NR 565 - advanced pharmacology
midterm - Chamberlain EXAM
Newest 2026 Complete Questions
Merged With Correct Verified
Answers | Already Graded A+ |
2025-2026 Latest Update!!!
1st line treatment of osteoporosis - ANSWER-alendronate
12 CDC guidelines for prescribing opioids - ANSWER-Opioids are not
first line therapy
establish goals for pain and function
Discuss risks and benefits
Use immediate release opioids when starting
Use the lowest effective dose
Prescribe short durations for acute pain
Evaluate benefits and harms frequently
,Use strategies to migrate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzo prescribing
Offer treatment for opioid use disorder
A 41 year old patient comes into the clinic complaining of increased
heart rate after starting nitro patches for stable angina. What would
an appropriate response be?
1. let’s lower the dose and frequency of use
2. I will prescribe a BB to help with this
3. Next time this happens, lie down and practice deep breathing, this
will bring your heart rate down - ANSWER-2- I will prescribe a BB to
help with this
A 55 year old male comes into the clinic with a gouty arthritis. He
states that he has one flareup a year. Your response is:
1. I will prescribe you glucocorticoids to help with inflammation
2. Let’s start you on prophylactic therapy colchicine.
3. It will be helpful to take an NSAID to start with to help relive some
inflammation. I'll prescribe naproxen. - ANSWER-3- in patients with
infrequent flareups, being less than three per year, treatment of
symptoms is all that’s needed. NSAIDS are the first line agent for
relieving pain of an acute gout attack.
A patient comes in stating that he tried NSAIDS to relieve a gouty
attack but it hasn’t helped. He asks, "what are my options?" He
,further states that he has attacks every few years but when he does
NSAIDS do not help. Your response is:
1. I can prescribe a glucocorticoid (prednisone) and that will bring
down the inflammation and pain.
2. Have your tried increasing your dosage of NSAIDS and drink plenty
of water?
3. Let’s start by making some changes in your diet, can you tell me
what you eat regularly? - ANSWER-1
3- can also be correct but BEST answer
A patient with HF develops fibrotic changes, what should the provider
do next? - ANSWER-ensure that a patient is on an ARB (valsartan) as
this inhibits fibrosis (aldosterone antagonist)
A person who is depend on a pure opioid agonist should NEVER
receive an opioid agonist antagonist - ANSWER-true
ACE inhibitors MOA - ANSWER-Angiotensin Converting Enzyme
Inhibitors (ACE-I) prevent the conversion of angiotensin I to
angiotensin II, which disrupts the renin-angiotensin-aldosterone
system (RAAS).
1. reduce levels of angiotensin II (through inhibition of ACE)
2. increasing levels of bradykinin (through inhibition of kinase 11)
End in -Prill
adverse effects for bisphosphonates - ANSWER-osteonecrosis of the
jaw and hip fracture, Esophagitis
, adverse effects of CCBs in elderly patients - ANSWER-gingival
hyperplasia (overgrowth of gum tissue) and chronic eczematous rash
adverse effects of colchicine - ANSWER-nausea, vomiting, diarrhea,
myelosuppression, myopathy, rhabdomyolysis
adverse effects of digoxin - ANSWER-GI- anorexia, nausea, vomiting
CNS- fatigue
Visual disturbances **(appearance of halos around dark objects)
dysrhythmias
Adverse effects of lasix (flurosemide) - ANSWER-ototoxicity
adverse effects of nitro - ANSWER-headache, hypotension, and
tachycardia (secondary to vasodilation)
Adverse effects of opioids - ANSWER-constipation
urinary retention
orthostatic hypotension
emesis
neurotoxicity (delirium, agitation)
tolerance and physical dependence
respiratory depression
adverse effects of pregabalin - ANSWER-Sedation/drowsy, dizziness,
and ataxia, blurred vision, difficulty thinking
adverse effects of statins - ANSWER-rhabdomyolysis, hepatoxicity,
new-onset diabetes
midterm - Chamberlain EXAM
Newest 2026 Complete Questions
Merged With Correct Verified
Answers | Already Graded A+ |
2025-2026 Latest Update!!!
