Np Exam A+ Pass
What receptors does labetalol work on? Select all that apply (all below are correct
answers) - Answer- Beta-1 , Beta-2, Alpha-1
Which of the following medications causes a patient to have symptoms that resemble
Parkinson disease (tremor, abnormal gait)? Select all that apply - Answer- Haloperidol,
Metoclopramide, prochlorperazine
Which antipsychotics are available in long acting IM formulations? Select all that apply -
Answer- Aripiprazole, Paliperidone, Risperdal
KN, a 42 y/o male, is admitted to the hospital with acute abdominal pain secondary to
appendicitis. Which of the following counseling points is correct for the beta-2 agonist
on KN's home medication list? Proair Respiclick (Select all that apply) - Answer- 1. After
putting the mouthpiece in your mouth, breathe in deeply and forcefully until your lungs
are completely full of air.
2. When you open the cap, you will hear a "click".
3. Breathe out through your mouth away from the inhaler.
What medication is unsafe and should be avoided in kids < 2 yo? (select all that apply) -
Answer- Codeine, fluoroquinolones, promethazine
15 month old with fever 39.4C- 17 pounds, PCP suspects viral infection. Pt started on
acetaminophen. What is the appropriate dose?
10-15 mg/kg Q4-6 hr PRN, do not exceed 5 doses in 24 hrs. - Answer- 90 mg PO every
4-6 hours
Which medication is used to treat herpes is available over the counter? - Answer-
Abreva
MP her last menstrual period occurred 8 months ago. What is the active ingredient in
the medication the MP is using for osteoarthritis? - Answer- Diclofenac
Generic name for Adderall - Answer- dextroamphetamine/amphetamine
TP is a 52 y/o African American female who was admitted to the hospital 5 days ago for
resection of an abdominal mass. The pharmacist asked to convert TP's oral steroid to IV
Solu-Medrol. How many mg of Solu- Medrol should be ordered daily? Prednisone 5 mg
= Solu Medrol 4 mg - Answer- 24 mg Solu- Medrol daily IV
DR's a 58 y/o male, presents to the hospital with septic shock and a severe left foot
infection. Once his blood pressure is stabilized. The medical team initiates furosemide
to help maintain DR's fluid status. Which furosemide dose will provide an equivalent
, diuretic effect to DR's home diuretic regimen? - Answer- 30 mg torsemide PO = 60 mg
furosemide IV
JM, a 62 y/o white male, is being seen in the family medicine clinic for management of
his chronic medical condition. recommended dose for Duragesic? - Answer- 25mcg/hr
patch
How often should patient change their oxybutynin patch? (Oxytrol) - Answer- twice
weekly
JM, 62 y/o white male is being seen at a family medicine clinic for management for his
chronic medical condition. JM has cut back on his smoking but wants to quit for good.
Which treatment recommendation is preferred to help JM quit? pt smokes 8 cigarettes
per day. - Answer- nicotine patch 14 mg
Cobicistat is used in some antiviral treatment regimens as? - Answer- CYP450 3A4
Inhibitor
JW is a 49 y/o female with a history of chronic back and knee pain attributed to morbid
obesity. Her chronic medications include Kadian, Percocet, Senna and Cymbalta. She
asks her primary care provider for a weight loss medication. Which weight loss drug is
contraindicated in JW? - Answer- Contrave (naltrexone/bupropion)
First line treatment for C.diff? - Answer- Fidaxomicin 200 mg PO Q12H
Community Acquired MRSA coverage: - Answer- i. Bactrim
ii. Doxycycline, minocycline
iii. clindamycin
iv. Linezolid
nosocomial infection - Answer- Vancomycin
Linezolid
Daptomycin (not in pneumonia)
Telavancin
DR's a 58 y/o male, presents to the hospital with septic shock and a severe left foot
infection. According to the hospital-based Hartford Nomogram, DR would require 7 mg
per kg of tobramycin using adjusted body weight. What initial dose of tobramycin should
be ordered for DR?
