NSC 830 Advanced Pharmacology EXAM
STUDY GUIDE 2026 COMPLETE
QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS
<LATEST VERSION>
1. Narrow Specturm - ANSWER ✔ Treat limited # of organisms, Less likely to
disrupt normal flora, organism identified.
2. Broad Specturm - ANSWER ✔ Treats multiple organisms, more likely to
disrupt normal flora, causative agent unknown.
3. Why would you select abx? - ANSWER ✔ Is antimicrobial therapy
indicated, make a clinical diagnosis, collection of specimens for a cx or lab
test, make microbial diagnosis, select drug.
4. Extended spectrum - ANSWER ✔ treats multiple organisms, more likely to
disrupt normal flora, used when causative organism is unknown.
5. Gram positive - ANSWER ✔ Purple, thick layer
6. Example of gram positive - ANSWER ✔ Group A beta-strep
Strep PNA
7. Gram negative - ANSWER ✔ Red or pink, thin layer
,8. Example of gram negative - ANSWER ✔ H. influenza
N. Gonoccocus
9. Atypical Organism - ANSWER ✔ colorless, no layer
10.Example of Atypical organism - ANSWER ✔ Macrolides- erythromycins
11.True or False: Atypical bacteria are resistent to becta-lactum abx -
ANSWER ✔ True
12.Risk factors for Drug Resistant Strep PNA (DRSP) - ANSWER ✔ Recent
abx use
Older >65
Multiple Comorbidtities ( COPD, DM, HF, renal failure)
Daycare worker
Alcoholism
Immunosuppressed (including chronic steroid use >10 mg/day long term).
13.Treatment for Drug Resistant Strep PNA - ANSWER ✔ High dose
amoxicillin 3-4g/day
Respiratory fluoroquinolones: moxifloxican, gemifloxican, levofloxacin.
Tehlithromycin: use limited due to hepatoxicity
14.Factors to determine when selecting an abx... - ANSWER ✔ Allergy history
(PCN- risk of cross allergy with cephalosporins)
Age- (Renal function- neonates and elderly)
Pregnancy
Immunocompromised status
Affordability
, Taste and convenience
15.What are 2 abx contraindicated in pregnancy? - ANSWER ✔ tetracyclines
fluoroquinolone
16.Do immunocompromised patients get bactericidal or baceriostiatic? -
ANSWER ✔ Bactericidals
17.What are bactericidals? - ANSWER ✔ Kills bacteria
18.What are bacteriostatic? - ANSWER ✔ Restrains production of bacteria.
The patient needs a good immune system.
19.Minimum inhibitory concentration (MIC) - ANSWER ✔ Min. amount of
abx used to inhibit growth of bacteria. Abx usually dosed 2-4 times MIC
20.Teaching the patient to ..... - ANSWER ✔ Take ALL of medication
21.May need back up birth control and for 7 days after.
22.Report signs of allergic reaction (SOA, Wheezing, rash)
23.Combined Oral Contraceptives (COCs) - ANSWER ✔ Oral contraceptives
containing both estrogen and progestin
24.Progesterone Only Pills (POPs) - ANSWER ✔ Oral contraceptives
containing only progestin
, 25.No protection against STIs - ANSWER ✔ Characteristic of both COCs and
POPs
26.Higher risk of venous thromboembolism (VTE) - ANSWER ✔
Characteristic of COCs
27.No suppression of lactation - ANSWER ✔ Characteristic of POPs
28.Acceptable with history of migraines with aura - ANSWER ✔ Characteristic
of POPs
29.May decrease dysmenorrhea - ANSWER ✔ Characteristic of both COCs and
POPs
30.Contraindicated if >35 yo & smoker - ANSWER ✔ Characteristic of COCs
31.Efficacy may be decreased if taken with anticonvulsants - ANSWER ✔
Characteristic of COCs
32.May improve acne - ANSWER ✔ Characteristic of COCs
33.Fertility re-established immediately after discontinuing - ANSWER ✔
Characteristic of both COCs and POPs
34.May be used if BP consistently elevated - ANSWER ✔ Characteristic of
POPs
STUDY GUIDE 2026 COMPLETE
QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS
<LATEST VERSION>
1. Narrow Specturm - ANSWER ✔ Treat limited # of organisms, Less likely to
disrupt normal flora, organism identified.
