PHARM EXAM 3 MARYVILLE
WITH 100% CORRECT ANSWERS
2026
Low dose colchicine correct answers >> 1.2 mg followed
by .6 mg one hour later - 1.8 mg total
High dose colchicine correct answers >> 1.2 mg followed
by .6 mg q4-6 hrs, up to 4.8 mg total
Which is better - low dose colchicine or high dose correct
answers >> Low dose colchicine is as effective as high dose with
fewer side effects
Patient education when prescribing colchicine correct answers
>> Always causes diarrhea. GI upset is common. Muscle
weakness is common. Avoid grapefruit juice
Patient education when prescribing febuxostat (Uloric)? correct
answers >> Gout may worsen, then improve.
Use NSAID in the interim.
Adverse effects of corticosteroids if administered for six months
or more correct answers >> Osteoporosis
Worsening diabetic control
Black tarry stools
, Reasons why it's important to taper corticosteroid correct
answers >> Avoid recurrent activity of underlying disease
process
Potential cortisol deficiency resulting from suppression of
hypothalamic-pituitary-adrenal axis during steroid therapy
Black box warnings on NSAIDS correct answers >> Increased
risk of thrombotic events (MI, stroke), risk increases with duration
of treatment,patients with prior heart issues are more at risk
Serious GI effects, bleeding, ulcers, worse in elderly
Sodium retention - increase in HTN, worsening CHF
WHO recommendations for treatment of pain correct answers
>> Analgesic ladder for pain relief
Start with acetominophen, NSAIDS
For moderate to severe pain - milder opioids like codeine, while
continuing with NSAID
Reserve stronger opioids for severe pain only
Mechanism of action of ibuprofen correct answers >> Non-
selective COX 2 inhibitor with some COX 1 activity
Through inhibition of COX 2, decreases production of
prostaglandins, thus decreasing inflammation response
Inhibition of COX-1 causes GI upset
Lowers temp by acting on hypothalamus to increase peripheral
blood flow, dissipating heat
WITH 100% CORRECT ANSWERS
2026
Low dose colchicine correct answers >> 1.2 mg followed
by .6 mg one hour later - 1.8 mg total
High dose colchicine correct answers >> 1.2 mg followed
by .6 mg q4-6 hrs, up to 4.8 mg total
Which is better - low dose colchicine or high dose correct
answers >> Low dose colchicine is as effective as high dose with
fewer side effects
Patient education when prescribing colchicine correct answers
>> Always causes diarrhea. GI upset is common. Muscle
weakness is common. Avoid grapefruit juice
Patient education when prescribing febuxostat (Uloric)? correct
answers >> Gout may worsen, then improve.
Use NSAID in the interim.
Adverse effects of corticosteroids if administered for six months
or more correct answers >> Osteoporosis
Worsening diabetic control
Black tarry stools
, Reasons why it's important to taper corticosteroid correct
answers >> Avoid recurrent activity of underlying disease
process
Potential cortisol deficiency resulting from suppression of
hypothalamic-pituitary-adrenal axis during steroid therapy
Black box warnings on NSAIDS correct answers >> Increased
risk of thrombotic events (MI, stroke), risk increases with duration
of treatment,patients with prior heart issues are more at risk
Serious GI effects, bleeding, ulcers, worse in elderly
Sodium retention - increase in HTN, worsening CHF
WHO recommendations for treatment of pain correct answers
>> Analgesic ladder for pain relief
Start with acetominophen, NSAIDS
For moderate to severe pain - milder opioids like codeine, while
continuing with NSAID
Reserve stronger opioids for severe pain only
Mechanism of action of ibuprofen correct answers >> Non-
selective COX 2 inhibitor with some COX 1 activity
Through inhibition of COX 2, decreases production of
prostaglandins, thus decreasing inflammation response
Inhibition of COX-1 causes GI upset
Lowers temp by acting on hypothalamus to increase peripheral
blood flow, dissipating heat