Adjusted body weight = IBW + 0.4(TBW-IBW)
IBW(Male) = 50 kg + 2.3 kg (every inch over 5 feet) - Answer- 640 mg
ZB, will be receiving both pneumococcal vaccines. What is the correct sequence and
interval? - Answer- PCV13 today, PPSV23 in 1 year
What receptors does labetalol work on? Select all that apply (all below are correct
answers) - Answer- Beta-1 , Beta-2, Alpha-1
Which of the following medications causes a patient to have symptoms that resemble
Parkinson disease (tremor, abnormal gait)? Select all that apply - Answer- Haloperidol,
Metoclopramide, prochlorperazine
Which antipsychotics are available in long acting IM formulations? Select all that apply -
Answer- Aripiprazole, Paliperidone, Risperdal
KN, a 42 y/o male, is admitted to the hospital with acute abdominal pain secondary to
appendicitis. Which of the following counseling points is correct for the beta-2 agonist
on KN's home medication list? Proair Respiclick (Select all that apply) - Answer- 1. After
putting the mouthpiece in your mouth, breathe in deeply and forcefully until your lungs
are completely full of air.
2. When you open the cap, you will hear a "click".
3. Breathe out through your mouth away from the inhaler.
What medication is unsafe and should be avoided in kids < 2 yo? (select all that apply) -
Answer- Codeine, fluoroquinolones, promethazine
15 month old with fever 39.4C- 17 pounds, PCP suspects viral infection. Pt started on
acetaminophen. What is the appropriate dose?
10-15 mg/kg Q4-6 hr PRN, do not exceed 5 doses in 24 hrs. - Answer- 90 mg PO every
4-6 hours
Which medication is used to treat herpes is available over the counter? - Answer-
Abreva
MP her last menstrual period occurred 8 months ago. What is the active ingredient in
the medication the MP is using for osteoarthritis? - Answer- Diclofenac
Generic name for Adderall - Answer- dextroamphetamine/amphetamine
TP is a 52 y/o African American female who was admitted to the hospital 5 days ago for
resection of an abdominal mass. The pharmacist asked to convert TP's oral steroid to IV
Solu-Medrol. How many mg of Solu- Medrol should be ordered daily? Prednisone 5 mg
= Solu Medrol 4 mg - Answer- 24 mg Solu- Medrol daily IV
DR's a 58 y/o male, presents to the hospital with septic shock and a severe left foot
infection. Once his blood pressure is stabilized. The medical team initiates furosemide
to help maintain DR's fluid status. Which furosemide dose will provide an equivalent
, diuretic effect to DR's home diuretic regimen? - Answer- 30 mg torsemide PO = 60 mg
furosemide IV
JM, a 62 y/o white male, is being seen in the family medicine clinic for management of
his chronic medical condition. recommended dose for Duragesic? - Answer- 25mcg/hr
patch
How often should patient change their oxybutynin patch? (Oxytrol) - Answer- twice
weekly
JM, 62 y/o white male is being seen at a family medicine clinic for management for his
chronic medical condition. JM has cut back on his smoking but wants to quit for good.
Which treatment recommendation is preferred to help JM quit? pt smokes 8 cigarettes
per day. - Answer- nicotine patch 14 mg
Cobicistat is used in some antiviral treatment regimens as? - Answer- CYP450 3A4
Inhibitor
JW is a 49 y/o female with a history of chronic back and knee pain attributed to morbid
obesity. Her chronic medications include Kadian, Percocet, Senna and Cymbalta. She
asks her primary care provider for a weight loss medication. Which weight loss drug is
contraindicated in JW? - Answer- Contrave (naltrexone/bupropion)
First line treatment for C.diff? - Answer- Fidaxomicin 200 mg PO Q12H
Community Acquired MRSA coverage: - Answer- i. Bactrim
ii. Doxycycline, minocycline
iii. clindamycin
iv. Linezolid
nosocomial infection - Answer- Vancomycin
Linezolid
Daptomycin (not in pneumonia)
Telavancin
DR's a 58 y/o male, presents to the hospital with septic shock and a severe left foot
infection. According to the hospital-based Hartford Nomogram, DR would require 7 mg
per kg of tobramycin using adjusted body weight. What initial dose of tobramycin should
be ordered for DR?
Adjusted body weight = IBW + 0.4(TBW-IBW)
IBW(Male) = 50 kg + 2.3 kg (every inch over 5 feet) - Answer- 640 mg
ZB, will be receiving both pneumococcal vaccines. What is the correct sequence and
interval? - Answer- PCV13 today, PPSV23 in 1 year
