CMS PHARMACOLOGY PROCTORED
EXAMINATION TEST 2026 FULL QUESTIONS
AND DETAILED SOLUTIONS GRADED A+
⩥ Tylenol with Codeine/acetaminophen and codeine. Answer: decrease
pain or inflammation
A.E Minor: Nausea, vomiting, abdominal pain
Major: GL bleeding (black tarry stools), seizures, stevens-johnson
syndrome
Monitor for liver functions test, renal function and blood tests
forms: PO, rectal, IV
⩥ Actonel (Risedronate). Answer: Biphosphonate
Bone resorption inhibitors
Increases bone mass activity without fractures in patients with Paget's
disease and treatment in patients with osteoporosis
⩥ Acyclovir (Sitavig, Zovirax). Answer: Works within the DNA
synthesis in conversion to acyclovir. Decrease amount and time of
healing of lesions
A.E: minor: confusion, lethargy, nausea and vomiting
Major: Thrombocytopenia purpura, seizures and hemolytic uremic
syndrome and stevens-johnson syndrome
,Forms: PO or IV
⩥ Adalimumab (Humira). Answer: Antirheumatic agent
A form of human IgG1 monoclonal antibody specific for human tumor
necrosis factors. Decrease pain and inflammation in joint better for
ROM
A.E: Minor HA, Pain, nausea
Major: Guillain-Barre syndrome, GI bleeding, leukopenia
Form: SQ injections
⩥ Adderall (Amphetamine). Answer: Treats attention deficit hyperactive
disorder by changing the chemical in the brain. This can also be used in
those who have narcolespy
A.E: minor: dry mouth, stomach upset and HA
Major: depression, serotonin syndrome, seizures
Form: PO
⩥ Advair Diskus (Fluticasone propionate. Answer: Corticosteroid
Inhaler, anti asthmatic
Decreases inflammation by inhibiting mast cells. decreased severity of
asthma
A.E.: Minor/Common: nervousness, dizziness, HA, fatigue, oral
candidiasis
Major: Angioedema, Churg-Strauss syndrome, bronchospams
,Form: inhaler or intranasal
⩥ Albuterol 0.083% Inhal soln (Proventil). Answer: Bronchodilator
Cause bronchodilation by action on B2 recptors (pulmonary) by
increasing levels of cyclic AMP which relaxes smooth muscles.
Prevention of exercise induced asthma acute brochospasm
A.E.: minor: anxiety, HA dizziness. Major: bronchospasm, wheezing,
dysrhythmias
Form: inhalation
⩥ Alendronate (Fosamax). Answer: Bisphosphnate
Decrease rate of bone reabsorption. Decrease symptoms of osteoporosis
and Paget's disease
A.D.: Nausea, vomiting, constipation and abdominal pain
Major: Angioedema, stevens-johnson syndrome, toxic epidermal
necrolysis
Nursing consideration:
Form: PO
⩥ Allopurinol (Zyloprim). Answer: antigout
Inhibits the enzyme xanthine oxidase, reducing uric acid synthesis.
