N5334 Advanced Pharmacology Module 6 Practice
Test 2026 | Verified Answers | Exam Prep
1. Discuss why the Mirena IUD is a suitable contraceptive option for individuals
experiencing migraines with aura.
The Mirena IUD is suitable because it is a hormonal method that helps
regulate migraines.
The Mirena IUD is suitable because it does not contain estrogen,
which can exacerbate migraines with aura.
The Mirena IUD is suitable because it has no side effects.
The Mirena IUD is suitable because it is the only method available for
women with migraines.
2. What is a common treatment option for managing hypoglycemia during the
night in diabetes patients?
Skipping dinner
Consuming a fast-acting carbohydrate
Increasing physical activity
Taking additional insulin
3. If an 80-year-old patient with CAD is started on 12.5 mcg of levothyroxine
and shows improvement in TSH levels but develops palpitations, what should
be the next step in management?
Discontinue levothyroxine entirely.
Increase the dose to 25 mcg immediately.
Consider reducing the dose or monitoring closely.
Switch to a different medication.
,4. Which contraceptive method is advised for patients with migraines with aura?
Contraceptive implants
Low estrogen pills
Oral contraceptives
Mirena IUD
5. A patient with Type 2 Diabetes Mellitus has not achieved target blood
glucose levels with lifestyle changes and Metformin. What would be the next
appropriate step in their treatment plan?
Continue with lifestyle changes only
Start insulin therapy immediately
Discontinue Metformin and switch to insulin
Additional medications
6. What is the typical daily dosage of NPH insulin for a type-I diabetic?
50 units
Varies based on individual needs
30 units
10 units
7. Which medication is specifically contraindicated for patients with a sulfa
allergy?
NPH insulin
Metformin
Pioglitazone
, Glyburide
8. Describe the mechanism by which alpha-glucosidase inhibitors can lead to
gastrointestinal upset in patients.
Alpha-glucosidase inhibitors enhance glucose uptake in the intestines,
resulting in diarrhea.
Alpha-glucosidase inhibitors block the absorption of fats, leading to
bloating.
Alpha-glucosidase inhibitors increase insulin secretion, causing
nausea.
Alpha-glucosidase inhibitors slow carbohydrate absorption in the
intestines, leading to fermentation and gas production.
9. What is the recommended hormone therapy for a postmenopausal female
with a uterus experiencing severe vasomotor symptoms?
Estrogen alone
No hormones
Tamoxifen
Estrogen & progesterone
10. Describe the effect of blocking alpha 1 receptors in the context of urinary
function.
Blocking alpha 1 receptors causes increased resistance in urinary
flow.
Blocking alpha 1 receptors relaxes the smooth muscles in the
bladder neck, facilitating urination.
Blocking alpha 1 receptors has no effect on urinary function.
, Blocking alpha 1 receptors increases bladder contraction, making
urination more difficult.
11. What is the primary adverse effect of alpha-glucosidase inhibitors used in
diabetes management?
Hepatotoxicity
GI upset
Renal impairment
Symptomatic hypoglycemia
12. Why is it important to prescribe both estrogen and progesterone for a
postmenopausal woman with a uterus undergoing hormone replacement
therapy?
To enhance the effectiveness of estrogen therapy.
To manage thyroid dysfunction.
To reduce the risk of endometrial hyperplasia caused by estrogen
alone.
To prevent osteoporosis in postmenopausal women.
13. Which of the following is a potential side effect of sildenafil when used for
erectile dysfunction?
Ischemic optic neuropathy
Dizziness
Nausea
Increased appetite
Test 2026 | Verified Answers | Exam Prep
1. Discuss why the Mirena IUD is a suitable contraceptive option for individuals
experiencing migraines with aura.
The Mirena IUD is suitable because it is a hormonal method that helps
regulate migraines.
The Mirena IUD is suitable because it does not contain estrogen,
which can exacerbate migraines with aura.
The Mirena IUD is suitable because it has no side effects.
The Mirena IUD is suitable because it is the only method available for
women with migraines.
2. What is a common treatment option for managing hypoglycemia during the
night in diabetes patients?
Skipping dinner
Consuming a fast-acting carbohydrate
Increasing physical activity
Taking additional insulin
3. If an 80-year-old patient with CAD is started on 12.5 mcg of levothyroxine
and shows improvement in TSH levels but develops palpitations, what should
be the next step in management?
Discontinue levothyroxine entirely.
Increase the dose to 25 mcg immediately.
Consider reducing the dose or monitoring closely.
Switch to a different medication.
,4. Which contraceptive method is advised for patients with migraines with aura?
Contraceptive implants
Low estrogen pills
Oral contraceptives
Mirena IUD
5. A patient with Type 2 Diabetes Mellitus has not achieved target blood
glucose levels with lifestyle changes and Metformin. What would be the next
appropriate step in their treatment plan?
Continue with lifestyle changes only
Start insulin therapy immediately
Discontinue Metformin and switch to insulin
Additional medications
6. What is the typical daily dosage of NPH insulin for a type-I diabetic?
50 units
Varies based on individual needs
30 units
10 units
7. Which medication is specifically contraindicated for patients with a sulfa
allergy?
NPH insulin
Metformin
Pioglitazone
, Glyburide
8. Describe the mechanism by which alpha-glucosidase inhibitors can lead to
gastrointestinal upset in patients.
Alpha-glucosidase inhibitors enhance glucose uptake in the intestines,
resulting in diarrhea.
Alpha-glucosidase inhibitors block the absorption of fats, leading to
bloating.
Alpha-glucosidase inhibitors increase insulin secretion, causing
nausea.
Alpha-glucosidase inhibitors slow carbohydrate absorption in the
intestines, leading to fermentation and gas production.
9. What is the recommended hormone therapy for a postmenopausal female
with a uterus experiencing severe vasomotor symptoms?
Estrogen alone
No hormones
Tamoxifen
Estrogen & progesterone
10. Describe the effect of blocking alpha 1 receptors in the context of urinary
function.
Blocking alpha 1 receptors causes increased resistance in urinary
flow.
Blocking alpha 1 receptors relaxes the smooth muscles in the
bladder neck, facilitating urination.
Blocking alpha 1 receptors has no effect on urinary function.
, Blocking alpha 1 receptors increases bladder contraction, making
urination more difficult.
11. What is the primary adverse effect of alpha-glucosidase inhibitors used in
diabetes management?
Hepatotoxicity
GI upset
Renal impairment
Symptomatic hypoglycemia
12. Why is it important to prescribe both estrogen and progesterone for a
postmenopausal woman with a uterus undergoing hormone replacement
therapy?
To enhance the effectiveness of estrogen therapy.
To manage thyroid dysfunction.
To reduce the risk of endometrial hyperplasia caused by estrogen
alone.
To prevent osteoporosis in postmenopausal women.
13. Which of the following is a potential side effect of sildenafil when used for
erectile dysfunction?
Ischemic optic neuropathy
Dizziness
Nausea
Increased appetite
