1|Page
NR 566 FINAL EXAM (2 LATEST VERSIONS 202-2026) / NR566
FINAL EXAM 100+ QUESTIONS & ANSWERS / ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY|GRADED A+
What is the first line treatment for Chlamydia that only needs to be taken orally once? -
ANSWER: Azithromycin 1000mg
What is the first line treatment for Chlamydia that is taken BID for 7 days? - ANSWER:
Doxycycline 100mg
What anticonvulsant would be given for adjunctive therapy for partial seizures with or without
secondary generalization? - ANSWER: Lamotrigine
What medication (with example) can be used preventatively for migraines? - ANSWER: Beta
blockers such as metoprolol/propranolol
What is abortive therapy? - ANSWER: Abortive therapy is aimed at alleviating pain during the
aura phase (if present) or soon after the headache has started.
What are examples of abortive therapy for migraines? - ANSWER: NSAIDS, opioids, triptans,
ergot alkaloids
What is the first line treatment for acute mid/moderate migraines without vomiting? -
ANSWER: NSAIDs such as naproxen or ASA
When is it appropriate to prescribe a patient preventative therapy for migraines? - ANSWER:
Frequent attacks 3 or more a month, or attacks that do not respond to abortive therapy, severe
migraines.
What are examples of opioid analgesics for severe migraines? - ANSWER: Butorphanol nasal
spray. Spray each nostril Q60 min PRN
What is the mechanism of action for sumatriptan? - ANSWER: Suppresses release of CGRP
from trigeminal neurons.
This leads to vasoconstriction and decreased perivascular inflammation to relieve migraine pain.
The first dose of triptan should be under medical supervision for what reason? - ANSWER: In
the case of any unknown underlying cardiac condition.
What are contraindications to triptans? - ANSWER: Ischemic heart disease
HTN
CV disease
Pregnancy
Basilar or hemiplegic migraine can cause cerebral vasoconstriction
Use of an ergot alkaline within 24 hours cause prolonged cerebral vasospasm
, 2|Page
What is rivastigmine (Exelon) used for? - ANSWER: Combat symptoms of Alzheimer's disease.
Slows progression of disease-not a cure
What are patient teachings for rivastigmine (Exelon)? - ANSWER: bradycardia, fainting, falls
risk, falls-related fractures.
What is Donepezil (Aricept) used to treat? - ANSWER: Symptoms of Alzheimer's disease
When would it be appropriate to increase the patient's dose of Donepezil (Aricept)? - ANSWER:
When the patient is stable on the initial dose for at least 1-3 months.
Cholinesterase inhibitor side effects are usually related to what? - ANSWER: Dosing. Dosing
should start low and titrate up.
Common dose-related side effects of cholinesterase inhibitors - ANSWER: Nausea, diarrhea,
insomnia.
What is most likely happen as a result of the cardiac side effects of cholinesterase inhibitors? -
ANSWER: Falls due to bradycardia
What can be done to prevent weight loss that can be associated with cholinesterase inhibitors? -
ANSWER: Nutritional shakes, encourage snacks between meals, meet with a dietician.
When taking medications for Alzheimer's disease, what medication should be added before
herbals, supplements, NSAIDs, - ANSWER: Memantine- Dementia medication that decreases
abnormal brain activity.
What should be considered in the renally impaired when prescribing memantine? - ANSWER:
Dosage adjustment. Especially in patients with a creatinine clearance of less than 30ml/min.
