ADVANCED PHARMACOLOGY- EXAM -2 PRACTICE QUESTIONS WITH CORRECT ANSWERS GRADED A+

ADVANCED PHARMACOLOGY- EXAM
#2 PRACTICE QUESTIONS WITH
CORRECT ANSWERS GRADED A+
GUARANTEED PASS
1.Digoxinrlevelsrneedrtorbermonitoredrcloselyrwhenrtherfollowingrmedicationrisrstarted:

1.rLoratadine

2.rDiphenhydramine

3.rIpratropium

4.rAlbuterolr-rrCORRECTrANSWERS-Albuterol



2.Patientsrwithrpheochromocytomarshouldravoidrwhichrofrtherfollowingrclassesrofrdrugsrbecausero
frtherpossibilityrofrdevelopingrhypertensivercrisis?

1.rExpectorants

2.rBeta-2-agonists

3.rAntitussives

4.rAntihistaminesr-rrCORRECTrANSWERS-Beta-2-agonists



3.Harold,rar42-year-
oldrAfricanrAmerican,rhasrmoderaterpersistentrasthma.rWhichrofrtherfollowingrasthmarmedication
srshouldrberusedrcautiously,rifratrall?

1.rBetamethasone,ranrinhaledrcorticosteroid

2.rSalmeterol,ranrinhaledrlong-actingrbeta-agonist

3.rAlbuterol,rarshort-actingrbeta-agonist

4.rMontelukast,rarleukotrienermodifierr-rrCORRECTrANSWERS-Salmeterol,ranrinhaledrlong-
actingrbeta-agonist

,4.Long-actingrbeta-
agonistsr(LTBAs)rreceivedrarBlackrBoxrWarningrfromrtherU.S.rFoodrandrDrugrAdministrationrduertort
he:

1.rRiskrofrlife-threateningrdermatologicalrreactions

2.rIncreasedrincidencerofrcardiacreventsrwhenrLTBAsrarerused

3.rIncreasedrriskrofrasthma-relatedrdeathsrwhenrLTBAsrarerused

4.rRiskrforrlife-threateningralterationsrinrelectrolytesr-rrCORRECTrANSWERS-
Increasedrriskrofrasthma-relatedrdeathsrwhenrLTBAsrarerused



Therbronchodilatorrofrchoicerforrpatientsrtakingrpropranololris:

1.rAlbuterol

2.rPirbuterol

3.rFormoterol

4.rIpratropiumr-rrCORRECTrANSWERS-Ipratropium



Jamesrisrar52-year-
oldroverweightrsmokerrtakingrtheophyllinerforrhisrpersistentrasthma.rHertellsrhisrproviderrherisrgoin
grtorstartrtherAtkin'srdietrforrweightrloss.rTherappropriaterresponserwouldrbe:

1.rCongratulaterhimronrmakingrarpositiverchangerinrhisrlife.

2.rRecommendrhertryrstoppingrsmokingrinsteadrofrtherAtkin'srdiet.

3.rSchedulerhimrforrregularrtestingrofrserumrtheophyllinerlevelsrduringrhisrdietrduertorincreasedrexc
retionrofrtheophylline.

4.rDecreaserhisrtheophyllinerdoserbecauserarhigh-
proteinrdietrmayrleadrtorelevatedrtheophyllinerlevels.r-rrCORRECTrANSWERS-
RecommendrhertryrstoppingrsmokingrinsteadrofrtherAtkin'srdiet.



Lirtakesrtheophyllinerforrhisrpersistentrasthmarandrcallsrtherofficerwithrarcomplaintrofrnausea,rvomi
ting,randrheadache.rTherbestradvicerforrhimrwouldrberto:

1.rReassurerhimrthisrisrprobablyrarviralrinfectionrandrshouldrberbetterrsoon

, 2.rHaverhimrseenrthersamerdayrforranrassessmentrandrtheophyllinerlevel

3.rSchedulerhimrforranrappointmentrinr2rtor3rdays,rwhichrhercanrcancelrifrherisrbetter

4.rOrderrartheophyllinerlevelratrtherlaboratoryrforrhimr-rrCORRECTrANSWERS-
Schedulerhimrforranrappointmentrinr2rtor3rdays,rwhichrhercanrcancelrifrherisrbetter



Tiotropiumrbromider(Spiriva)risranrinhaledranticholinergic:

1.rUsedrforrthertreatmentrofrchronicrobstructiverpulmonaryrdiseaser(COPD)

2.rUsedrinrthertreatmentrofrasthma

3.rCombinedrwithralbuterolrforrtreatmentrofrasthmarexacerbations

4.rCombinedrwithrfluticasonerforrthertreatmentrofrpersistentrasthmar-rrCORRECTrANSWERS-
Usedrforrthertreatmentrofrchronicrobstructiverpulmonaryrdiseaser(COPD)



Christyrhasrexercise-
inducedrandrmildrpersistentrasthmarandrisrprescribedrtworpuffsrofralbuterolr15rminutesrbeforerexe
rciserandrasrneededrforrwheezing.rOnerpuffrperrdayrofrbeclomethasoner(QVAR)risralsorprescribed.rT
eachingrregardingrherrinhalersrincludes:

1.rUseronertortworpuffsrofralbuterolrperrdayrtorpreventranrattackrwithrnormorerthanreightrpuffsrperrd
ay

2.rBeclomethasonerneedsrtorberusedreveryrdayrtortreatrherrasthma

3.rReportranyrsystemicrsidereffectsrsherisrexperiencing,rsuchrasrweightrgain

4.rUsertheralbuterolrmetered-
doserinhalerr(MDI)rimmediatelyrafterrherrcorticosteroidrMDIrtorfacilitaterbronchodilationr-
rrCORRECTrANSWERS-Beclomethasonerneedsrtorberusedreveryrdayrtortreatrherrasthma




Whenrprescribingrmontelukastr(Singulair)rforrasthma,rpatientsrorrparentsrofrpatientsrshouldrberinst
ructed:

1.rMontelukastrtwicerardayrisrstartedrwhenrthererisranrasthmarexacerbation

.2.rPatientsrmayrexperiencerweightrgainronrmontelukast.

3.rAggression,ranxiety,rdepression,rand/orrsuicidalrthoughtsrmayroccurrwhenrtakingrmontelukast.