NSC 830 Advanced Pharmacology | Verified
Questions and Answers with Complete
Solutions | Updated 2025 Edition
1. 2nd treatment option for otitis media is pt has recently been on Amoxicillin?
- ANSWER Augmentin
2. What are the definitive dx required for otitis media? - ANSWER Moderate
or severe bulging of TM or new onset otorrhea (drainage) not due to otitis
externa.
3. Mild bulging TM AND recent (<48hr) onset of otalgia (earache) or intense
redness of the TM.
4. A patient comes in to the office and needs Vancomycin to treat their C-Diff,
but due to their former NP over RX the medication, they are now resistant to
the class of medication. What other class of drug could you write for? -
ANSWER Oxazolindinones- Linezoild
5. A 18yo comes into the clinic with c/o of cold symptoms ( cough, sneezing,
congestion, and lethargy. What type of abx would you write for this patient?
- ANSWER NONE- this is more than likely viral.
6. Combined Oral Contraceptives (COCs) - ANSWER Oral contraceptives
containing both estrogen and progestin
7. Progesterone Only Pills (POPs) - ANSWER Oral contraceptives containing
only progestin
8. No protection against STIs - ANSWER Characteristic of both COCs and
POPs
9. Higher risk of venous thromboembolism (VTE) - ANSWER Characteristic
of COCs
10.No suppression of lactation - ANSWER Characteristic of POPs
1
,11.Acceptable with history of migraines with aura - ANSWER Characteristic of
POPs
12.May decrease dysmenorrhea - ANSWER Characteristic of both COCs and
POPs
13.Contraindicated if >35 yo & smoker - ANSWER Characteristic of COCs
14.Efficacy may be decreased if taken with anticonvulsants - ANSWER
Characteristic of COCs
15.May improve acne - ANSWER Characteristic of COCs
16.Fertility re-established immediately after discontinuing - ANSWER
Characteristic of both COCs and POPs
17.May be used if BP consistently elevated - ANSWER Characteristic of POPs
18.Consider the patient's personal preference - ANSWER Provider should
consider the patient's personal preference to encourage adherence to
contraception
19.Focus on choices that provide the highest efficacy rate - ANSWER Provider
should focus on choices that provide the highest efficacy rate to encourage
adherence to contraception
20.Screen for cervical cancer with PAP test - ANSWER Provider should not
screen for cervical cancer with PAP test to encourage adherence to
contraception
21.Suggest a long-term option since she is nineteen - ANSWER Provider
should suggest a long-term option since the patient is nineteen to encourage
adherence to contraception
22.Combination hormonal contraceptives (CHC) reduce fertility by - ANSWER
Producing inflammatory reaction that is toxic to sperm, thinning cervical
mucous, and inhibiting ovulation
23.Producing inflammatory reaction that is toxic to sperm - ANSWER CHCs
reduce fertility by producing inflammatory reaction that is toxic to sperm
2
,24.Thinning cervical mucous - ANSWER CHCs reduce fertility by thinning
cervical mucous
25.Inhibiting ovulation - ANSWER CHCs reduce fertility by inhibiting
ovulation
26.levonorgestrel/ethinyl estradiol (Levora) - ANSWER Contraceptive option
appropriate for a 39-year-old smoker
27.norethindrone (Camila) - ANSWER Contraceptive option appropriate for a
39-year-old smoker
28.norgestimate/ethinyl estradiol (Sprintec) - ANSWER Contraceptive option
appropriate for a 39-year-old smoker
29.Copper IUD (ParaGard) - ANSWER Contraceptive option appropriate for a
39-year-old smoker
30.Etonogestrel implant (Nexplanon) - ANSWER Contraceptive option
