NR 565 - Advanced Pharmacology FINAL
EXAM Chamberlain Practice Questions and
Answers
1. In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
Answer C. Alcoholics
2. What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
Answer A. eGFR <30
3. What medication is contraindicated to treat diabetes if a patient
already has a cardiac ejection fraction rate of 40%?
,A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor
Answer B. Thiazolidinediones
4. Sabrina is a 35-year-old female who presents with complaints
of fatigue, anxiety, and palpitations. She has a long history of
obesity and reports that she is happy that she has lost 23 pounds in
the last 2 months. She also reports that she has trouble sleeping
and her husband complains that she is keeping the house too cold.
Physical exam reveals slight tachycardia at 104 bpm and
a slightly enlarged thyroid. Thyroid testing reveals hyperthyroidism or
Grave's disease.
Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
Answer A. Methimazole
5. Which of the following medications would be considered the
,first line of treatment for a newly diagnosed Diabetic patient
with adequate renal and hepatic function?
A
NovoLog Sliding Scale Insulin
B
Liraglutide (Victoza)
C
Oral Metformin
D
Glipizide
Answer C
Oral Metformin
6. Of the following medications, which is most likely to cause
hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones
Answer B. Insulin
7. Which symptoms are most expected of a patient diagnosed with
, hypothy- roidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema
Answer D. dry skin, brittle hair, fatigue, myxedema
8. Patients with an increased risk for UTIs and genital infections
or an active diagnosis, should avoid what drug class/es for
treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above.
Answer C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
9. A 45-year-old patient with a history of type 2 diabetes presents to
the clinic for a follow-up appointment. The healthcare provider has
prescribed metformin
as part of the treatment plan. Which of the following statements
regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the
EXAM Chamberlain Practice Questions and
Answers
1. In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
Answer C. Alcoholics
2. What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
Answer A. eGFR <30
3. What medication is contraindicated to treat diabetes if a patient
already has a cardiac ejection fraction rate of 40%?
,A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor
Answer B. Thiazolidinediones
4. Sabrina is a 35-year-old female who presents with complaints
of fatigue, anxiety, and palpitations. She has a long history of
obesity and reports that she is happy that she has lost 23 pounds in
the last 2 months. She also reports that she has trouble sleeping
and her husband complains that she is keeping the house too cold.
Physical exam reveals slight tachycardia at 104 bpm and
a slightly enlarged thyroid. Thyroid testing reveals hyperthyroidism or
Grave's disease.
Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
Answer A. Methimazole
5. Which of the following medications would be considered the
,first line of treatment for a newly diagnosed Diabetic patient
with adequate renal and hepatic function?
A
NovoLog Sliding Scale Insulin
B
Liraglutide (Victoza)
C
Oral Metformin
D
Glipizide
Answer C
Oral Metformin
6. Of the following medications, which is most likely to cause
hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones
Answer B. Insulin
7. Which symptoms are most expected of a patient diagnosed with
, hypothy- roidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema
Answer D. dry skin, brittle hair, fatigue, myxedema
8. Patients with an increased risk for UTIs and genital infections
or an active diagnosis, should avoid what drug class/es for
treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above.
Answer C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
9. A 45-year-old patient with a history of type 2 diabetes presents to
the clinic for a follow-up appointment. The healthcare provider has
prescribed metformin
as part of the treatment plan. Which of the following statements
regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the