2. Broad Specturm - ANSWER ✔ Treats multiple organisms, more likely to
disrupt normal flora, causative agent unknown.
3. Why would you select abx? - ANSWER ✔ Is antimicrobial therapy
indicated, make a clinical diagnosis, collection of specimens for a cx or lab
test, make microbial diagnosis, select drug.
4. Extended spectrum - ANSWER ✔ treats multiple organisms, more likely to
disrupt normal flora, used when causative organism is unknown.
5. Gram positive - ANSWER ✔ Purple, thick layer
6. Example of gram positive - ANSWER ✔ Group A beta-strep
Strep PNA
7. Gram negative - ANSWER ✔ Red or pink, thin layer
,8. Example of gram negative - ANSWER ✔ H. influenza
N. Gonoccocus
9. Atypical Organism - ANSWER ✔ colorless, no layer
10.Example of Atypical organism - ANSWER ✔ Macrolides- erythromycins
11.True or False: Atypical bacteria are resistent to becta-lactum abx -
ANSWER ✔ True
12.Risk factors for Drug Resistant Strep PNA (DRSP) - ANSWER ✔ Recent
abx use
Older >65
Multiple Comorbidtities ( COPD, DM, HF, renal failure)
Daycare worker
Alcoholism
Immunosuppressed (including chronic steroid use >10 mg/day long term).
13.Treatment for Drug Resistant Strep PNA - ANSWER ✔ High dose
amoxicillin 3-4g/day
Respiratory fluoroquinolones: moxifloxican, gemifloxican, levofloxacin.
Tehlithromycin: use limited due to hepatoxicity
14.Factors to determine when selecting an abx... - ANSWER ✔ Allergy history
(PCN- risk of cross allergy with cephalosporins)
Age- (Renal function- neonates and elderly)
Pregnancy
Immunocompromised status
Affordability
, Taste and convenience
15.What are 2 abx contraindicated in pregnancy? - ANSWER ✔ tetracyclines
fluoroquinolone
16.Do immunocompromised patients get bactericidal or baceriostiatic? -
ANSWER ✔ Bactericidals
17.What are bactericidals? - ANSWER ✔ Kills bacteria
18.What are bacteriostatic? - ANSWER ✔ Restrains production of bacteria.
The patient needs a good immune system.
19.Minimum inhibitory concentration (MIC) - ANSWER ✔ Min. amount of
abx used to inhibit growth of bacteria. Abx usually dosed 2-4 times MIC
20.Teaching the patient to ..... - ANSWER ✔ Take ALL of medication
21.May need back up birth control and for 7 days after.
22.Report signs of allergic reaction (SOA, Wheezing, rash)
23.Combined Oral Contraceptives (COCs) - ANSWER ✔ Oral contraceptives
containing both estrogen and progestin
24.Progesterone Only Pills (POPs) - ANSWER ✔ Oral contraceptives
containing only progestin
, 25.No protection against STIs - ANSWER ✔ Characteristic of both COCs and
POPs
26.Higher risk of venous thromboembolism (VTE) - ANSWER ✔
Characteristic of COCs
27.No suppression of lactation - ANSWER ✔ Characteristic of POPs
28.Acceptable with history of migraines with aura - ANSWER ✔ Characteristic
of POPs
29.May decrease dysmenorrhea - ANSWER ✔ Characteristic of both COCs and
POPs
30.Contraindicated if >35 yo & smoker - ANSWER ✔ Characteristic of COCs
31.Efficacy may be decreased if taken with anticonvulsants - ANSWER ✔
Characteristic of COCs
32.May improve acne - ANSWER ✔ Characteristic of COCs
33.Fertility re-established immediately after discontinuing - ANSWER ✔
Characteristic of both COCs and POPs
34.May be used if BP consistently elevated - ANSWER ✔ Characteristic of
POPs
