ANCC - FNP Pharmacology UPDATED
ACTUAL Exam Questions and CORRECT
Answers
1st line TX for depression, OCD, GAD - CORRECT ANSWER✔✔- SSRI
What antidepressant is not appropriate for pt with suicidal ideation? - CORRECT
ANSWER✔✔- TCA
can be used for nerve pain
names of SSRIs - CORRECT ANSWER✔✔- Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Citalopram (Celexa) - short half life good for eldery
Escitalopram (Lexapro)
Carbamazepine (Tegretol) - CORRECT ANSWER✔✔- inducer of CYP450
used for: CBZ
cranial nerve 5 (trigeminal neuralgia)
bipolar
seizures
Hiker in NC with flu-like symptoms and rash that started on trunk - traveled to soles and
palms. what is treatment? - CORRECT ANSWER✔✔- Doxycycline and refer to ER ASAP!
Rocky mountain spotted fever
can cause death in 1st 8 days
TX for Lyme's disease - CORRECT ANSWER✔✔- doxycycline for 21 days
if stopped - have pt start where they left off and finish
,Pt presents with easy bruising, petechiae, epistaxis, gingival bleeding with brushing teeth.
PLT < 30,000. What is treatment - CORRECT ANSWER✔✔- steroids
Inducers of CYP450 - CORRECT ANSWER✔✔- Rifampin, phenobarbital, carbamazepine,
phenytoin, St. Johns wort
inhibitors of CYP450 - CORRECT ANSWER✔✔- Macrolides: erythromycin
Antifungals: ketoconazole
Cimetidine (Tagamet)
Citalopram (celexa)
isoniazid and grapefruit
slow down metabolism of other drugs = decrease other doses to lower risk of toxicity
medications with narrow therapeutic index (extended 1/2 life) - CORRECT ANSWER✔✔-
warfarin
lithium
theophylline
levothyroxine
digoxin
Meds to avoid with grapefruit juice - CORRECT ANSWER✔✔- statins
erythromycin
CCB - nifedipine
antivirals
amiodarone
tegretol
benzos
buspirone
ADR of omeprazole - CORRECT ANSWER✔✔- decrease absorption of foods / minerals
increase risk of osteoporosis
, interacts with warfarin, diazepam,
ADR of echinacea - CORRECT ANSWER✔✔- decrease effectiveness of other meds
ADR of ginseng and ginkoba - CORRECT ANSWER✔✔- increase risk of bleeding =
interaction with warfarin
ADR of TZD (pioglitazone / ACTOS) - CORRECT ANSWER✔✔- worsen CHF
Names of atypical psychotic medications - CORRECT ANSWER✔✔- risperidone
olanzapine
quetiapine
ADR of atypical psychotic medications - CORRECT ANSWER✔✔- increase risk of
metabolic syndrome
increase weight
increase lipids
increase BS
monitor TSH
ADR of bisphosphonates (Fosamax / alendronate) - CORRECT ANSWER✔✔- jaw necrosis
erosive esophagitis
ADR of statins - CORRECT ANSWER✔✔- increase: creatine kinase
rhabdomyolysis
increase risk of toxicity for Chinese
DON'T take with grapefruit juice
clindamycin increases risk for - CORRECT ANSWER✔✔- C. difficile (clostridiodes
difficile)
ACTUAL Exam Questions and CORRECT
Answers
1st line TX for depression, OCD, GAD - CORRECT ANSWER✔✔- SSRI
What antidepressant is not appropriate for pt with suicidal ideation? - CORRECT
ANSWER✔✔- TCA
can be used for nerve pain
names of SSRIs - CORRECT ANSWER✔✔- Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Citalopram (Celexa) - short half life good for eldery
Escitalopram (Lexapro)
Carbamazepine (Tegretol) - CORRECT ANSWER✔✔- inducer of CYP450
used for: CBZ
cranial nerve 5 (trigeminal neuralgia)
bipolar
seizures
Hiker in NC with flu-like symptoms and rash that started on trunk - traveled to soles and
palms. what is treatment? - CORRECT ANSWER✔✔- Doxycycline and refer to ER ASAP!
Rocky mountain spotted fever
can cause death in 1st 8 days
TX for Lyme's disease - CORRECT ANSWER✔✔- doxycycline for 21 days
if stopped - have pt start where they left off and finish
,Pt presents with easy bruising, petechiae, epistaxis, gingival bleeding with brushing teeth.
PLT < 30,000. What is treatment - CORRECT ANSWER✔✔- steroids
Inducers of CYP450 - CORRECT ANSWER✔✔- Rifampin, phenobarbital, carbamazepine,
phenytoin, St. Johns wort
inhibitors of CYP450 - CORRECT ANSWER✔✔- Macrolides: erythromycin
Antifungals: ketoconazole
Cimetidine (Tagamet)
Citalopram (celexa)
isoniazid and grapefruit
slow down metabolism of other drugs = decrease other doses to lower risk of toxicity
medications with narrow therapeutic index (extended 1/2 life) - CORRECT ANSWER✔✔-
warfarin
lithium
theophylline
levothyroxine
digoxin
Meds to avoid with grapefruit juice - CORRECT ANSWER✔✔- statins
erythromycin
CCB - nifedipine
antivirals
amiodarone
tegretol
benzos
buspirone
ADR of omeprazole - CORRECT ANSWER✔✔- decrease absorption of foods / minerals
increase risk of osteoporosis
, interacts with warfarin, diazepam,
ADR of echinacea - CORRECT ANSWER✔✔- decrease effectiveness of other meds
ADR of ginseng and ginkoba - CORRECT ANSWER✔✔- increase risk of bleeding =
interaction with warfarin
ADR of TZD (pioglitazone / ACTOS) - CORRECT ANSWER✔✔- worsen CHF
Names of atypical psychotic medications - CORRECT ANSWER✔✔- risperidone
olanzapine
quetiapine
ADR of atypical psychotic medications - CORRECT ANSWER✔✔- increase risk of
metabolic syndrome
increase weight
increase lipids
increase BS
monitor TSH
ADR of bisphosphonates (Fosamax / alendronate) - CORRECT ANSWER✔✔- jaw necrosis
erosive esophagitis
ADR of statins - CORRECT ANSWER✔✔- increase: creatine kinase
rhabdomyolysis
increase risk of toxicity for Chinese
DON'T take with grapefruit juice
clindamycin increases risk for - CORRECT ANSWER✔✔- C. difficile (clostridiodes
difficile)
