NUR635 Pharm GCU final COMPLETE EXAM
LATEST VERSION 2026-2027 QUESTIONS AND
ANSWERS
When we prescribe phentermine and topiramate for weight loss, what is the function of topiramate?
Decreases appetite byt producing fullness to last longer after eating.
St johns wart, what does it have the tendancy to do?
Increase metabolism of some drugs
COPD who develops bronchitis and temp is 39.5 degrees celsius, what do we do?
Abx and sputum culture
Child has ear infection, treated with amoxicillin, and its not getting better, what do you switch the
Medication to?
Augmentin
Patient has pseudomonas infection (treat with zosyn/pipercilin) nurse gets labs back and BUN/Cr is
Elevated, what do you do?
Decrease the dose
What is the cephalosporin treats MRSA
5th gen cephtaraline
What do we treat C. Diff with?
Oral vancomyacin
What side effect does someone need to develop for you to discontinue the use of clindimyacin?
,Bad diarrhea
If your patient got their first azithromyacin at 0800 500mg, when do they get their second dose
Tomorrow?
0800 250mg
Patient is receiving an aminoglycoside and you get cultures back and you have an anerobic organism,
What are you going to do?
Prescribe a different class of abx
Patient has conjunctivitis, and youre going to prescribe an aminoglycoside, which one do you
Prescribe?
Neomycin- ointment
We have a young nonpregnant female with a UTI, how do we treat her?
Bactrim x3 days
We have a 6yr old and a tympanic membrane is buldging, edematous, and intact, what do you do for
Pain?
Lidocaine ear drops
18 month old has a fever for the past 24 hours, buldging tympanic membrane, what do you prescribe?
Amoxicillin
How do you treat a simple scattered comdomes in adolescents before we go to abx therapy?
Benzol peroxide
14 yr old female not responding to topical drugs, what oral medications do you prescribe?
Doxycycline
Open angled glaucoma, prescribing timolol, which is what? And what condition can be made
worse when prescribing it? A beta blocker.
, Asthma
What is the first line treatment for a previously healthy person with community acquired pneumonia?
Azithromycin
NOT amoxicillin
What are we worried about if you see an SSRI and St. Johns Wart together on a med list? Serotonin
Syndrome
What is Phenytoin used for?
Seizures and epilepsy
When will you see a hypersensitivity with phenytoin?
People can develop a hypersensitivity 3-8 weeks after starting treatment, so you will want to have
Them back in one month to make sure they are not developing a sensitivity.
Reactions will present: rash, fever, tender generalized lymphadenopathy, leukocytosis with atypical
Lymphocytes, and eosinophilia.
What medication can auto induce metabolization?
Carbamazepine
This medication is used to treat epilepsy and nerve pain in trigeminal neuralgia, acute manic and mixed
Episodes of bipolar disorder
Black box warning for carbamazepine?
Stevens Johnsons Syndrome
How often should we monitor someone who is taking carbamazepine?
CBC every 3-4 months
They could end up with agranulocytosis ( low number of granulocytes (WBC)) making them susceptible
To infection. Blood dyscriasis (disease or imbalance of the blood).
LATEST VERSION 2026-2027 QUESTIONS AND
ANSWERS
When we prescribe phentermine and topiramate for weight loss, what is the function of topiramate?
Decreases appetite byt producing fullness to last longer after eating.
St johns wart, what does it have the tendancy to do?
Increase metabolism of some drugs
COPD who develops bronchitis and temp is 39.5 degrees celsius, what do we do?
Abx and sputum culture
Child has ear infection, treated with amoxicillin, and its not getting better, what do you switch the
Medication to?
Augmentin
Patient has pseudomonas infection (treat with zosyn/pipercilin) nurse gets labs back and BUN/Cr is
Elevated, what do you do?
Decrease the dose
What is the cephalosporin treats MRSA
5th gen cephtaraline
What do we treat C. Diff with?
Oral vancomyacin
What side effect does someone need to develop for you to discontinue the use of clindimyacin?
,Bad diarrhea
If your patient got their first azithromyacin at 0800 500mg, when do they get their second dose
Tomorrow?
0800 250mg
Patient is receiving an aminoglycoside and you get cultures back and you have an anerobic organism,
What are you going to do?
Prescribe a different class of abx
Patient has conjunctivitis, and youre going to prescribe an aminoglycoside, which one do you
Prescribe?
Neomycin- ointment
We have a young nonpregnant female with a UTI, how do we treat her?
Bactrim x3 days
We have a 6yr old and a tympanic membrane is buldging, edematous, and intact, what do you do for
Pain?
Lidocaine ear drops
18 month old has a fever for the past 24 hours, buldging tympanic membrane, what do you prescribe?
Amoxicillin
How do you treat a simple scattered comdomes in adolescents before we go to abx therapy?
Benzol peroxide
14 yr old female not responding to topical drugs, what oral medications do you prescribe?
Doxycycline
Open angled glaucoma, prescribing timolol, which is what? And what condition can be made
worse when prescribing it? A beta blocker.
, Asthma
What is the first line treatment for a previously healthy person with community acquired pneumonia?
Azithromycin
NOT amoxicillin
What are we worried about if you see an SSRI and St. Johns Wart together on a med list? Serotonin
Syndrome
What is Phenytoin used for?
Seizures and epilepsy
When will you see a hypersensitivity with phenytoin?
People can develop a hypersensitivity 3-8 weeks after starting treatment, so you will want to have
Them back in one month to make sure they are not developing a sensitivity.
Reactions will present: rash, fever, tender generalized lymphadenopathy, leukocytosis with atypical
Lymphocytes, and eosinophilia.
What medication can auto induce metabolization?
Carbamazepine
This medication is used to treat epilepsy and nerve pain in trigeminal neuralgia, acute manic and mixed
Episodes of bipolar disorder
Black box warning for carbamazepine?
Stevens Johnsons Syndrome
How often should we monitor someone who is taking carbamazepine?
CBC every 3-4 months
They could end up with agranulocytosis ( low number of granulocytes (WBC)) making them susceptible
To infection. Blood dyscriasis (disease or imbalance of the blood).
