Pharmacotherapy Added Qualifications (AQ)
Exam – Ambulatory Care Verified Questions,
Correct Answers, and Detailed Explanations for
Science Students||Already Graded A+
1. Which antihypertensive is most appropriate as first-line therapy
for an otherwise healthy Black adult with newly diagnosed
hypertension?
A. Lisinopril
B. Metoprolol
C. Amlodipine
D. Losartan
Answer: C
Calcium channel blockers and thiazide diuretics are preferred first-
line agents in Black adults without CKD or HF.
2. A patient with type 2 diabetes and albuminuria should
preferentially be started on which agent for blood pressure
control?
A. Amlodipine
B. Hydrochlorothiazide
C. Lisinopril
D. Atenolol
Answer: C
ACE inhibitors reduce intraglomerular pressure and slow progression
of diabetic kidney disease.
3. Which A1C goal is most appropriate for a healthy 45-year-old
with type 2 diabetes?
,A. <8.5%
B. <8%
C. <7.5%
D. <7%
Answer: D
Most nonpregnant adults without significant comorbidities benefit
from an A1C goal <7%.
4. Which diabetes medication provides cardiovascular benefit
independent of glycemic control?
A. Sitagliptin
B. Glipizide
C. Empagliflozin
D. Acarbose
Answer: C
SGLT2 inhibitors have proven cardiovascular and renal benefits.
5. A patient on metformin develops an eGFR of 25 mL/min/1.73 m².
What is the best action?
A. Continue current dose
B. Reduce dose by half
C. Discontinue metformin
D. Add insulin
Answer: C
Metformin is contraindicated when eGFR <30 due to lactic acidosis
risk.
6. Which inhaler technique error most reduces medication
delivery?
,A. Not shaking inhaler
B. Poor hand–breath coordination
C. Not rinsing mouth
D. Inhaling too deeply
Answer: B
Incorrect coordination is the most common and impactful error with
MDIs.
7. Which asthma medication is appropriate for long-term control?
A. Albuterol
B. Ipratropium
C. Fluticasone
D. Terbutaline
Answer: C
Inhaled corticosteroids are first-line maintenance therapy for
persistent asthma.
8. Which vaccine is recommended annually for all adults?
A. PPSV23
B. Shingrix
C. Tdap
D. Influenza
Answer: D
Annual influenza vaccination is recommended for all adults.
9. A patient with ASCVD should be on which statin regimen?
A. Low-intensity statin
B. Moderate-intensity statin
, C. High-intensity statin
D. Statin only if LDL >190 mg/dL
Answer: C
High-intensity statins reduce morbidity and mortality in established
ASCVD.
10. Which LDL reduction is expected from high-intensity statin
therapy?
A. 20–30%
B. 30–49%
C. ≥50%
D. ≥70%
Answer: C
High-intensity statins lower LDL by at least 50%.
11. Which oral anticoagulant requires INR monitoring?
A. Apixaban
B. Rivaroxaban
C. Dabigatran
D. Warfarin
Answer: D
Warfarin has a narrow therapeutic index requiring INR monitoring.
12. A CHA₂DS₂-VASc score of 2 in a patient with atrial fibrillation
indicates:
A. No therapy
B. Aspirin only
Exam – Ambulatory Care Verified Questions,
Correct Answers, and Detailed Explanations for
Science Students||Already Graded A+
1. Which antihypertensive is most appropriate as first-line therapy
for an otherwise healthy Black adult with newly diagnosed
hypertension?
A. Lisinopril
B. Metoprolol
C. Amlodipine
D. Losartan
Answer: C
Calcium channel blockers and thiazide diuretics are preferred first-
line agents in Black adults without CKD or HF.
2. A patient with type 2 diabetes and albuminuria should
preferentially be started on which agent for blood pressure
control?
A. Amlodipine
B. Hydrochlorothiazide
C. Lisinopril
D. Atenolol
Answer: C
ACE inhibitors reduce intraglomerular pressure and slow progression
of diabetic kidney disease.
3. Which A1C goal is most appropriate for a healthy 45-year-old
with type 2 diabetes?
,A. <8.5%
B. <8%
C. <7.5%
D. <7%
Answer: D
Most nonpregnant adults without significant comorbidities benefit
from an A1C goal <7%.
4. Which diabetes medication provides cardiovascular benefit
independent of glycemic control?
A. Sitagliptin
B. Glipizide
C. Empagliflozin
D. Acarbose
Answer: C
SGLT2 inhibitors have proven cardiovascular and renal benefits.
5. A patient on metformin develops an eGFR of 25 mL/min/1.73 m².
What is the best action?
A. Continue current dose
B. Reduce dose by half
C. Discontinue metformin
D. Add insulin
Answer: C
Metformin is contraindicated when eGFR <30 due to lactic acidosis
risk.
6. Which inhaler technique error most reduces medication
delivery?
,A. Not shaking inhaler
B. Poor hand–breath coordination
C. Not rinsing mouth
D. Inhaling too deeply
Answer: B
Incorrect coordination is the most common and impactful error with
MDIs.
7. Which asthma medication is appropriate for long-term control?
A. Albuterol
B. Ipratropium
C. Fluticasone
D. Terbutaline
Answer: C
Inhaled corticosteroids are first-line maintenance therapy for
persistent asthma.
8. Which vaccine is recommended annually for all adults?
A. PPSV23
B. Shingrix
C. Tdap
D. Influenza
Answer: D
Annual influenza vaccination is recommended for all adults.
9. A patient with ASCVD should be on which statin regimen?
A. Low-intensity statin
B. Moderate-intensity statin
, C. High-intensity statin
D. Statin only if LDL >190 mg/dL
Answer: C
High-intensity statins reduce morbidity and mortality in established
ASCVD.
10. Which LDL reduction is expected from high-intensity statin
therapy?
A. 20–30%
B. 30–49%
C. ≥50%
D. ≥70%
Answer: C
High-intensity statins lower LDL by at least 50%.
11. Which oral anticoagulant requires INR monitoring?
A. Apixaban
B. Rivaroxaban
C. Dabigatran
D. Warfarin
Answer: D
Warfarin has a narrow therapeutic index requiring INR monitoring.
12. A CHA₂DS₂-VASc score of 2 in a patient with atrial fibrillation
indicates:
A. No therapy
B. Aspirin only
