WGU D116 ADVANCED PHARMACOLOGY
FINAL EXAM OBJECTIVE ASSEMENT & PRE-
ASSESMENT 700 QUESTIONS AND
ANSWERS LATEST UPDATE THIS YEAR -
JUST RELEASED
Your adolescent patient has a persistent cough. You diagnose her with a
viral upper respiratory infection (URI). She requests a cough medication.
You know the best choice for her is:
A. A antihistamine/decongestant combination cough syrup
B. Guaifenesin with codeine cough syrup
C. A cough suppresant syrup
D. OTC Zinc Cold Therapy syrup - Correct AnswerA. A
antihistamine/decongestant combination cough syrup
The most effect agents for treating allergic rhinitis are:
A. Intranasal corticosteroids such as fluticasone (Flonase) or
mometasone (Nasonex)
B. 1st generation antihistamines such as diphenhydramine (Benadryl)
Page 1 of 100
,C. Decongestants such as pseudoephedrine (Sudafed ) or
chlorpheniramine (Chlor-Trimeton)
D. Oral steroids such as Prednisone - Correct AnswerA. Intranasal
corticosteroids such as fluticasone (Flonase) or mometasone (Nasonex)
Your patient, Michael, overuses his Beta 2 agonist inhalation in
combination with taking HCTZ, which is causing a drug interaction. You
need to determine if the risk of taking this combination outweighs the
benefits. What would you do?
A. Change HCTZ to another antihypertensive; start him on a low dose
inhaled corticosteroid (ICS) and advise him to only use Beta 2 agonist
prn
B. Continue the HCTZ and start oral corticosteroids
C. Add a potassium supplement
D. Add a calcium supplement - Correct AnswerA. Change HCTZ to
another antihypertensive; start him on a low dose inhaled
corticosteroid (ICS) and advise him to only use Beta 2 agonist prn
To overcome the biggest concern of children using corticosteroid
inhalers, as
their prescriber you should:
A. Add a long-acting inhaled Beta 2 Agonist to a low-to-medium dose of
inhaled
corticosteroids instead of using a higher dose of the corticosteroid
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,B. Use a higher dose of the corticosteroid instead of adding a long-
acting inhaled
Beta 2 Agonist to a low-to-medium dose of inhaled corticosteroids
C. Advise the child uses only Beta 2 Agonists several times per day for
inhalation
treatments - Correct AnswerA. Add a long-acting inhaled Beta 2 Agonist
to a low-to-medium dose of inhaled corticosteroids instead of using a
higher dose of the corticosteroid
For an elderly patient with glaucoma or osteoporosis, it is preferable to:
A. Add a LABA or an antileukotriene agent rather than a corticosteroid
B. Add a corticosteroid to ensure oxygenation
C. Increase frequency of Beta 2 Agonist usage
D. Add a nebulizer treatment instead of an inhaler treatment - Correct
AnswerA. Add a LABA or an antileukotriene agent rather than a
corticosteroid
The mother of 6 year old Heather comes to your clinic frazzled and
upset. Heather has been coughing intermittently and crying all night.
Heather has been diagnosed previously with mild intermittent asthma.
You need to order a treatment in the clinic that can offer Heather some
quick relief of her coughing symptoms. You order:
A. a short acting Beta 2 agonist (SABA)
B. Inhaled Iptatropium (Anticholenergic)
C. Cough medicine
Page 3 of 100
, D. a long acting Beta 2 agonist (LABA) - Correct AnswerA. a short acting
Beta 2 agonist (SABA)
You are seeing a 3 year old boy in the clinic and diagnose him with
acute otitis media. The child does not appear acutely ill. The child's
parents are
migrant workers and the child is cared for at a migrant camp. Their
living situation and location changes frequently.
Research of evidence based practice guidelines for treatment of AOM
for
children greater than 2 is the watch and wait approach in the setting of
an uncertain diagnosis or a non-severe illness, with follow up
scheduled. Treatment, if warranted is recommended with amoxicillin
80-90mg/kg day. How should you proceed?
A. Treat with vancomycin
B. Watch and wait
C. Recommend a stable living situation
D. Treat with the recommended dose of amoxicillin - Correct AnswerD.
Treat with the recommended dose of amoxicillin
Metronidazole produces the Antabuse effect when combined with
alcoholic
drinks of medicine. You would educate the patient that:
A. Alcoholic drinks should be avoided during the time therapy is
ongoing
Page 4 of 100
FINAL EXAM OBJECTIVE ASSEMENT & PRE-
ASSESMENT 700 QUESTIONS AND
ANSWERS LATEST UPDATE THIS YEAR -
JUST RELEASED
Your adolescent patient has a persistent cough. You diagnose her with a
viral upper respiratory infection (URI). She requests a cough medication.
