication for depression? - ANS ✔✔Selective serotonin reuptake inhibitors
(SSRIs)
What to watch for with SSRIs? - ANS ✔✔Other medications that can cause serotonin syndrome
What is lamictal used for? - ANS ✔✔Seizures
Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? - ANS
✔✔Hypersensitivity in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to change? - ANS ✔✔Increase
lamictal dose.
When will pt notice improvement after starting an SSRI? - ANS ✔✔4 weeks later
1st line medication for moderate generalized anxiety - ANS ✔✔Buspar (SNRI)
1st line med for classic migraines - ANS ✔✔Triptans
2nd line treatment for classic migraines - ANS ✔✔Prophylactic - propranolol
