NSG 533 PHARM EXAM 2 | COMPREHENSIVE
PHARMACOLOGY STUDY GUIDE, PRACTICE
QUESTIONS & ANSWERS 2026/2027
1 of 46
Term
Know the stepwise treatment algorithm for the treatment of chronic
headaches/ migraines:
Give this one a go later!
1. PMH, family hx, med hx
2. Assess info: triggers? Timing?
3. Develop POC: recommend pharmacotherapy that is financially feasible
4. Implement plan- log HA diary
5. Follow up- 4 weeks after starting new med
,-new onset sudden, severe pain
-systemic signs (fever, weight loss, HTN)
-focal neuro symptoms
-papilledema (swelling of both optic discs in eyes d/t increased ICP
-cough/ exertion triggered by HA
-pregnancy or postpartum state
-HIV
-cancer patients
-seizure activity
True opioid allergies are rare. When a true allergy is present, an agent from another
opiate classed should be used. For example, a patient with a true opiate allergy
could receive fentanyl.
-centrally acting synthetic opioid
-weak SSRI/ SNRI
-can cause dizzinesss, vertigo, N/V, lethargy
-seizures reported; dose related, more so with TCAs and other SSRIs
-risk for SEROTONIN SYNDROME
-Max 200mg/ day
Don't know?
2 of 46
,Term
What microorganisms would you expect to cause CAP?
Give this one a go later!
stomach: lactobacillus, streptococcus sp
small intestine: lactobacillus, streptococcus enterococcus, enterococcus,
enterobacteriaceae, diphtheroids
ileum: enterobacteriaceaea, enterococcus, peptostreptococcus, bacteroides,
clostridium
Most cases of AOM do not require abx, except in children younger than 2
ABX should be reserved for those likely to benefit
-beta-blockers if not contraindicated (or CCB)
-low-dose TCAs (amitriptyline, venlafaxine)
-antiepileptics (topiramate, valproic acid, divalproex sodium)
S. pneumoniae is the predominant microorganism associated w/ CAP
-other common organisms: haemophilus influenzae, mycoplasma pneumoniae,
mortadella catarrhalis
Don't know?
, 3 of 46
Term
What treatment could you recommend if Jimmy's infection was
methicillin susceptible staphylococcus aureus?
Give this one a go later!
Urine culture MSSA coverage- dicloxacillin
Glucosamine and chondroitin Cefezolin
Don't know?
4 of 46
Term
If the patient was diagnosed w/ methicillin-sensitive staphylococcus
aureus (MSSA) and had a penicillin allergy, how would this change your
recommendation, if at all?
Give this one a go later!
Azithromycin Cefezolin
PHARMACOLOGY STUDY GUIDE, PRACTICE
QUESTIONS & ANSWERS 2026/2027
1 of 46
Term
Know the stepwise treatment algorithm for the treatment of chronic
headaches/ migraines:
Give this one a go later!
1. PMH, family hx, med hx
2. Assess info: triggers? Timing?
3. Develop POC: recommend pharmacotherapy that is financially feasible
4. Implement plan- log HA diary
5. Follow up- 4 weeks after starting new med
,-new onset sudden, severe pain
-systemic signs (fever, weight loss, HTN)
-focal neuro symptoms
-papilledema (swelling of both optic discs in eyes d/t increased ICP
-cough/ exertion triggered by HA
-pregnancy or postpartum state
-HIV
-cancer patients
-seizure activity
True opioid allergies are rare. When a true allergy is present, an agent from another
opiate classed should be used. For example, a patient with a true opiate allergy
could receive fentanyl.
-centrally acting synthetic opioid
-weak SSRI/ SNRI
-can cause dizzinesss, vertigo, N/V, lethargy
-seizures reported; dose related, more so with TCAs and other SSRIs
-risk for SEROTONIN SYNDROME
-Max 200mg/ day
Don't know?
2 of 46
,Term
What microorganisms would you expect to cause CAP?
Give this one a go later!
stomach: lactobacillus, streptococcus sp
small intestine: lactobacillus, streptococcus enterococcus, enterococcus,
enterobacteriaceae, diphtheroids
ileum: enterobacteriaceaea, enterococcus, peptostreptococcus, bacteroides,
clostridium
Most cases of AOM do not require abx, except in children younger than 2
ABX should be reserved for those likely to benefit
-beta-blockers if not contraindicated (or CCB)
-low-dose TCAs (amitriptyline, venlafaxine)
-antiepileptics (topiramate, valproic acid, divalproex sodium)
S. pneumoniae is the predominant microorganism associated w/ CAP
-other common organisms: haemophilus influenzae, mycoplasma pneumoniae,
mortadella catarrhalis
Don't know?
, 3 of 46
Term
What treatment could you recommend if Jimmy's infection was
methicillin susceptible staphylococcus aureus?
Give this one a go later!
Urine culture MSSA coverage- dicloxacillin
Glucosamine and chondroitin Cefezolin
Don't know?
4 of 46
Term
If the patient was diagnosed w/ methicillin-sensitive staphylococcus
aureus (MSSA) and had a penicillin allergy, how would this change your
recommendation, if at all?
Give this one a go later!
Azithromycin Cefezolin