appropriate for a 39-year-old smoker
31."Absorption of the drug is rapid; you should be fine." - ANSWER Accurate
patient instruction for vomiting two hours after taking ulipristal (Ella) for
emergency contraception
32."You need to repeat the dose." - ANSWER Accurate patient instruction for
vomiting two hours after taking ulipristal (Ella) for emergency contraception
33."You will need to use a different option." - ANSWER Accurate patient
instruction for vomiting two hours after taking ulipristal (Ella) for
emergency contraception
34."Bloodwork will be ordered to see if this dose was effective." - ANSWER
Accurate patient instruction for vomiting two hours after taking ulipristal
(Ella) for emergency contraception
35.methyldopa - ANSWER Class of cardiovascular medication that may cause
bronchospasms and worsen depression
3
, 36.clonidine (Catapres) - ANSWER Class of cardiovascular medication that
may cause angioedema and dry cough, and is the only antihypertensive
available as a transdermal patch
37.doxazosin (Cardura) - ANSWER Class of cardiovascular medication that is
also used to treat benign prostatic hypertrophy, and is known for the "first
dose effect"
38.amlodipine (Norvasc) - ANSWER Class of cardiovascular medication that is
a calcium channel blocker used for blood pressure control and may cause
edema
39.propranolol (Inderal) - ANSWER Class of cardiovascular medication that
may be used to control anxiety prior to giving a public speech, and decreases
contractility and conduction making it a good choice in coronary artery
disease
40.diltiazem (Cardizem) - ANSWER Class of cardiovascular medication that
decreases contractility and conduction, making it a good choice in coronary
artery disease
41.chlorthalidone - ANSWER Class of cardiovascular medication that may
have cross allergy to sulfa, may potentiate gout and worsen lipid panel, and
is a diuretic effective in patients with renal insufficiency
42.lisinopril (Zestril) - ANSWER Class of cardiovascular medication that may
cause angioedema and dry cough, is renal protective in diabetic patients with
proteinuria, and is contraindicated for concomitant treatment with lisinopril
(Zestril)
43.furosemide (Lasix) - ANSWER Class of cardiovascular medication that is
associated with high doses causing ototoxicity, is a diuretic effective in
patients with renal insufficiency, and is also used to treat benign prostatic
hypertrophy
44.spironolactone (Aldactone) - ANSWER Class of cardiovascular medication
that blocks action of aldosterone and may cause gynecomastia, and should
be avoided with high-potassium diet
4
Questions and Answers with Complete
Solutions | Updated 2025 Edition
1. 2nd treatment option for otitis media is pt has recently been on Amoxicillin?
- ANSWER Augmentin
2. What are the definitive dx required for otitis media? - ANSWER Moderate
or severe bulging of TM or new onset otorrhea (drainage) not due to otitis
externa.
3. Mild bulging TM AND recent (<48hr) onset of otalgia (earache) or intense
redness of the TM.
4. A patient comes in to the office and needs Vancomycin to treat their C-Diff,
but due to their former NP over RX the medication, they are now resistant to
the class of medication. What other class of drug could you write for? -
ANSWER Oxazolindinones- Linezoild
5. A 18yo comes into the clinic with c/o of cold symptoms ( cough, sneezing,
congestion, and lethargy. What type of abx would you write for this patient?
- ANSWER NONE- this is more than likely viral.
