NR 566 FINAL EXAM (2 LATEST VERSIONS 2023-2024) / NR566
FINAL EXAM 200+ QUESTIONS & ANSWERS / ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY| ALREADY RATED
A
1. When is it safe to use progestin for hormone replacement therapy?
Management of dysfunctional uterine bleeding, amenorrhea & endometriosis
2. What are some potential drug interactions with lithium?
Diuretics, NSAIDs, Anticholinergics
3. What is the black box warning for tricyclic antidepressants and all other antidepressants?
Risk for suicide
4. What is the normal lithium range?
0.4 to 1 mEq/L.
5. What is the role of androgens in treating anemia?
Synthesis of erythropoietin
6. Which of these drugs are known to elevate phenytoin levels?
Diazepam, isoniazid, cimetidine, carbamazepine, phenobarbital, alcohol
7. What is the preferred administration route of alprostadil?
Injection into the penis or by insertion into the urethra
8. What are some potential adverse effects of finasteride?
Decreases ejaculate volume and libido and gynecomastia
9. What are some potential adverse effects of nonselective a1 blockers?
Hypotension, fainting, dizziness, somnolence, and nasal congestion
10. What are some potential adverse effects of phosphodiesterase-5 inhibitors?
Hypotension and priapism
11. What are typically the best antibiotics for chlamydia in adults?
Azithromycin or doxycycline
12. What are typically the best antibiotics for gonorrhea in adults?
Ceftriaxone intramuscular plus azithromycin oral
13. What should we prescribe for BV and/or trichomoniasis?
Metronidazole PO or Clindamycin Cream
14. What is our first-choice drug for syphilis?
Penicillin G
1
,15. What are some good treatment options for herpes simplex virus?
, Acyclovir, famciclovir, and valacyclovir
16. What patient education should we provide regarding SSRIs?
Don't abrupt discontinuation, can result in withdrawal syndrome
17. Why choose local estrogen over systemic?
Treatment of vulval and vaginal atrophy associated with menopause
18. MAO inhibitors are appropriate for a patient…
Able to strictly adhere to avoiding tyramine containing foods
19. What is the names of some 5 alpha-reductase inhibitors?
Dutasteride(Avodart), Finasteride (proscar)
20. What are the names of some alpha 1 blockers?
Silodosin, Tamsulosin
21. What are the names of some phosphodiesterase 5 inhibitors?
Sildenafil (Viagra), Tadalafil (Cialis)
22. What is the most common adverse effects of medications for BPH?
Sexual dysfunction and hypotension
23. With prescription BPH meds, prostate shrinkage occurs slowly over how many months?
6-12 months
24. Which medications are used to treat panic disorder?
Some SSRIs, SNRIs, tricyclic antidepressants (TCAs), and MAOIs
25. What medication can be used on a routine basis for social anxiety disorder?
SSRI, paroxetine (Paxil) and sertraline (Zoloft)
26. What medication can be used on an as-needed basis for performance anxiety?
Propranolol
27. Potential adverse effects of 1st generation antipsychotics include all of the following
except?
Weight gain, diabetes, and dyslipidemia
28. Which medication decreases sleep latency and prolongs sleep duration?
Trazodone
29. Which medications help patients fall asleep?
Lunesta, Zaleplon
30.Which medication is best for people who have difficulty falling asleep? Zolpidem
31.What are the names of benzodiazepine like drug?
Eszopiclone (Lunesta) and Zaleplon (Sonata)
32. What is the name of melatonin receptor agonist?
Ramelteon
33. What is the common way to initiate oral contraceptives?
, Start on first day of the menstrual cycle or the first Sunday after
34. What teaching should be provided regarding OC?
If >1 pill missed in the first week, take one pill ASAP, use back-up 7 days
35. What is NOT a contraindication for OC?
Ovarian cancer
36. What is the first choice medication for Parkinson's?
Carbidopa/Levodopa
37. What medication is used to treat “off” times including “wearing off” experiences in
parkinsons?
Dopamine agonists, COMT inhibitors, and MAO-B inhibitors
38. Pramipexole adverse reactions may include all of the following EXCEPT?
Diarrhea, flatulence, headache, myalgias
39. What medication interaction may occur with phenytoin and oral contraceptive use?
Decrease effectiveness OC
40. What are some non-psychiatric drugs that can be used to treat Manic Depressive Disorder
(Bipolar)?
Anti-epileptic
41. What are some potential drug interactions with lithium? Diuretics, NSAIDS, Anticholinergics
42.When should lithium levels be drawn?
Every 2–3 days during initial therapy and every 3–6 months for maintenance
43.What is potential risk of taking kava?
Hepatotoxicity
44.St. John's Wort can reduce the effectiveness of what med? Oral
Contraceptive
45.What potential adverse effects of ginger root?