1st line treatment of osteoporosis - ANSWER-alendronate
12 CDC guidelines for prescribing opioids - ANSWER-Opioids are not
first line therapy
establish goals for pain and function
Discuss risks and benefits
Use immediate release opioids when starting
Use the lowest effective dose
Prescribe short durations for acute pain
Evaluate benefits and harms frequently
,Use strategies to migrate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzo prescribing
Offer treatment for opioid use disorder
A 41 year old patient comes into the clinic complaining of increased
heart rate after starting nitro patches for stable angina. What would
an appropriate response be?
1. let’s lower the dose and frequency of use
2. I will prescribe a BB to help with this
3. Next time this happens, lie down and practice deep breathing, this
will bring your heart rate down - ANSWER-2- I will prescribe a BB to
help with this
A 55 year old male comes into the clinic with a gouty arthritis. He
states that he has one flareup a year. Your response is:
1. I will prescribe you glucocorticoids to help with inflammation
2. Let’s start you on prophylactic therapy colchicine.
3. It will be helpful to take an NSAID to start with to help relive some
inflammation. I'll prescribe naproxen. - ANSWER-3- in patients with
infrequent flareups, being less than three per year, treatment of
symptoms is all that’s needed. NSAIDS are the first line agent for
relieving pain of an acute gout attack.
A patient comes in stating that he tried NSAIDS to relieve a gouty
attack but it hasn’t helped. He asks, "what are my options?" He
,further states that he has attacks every few years but when he does
NSAIDS do not help. Your response is:
1. I can prescribe a glucocorticoid (prednisone) and that will bring
down the inflammation and pain.
2. Have your tried increasing your dosage of NSAIDS and drink plenty
of water?
3. Let’s start by making some changes in your diet, can you tell me
what you eat regularly? - ANSWER-1
3- can also be correct but BEST answer
A patient with HF develops fibrotic changes, what should the provider
do next? - ANSWER-ensure that a patient is on an ARB (valsartan) as
this inhibits fibrosis (aldosterone antagonist)
A person who is depend on a pure opioid agonist should NEVER
receive an opioid agonist antagonist - ANSWER-true
ACE inhibitors MOA - ANSWER-Angiotensin Converting Enzyme
Inhibitors (ACE-I) prevent the conversion of angiotensin I to
angiotensin II, which disrupts the renin-angiotensin-aldosterone
system (RAAS).
1. reduce levels of angiotensin II (through inhibition of ACE)
2. increasing levels of bradykinin (through inhibition of kinase 11)
End in -Prill
adverse effects for bisphosphonates - ANSWER-osteonecrosis of the
jaw and hip fracture, Esophagitis
, adverse effects of CCBs in elderly patients - ANSWER-gingival
hyperplasia (overgrowth of gum tissue) and chronic eczematous rash
adverse effects of colchicine - ANSWER-nausea, vomiting, diarrhea,
myelosuppression, myopathy, rhabdomyolysis
adverse effects of digoxin - ANSWER-GI- anorexia, nausea, vomiting
CNS- fatigue
Visual disturbances **(appearance of halos around dark objects)
dysrhythmias
Adverse effects of lasix (flurosemide) - ANSWER-ototoxicity
adverse effects of nitro - ANSWER-headache, hypotension, and
tachycardia (secondary to vasodilation)
Adverse effects of opioids - ANSWER-constipation
urinary retention
orthostatic hypotension
emesis
neurotoxicity (delirium, agitation)
tolerance and physical dependence
respiratory depression
adverse effects of pregabalin - ANSWER-Sedation/drowsy, dizziness,
and ataxia, blurred vision, difficulty thinking
adverse effects of statins - ANSWER-rhabdomyolysis, hepatoxicity,
new-onset diabetes
