REGIS NU641 CLINICAL ADV PHARMACOLOGY FINAL EXAM
WITH 0 QUESTIONS AND ANSWERS
15 month old on Amoxicillin for 48 hours for AOM but still febrile with no change in tympanic
membrane exam. What should the provider do next? - -Change the ABX to Amoxicillin/Clavulanate
-17 yr old competitive runner presents with hip pain that began after falling which vary. Their only
medical problem is severe acne for which they take isotretinoin (Accutane). What should the provider
be concerned about? - -They are at risk for bone injuries and need to be evaluated for fracture
-A progestin-only type of contraceptive - -Can cause irregular menstrual bleeding during the first month
of use
-ACE inhibitors ("PRIL" Captopril, Enalapril, Afosiopril) - -cardiovascular drugs that should be prescribed
in diabetic patients (Type II)
-ACEIs are beneficial in DM patients - -They increase the renal function by regulating the patient's blood
pressure
-Acetaminophen - -Migraines in pregnancy may be safely treated with this
-Although a patient sees a neurologist for the management of her partial seizures, why is it important to
know her medication regimen? - -There are many drug-drug interactions with anticonvulsants
-Amoxicillin - -A woman who is in her first trimester of pregnancy with a diagnosed urinary tract
infection (UTI) is treated with
-Amoxicillin/Clavulanate 500mg bid for 7 days - -Current treatment for sinusitis in an adult who has a
child in daycare
-An adolescent female calls the clinic with concerns that her acne is worse 2 weeks after starting topical
tretinoin. What would be the appropriate care for her? - -Reassure her that the worsening of acne is
normal and it should improve with continued use
-An elderly person has been prescribed lactulose for the treatment of chronic constipation. Monitoring
long-term treatment would include - -Electrolytes, including potassium and chloride
-antimicrobial efficacy - -For an uncomplicated UTI in a child, reduced symptoms within 48 hours is a
good indicator of
-Autoimmune impact to beta cells in Type I DM - -Destroys them and cause absolute dependence of
insulin
-benzoyl alcohol - -The only antifungal agent effective for head lice that is not neurotoxic
-Biophosphonates - -treat or prevent osteoporosis by fostering bone reabsorption
, -blurred vision - -Common adverse drug reaction of ocular antihistamines
-Bulk forming laxatives - -Type of laxative for short or long term mild constipation
-Cholinergic blockers are used to: - -Counteract the ERS effects of phenothiazines
Control tremors and relax smooth muscles in Parkinson's Disease
Inhibit the muscarinic action of Ach on bladder muscle
-Clonodine - -Has several off-label uses including: alcohol and nicotine withdrawal and post therpautic
neuralgia
-Common mistakes practitioners make in treating anxiety disorders - -General diagnosis and following
up to see if treatment goals are being met
-Common treatments and counseling points for scabies - -Common therapies: permethrin, ivermectin,
crotamiton
For permethrin, apply from the neck down, and leave the medication on for at least eight to 10 hours.
Often, all household members and other close contacts should be treated.
Bedding, clothing, and towels used by infested persons or their household, sexual, and close contacts (as
defined above) anytime during the three days before treatment should be decontaminated by washing
in hot water and drying in a hot dryer, by dry-cleaning, or by sealing in a plastic bag for at least 72 hours.
-Diarrhea - -Is not a side effect of anticholinergic therapy for urinary incontinence
-Education for a parent with a child that has AOM - -Providing adequate pain relief for at least the first
24 hours
-Effects of estrogen include - -regulation of the menstrual cycle and maintaining normal skin structure
and blood vessel integrity.
