NR566 / NR 566 Study
guideExam (Latest 2025):
Advanced Pharmacology for
Care of the Family -
1. A 35-year-old female with a history of depression is started on fluoxetine. What is the
most likely side effect?
A. Weight loss
B. Insomnia
C. Bradycardia
D. Constipation
Answer: B. Insomnia
2. Which of the following antihypertensive agents is contraindicated in pregnancy?
A. Methyldopa
B. Labetalol
C. Enalapril
D. Nifedipine
Answer: C. Enalapril (ACE inhibitors are teratogenic)
3. A child with otitis media is allergic to penicillin. What is the best alternative antibiotic?
A. Amoxicillin
B. Cefdinir
C. Azithromycin
D. Augmentin
,Answer: C. Azithromycin
4. Which of the following medications is a long-acting beta agonist (LABA)?
A. Albuterol
B. Montelukast
C. Salmeterol
D. Fluticasone
Answer: C. Salmeterol
5. A patient on warfarin should avoid which of the following foods due to high vitamin K
content?
A. Bananas
B. Spinach
C. Milk
D. Apples
Answer: B. Spinach
🔹 True/False Questions
6. Metformin is contraindicated in patients with renal impairment.
Answer: True
7. Beta-blockers can mask symptoms of hypoglycemia in diabetic patients.
Answer: True
8. Tetracycline antibiotics are safe to use during pregnancy.
Answer: False
🔹 Fill-in-the-Blank Questions
9. The maximum daily dose of acetaminophen in adults is ______ mg.
,Answer: 4,000 mg
10. The first-line treatment for type 2 diabetes in adults is ______.
Answer: Metformin
🔹 Clinical Scenario Questions
11. A 26-year-old woman is prescribed isotretinoin for severe acne. What must be done
before starting treatment?
Answer: Pregnancy test and enrollment in the iPLEDGE program
12. A 70-year-old male is on digoxin and develops nausea, vision changes, and
confusion. What is the likely diagnosis?
Answer: Digoxin toxicity
🔹 Matching
Match the drug to its class:
13. Match:
1. Lisinopril
2. Furosemide
3. Metoprolol
4. Amlodipine
A. Beta-blocker
B. ACE inhibitor
C. Calcium channel blocker
D. Loop diuretic
Answer:
1→B
2→D
, 3→A
4→C
🔹 Short Answer
14. What is the black box warning for fluoroquinolones like ciprofloxacin?
Answer: Tendon rupture and peripheral neuropathy
15. Name one major drug interaction with simvastatin.
Answer: Grapefruit juice – increases risk of rhabdomyolysis
16. What patient education should be given with nitrofurantoin?
Answer: Take with food, may cause urine discoloration (brown), avoid in late pregnancy
🔹 Advanced Questions
17. Which antibiotic class is most associated with C. difficile infection?
Answer: Clindamycin
18. What is the mechanism of action of proton pump inhibitors like omeprazole?
Answer: Inhibit the H+/K+ ATPase enzyme in gastric parietal cells
19. What are the monitoring parameters for lithium therapy?
Answer: Serum lithium levels, renal function (BUN/Cr), thyroid function
20. When is low-dose aspirin recommended in pregnancy?
Answer: In patients at high risk for preeclampsia, typically starting at 12 weeks gestation
guideExam (Latest 2025):
Advanced Pharmacology for
Care of the Family -
1. A 35-year-old female with a history of depression is started on fluoxetine. What is the
most likely side effect?
A. Weight loss
B. Insomnia
C. Bradycardia
D. Constipation
Answer: B. Insomnia
2. Which of the following antihypertensive agents is contraindicated in pregnancy?
A. Methyldopa
B. Labetalol
C. Enalapril
D. Nifedipine
Answer: C. Enalapril (ACE inhibitors are teratogenic)
3. A child with otitis media is allergic to penicillin. What is the best alternative antibiotic?
A. Amoxicillin
B. Cefdinir
C. Azithromycin
D. Augmentin
,Answer: C. Azithromycin
4. Which of the following medications is a long-acting beta agonist (LABA)?
A. Albuterol
B. Montelukast
C. Salmeterol
D. Fluticasone
Answer: C. Salmeterol
5. A patient on warfarin should avoid which of the following foods due to high vitamin K
content?
A. Bananas
B. Spinach
C. Milk
D. Apples
Answer: B. Spinach
🔹 True/False Questions
6. Metformin is contraindicated in patients with renal impairment.
Answer: True
7. Beta-blockers can mask symptoms of hypoglycemia in diabetic patients.
Answer: True
8. Tetracycline antibiotics are safe to use during pregnancy.
Answer: False
🔹 Fill-in-the-Blank Questions
9. The maximum daily dose of acetaminophen in adults is ______ mg.
,Answer: 4,000 mg
10. The first-line treatment for type 2 diabetes in adults is ______.
Answer: Metformin
🔹 Clinical Scenario Questions
11. A 26-year-old woman is prescribed isotretinoin for severe acne. What must be done
before starting treatment?
Answer: Pregnancy test and enrollment in the iPLEDGE program
12. A 70-year-old male is on digoxin and develops nausea, vision changes, and
confusion. What is the likely diagnosis?
Answer: Digoxin toxicity
🔹 Matching
Match the drug to its class:
13. Match:
1. Lisinopril
2. Furosemide
3. Metoprolol
4. Amlodipine
A. Beta-blocker
B. ACE inhibitor
C. Calcium channel blocker
D. Loop diuretic
Answer:
1→B
2→D
, 3→A
4→C
🔹 Short Answer
14. What is the black box warning for fluoroquinolones like ciprofloxacin?
Answer: Tendon rupture and peripheral neuropathy
15. Name one major drug interaction with simvastatin.
Answer: Grapefruit juice – increases risk of rhabdomyolysis
16. What patient education should be given with nitrofurantoin?
Answer: Take with food, may cause urine discoloration (brown), avoid in late pregnancy
🔹 Advanced Questions
17. Which antibiotic class is most associated with C. difficile infection?
Answer: Clindamycin
18. What is the mechanism of action of proton pump inhibitors like omeprazole?
Answer: Inhibit the H+/K+ ATPase enzyme in gastric parietal cells
19. What are the monitoring parameters for lithium therapy?
Answer: Serum lithium levels, renal function (BUN/Cr), thyroid function
20. When is low-dose aspirin recommended in pregnancy?
Answer: In patients at high risk for preeclampsia, typically starting at 12 weeks gestation
