Advanced Pharmacology – Midterm Questions With
Complete Solutions
A 42-year old man presents to you for follow-up treatment of a
furuncle. He came in 3 days earlier and the area was 1.5 cm in
size. At that time, he was afebrile and without pain, redness, or
swelling. He was sent home with instructions to apply a warm
compress and was not given antibiotics. When should a furuncle
be treated with systemic antibiotics?
a. If the area is painful
b. If the area is red, along with the surrounding tissues
c. Patient is febrile
d. all of above Correct Answers d. all of above
A medication review of an elderly person's medications
involves:
a. Asking the patient to bring a list of current prescription
medications to the visit.
b. Having the patient bring all their prescription, over-the-
counter, and herbal medications to the visit.
c. Asking what other providers are writing prescriptions for
them.
d. All of the above. Correct Answers d. All of the above.
A potentially life-threatening adverse response to ACE-Is is
angioedema. Which of the following statements true about this
adverse response?
,a. Swelling of the tongue and hoarseness are the most common
symptoms.
b. It appears to be related to the decrease in aldosterone
production.
c. Presence of a dry, hacking cough indicates a high risk for this
adverse response.
d. Because it takes time to build up a blood level, it occurs after
being on the drug for about one week. Correct Answers a.
Swelling of tongue and hoarseness are the most common
symptoms.
A stepwise approach to the pharmacologic management of
asthma:
a. allows for each provider to determine their personal approach
to the care of asthmatic patients
b. is used when asthma is severe and required daily steroids
c. begins with determining the severity of asthma and assessing
asthma control
d. provides a framework for the management of severe
asthmatics, but is not helpful when patients have intermittent
asthma Correct Answers c. begins with determining the severity
of asthma and assessing asthma control
Acamprosate Correct Answers Decreases unpleasant effects
resulting from abstinence like dysphoria, anxiety, restlessness
ACE inhibitors Correct Answers "PRIL" Captopril, Enalapril,
Afosiopril
, Antihypertensive. Blocks ACE in lungs from converting
angiotensin I to angiotensin II (powerful vasoconstrictor).
Decreases BP, Decreased Aldosterone secretions, Sodium and
fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
ACE-Is are the drug of choice in treating HTN in diabetic
patient because they:
a. improve insulin sensitivity
b. improve renal hemodynamics
c. reduce the production of angiotensin II
d. all of above Correct Answers d. all of above
ACEIs in heart failure Correct Answers can improve functional
status and prolong life
acute effects of alcohol on the brain Correct Answers
depression of CNS function and activation of the reward circuit
Adverse effects of ACE inhibitors Correct Answers -Cough
-Hypotension in hypovolemic patients
-Acute renal failure
-Hyperkalemia
Complete Solutions
A 42-year old man presents to you for follow-up treatment of a
furuncle. He came in 3 days earlier and the area was 1.5 cm in
size. At that time, he was afebrile and without pain, redness, or
swelling. He was sent home with instructions to apply a warm
compress and was not given antibiotics. When should a furuncle
be treated with systemic antibiotics?
a. If the area is painful
b. If the area is red, along with the surrounding tissues
c. Patient is febrile
d. all of above Correct Answers d. all of above
A medication review of an elderly person's medications
involves:
a. Asking the patient to bring a list of current prescription
medications to the visit.
b. Having the patient bring all their prescription, over-the-
counter, and herbal medications to the visit.
c. Asking what other providers are writing prescriptions for
them.
d. All of the above. Correct Answers d. All of the above.
A potentially life-threatening adverse response to ACE-Is is
angioedema. Which of the following statements true about this
adverse response?
,a. Swelling of the tongue and hoarseness are the most common
symptoms.
b. It appears to be related to the decrease in aldosterone
production.
c. Presence of a dry, hacking cough indicates a high risk for this
adverse response.
d. Because it takes time to build up a blood level, it occurs after
being on the drug for about one week. Correct Answers a.
Swelling of tongue and hoarseness are the most common
symptoms.
A stepwise approach to the pharmacologic management of
asthma:
a. allows for each provider to determine their personal approach
to the care of asthmatic patients
b. is used when asthma is severe and required daily steroids
c. begins with determining the severity of asthma and assessing
asthma control
d. provides a framework for the management of severe
asthmatics, but is not helpful when patients have intermittent
asthma Correct Answers c. begins with determining the severity
of asthma and assessing asthma control
Acamprosate Correct Answers Decreases unpleasant effects
resulting from abstinence like dysphoria, anxiety, restlessness
ACE inhibitors Correct Answers "PRIL" Captopril, Enalapril,
Afosiopril
, Antihypertensive. Blocks ACE in lungs from converting
angiotensin I to angiotensin II (powerful vasoconstrictor).
Decreases BP, Decreased Aldosterone secretions, Sodium and
fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
ACE-Is are the drug of choice in treating HTN in diabetic
patient because they:
a. improve insulin sensitivity
b. improve renal hemodynamics
c. reduce the production of angiotensin II
d. all of above Correct Answers d. all of above
ACEIs in heart failure Correct Answers can improve functional
status and prolong life
acute effects of alcohol on the brain Correct Answers
depression of CNS function and activation of the reward circuit
Adverse effects of ACE inhibitors Correct Answers -Cough
-Hypotension in hypovolemic patients
-Acute renal failure
-Hyperkalemia