Hypoglycemia, hypotension
46. What are some common adverse effects of flax seed?
Bloating, flatulence, abdominal discomfort
47. What adverse effects may black cohosh cause?
Rash, headache, dizziness
48. With testosterone replacement therapy when should T levels be drawn?
14 days after the initiation of therapy and periodically
49. What important patient teaching should be provided regarding topical testosterone application?
Women and children should avoid skin-to-skin contact with application sites
50. When is it appropriate to initiate short-term androgen therapy?
Psychologic distress of delayed sexual maturation
FINAL EXAM 200+ QUESTIONS & ANSWERS / ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY| ALREADY RATED
A
1. When is it safe to use progestin for hormone replacement therapy?
Management of dysfunctional uterine bleeding, amenorrhea & endometriosis
2. What are some potential drug interactions with lithium?
Diuretics, NSAIDs, Anticholinergics
3. What is the black box warning for tricyclic antidepressants and all other antidepressants?
Risk for suicide
4. What is the normal lithium range?
0.4 to 1 mEq/L.
5. What is the role of androgens in treating anemia?
Synthesis of erythropoietin
6. Which of these drugs are known to elevate phenytoin levels?
Diazepam, isoniazid, cimetidine, carbamazepine, phenobarbital, alcohol
7. What is the preferred administration route of alprostadil?
Injection into the penis or by insertion into the urethra
8. What are some potential adverse effects of finasteride?
Decreases ejaculate volume and libido and gynecomastia
9. What are some potential adverse effects of nonselective a1 blockers?
Hypotension, fainting, dizziness, somnolence, and nasal congestion
10. What are some potential adverse effects of phosphodiesterase-5 inhibitors?
Hypotension and priapism
11. What are typically the best antibiotics for chlamydia in adults?
Azithromycin or doxycycline
12. What are typically the best antibiotics for gonorrhea in adults?
Ceftriaxone intramuscular plus azithromycin oral
13. What should we prescribe for BV and/or trichomoniasis?
Metronidazole PO or Clindamycin Cream
14. What is our first-choice drug for syphilis?
Penicillin G
1
,15. What are some good treatment options for herpes simplex virus?
, Acyclovir, famciclovir, and valacyclovir
16. What patient education should we provide regarding SSRIs?
Don't abrupt discontinuation, can result in withdrawal syndrome
17. Why choose local estrogen over systemic?
Treatment of vulval and vaginal atrophy associated with menopause
18. MAO inhibitors are appropriate for a patient…
Able to strictly adhere to avoiding tyramine containing foods
19. What is the names of some 5 alpha-reductase inhibitors?
Dutasteride(Avodart), Finasteride (proscar)
20. What are the names of some alpha 1 blockers?
Silodosin, Tamsulosin
21. What are the names of some phosphodiesterase 5 inhibitors?
Sildenafil (Viagra), Tadalafil (Cialis)
22. What is the most common adverse effects of medications for BPH?
Sexual dysfunction and hypotension
23. With prescription BPH meds, prostate shrinkage occurs slowly over how many months?
6-12 months
24. Which medications are used to treat panic disorder?
Some SSRIs, SNRIs, tricyclic antidepressants (TCAs), and MAOIs
25. What medication can be used on a routine basis for social anxiety disorder?
SSRI, paroxetine (Paxil) and sertraline (Zoloft)
26. What medication can be used on an as-needed basis for performance anxiety?
Propranolol
27. Potential adverse effects of 1st generation antipsychotics include all of the following
except?
Weight gain, diabetes, and dyslipidemia
28. Which medication decreases sleep latency and prolongs sleep duration?
Trazodone
29. Which medications help patients fall asleep?
Lunesta, Zaleplon
30.Which medication is best for people who have difficulty falling asleep? Zolpidem
31.What are the names of benzodiazepine like drug?
Eszopiclone (Lunesta) and Zaleplon (Sonata)
32. What is the name of melatonin receptor agonist?
Ramelteon
33. What is the common way to initiate oral contraceptives?
, Start on first day of the menstrual cycle or the first Sunday after
34. What teaching should be provided regarding OC?
If >1 pill missed in the first week, take one pill ASAP, use back-up 7 days
35. What is NOT a contraindication for OC?
Ovarian cancer
36. What is the first choice medication for Parkinson's?
Carbidopa/Levodopa
37. What medication is used to treat “off” times including “wearing off” experiences in
parkinsons?
Dopamine agonists, COMT inhibitors, and MAO-B inhibitors
38. Pramipexole adverse reactions may include all of the following EXCEPT?
Diarrhea, flatulence, headache, myalgias
39. What medication interaction may occur with phenytoin and oral contraceptive use?
Decrease effectiveness OC
40. What are some non-psychiatric drugs that can be used to treat Manic Depressive Disorder
(Bipolar)?
Anti-epileptic
41. What are some potential drug interactions with lithium? Diuretics, NSAIDS, Anticholinergics
42.When should lithium levels be drawn?
Every 2–3 days during initial therapy and every 3–6 months for maintenance
43.What is potential risk of taking kava?
Hepatotoxicity
44.St. John's Wort can reduce the effectiveness of what med? Oral
Contraceptive
45.What potential adverse effects of ginger root?
Hypoglycemia, hypotension
46. What are some common adverse effects of flax seed?
Bloating, flatulence, abdominal discomfort
47. What adverse effects may black cohosh cause?
Rash, headache, dizziness
48. With testosterone replacement therapy when should T levels be drawn?
14 days after the initiation of therapy and periodically
49. What important patient teaching should be provided regarding topical testosterone application?
Women and children should avoid skin-to-skin contact with application sites
50. When is it appropriate to initiate short-term androgen therapy?
Psychologic distress of delayed sexual maturation