What medication is the first-line treatment for panic disorder? - ANSWER: SSRIs
What are examples of SSRIs? - ANSWER: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
What is the first line treatment for performance anxiety? - ANSWER: Beta blockers such as
propranolol (Inderal)
What is the IM treatment for uncomplicated gonorrhea? - ANSWER: Ceftriaxone 500mg
IM ceftriaxone can be given with or without this medication to treat gonorrhea. - ANSWER:
Doxycycline 100mg BID
NR 566 FINAL EXAM (2 LATEST VERSIONS 202-2026) / NR566
FINAL EXAM 100+ QUESTIONS & ANSWERS / ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY|GRADED A+
What is the first line treatment for Chlamydia that only needs to be taken orally once? -
ANSWER: Azithromycin 1000mg
What is the first line treatment for Chlamydia that is taken BID for 7 days? - ANSWER:
Doxycycline 100mg
What anticonvulsant would be given for adjunctive therapy for partial seizures with or without
secondary generalization? - ANSWER: Lamotrigine
What medication (with example) can be used preventatively for migraines? - ANSWER: Beta
blockers such as metoprolol/propranolol
What is abortive therapy? - ANSWER: Abortive therapy is aimed at alleviating pain during the
aura phase (if present) or soon after the headache has started.
What are examples of abortive therapy for migraines? - ANSWER: NSAIDS, opioids, triptans,
ergot alkaloids
What is the first line treatment for acute mid/moderate migraines without vomiting? -
ANSWER: NSAIDs such as naproxen or ASA
When is it appropriate to prescribe a patient preventative therapy for migraines? - ANSWER:
Frequent attacks 3 or more a month, or attacks that do not respond to abortive therapy, severe
migraines.
What are examples of opioid analgesics for severe migraines? - ANSWER: Butorphanol nasal
spray. Spray each nostril Q60 min PRN
What is the mechanism of action for sumatriptan? - ANSWER: Suppresses release of CGRP
from trigeminal neurons.
This leads to vasoconstriction and decreased perivascular inflammation to relieve migraine pain.
The first dose of triptan should be under medical supervision for what reason? - ANSWER: In
the case of any unknown underlying cardiac condition.
What are contraindications to triptans? - ANSWER: Ischemic heart disease
HTN
CV disease
Pregnancy
Basilar or hemiplegic migraine can cause cerebral vasoconstriction
Use of an ergot alkaline within 24 hours cause prolonged cerebral vasospasm
, 2|Page
What is rivastigmine (Exelon) used for? - ANSWER: Combat symptoms of Alzheimer's disease.
Slows progression of disease-not a cure
What are patient teachings for rivastigmine (Exelon)? - ANSWER: bradycardia, fainting, falls
risk, falls-related fractures.
What is Donepezil (Aricept) used to treat? - ANSWER: Symptoms of Alzheimer's disease
When would it be appropriate to increase the patient's dose of Donepezil (Aricept)? - ANSWER:
When the patient is stable on the initial dose for at least 1-3 months.
Cholinesterase inhibitor side effects are usually related to what? - ANSWER: Dosing. Dosing
should start low and titrate up.
Common dose-related side effects of cholinesterase inhibitors - ANSWER: Nausea, diarrhea,
insomnia.
What is most likely happen as a result of the cardiac side effects of cholinesterase inhibitors? -
ANSWER: Falls due to bradycardia
What can be done to prevent weight loss that can be associated with cholinesterase inhibitors? -
ANSWER: Nutritional shakes, encourage snacks between meals, meet with a dietician.
When taking medications for Alzheimer's disease, what medication should be added before
herbals, supplements, NSAIDs, - ANSWER: Memantine- Dementia medication that decreases
abnormal brain activity.
What should be considered in the renally impaired when prescribing memantine? - ANSWER:
Dosage adjustment. Especially in patients with a creatinine clearance of less than 30ml/min.
What medication is the first-line treatment for panic disorder? - ANSWER: SSRIs
What are examples of SSRIs? - ANSWER: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
What is the first line treatment for performance anxiety? - ANSWER: Beta blockers such as
propranolol (Inderal)
What is the IM treatment for uncomplicated gonorrhea? - ANSWER: Ceftriaxone 500mg
IM ceftriaxone can be given with or without this medication to treat gonorrhea. - ANSWER:
Doxycycline 100mg BID
