MN 553 MAIN EXAMINATION 2026 SET QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Patients who are on chronic long-term proton pump inhibitor therapy require
monitoring for:
Question options:
Iron deficiency anemia, vitamin B12 and calcium deficiency
Folate and magnesium deficiency
Elevated uric acid levels leading to gout
Hypokalemia and hypocalcemia - ✔✔Iron deficiency anemia, vitamin B12 and calcium
deficiency
✔✔Allison is an 18-year-old college student with type 1 diabetes. She is on NPH twice
daily and Novolog before meals. She usually walks for 40 minutes each evening as part
of her exercise regimen. She is beginning a 30-minute swimming class three times a
week at 1 p.m. What is important for her to do with this change in routine?
Question options:
Delay eating the midday meal until after the swimming class.
Increase the morning dose of NPH insulin on days of the swimming class.
Adjust the morning insulin injection so that the peak occurs while swimming.
Check glucose level before, during, and after swimming. - ✔✔Check glucose level
before, during, and after swimming.
✔✔The reason that two MMR vaccines at least a month apart are recommended is:
Question options:
The second dose of MMR "boosts" the immunity built from the first dose.
Two vaccines 1 month apart is the standard dosing for all live virus vaccines.
If the two MMR vaccine doses are given too close together there is a greater likelihood
of severe localized reaction to the vaccine.
Only 95% of patients are fully immunized for measles after the first vaccine, with 99%
having immunity after two doses of MMR. - ✔✔Only 95% of patients are fully immunized
for measles after the first vaccine, with 99% having immunity after two doses of MMR.
, ✔✔When a pharmacoeconomic analysis looks at two or more treatment alternatives
that are considered equal in efficacy and compares the costs of each it is referred to as:
Question options:
Cost-minimization analysis
Cost-of-illness analysis
Cost-effectiveness analysis
Cost-benefit analysis - ✔✔Cost-minimization analysis
✔✔Disease states in addition to hypertension in which beta blockade is a compelling
indication for the use of beta blockers include:
Question options:
Heart failure
Angina
Myocardial infarction
Dyslipidemia - ✔✔Myocardial infarction
✔✔Why is the consistency of taking paroxetine (Paxil) and never running out of
medication more important than with most other selective serotonin reuptake inhibitors
(SSRIs)?
Question options:
It has a shorter half-life and withdrawal syndrome has a faster onset without taper.
It has the longest half-life and the withdrawal syndrome has a faster onset.
It is quasi-addictive in the dopaminergic reward system.
It is the most activating of SSRI medications and will cause the person to have sudden
deep sadness. - ✔✔It has a shorter half-life and withdrawal syndrome has a faster
onset without taper.
✔✔Isosorbide dinitrate is prescribed for a patient with chronic stable angina. This drug
is administered twice daily, but the schedule is 7 a.m. and 2 p.m. because:
Question options:
It is a long-acting drug with potential for toxicity.
AND SOLUTIONS GRADED A+
✔✔Patients who are on chronic long-term proton pump inhibitor therapy require
monitoring for:
Question options:
Iron deficiency anemia, vitamin B12 and calcium deficiency
Folate and magnesium deficiency
Elevated uric acid levels leading to gout
Hypokalemia and hypocalcemia - ✔✔Iron deficiency anemia, vitamin B12 and calcium
deficiency
✔✔Allison is an 18-year-old college student with type 1 diabetes. She is on NPH twice
daily and Novolog before meals. She usually walks for 40 minutes each evening as part
of her exercise regimen. She is beginning a 30-minute swimming class three times a
week at 1 p.m. What is important for her to do with this change in routine?
Question options:
Delay eating the midday meal until after the swimming class.
Increase the morning dose of NPH insulin on days of the swimming class.
Adjust the morning insulin injection so that the peak occurs while swimming.
Check glucose level before, during, and after swimming. - ✔✔Check glucose level
before, during, and after swimming.
✔✔The reason that two MMR vaccines at least a month apart are recommended is:
Question options:
The second dose of MMR "boosts" the immunity built from the first dose.
Two vaccines 1 month apart is the standard dosing for all live virus vaccines.
If the two MMR vaccine doses are given too close together there is a greater likelihood
of severe localized reaction to the vaccine.
Only 95% of patients are fully immunized for measles after the first vaccine, with 99%
having immunity after two doses of MMR. - ✔✔Only 95% of patients are fully immunized
for measles after the first vaccine, with 99% having immunity after two doses of MMR.
, ✔✔When a pharmacoeconomic analysis looks at two or more treatment alternatives
that are considered equal in efficacy and compares the costs of each it is referred to as:
Question options:
Cost-minimization analysis
Cost-of-illness analysis
Cost-effectiveness analysis
Cost-benefit analysis - ✔✔Cost-minimization analysis
✔✔Disease states in addition to hypertension in which beta blockade is a compelling
indication for the use of beta blockers include:
Question options:
Heart failure
Angina
Myocardial infarction
Dyslipidemia - ✔✔Myocardial infarction
✔✔Why is the consistency of taking paroxetine (Paxil) and never running out of
medication more important than with most other selective serotonin reuptake inhibitors
(SSRIs)?
Question options:
It has a shorter half-life and withdrawal syndrome has a faster onset without taper.
It has the longest half-life and the withdrawal syndrome has a faster onset.
It is quasi-addictive in the dopaminergic reward system.
It is the most activating of SSRI medications and will cause the person to have sudden
deep sadness. - ✔✔It has a shorter half-life and withdrawal syndrome has a faster
onset without taper.
✔✔Isosorbide dinitrate is prescribed for a patient with chronic stable angina. This drug
is administered twice daily, but the schedule is 7 a.m. and 2 p.m. because:
Question options:
It is a long-acting drug with potential for toxicity.