6. Combined Oral Contraceptives (COCs) - ANSWER Oral contraceptives
containing both estrogen and progestin
7. Progesterone Only Pills (POPs) - ANSWER Oral contraceptives containing
only progestin
8. No protection against STIs - ANSWER Characteristic of both COCs and
POPs
9. Higher risk of venous thromboembolism (VTE) - ANSWER Characteristic
of COCs
10.No suppression of lactation - ANSWER Characteristic of POPs
1
,11.Acceptable with history of migraines with aura - ANSWER Characteristic of
POPs
12.May decrease dysmenorrhea - ANSWER Characteristic of both COCs and
POPs
13.Contraindicated if >35 yo & smoker - ANSWER Characteristic of COCs
14.Efficacy may be decreased if taken with anticonvulsants - ANSWER
Characteristic of COCs
15.May improve acne - ANSWER Characteristic of COCs
16.Fertility re-established immediately after discontinuing - ANSWER
Characteristic of both COCs and POPs
17.May be used if BP consistently elevated - ANSWER Characteristic of POPs
18.Consider the patient's personal preference - ANSWER Provider should
consider the patient's personal preference to encourage adherence to
contraception
19.Focus on choices that provide the highest efficacy rate - ANSWER Provider
should focus on choices that provide the highest efficacy rate to encourage
adherence to contraception
20.Screen for cervical cancer with PAP test - ANSWER Provider should not
screen for cervical cancer with PAP test to encourage adherence to
contraception
21.Suggest a long-term option since she is nineteen - ANSWER Provider
should suggest a long-term option since the patient is nineteen to encourage
adherence to contraception
22.Combination hormonal contraceptives (CHC) reduce fertility by - ANSWER
Producing inflammatory reaction that is toxic to sperm, thinning cervical
mucous, and inhibiting ovulation
23.Producing inflammatory reaction that is toxic to sperm - ANSWER CHCs
reduce fertility by producing inflammatory reaction that is toxic to sperm
2
,24.Thinning cervical mucous - ANSWER CHCs reduce fertility by thinning
cervical mucous
25.Inhibiting ovulation - ANSWER CHCs reduce fertility by inhibiting
ovulation
26.levonorgestrel/ethinyl estradiol (Levora) - ANSWER Contraceptive option
appropriate for a 39-year-old smoker
27.norethindrone (Camila) - ANSWER Contraceptive option appropriate for a
39-year-old smoker
28.norgestimate/ethinyl estradiol (Sprintec) - ANSWER Contraceptive option
appropriate for a 39-year-old smoker
29.Copper IUD (ParaGard) - ANSWER Contraceptive option appropriate for a
39-year-old smoker
30.Etonogestrel implant (Nexplanon) - ANSWER Contraceptive option
appropriate for a 39-year-old smoker
31."Absorption of the drug is rapid; you should be fine." - ANSWER Accurate
patient instruction for vomiting two hours after taking ulipristal (Ella) for
emergency contraception
32."You need to repeat the dose." - ANSWER Accurate patient instruction for
vomiting two hours after taking ulipristal (Ella) for emergency contraception
33."You will need to use a different option." - ANSWER Accurate patient
instruction for vomiting two hours after taking ulipristal (Ella) for
emergency contraception
34."Bloodwork will be ordered to see if this dose was effective." - ANSWER
Accurate patient instruction for vomiting two hours after taking ulipristal
(Ella) for emergency contraception
35.methyldopa - ANSWER Class of cardiovascular medication that may cause
bronchospasms and worsen depression
3
, 36.clonidine (Catapres) - ANSWER Class of cardiovascular medication that
may cause angioedema and dry cough, and is the only antihypertensive
available as a transdermal patch
37.doxazosin (Cardura) - ANSWER Class of cardiovascular medication that is
also used to treat benign prostatic hypertrophy, and is known for the "first
dose effect"
38.amlodipine (Norvasc) - ANSWER Class of cardiovascular medication that is
a calcium channel blocker used for blood pressure control and may cause
edema
39.propranolol (Inderal) - ANSWER Class of cardiovascular medication that
may be used to control anxiety prior to giving a public speech, and decreases
contractility and conduction making it a good choice in coronary artery
disease
40.diltiazem (Cardizem) - ANSWER Class of cardiovascular medication that
decreases contractility and conduction, making it a good choice in coronary
artery disease
41.chlorthalidone - ANSWER Class of cardiovascular medication that may
have cross allergy to sulfa, may potentiate gout and worsen lipid panel, and
is a diuretic effective in patients with renal insufficiency
42.lisinopril (Zestril) - ANSWER Class of cardiovascular medication that may
cause angioedema and dry cough, is renal protective in diabetic patients with
proteinuria, and is contraindicated for concomitant treatment with lisinopril
(Zestril)
43.furosemide (Lasix) - ANSWER Class of cardiovascular medication that is
associated with high doses causing ototoxicity, is a diuretic effective in
patients with renal insufficiency, and is also used to treat benign prostatic
hypertrophy
44.spironolactone (Aldactone) - ANSWER Class of cardiovascular medication
that blocks action of aldosterone and may cause gynecomastia, and should
be avoided with high-potassium diet
4
