MSN 571 Pharm Midterm Exam 2023 Answers Rated A+ (100% Verified Q&A)

MSN 571 Pharm Midterm Exam 2023 Answers Rated A+ (100% Verified Q&A) Note: Please share, add questions (with answers) to get as many from the test bank as possible Green Highlight – correct; Yellow – maybe but not confirmed; Red - Wrong MSN 571 – Midterm What is the first line therapy when treating hyperlipidemia? A. Bile Acide Sequestrants B. Statin Therapy C. Lifestyle modifications D. Niacin A patient asks you how does the statin drugs work. How would you respond? A. “It inhibits the absorption of dietary cholesterol in the small intestine” B. “it inhibits hydroxymethyl lutaryl- coenzyme A (HMG-CoA) reductase to reduce the biosynthesis of cholesterol in the liver” C. “it binds to bile in the intestinal track forming an insoluble complex that is excreted in the feces” D. “It stimulates the biliary system to increase the excretion of dietary cholesterol” Which drug is the most effective for lowering low density lipoprotein (LDL) cholesterol? A. Atorvastatin B. Gemfibrozil C. Ezetimibe D. Cholestyramine A patient tells you that she gets red after taking her niacin. What advice do you give her? A. Discontinue the medication B. Drink plenty of water C. premedicate with aspirin You are managing a stable middle-aged adult with emphysema. In addition to reinforcing smoking cessation and medication schedules which annual intervention will you recommend? A. Pneumococcal polysaccharide vaccine (PPSV23) B. Pneumococcal conjugate vaccine (PCV13) C. Quadrivalent inactivated influenza vaccine (QIV) D. Live attenuated influenza vaccine (LAV) A patient who is taking OTC proton pump inhibitors was recently placed on an oral antifungal for a fungal infection. After a week, the patient reported that the fungal infection has not improved. Which antifungal medication was the patient taking? A. Fluconazole B. Caspofungin C. Intraconazole D. Amphotericin B A patient diagnosed with hepatitis B begins treatment with Adefovir and ask how long the drug therapy will last. what time frame will the prescriber give the patient? A. Until nephrotoxicity occurs B. A lifetime C. 48 weeks D. An indefinite, prolonged period of time A. Need to drink lots of fluids during treatmen When prescribing acyclovir patients should be educated regarding the: t B. High risk of developing diarrhea C. ? D. ? Idarucizumab is used to reverse the activity of which antithrombotic drug in cases of bleeding? A. Dalteparin B. Warfarin C. Alteplase D. Dabigatran The patient is receiving anticoagulant therapy period the INR value for the patient today is 1.5. In response to this, what will you do? A. ? B. ? C. ? D. Prescribe an additional dose of warfarin Warfarin’s primary mechanism of action is inhibition of the synthesis of vitamin K dependent clotting factors. These factors include which of the following? A. Factors II, IX, and X and proteins C and S B. Factors VII, IX, X, and XII and protein 5 C. Factors II, VII, VIII, and XII and proteins C and S D. Factors II, VII, VIII, and X and protein C In which of the following patients will you prescribe appropriate therapy for lice infestation? A. Spinosad to a 6 year old patient with head lice B. Lindane to a 105lb patient with lice C. Malathion to a 3 year old patient with head lice D. Ivermectin to a 12kg patient with lice Tretinoin is commonly employed in the treatment of which of the following? A. Psoriasis B. Seborrheic dermatitis C. Acne D. Multiple Sclerosis Which of the following is correct regarding the use of isotretinoin in the treatment of acne? A. Isotretinoin is given intravenously in the treatment of acne B. Isotretinoin is contraindicated in pregnancy due to its high risk of birth defects C. ? D. ? Which of these medications orders are complete? Select all that apply A. Vitamin D 2000 units PO B. Multivitamin C. D. E. Aspirin 81 m g PO daily Promethazine 50mg IV q3-6h PRN for nausea Ciprofloxacin hydrochloride (Cipro) 500mg PO q12h x7d Which of the following is not a required element of the written prescription? A. Quantity of a drug to be dispensed B. Number of refills C. Disease state being treated D. Route of administration A patient diagnosed with otitis externa and taking fluoroquinolone/glucocorticoid combination medication asks the NP what benefit is to taking the medications together. You reply? A. The two medications are contraindicated to use together B. The glucocorticoid reduces the swelling caused by the inflammation and decreases pain, while the fluoroquinolone treats infection C. The glucocorticoid decreases the adverse effects of the fluoroquinolone D. the glucocorticoid decreases the likelihood of antibiotic resistance developing to the fluoroquinolone The NSAIDs are used on a chronic basis by many who suffer headache and inflammation. Many individuals do not require chronic use of these compounds can lead to major adverse effects on which organ system(s)? A. Cardiovascular B. Hepatic C. None are correct D. Gastrointestinal E. Renal Which of the following cardiovascular changes associated with aging is false? A. reduced ventricular compliance B. Preserved sympathetic and vagal resting tone C. Desensitization of carotid and aortic baroreceptors D. Decreased blood vessel contractility