You know the best choice for her is:
A. A antihistamine/decongestant combination cough syrup
B. Guaifenesin with codeine cough syrup
C. A cough suppresant syrup
D. OTC Zinc Cold Therapy syrup - Correct AnswerA. A
antihistamine/decongestant combination cough syrup
The most effect agents for treating allergic rhinitis are:
A. Intranasal corticosteroids such as fluticasone (Flonase) or
mometasone (Nasonex)
B. 1st generation antihistamines such as diphenhydramine (Benadryl)
Page 1 of 100
,C. Decongestants such as pseudoephedrine (Sudafed ) or
chlorpheniramine (Chlor-Trimeton)
D. Oral steroids such as Prednisone - Correct AnswerA. Intranasal
corticosteroids such as fluticasone (Flonase) or mometasone (Nasonex)
Your patient, Michael, overuses his Beta 2 agonist inhalation in
combination with taking HCTZ, which is causing a drug interaction. You
need to determine if the risk of taking this combination outweighs the
benefits. What would you do?
A. Change HCTZ to another antihypertensive; start him on a low dose
inhaled corticosteroid (ICS) and advise him to only use Beta 2 agonist
prn
B. Continue the HCTZ and start oral corticosteroids
C. Add a potassium supplement
D. Add a calcium supplement - Correct AnswerA. Change HCTZ to
another antihypertensive; start him on a low dose inhaled
corticosteroid (ICS) and advise him to only use Beta 2 agonist prn
To overcome the biggest concern of children using corticosteroid
inhalers, as
their prescriber you should:
A. Add a long-acting inhaled Beta 2 Agonist to a low-to-medium dose of
inhaled
corticosteroids instead of using a higher dose of the corticosteroid
Page 2 of 100
,B. Use a higher dose of the corticosteroid instead of adding a long-
acting inhaled
Beta 2 Agonist to a low-to-medium dose of inhaled corticosteroids
C. Advise the child uses only Beta 2 Agonists several times per day for
inhalation
treatments - Correct AnswerA. Add a long-acting inhaled Beta 2 Agonist
to a low-to-medium dose of inhaled corticosteroids instead of using a
higher dose of the corticosteroid
For an elderly patient with glaucoma or osteoporosis, it is preferable to:
A. Add a LABA or an antileukotriene agent rather than a corticosteroid
B. Add a corticosteroid to ensure oxygenation
C. Increase frequency of Beta 2 Agonist usage
D. Add a nebulizer treatment instead of an inhaler treatment - Correct
AnswerA. Add a LABA or an antileukotriene agent rather than a
corticosteroid
The mother of 6 year old Heather comes to your clinic frazzled and
upset. Heather has been coughing intermittently and crying all night.
Heather has been diagnosed previously with mild intermittent asthma.
You need to order a treatment in the clinic that can offer Heather some
quick relief of her coughing symptoms. You order:
A. a short acting Beta 2 agonist (SABA)
B. Inhaled Iptatropium (Anticholenergic)
C. Cough medicine
Page 3 of 100
, D. a long acting Beta 2 agonist (LABA) - Correct AnswerA. a short acting
Beta 2 agonist (SABA)
You are seeing a 3 year old boy in the clinic and diagnose him with
acute otitis media. The child does not appear acutely ill. The child's
parents are
migrant workers and the child is cared for at a migrant camp. Their
living situation and location changes frequently.
Research of evidence based practice guidelines for treatment of AOM
for
children greater than 2 is the watch and wait approach in the setting of
an uncertain diagnosis or a non-severe illness, with follow up
scheduled. Treatment, if warranted is recommended with amoxicillin
80-90mg/kg day. How should you proceed?
A. Treat with vancomycin
B. Watch and wait
C. Recommend a stable living situation
D. Treat with the recommended dose of amoxicillin - Correct AnswerD.
Treat with the recommended dose of amoxicillin
Metronidazole produces the Antabuse effect when combined with
alcoholic
drinks of medicine. You would educate the patient that:
A. Alcoholic drinks should be avoided during the time therapy is
ongoing
Page 4 of 100