-existing pregnancy - -A contraindication to using the morning after (Plan B) contraceptive for
emergency contraception (EC)
-First line treatments for both types of pediatric diabetes
(Type I & Type II) - -Type I - Insulin
Type II - (Not treated under 10 years old) Diet and exercise
-Fluoxetine - -First-line antidepressant for children with major depression between 8 to 17 years old
-Gabapentin (Neurontin) - -used for neuropathic pain
-Glucophage (metformin) - -First-line oral diabetic agent
-Glucophage (metformin) side effects - -abdominal bloating, diarrhea, nausea, vomiting, and an
unpleasant metallic taste; vitamin B 12 deficiency; headache
-Guanfacine - -hypertension drug that has also been approved to use for ADHD
WITH 0 QUESTIONS AND ANSWERS
15 month old on Amoxicillin for 48 hours for AOM but still febrile with no change in tympanic
membrane exam. What should the provider do next? - -Change the ABX to Amoxicillin/Clavulanate
-17 yr old competitive runner presents with hip pain that began after falling which vary. Their only
medical problem is severe acne for which they take isotretinoin (Accutane). What should the provider
be concerned about? - -They are at risk for bone injuries and need to be evaluated for fracture
-A progestin-only type of contraceptive - -Can cause irregular menstrual bleeding during the first month
of use
-ACE inhibitors ("PRIL" Captopril, Enalapril, Afosiopril) - -cardiovascular drugs that should be prescribed
in diabetic patients (Type II)
-ACEIs are beneficial in DM patients - -They increase the renal function by regulating the patient's blood
pressure
-Acetaminophen - -Migraines in pregnancy may be safely treated with this
-Although a patient sees a neurologist for the management of her partial seizures, why is it important to
know her medication regimen? - -There are many drug-drug interactions with anticonvulsants
-Amoxicillin - -A woman who is in her first trimester of pregnancy with a diagnosed urinary tract
infection (UTI) is treated with
-Amoxicillin/Clavulanate 500mg bid for 7 days - -Current treatment for sinusitis in an adult who has a
child in daycare
-An adolescent female calls the clinic with concerns that her acne is worse 2 weeks after starting topical
tretinoin. What would be the appropriate care for her? - -Reassure her that the worsening of acne is
normal and it should improve with continued use
-An elderly person has been prescribed lactulose for the treatment of chronic constipation. Monitoring
long-term treatment would include - -Electrolytes, including potassium and chloride
-antimicrobial efficacy - -For an uncomplicated UTI in a child, reduced symptoms within 48 hours is a
good indicator of
-Autoimmune impact to beta cells in Type I DM - -Destroys them and cause absolute dependence of
insulin
-benzoyl alcohol - -The only antifungal agent effective for head lice that is not neurotoxic
-Biophosphonates - -treat or prevent osteoporosis by fostering bone reabsorption
, -blurred vision - -Common adverse drug reaction of ocular antihistamines
-Bulk forming laxatives - -Type of laxative for short or long term mild constipation
-Cholinergic blockers are used to: - -Counteract the ERS effects of phenothiazines
Control tremors and relax smooth muscles in Parkinson's Disease
Inhibit the muscarinic action of Ach on bladder muscle
-Clonodine - -Has several off-label uses including: alcohol and nicotine withdrawal and post therpautic
neuralgia
-Common mistakes practitioners make in treating anxiety disorders - -General diagnosis and following
up to see if treatment goals are being met
-Common treatments and counseling points for scabies - -Common therapies: permethrin, ivermectin,
crotamiton
For permethrin, apply from the neck down, and leave the medication on for at least eight to 10 hours.
Often, all household members and other close contacts should be treated.
Bedding, clothing, and towels used by infested persons or their household, sexual, and close contacts (as
defined above) anytime during the three days before treatment should be decontaminated by washing
in hot water and drying in a hot dryer, by dry-cleaning, or by sealing in a plastic bag for at least 72 hours.
-Diarrhea - -Is not a side effect of anticholinergic therapy for urinary incontinence
-Education for a parent with a child that has AOM - -Providing adequate pain relief for at least the first
24 hours
-Effects of estrogen include - -regulation of the menstrual cycle and maintaining normal skin structure
and blood vessel integrity.
-existing pregnancy - -A contraindication to using the morning after (Plan B) contraceptive for
emergency contraception (EC)
-First line treatments for both types of pediatric diabetes
(Type I & Type II) - -Type I - Insulin
Type II - (Not treated under 10 years old) Diet and exercise
-Fluoxetine - -First-line antidepressant for children with major depression between 8 to 17 years old
-Gabapentin (Neurontin) - -used for neuropathic pain
-Glucophage (metformin) - -First-line oral diabetic agent
-Glucophage (metformin) side effects - -abdominal bloating, diarrhea, nausea, vomiting, and an
unpleasant metallic taste; vitamin B 12 deficiency; headache
-Guanfacine - -hypertension drug that has also been approved to use for ADHD
