Nurs Adv Pharm 5334 UTA Exam 1 | Pharmacology Module 1,2 &
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q 3 Exam Review | Questions And Answers 2026/2027 Updates
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Testbankscove
,Pharmacology Module #1, #2 & #3 EXAM REVIEW - Complete q q q q q q q q q
Q&A with Rationales
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QUESTION 1 q
What is tachyphylaxis?
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A) Rapid decrease in response
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B) Delayed onset of action q q q
C) Prolonged effectiveness q
D) Gradual increase in response
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Correct Answer: A) Rapid decrease in response
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Rationale: Tachyphylaxis is a rapid decrease in response to a drug after repeated
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administration over a short period. It differs from tolerance, which develops more
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q gradually over time. This occurs when receptors become desensitized or depleted.
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QUESTION 2 q
Gastric acid is a digestive fluid produced by the parietal cells in the lining of the
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q stomach and is comprised of hydrochloric acid, potassium chloride, and sodium
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q chloride. What is the primary purpose of gastric acid in the digestive process?
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A) Activates digestive enzymes q q
B) Enhances bile production q q
C) Neutralizes stomach acid q q
D) Neutralizes bile salts q q
Correct Answer: A) Activates digestive enzymes
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Rationale: Gastric acid's primary function is to activate digestive enzymes, particularly
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pepsinogen to pepsin, which begins protein digestion. It also helps kill bacteria and
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q creates an acidic environment optimal for enzyme function. Bile production occurs in the
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q liver, not in response to gastric acid.
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QUESTION 3 q
,Creatinine clearance determines? q q
A) How well the medications will be absorbed
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B) How well the medications will be excreted more accurately than a creatinine
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q level alone
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C) How quickly the medications will be metabolized
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D) The concentration of medications in the bloodstream
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Correct Answer: B) How well the medications will be excreted more accurately than a
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creatinine level alone
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Rationale: Creatinine clearance is a more accurate measure of renal function than serum
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q creatinine alone because it accounts for both the serum level AND urine output over
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q time. It estimates GFR and helps determine appropriate drug dosing for renally excreted
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q medications.
QUESTION 4 q
Dysrhythmia is a deviation from normal sinus rhythm that may result from:
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A) Electrolyte imbalance, coronary artery disease, cardiac conduction
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q abnormalities, thyroid disease q q
B) Vitamin deficiency, pulmonary infection, hypertension, liver disease
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C) Genetic mutation, digestive issues, neurological disorder, metabolic syndrome
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D) Hormonal imbalance, respiratory disorder, kidney disease, autoimmune disorder
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Correct Answer: A) Electrolyte imbalance, coronary artery disease, cardiac conduction
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abnormalities, thyroid disease
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Rationale: Dysrhythmias result from disruptions in the heart's electrical conduction
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system. Key causes include electrolyte imbalances (especially K+, Ca2+, Mg2+),
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ischemic heart disease, structural conduction abnormalities, and thyroid dysfunction
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q (hyper/hypothyroidism). The other options list conditions not directly linked to cardiac q q q q q q q q q q
rhythm disturbances.
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, QUESTION 5 q
Alendronate and risedronate are bisphosphonates used in the treatment of
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osteoporosis. What is the mechanism of action?
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A) Stimulate osteoblast activity and bone formation causing increased bone density
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B) Promote cartilage growth and joint lubrication
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C) Enhance calcium absorption and bone mineralization
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D) Inhibit osteoclast activity and bone resorption causing reduced bone turnover
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q and improving bone mineral density
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Correct Answer: D) Inhibit osteoclast activity and bone resorption causing reduced
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q bone turnover and improving bone mineral density
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Rationale: Bisphosphonates work by inhibiting osteoclast-mediated bone resorption.
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q They bind to hydroxyapatite in bone and are ingested by osteoclasts during resorption,
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q leading to osteoclast apoptosis. This reduces bone turnover and preserves bone mineral
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q density. They do NOT stimulate bone formation (that's PTH analogs).
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QUESTION 6 q
Pharmacogenomics is the study of? q q q q
A) How genetic mutations affect drug safety
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B) How environmental factors alter drug metabolism
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C) The influence of diet on drug effectiveness
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D) How certain genetic traits affect drug response
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Correct Answer: D) How certain genetic traits affect drug response
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Rationale: Pharmacogenomics studies how an individual's genetic makeup influences
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their response to drugs, including efficacy, metabolism, and adverse effects. It looks
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q at multiple genes and their interactions (whereas pharmacogenetics focuses on
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q single gene variations).
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