Decreasing serum uric acid levels, decreasing joint pain. Used for gout,
hyperuricemia and uric acid calculi
A.E.: nausea, vomiting, cramps, diarrhea
, Major: acute gouty attack, rash
Form: pill
⩥ Alprazolam (Xanax). Answer: Antianxiety/sedative/hyponotic
Depresses subcortical levels of CNS
Decreased anxiety
A.E: Minor dizziness, fatigue, drowsiness
Major: ECG changes, suicide, angioedema
Form: PO
⩥ Amiodarone Hydrochloride. Answer: Antidysrhythmic
Prolongs action potential duration and effective refractory period
Decreased amount of severity of ventricular dysrhythmias
A.E.: Minor: HA, dizziness, fatigue
Major: bradycardia, Hypotension, CHF and dsyrhythmias
Forms: IV and PO
⩥ Amitriptyline (Elavil). Answer: Antidepressant-tricyclic
blocks reuptake of norepinephrine
Used for major depression
A.E.: Minor: Dizziness, drowsiness, orthostatic hypotension
Major: seizures, suicidal ideations, ecg changes, tachycardia
EXAMINATION TEST 2026 FULL QUESTIONS
AND DETAILED SOLUTIONS GRADED A+
⩥ Tylenol with Codeine/acetaminophen and codeine. Answer: decrease
pain or inflammation
A.E Minor: Nausea, vomiting, abdominal pain
Major: GL bleeding (black tarry stools), seizures, stevens-johnson
syndrome
Monitor for liver functions test, renal function and blood tests
forms: PO, rectal, IV
⩥ Actonel (Risedronate). Answer: Biphosphonate
Bone resorption inhibitors
Increases bone mass activity without fractures in patients with Paget's
disease and treatment in patients with osteoporosis
⩥ Acyclovir (Sitavig, Zovirax). Answer: Works within the DNA
synthesis in conversion to acyclovir. Decrease amount and time of
healing of lesions
A.E: minor: confusion, lethargy, nausea and vomiting
Major: Thrombocytopenia purpura, seizures and hemolytic uremic
syndrome and stevens-johnson syndrome
,Forms: PO or IV
⩥ Adalimumab (Humira). Answer: Antirheumatic agent
A form of human IgG1 monoclonal antibody specific for human tumor
necrosis factors. Decrease pain and inflammation in joint better for
ROM
A.E: Minor HA, Pain, nausea
Major: Guillain-Barre syndrome, GI bleeding, leukopenia
Form: SQ injections
⩥ Adderall (Amphetamine). Answer: Treats attention deficit hyperactive
disorder by changing the chemical in the brain. This can also be used in
those who have narcolespy
A.E: minor: dry mouth, stomach upset and HA
Major: depression, serotonin syndrome, seizures
Form: PO
⩥ Advair Diskus (Fluticasone propionate. Answer: Corticosteroid
Inhaler, anti asthmatic
Decreases inflammation by inhibiting mast cells. decreased severity of
asthma
A.E.: Minor/Common: nervousness, dizziness, HA, fatigue, oral
candidiasis
Major: Angioedema, Churg-Strauss syndrome, bronchospams
,Form: inhaler or intranasal
⩥ Albuterol 0.083% Inhal soln (Proventil). Answer: Bronchodilator
Cause bronchodilation by action on B2 recptors (pulmonary) by
increasing levels of cyclic AMP which relaxes smooth muscles.
Prevention of exercise induced asthma acute brochospasm
A.E.: minor: anxiety, HA dizziness. Major: bronchospasm, wheezing,
dysrhythmias
Form: inhalation
⩥ Alendronate (Fosamax). Answer: Bisphosphnate
Decrease rate of bone reabsorption. Decrease symptoms of osteoporosis
and Paget's disease
A.D.: Nausea, vomiting, constipation and abdominal pain
Major: Angioedema, stevens-johnson syndrome, toxic epidermal
necrolysis
Nursing consideration:
Form: PO
⩥ Allopurinol (Zyloprim). Answer: antigout
Inhibits the enzyme xanthine oxidase, reducing uric acid synthesis.
Decreasing serum uric acid levels, decreasing joint pain. Used for gout,
hyperuricemia and uric acid calculi
A.E.: nausea, vomiting, cramps, diarrhea
, Major: acute gouty attack, rash
Form: pill
⩥ Alprazolam (Xanax). Answer: Antianxiety/sedative/hyponotic
Depresses subcortical levels of CNS
Decreased anxiety
A.E: Minor dizziness, fatigue, drowsiness
Major: ECG changes, suicide, angioedema
Form: PO
⩥ Amiodarone Hydrochloride. Answer: Antidysrhythmic
Prolongs action potential duration and effective refractory period
Decreased amount of severity of ventricular dysrhythmias
A.E.: Minor: HA, dizziness, fatigue
Major: bradycardia, Hypotension, CHF and dsyrhythmias
Forms: IV and PO
⩥ Amitriptyline (Elavil). Answer: Antidepressant-tricyclic
blocks reuptake of norepinephrine
Used for major depression
A.E.: Minor: Dizziness, drowsiness, orthostatic hypotension
Major: seizures, suicidal ideations, ecg changes, tachycardia
