REGIS NU641 CLINICAL ADV PHARMACOLOGY FINAL PAPER 2025
QUESTIONS WITH SOLUTIONS GUARANTEE A+
✔✔Pt on dx with depression is on SSRI sertraline (Zoloft) 100mg PO daily for 2 years
and want to stop taking it; what should be done - ✔✔Slowly taper down the dose until
off
✔✔This is considered true after reexamination of the women's health study which has
modified guidelines for the use of estrogen in menopause. - ✔✔Supplemental for the
first 5 years is considered to have a reasonable risk/benefit profile for selected groups of
women.
✔✔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
✔✔Pt wants oral contraceptives and has negative pregnancy test. What should the
provider do? - ✔✔Prescribe oral contraceptives and have her start them the same day
as the visit with a back up method used for the next 7 days
✔✔Patient education for cromolyn sodium (opticran) eye drops - ✔✔They should not
wear soft contacts
✔✔Not an indication for starting hormone replacement therapy (HRT) - ✔✔prevention of
osteoporosis
✔✔Intramuscular (IM) ceftriaxone - ✔✔Treatment for adult gonococcal conjunctivitis
✔✔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
✔✔Education for a parent with a child that has AOM - ✔✔Providing adequate pain relief
for at least the first 24 hours
✔✔Amoxicillin/Clavulanate 500mg bid for 7 days - ✔✔Current treatment for sinusitis in
an adult who has a child in daycare
✔✔Opthalmic Antiinfectives - ✔✔Generally, there is little systemic absorption
✔✔blurred vision - ✔✔Common adverse drug reaction of ocular antihistamines
, ✔✔Treatment for hyperthyroidism - ✔✔Treat the base or cause; beta-blocker,
antithyroid drugs, radioiodine therapy, thyroid removal
✔✔Biophosphonates - ✔✔treat or prevent osteoporosis by fostering bone reabsorption
✔✔The goals of treatment when prescribing ART medication to patients with HIV
includes - ✔✔prevention of vertical transmission, improvement of quality of life,
prolonging of survival
✔✔An elderly person has been prescribed lactulose for the treatment of chronic
constipation. Monitoring long-term treatment would include - ✔✔Electrolytes, including
potassium and chloride
✔✔Bulk forming laxatives - ✔✔Type of laxative for short or long term mild constipation
✔✔Patient education for HIV medications - ✔✔Take medications daily at the same time
Protection for partner during sexual activities
✔✔monitoring for DM patients at home - ✔✔SMBG 3 to 6 times per day
✔✔monitoring for DM patients in clinic - ✔✔Hemoglobin A1C needs to < 7% which
monitors the pts BG average of the last 3 months
✔✔Low potency steroids such as hydrocortisone - ✔✔may be appropriate for mild
dermatitis, especially in children
✔✔High potency steroids - ✔✔should never be used in children and should be used
sparingly in adults
✔✔manage Acute alcohol withdrawal delirium - ✔✔lorazepam or any benzo like diapam
✔✔ Clonodine - ✔✔Has several off-label uses including: alcohol and nicotine
withdrawal and post therpautic neuralgia
✔✔Guanfacine - ✔✔hypertension drug that has also been approved to use for ADHD
✔✔Ramelteon (Rozerem) - ✔✔Insomnia med that does not have inverse risk for
patients engaging in activities while somnolent with no memory of having taking pill
✔✔Common mistakes practitioners make in treating anxiety disorders - ✔✔General
diagnosis and following up to see if treatment goals are being met
✔✔Xanax - ✔✔The benzodiazepine with the greatest likelihood of causing dependency
s/t it has a short half-life
QUESTIONS WITH SOLUTIONS GUARANTEE A+
✔✔Pt on dx with depression is on SSRI sertraline (Zoloft) 100mg PO daily for 2 years
and want to stop taking it; what should be done - ✔✔Slowly taper down the dose until
off
✔✔This is considered true after reexamination of the women's health study which has
modified guidelines for the use of estrogen in menopause. - ✔✔Supplemental for the
first 5 years is considered to have a reasonable risk/benefit profile for selected groups of
women.
✔✔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
✔✔Pt wants oral contraceptives and has negative pregnancy test. What should the
provider do? - ✔✔Prescribe oral contraceptives and have her start them the same day
as the visit with a back up method used for the next 7 days
✔✔Patient education for cromolyn sodium (opticran) eye drops - ✔✔They should not
wear soft contacts
✔✔Not an indication for starting hormone replacement therapy (HRT) - ✔✔prevention of
osteoporosis
✔✔Intramuscular (IM) ceftriaxone - ✔✔Treatment for adult gonococcal conjunctivitis
✔✔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
✔✔Education for a parent with a child that has AOM - ✔✔Providing adequate pain relief
for at least the first 24 hours
✔✔Amoxicillin/Clavulanate 500mg bid for 7 days - ✔✔Current treatment for sinusitis in
an adult who has a child in daycare
✔✔Opthalmic Antiinfectives - ✔✔Generally, there is little systemic absorption
✔✔blurred vision - ✔✔Common adverse drug reaction of ocular antihistamines
, ✔✔Treatment for hyperthyroidism - ✔✔Treat the base or cause; beta-blocker,
antithyroid drugs, radioiodine therapy, thyroid removal
✔✔Biophosphonates - ✔✔treat or prevent osteoporosis by fostering bone reabsorption
✔✔The goals of treatment when prescribing ART medication to patients with HIV
includes - ✔✔prevention of vertical transmission, improvement of quality of life,
prolonging of survival
✔✔An elderly person has been prescribed lactulose for the treatment of chronic
constipation. Monitoring long-term treatment would include - ✔✔Electrolytes, including
potassium and chloride
✔✔Bulk forming laxatives - ✔✔Type of laxative for short or long term mild constipation
✔✔Patient education for HIV medications - ✔✔Take medications daily at the same time
Protection for partner during sexual activities
✔✔monitoring for DM patients at home - ✔✔SMBG 3 to 6 times per day
✔✔monitoring for DM patients in clinic - ✔✔Hemoglobin A1C needs to < 7% which
monitors the pts BG average of the last 3 months
✔✔Low potency steroids such as hydrocortisone - ✔✔may be appropriate for mild
dermatitis, especially in children
✔✔High potency steroids - ✔✔should never be used in children and should be used
sparingly in adults
✔✔manage Acute alcohol withdrawal delirium - ✔✔lorazepam or any benzo like diapam
✔✔ Clonodine - ✔✔Has several off-label uses including: alcohol and nicotine
withdrawal and post therpautic neuralgia
✔✔Guanfacine - ✔✔hypertension drug that has also been approved to use for ADHD
✔✔Ramelteon (Rozerem) - ✔✔Insomnia med that does not have inverse risk for
patients engaging in activities while somnolent with no memory of having taking pill
✔✔Common mistakes practitioners make in treating anxiety disorders - ✔✔General
diagnosis and following up to see if treatment goals are being met
✔✔Xanax - ✔✔The benzodiazepine with the greatest likelihood of causing dependency
s/t it has a short half-life
